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Goodwill and Other Intangible Assets
12 Months Ended
Dec. 31, 2020
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangible Assets Disclosure [Text Block] Goodwill and Other Intangible Assets
The changes in the carrying amounts of goodwill by segment were as follows:
(In thousands)DomesticInternationalTotal
Balance at the end of 2018$782,664 $64,880 $847,544 
Goodwill recorded in connection with the AbleVets acquisition37,071 — 37,071 
Foreign currency translation adjustment and other— (1,457)(1,457)
Balance at the end of 2019819,735 63,423 883,158 
Purchase price allocation adjustments for the AbleVets acquisition744 — 744 
Goodwill recorded in connection with 2020 business acquisitions33,709 — 33,709 
Goodwill reduction in connection with divestiture transactions— (7,692)(7,692)
Foreign currency translation adjustment and other— 4,601 4,601 
Balance at the end of 2020$854,188 $60,332 $914,520 

A summary of net intangible assets is as follows:
20202019
(In thousands)Gross Carrying AmountAccumulated AmortizationGross Carrying AmountAccumulated Amortization
Customer lists$494,615 $312,044 $500,914 $271,211 
Purchased software354,228 337,811 364,144 353,722 
Internal use software207,696 123,280 174,572 99,272 
Trade names42,951 28,961 41,731 26,574 
Other50,535 18,680 49,389 15,532 
Total$1,150,025 $820,776 $1,130,750 $766,311 
Intangible assets, net$329,249 $364,439 

Amortization expense for 2020, 2019 and 2018 was $85 million, $114 million and $109 million, respectively.

Estimated aggregate amortization expense for each of the next five years is as follows:
(In thousands)
2021$77,634 
202272,328 
202362,773 
202455,886 
202514,836