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Goodwill and Intangible Assets
12 Months Ended
Dec. 31, 2011
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangible Assets
GOODWILL AND INTANGIBLE ASSETS

The changes in the carrying amount of goodwill for the years ended December 31, 2011 and 2010, are as follows (in thousands):

 
2011
 
2010
Goodwill balance at January 1
$
58,675

 
$
33,002

Impairment charge

 
(8,343
)
Adjustment related to previous acquisitions
(228
)
 

Additions as the result of acquisitions
2,697

 
34,016

Goodwill balance at December 31
$
61,144

 
$
58,675



During our annual test of goodwill balances in 2010, which was completed during the third quarter, we determined that our goodwill related to our endoscopy reporting unit was impaired. We determined that, based on estimated future cash flows for this reporting unit, discounted back to their present value using a discount rate that reflects the risk profiles of the underlying activities, the carry value amount of this reporting unit was less than its estimated fair value. Some of the factors that influenced our estimated cash flows were slower sales growth in the products acquired from our Alveolus acquisition in March of 2009, uncertainty regarding acceptance of new products and continued operating losses in our endoscopy business segment. During the year ended December 31, 2010, we recorded an impairment charge of approximately $8.3 million, which was offset by approximately $3.2 million of deferred tax asset. As of December 31, 2011 and 2010, total accumulated goodwill impairment loss was approximately $8.3 million, all of which is related to the endoscopy segment.

Other intangible assets at December 31, 2011 and 2010, consisted of the following (in thousands):

 
2011
 
Gross
 
 
 
Net
 
Carrying
Amount
 
Accumulated
Amortization
 
Carrying
Amount
Patents
$
6,455

 
$
(1,704
)
 
$
4,751

Distribution agreement
2,426

 
(900
)
 
1,526

License agreements
1,983

 
(436
)
 
1,547

Trademark
5,746

 
(1,014
)
 
4,732

Covenant not to compete
315

 
(108
)
 
207

Customer lists
14,277

 
(5,786
)
 
8,491

Royalty agreements
267

 
(267
)
 

 
 
 
 
 
 
Total
$
31,469

 
$
(10,215
)
 
$
21,254


 
2010
 
Gross
 
 
 
Net
 
Carrying
Amount
 
Accumulated
Amortization
 
Carrying
Amount
Patents
$
4,631

 
$
(1,445
)
 
$
3,186

Distribution agreement
2,426

 
(641
)
 
1,785

License agreements
1,833

 
(352
)
 
1,481

Trademark
5,761

 
(636
)
 
5,125

In-process research and development
400

 

 
400

Covenant not to compete
315

 
(67
)
 
248

Customer lists
13,973

 
(3,287
)
 
10,686

Royalty agreements
267

 
(267
)
 

 
 
 
 
 
 
Total
$
29,606

 
$
(6,695
)
 
$
22,911



Aggregate amortization expense for the years ended December 31, 2011, 2010 and 2009 was approximately $6.0 million, $3.5 million and $2.3 million, respectively.

Estimated amortization expense for the intangible assets for the next five years consists of the following as of December 31, 2011 (in thousands):

Year Ending December 31
 
2012
$
5,767

2013
5,550

2014
5,090

2015
4,818

2016
4,811