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Goodwill and Intangible Assets
12 Months Ended
Dec. 31, 2014
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, 2014 and 2013, are as follows (in thousands):

 
2014
 
2013
Goodwill balance at January 1
$
184,505

 
$
175,108

Effect of foreign exchange
(41
)
 
$

Adjustment related to previous acquisitions

 
381

Additions as the result of acquisitions

 
9,016

Goodwill balance at December 31
$
184,464

 
$
184,505



As of December 31, 2014, we had recorded $8.3 million of accumulated goodwill impairment charges. All of the goodwill balance as of December 31, 2014 and 2013 related to our cardiovascular segment.

Other intangible assets at December 31, 2014 and 2013, consisted of the following (in thousands):

 
2014
 
Gross Carrying
Amount
 
Accumulated
Amortization
 
Net Carrying
Amount
Patents
$
10,199

 
$
(2,196
)
 
$
8,003

Distribution agreements
5,376

 
(2,285
)
 
3,091

License agreements
8,995

 
(1,823
)
 
7,172

Trademarks
7,298

 
(2,079
)
 
5,219

Covenants not to compete
1,029

 
(636
)
 
393

Customer lists
20,452

 
(13,194
)
 
7,258

Royalty agreements
267

 
(267
)
 

 
 
 
 
 
 
Total
$
53,616

 
$
(22,480
)
 
$
31,136


 
2013
 
Gross Carrying
Amount
 
Accumulated
Amortization
 
Net Carrying
Amount
Patents
$
9,302

 
$
(2,374
)
 
$
6,928

Distribution agreements
5,176

 
(1,780
)
 
3,396

License agreements
3,783

 
(1,249
)
 
2,534

Trademarks
7,622

 
(1,844
)
 
5,778

Covenants not to compete
1,029

 
(399
)
 
630

Customer lists
20,626

 
(10,957
)
 
9,669

Royalty agreements
267

 
(267
)
 

 
 
 
 
 
 
Total
$
47,805

 
$
(18,870
)
 
$
28,935



Aggregate amortization expense for the years ended December 31, 2014, 2013 and 2012 was approximately $14.9 million, $14.2 million and $7.5 million, respectively.

We evaluate long-lived assets, including amortizing intangible assets, for impairment whenever events or changes in circumstances indicate that their carrying amounts may not be recoverable. We perform the impairment analysis at the asset group for which the lowest level of identifiable cash flows are largely independent of the cash flows of other assets and liabilities. We compared the carrying value of the amortizing intangible assets acquired in our January 2012 acquisition of Ostial to the undiscounted cash flows expected to result from the asset group and determined that the carrying amount was not recoverable. We then determined the fair value of the amortizing assets related to the Ostial acquisition based on estimated future cash flows discounted back to their present value using a discount rate that reflects the risk profiles of the underlying activities. Some of the factors that influenced our estimated cash flows were slower than anticipated sales growth in the products acquired from our Ostial acquisition and uncertainty about future sales growth. The excess of the carrying value compared to the fair value was recognized as an intangible asset impairment charge. During the third quarter of 2014 and 2013, we recorded impairment charges for Ostial of approximately $1.1 million and $8.1 million, respectively, which were offset by approximately $874,000 and $3.8 million, respectively, of fair value reductions to the related contingent consideration liability.

Estimated amortization expense for the developed technology and other intangible assets for the next five years consists of the following as of December 31, 2014 (in thousands):

Year Ending December 31
 
2015
$
14,525

2016
14,381

2017
13,911

2018
13,197

2019
12,916