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Goodwill and Intangible Assets
12 Months Ended
Dec. 31, 2015
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, 2015 and 2014, are as follows (in thousands):

 
2015
 
2014
Goodwill balance at January 1
$
184,464

 
$
184,505

Effect of foreign exchange
(52
)
 
(41
)
Additions as the result of acquisitions
60

 

Goodwill balance at December 31
$
184,472

 
$
184,464



As of December 31, 2015, we had recorded $8.3 million of accumulated goodwill impairment charges. All of the goodwill balance as of December 31, 2015 and 2014 is related to our cardiovascular segment.

Other intangible assets at December 31, 2015 and 2014, consisted of the following (in thousands):

 
2015
 
Gross Carrying
Amount
 
Accumulated
Amortization
 
Net Carrying
Amount
Patents
$
12,014

 
$
(2,595
)
 
$
9,419

Distribution agreements
5,626

 
(2,853
)
 
2,773

License agreements
19,109

 
(2,438
)
 
16,671

Trademarks
7,259

 
(2,554
)
 
4,705

Covenants not to compete
1,028

 
(873
)
 
155

Customer lists
20,793

 
(15,023
)
 
5,770

Royalty agreements
267

 
(267
)
 

 
 
 
 
 
 
Total
$
66,096

 
$
(26,603
)
 
$
39,493


 
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



Aggregate amortization expense for the years ended December 31, 2015, 2014 and 2013 was approximately $14.8 million, $14.9 million and $14.2 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. We did not record any impairment charges during the year ended December 31, 2015. During the third quarter of 2014 and 2013, we recorded an impairment charge for Ostial of approximately $1.1 million and $8.1 million, respectively, which was offset by approximately $874,000 and $3.8 million 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, 2015 (in thousands):

Year Ending December 31
 
2016
$
15,659

2017
15,515

2018
14,982

2019
14,640

2020
13,807