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Goodwill and Intangible Assets
6 Months Ended
Jun. 30, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangible Assets
(7) Goodwill and Intangible Assets

The following table summarizes the activity in goodwill:
Six Months Ended June 30, 2022
HealthcareIndustrialConsolidated
(in thousands)
Gross Goodwill
ImpairmentsNet GoodwillGross Goodwill ImpairmentsNet GoodwillGross GoodwillImpairmentsNet Goodwill
Balance at beginning of year$121,970 $(32,055)$89,915 $298,002 $(42,329)$255,673 $419,972 $(74,384)$345,588 
Acquisitions
25,065 — 25,065 22,357 — 22,357 47,422 — 47,422 
Foreign currency translation adjustments(4,531)— (4,531)(5,981)— (5,981)(10,512)— (10,512)
Total goodwill$142,504 $(32,055)$110,449 $314,378 $(42,329)$272,049 $456,882 $(74,384)$382,498 


December 31, 2021
HealthcareIndustrialConsolidated
(in thousands)
Gross Goodwill
ImpairmentsNet GoodwillGross GoodwillImpairmentsNet GoodwillGross GoodwillImpairmentsNet Goodwill
Balance at beginning of year$101,767 $(32,055)$69,712 $134,382 $(42,329)$92,053 $236,149 $(74,384)$161,765 
Acquisitions
39,182 — 39,182 170,033 — 170,033 209,215 — 209,215 
Dispositions(15,598)— (15,598)(3,873)— (3,873)(19,471)— (19,471)
Adjustments(900)— (900)900 — 900 — — — 
Foreign currency translation adjustments(2,481)— (2,481)(3,440)— (3,440)(5,921)— (5,921)
Total goodwill$121,970 $(32,055)$89,915 $298,002 $(42,329)$255,673 $419,972 $(74,384)$345,588 
Intangible assets, net, other than goodwill, at June 30, 2022 and December 31, 2021 are summarized as follows:

June 30, 2022December 31, 2021
(in thousands)
Gross
Accumulated AmortizationNet
Gross
Accumulated AmortizationNetWeighted Average Useful Life Remaining (in years)
Intangible assets with finite lives:
Customer relationships$49,886 $(45,145)$4,741 $53,062 $(45,613)$7,449 2.3
Acquired technology36,290 (6,301)29,989 17,518 (5,430)12,088 6.5
Trade names31,227 (11,020)20,207 20,448 (10,438)10,010 11.1
Patent costs20,836 (11,600)9,236 21,852 (11,812)10,040 11.0
Trade secrets19,585 (19,130)455 19,924 (18,971)953 0.6
Acquired patents16,202 (15,945)257 16,257 (15,945)312 6.4
Other13,031 (7,911)5,120 12,982 (7,999)4,983 3.9
Total intangible assets$187,057 $(117,052)$70,005 $162,043 $(116,208)$45,835 7.6

Amortization expense related to intangible assets was $3,302 and $5,980 for the three and six months ended June 30, 2022, respectively, compared to $2,502 and $4,929 for the three and six months ended June 30, 2021, respectively.