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Acquisitions | 9 Months Ended
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Sep. 30, 2023
Acquisitions [Abstract] |
Acquisitions | 17. Acquisitions On June 1, 2023 Roto-Rooter completed the acquisition of one franchise in South Carolina for $305,000 in cash. On September 26, 2023 Roto-Rooter completed the acquisition of one franchise in Georgia for $3.689 million in cash. In 2022, VITAS purchased the hospice assets of one Florida provider for $1.24 million in cash. Roto-Rooter completed the acquisition of three franchises and the related assets in New Jersey for a total of $2.29 million in cash. Goodwill is assessed for impairment on a yearly basis as of October 1. All goodwill recognized is deductible for tax purposes. Shown below is movement in Goodwill (in thousands):
| VITAS |  | Roto-Rooter |  | Total
Balance at December 31, 2022 | $ | 334,063 |  | $ | 247,232 |  | $ | 581,295
Business combinations |  | - |  |  | 3,682 |  |  | 3,682
Balance at September 30, 2023 | $ | 334,063 |  | $ | 250,914 |  | $ | 584,977

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