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Acquisitions | 3 Months Ended
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Mar. 31, 2024
Acquisitions [Abstract] |
Acquisitions | 17. Acquisitions On March 11, 2024, Roto-Rooter completed the acquisition of one franchise in New Jersey for $5.8 million in cash. On March 27, 2024, Roto-Rooter completed the acquisition of one franchise in Texas for $1.5 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, 2023 | $ | 334,063 |  | $ | 250,954 |  | $ | 585,017
Business combinations |  | - |  |  | 6,550 |  |  | 6,550
Foreign currency adjustments |  | - |  |  | (48) |  |  | (48)
Balance at March 31, 2024 | $ | 334,063 |  | $ | 257,456 |  | $ | 591,519

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