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Goodwill
 9 Months Ended
Sep. 30, 2024
Goodwill [Abstract]  
Goodwill
5. Goodwill

The changes in the carrying amount of goodwill consisted of the following:

 
For the
Nine Months Ended
    
For the
Year Ended
  
   
September 30, 2024
    
December 31, 2023
  
    (In thousands)  
Beginning balance
  
$
509,571
    
$
494,101
  
Acquisitions
    
46,086
      
28,083
  
Adjustments for purchase price allocation of businesses acquired in prior year
    
(982
)
    
3,187
  
Impairment of goodwill     (33 )     (15,800 )
Ending balance
  
$
554,642
    
$
509,571
  

For the three and nine months ended September 30, 2024, the Company recorded goodwill impairment of $0.1 million related to a closed clinic. During the year ended December 31, 2023, the Company recorded goodwill impairment of $15.8 million related to a reporting unit in the Company’s IIP business.