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Goodwill (Tables) | 12 Months Ended
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Dec. 31, 2021
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Goodwill | The following are the changes in the carrying amount of goodwill by reporting unit:
| Year Ended December 31, 2021
| Healthcare |  | Industrial |  | Consolidated
(in thousands) | Gross Goodwill |  | Dispositions, Acquisitions and Impairments |  | Net Goodwill |  | Gross Goodwill |  | Dispositions, Acquisitions and Impairments |  | Net Goodwill |  | Gross Goodwill |  | Dispositions, Acquisitions and Impairments |  | Net Goodwill
Balance at beginning of year | $101,767 |  | $(32,055) |  | $69,712 |  | $134,382 |  | $(42,329) |  | $92,053 |  | $236,149 |  | $(74,384) |  | $161,765
Acquisition (a) | — |  | 39,182 |  | 39,182 |  | — |  | 170,033 |  | 170,033 |  | — |  | 209,215 |  | 209,215
Dispositions (b) | — |  | (15,598) |  | (15,598) |  | — |  | (3,873) |  | (3,873) |  | — |  | (19,471) |  | (19,471)
Adjustments (c) | (900) |  | — |  | (900) |  | 900 |  | — |  | 900 |  | — |  | — |  | —
Foreign currency translation adjustments | (2,481) |  | — |  | (2,481) |  | (3,440) |  | — |  | (3,440) |  | (5,921) |  | — |  | (5,921)
Total goodwill | $98,386 |  | $(8,471) |  | $89,915 |  | $131,842 |  | $123,831 |  | $255,673 |  | $230,228 |  | $115,360 |  | $345,588
a.The 2021 acquisition, for the Healthcare and Industrial segments in the table above relate to Allevi, Additive Works, Oqton and Volumetric. Approximately $560 of goodwill related to Allevi will be deductible for tax purposes. b.The 2021 dispositions for the Healthcare and Industrial segments in the table above relate to of ODM and Simbionix c.The 2021Adjustment, for the Healthcare and Industrial segments in the table above relate to reclassification within the segments. The following are the changes in the carrying amount of goodwill by reporting unit for 2020. This presentation reflects the prior year reporting unit structure, which has been changed for 2021. Due to unnecessarily burdensome procedures to recast this information into our new segment structure, we have taken the practicability exception allowed and presented as in prior year :
(in thousands) |  | Americas |  | EMEA |  | APAC |  | Total
Balance at December 31, 2019 |  | $ | — |  |  | $ | 186,695 |  |  | $ | 36,481 |  |  | $ | 223,176 |
Dispositions and impairments a |  | — |  |  | (69,685) |  |  | (4,699) |  |  | (74,384) |
Effect of foreign currency exchange rates |  | — |  |  | 10,582 |  |  | 2,391 |  |  | 12,973 |
Balance at December 31, 2020 |  | $ | — |  |  | $ | 127,592 |  |  | $ | 34,173 |  |  | $ | 161,765 |
a.Includes $21,385 of goodwill held for sale related to Cimatron in EMEA and $4,699 of goodwill related to the sale of our Australia ODM and Wuxi Easyway businesses in APAC. See Note 4.

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