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Goodwill | 3 Months Ended
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Mar. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract] |
Goodwill | (6) Goodwill The following table reflects the changes in the carrying amount of goodwill by reporting unit for the three months ended March 31, 2023:
| Three Months Ended March 31, 2023
| Healthcare |  | Industrial |  | Consolidated
(in thousands) | Gross Goodwill |  | Impairments |  | Net Goodwill |  | Gross Goodwill |  | Impairments |  | Net Goodwill |  | Gross Goodwill |  | Impairments |  | Net Goodwill
Balance at beginning of year | $ | 143,431 |  |  | $ | (32,055) |  |  | $ | 111,376 |  |  | $ | 316,265 |  |  | $ | (42,329) |  |  | $ | 273,936 |  |  | $ | 459,696 |  |  | $ | (74,384) |  |  | $ | 385,312 |
Measurement period adjustments | (555) |  |  | — |  |  | (555) |  |  | (703) |  |  | — |  |  | (703) |  |  | (1,258) |  |  | — |  |  | (1,258) |
Foreign currency translation adjustments | 733 |  |  | — |  |  | 733 |  |  | 967 |  |  | — |  |  | 967 |  |  | 1,700 |  |  | — |  |  | 1,700 |
Balance at end of period | $ | 143,609 |  |  | $ | (32,055) |  |  | $ | 111,554 |  |  | $ | 316,529 |  |  | $ | (42,329) |  |  | $ | 274,200 |  |  | $ | 460,138 |  |  | $ | (74,384) |  |  | $ | 385,754 |
The effect of foreign currency exchange in the table above reflects the impact on goodwill of amounts recorded in currencies other than the U.S. dollar in the financial statements of foreign subsidiaries and the resulting effect of foreign currency translation between the applicable functional currency and the U.S. dollar.

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