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Goodwill
9 Months Ended
Sep. 30, 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 nine months ended September 30, 2023:
Nine Months Ended September 30, 2023
HealthcareIndustrialConsolidated
(in thousands)
Gross Goodwill
ImpairmentsNet GoodwillGross GoodwillImpairmentsNet GoodwillGross GoodwillImpairmentsNet Goodwill
Balance at beginning of year$143,431 $(32,055)$111,376 $316,265 $(42,329)$273,936 $459,696 $(74,384)$385,312 
Acquisitions and measurement period adjustments
1,005 — 1,005 7,735 — 7,735 8,740 — 8,740 
Foreign currency translation adjustments(1,175)— (1,175)(1,552)— (1,552)(2,727)— (2,727)
Balance at end of period$143,261 $(32,055)$111,206 $322,448 $(42,329)$280,119 $465,709 $(74,384)$391,325 

The effect of foreign currency exchange rates 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.