5. Goodwill
The following is a summary of goodwill by segment for the nine months ended September 30, 2015 (in thousands):
Integrated
Product
Healthcare
Development
Services
Consolidated
Balance as of December 31, 2014
$
346,608
117,826
464,434
Business combinations (see Note 9)
263,862
—
Impact of foreign currency fluctuations and other
(4,186
)
(96
(4,282
Balance as of September 30, 2015
606,284
117,730
724,014
No definition available.
The entire disclosure for goodwill.