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Goodwill
12 Months Ended
Dec. 31, 2019
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill
(9) Goodwill

The following are the changes in the carrying amount of goodwill by geographic reporting unit:
(in thousands)AmericasEMEAAPACTotal
Balance at December 31, 2017$—  $191,948  $38,934  $230,882  
Acquisitions and adjustments—  (331) —  (331) 
Effect of foreign currency exchange rates—  (7,597) (1,620) (9,217) 
Balance at December 31, 2018—  184,020  37,314  221,334  
Effect of foreign currency exchange rates—  2,675  (833) 1,842  
Balance at December 31, 2019$—  $186,695  $36,481  $223,176  

The effect of foreign currency exchange in this table reflects the impact on goodwill of amounts recorded in currencies other than the U.S. dollar on the financial statements of subsidiaries in these geographic areas resulting from the yearly effect of foreign currency translation between the applicable functional currency and the U.S. dollar.

For discussion on acquisitions, see Note 3. For discussion on goodwill impairment testing, see Note 2.