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Goodwill, Trade Names, and Other Intangible Assets (Tables)
 12 Months Ended
Dec. 31, 2020
Goodwill and Intangible Assets Disclosure [Abstract]  
Acquired Intangible Assets
The Company had the following acquired intangible assets:
 December 31, 2020December 31, 2019
 Gross
Carrying
Amount		Accumulated
Amortization		Net
Carrying
Amount		Gross
Carrying
Amount		Accumulated
Amortization		Net
Carrying
Amount
(amounts in thousands)
Intangible assets subject to amortization:      
Databases$30,530 $15,322 $15,208 $30,530 $12,269 $18,261 
Customer relationships33,538 14,007 19,531 49,758 26,596 23,162 
Non-compete agreements304 212 92 320 161 159 
Trade names— — — 4,500 1,125 3,375 
Other intangible assets, net$64,372 $29,541 $34,831 $85,108 $40,151 $44,957 
Intangible assets not subject to amortization:      
Trade names, indefinite-lived  $5,900   $5,900 
Estimated Annual Amortization Expense As of December 31, 2020, estimated annual amortization expense is as follows:
Years Ending December 31:(amounts in thousands)
2021$5,963 
20225,933 
20235,875 
20245,238 
20254,679 
Thereafter7,143 
 $34,831 
Changes in Carrying Amount of Goodwill by Segment
The changes in the carrying amount of goodwill by segment are as follows: 
 Nurse and
Allied Staffing		Physician
Staffing		SearchTotal
(amounts in thousands)
Balances as of December 31, 2019    
Aggregate goodwill acquired$346,130 $43,405 $21,750 $411,285 
Sale of business— — (9,889)(9,889)
Accumulated impairment loss(259,732)(40,598)— (300,330)
Goodwill, net of impairment loss86,398 2,807 11,861 101,066 
Changes to aggregate goodwill in 2020
Impairment charges— — (10,142)(10,142)
Reclassification of API goodwill24 — (24)— 
Balances as of December 31, 2020
Aggregate goodwill acquired346,130 43,405 21,750 411,285 
Sale of business— — (9,889)(9,889)
Accumulated impairment loss(259,732)(40,598)(10,142)(310,472)
Reclassification of API goodwill24 — (24)— 
Goodwill, net of impairment loss$86,422 $2,807 $1,695 $90,924