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Goodwill, Trade Names, and Other Intangible Assets (Tables)
12 Months Ended
Dec. 31, 2021
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Acquired Intangible Assets
The Company had the following acquired intangible assets:
 December 31, 2021December 31, 2020
 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 $18,375 $12,155 $30,530 $15,322 $15,208 
Customer relationships47,738 17,581 30,157 33,538 14,007 19,531 
Non-compete agreements304 272 32 304 212 92 
Other intangible assets, net$78,572 $36,228 $42,344 $64,372 $29,541 $34,831 
Intangible assets not subject to amortization:
Trade names, indefinite-lived$5,900   $5,900 
Schedule of Estimated Annual Amortization Expense
As of December 31, 2021, estimated annual amortization expense is as follows:
Years Ending December 31:(amounts in thousands)
2022$7,175 
20237,117 
20246,479 
20255,921 
20264,751 
Thereafter10,901 
 $42,344 
Schedule of Changes in Carrying Amount of Goodwill by Segment
The changes in the carrying amount of goodwill by reportable segment are as follows: 
 Nurse
And Allied
Staffing
Physician
Staffing
Total
(amounts in thousands)
Balances as of December 31, 2020   
Aggregate goodwill acquired$367,880 $43,405 $411,285 
Sale of business(9,889)— (9,889)
Accumulated impairment loss(269,874)(40,598)(310,472)
Goodwill, net of impairment loss88,117 2,807 90,924 
Changes to aggregate goodwill in 2021
Aggregate goodwill acquired (a)
28,566 — 28,566 
Balances as of December 31, 2021
Aggregate goodwill acquired396,446 43,405 439,851 
Sale of business(9,889)— (9,889)
Accumulated impairment loss(269,874)(40,598)(310,472)
Goodwill, net of impairment loss$116,683 $2,807 $119,490 
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(a) Represents goodwill acquired from the acquisitions of WSG and Selected, calculated as the excess of the fair value of consideration exchanged as compared to the fair value of identifiable net assets acquired. See Note 4 - Acquisitions. During the measurement period, which is not to exceed one year from the acquisition date, the Company may record adjustments to the assets acquired or liabilities assumed, with a corresponding offset to goodwill. Upon conclusion of the measurement period, any subsequent adjustments would be recorded to earnings.