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GOODWILL, TRADE NAMES, AND OTHER INTANGIBLE ASSETS
 6 Months Ended
Jun. 30, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
GOODWILL, TRADE NAMES, AND OTHER INTANGIBLE ASSETS GOODWILL, TRADE NAMES, AND OTHER INTANGIBLE ASSETS
The Company had the following acquired intangible assets:
 June 30, 2022December 31, 2021
 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$33,430 $20,217 $13,213 $30,530 $18,375 $12,155 
Customer relationships47,738 19,626 28,112 47,738 17,581 30,157 
Non-compete agreements304 303 1 304 272 32 
Trade names30 8 22 — — — 
Software1,700 185 1,515 — — — 
Other intangible assets, net$83,202 $40,339 $42,863 $78,572 $36,228 $42,344 
Intangible assets not subject to amortization:
Trade names, indefinite-lived  $5,900   $5,900 

As of June 30, 2022, estimated annual amortization expense is as follows:

(amounts in thousands)
Years Ending December 31:
2022$4,040 
20238,051 
20247,399 
20256,840 
20265,632 
Thereafter10,901 
 $42,863 
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, 2021  
Aggregate goodwill acquired$396,446 $43,405 $439,851 
Sale of business(9,889)— (9,889)
Accumulated impairment loss(269,874)(40,598)(310,472)
Goodwill, net of impairment loss116,683 2,807 119,490 
Changes to aggregate goodwill in 2022
Goodwill acquisition adjustment - Selected (a)
(6,130)— (6,130)
Balances as of June 30, 2022
Aggregate goodwill acquired390,316 43,405 433,721 
Sale of business(9,889)— (9,889)
Accumulated impairment loss(269,874)(40,598)(310,472)
Goodwill, net of impairment loss$110,553 $2,807 $113,360 
________________
(a) Represents an adjustment to the fair value of the identifiable net assets acquired, with a corresponding offset to goodwill, made during the measurement period related to the acquisition of Selected. See Note 4 - Acquisitions.

Goodwill, Trade Names, and Other Intangible Assets Impairment

The Company tests reporting units’ goodwill and intangible assets with indefinite lives for impairment annually during the fourth quarter and more frequently if impairment indicators exist. The Company performs quarterly qualitative assessments of significant events and circumstances such as reporting units’ historical and current results, assumptions regarding future performance, strategic initiatives and overall economic factors, including COVID, and macro-economic developments, to determine the existence of potential indicators of impairment and assess if it is more likely than not that the fair value of reporting units or intangible assets is less than their carrying value. If indicators of impairments are identified a quantitative impairment test is performed.

As of June 30, 2022 and 2021, the Company performed a qualitative assessment of each of its reporting units and determined it was not more likely than not that the fair value of its reporting units dropped below their carrying value. Although management believes that the Company's current estimates and assumptions utilized in its qualitative testing are reasonable and supportable, including its assumptions on the impact and timing related to COVID, there can be no assurance that the estimates and assumptions management used for purposes of its qualitative assessment as of June 30, 2022 will prove to be accurate predictions of future performance.

For its long-lived assets and definite-lived intangible assets, the Company reviews for impairment whenever events or changes in circumstances indicate the carrying amount may not be recoverable. As of June 30, 2022, the Company performed a qualitative assessment of its trade names and other intangible assets and determined it was not more likely than not that their carrying value may not be recoverable. During the six months ended June 30, 2021, the Company wrote off a discontinued software development project, resulting in an immaterial impairment charge.