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GOODWILL, TRADE NAMES, AND OTHER INTANGIBLE ASSETS (Tables)
3 Months Ended
Mar. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Acquired Intangible Assets The Company had the following acquired intangible assets:
 March 31, 2023December 31, 2022
 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$49,330 $23,971 $25,359 $33,430 $22,033 $11,397 
Customer relationships52,538 22,874 29,664 47,738 21,672 26,066 
Non-compete agreements
Trade names1,330 428 902 30 16 14 
Software1,700 440 1,260 1,700 355 1,345 
Other intangible assets, net$104,902 $47,716 $57,186 $82,902 $44,079 $38,823 
Intangible assets not subject to amortization:
Trade names, indefinite-lived  $5,900   $5,900 
Schedule of Estimated Annual Amortization Expense
As of March 31, 2023, estimated annual amortization expense was as follows:

(amounts in thousands)
Years Ending December 31:
2023$8,617 
202410,481 
20259,571 
20268,362 
20276,191 
Thereafter13,964 
 $57,186 
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, 2022  
Aggregate goodwill acquired$405,008 $78,621 $483,629 
Sale of business(9,889)— (9,889)
Accumulated impairment loss(269,874)(40,598)(310,472)
Goodwill, net of impairment loss125,245 38,023 163,268 
Changes to aggregate goodwill in 2023
Goodwill acquisition adjustments(a)
(6,648)(15,100)(21,748)
Balances as of March 31, 2023
Aggregate goodwill acquired398,360 63,521 461,881 
Sale of business(9,889)— (9,889)
Accumulated impairment loss(269,874)(40,598)(310,472)
Goodwill, net of impairment loss$118,597 $22,923 $141,520 
________________
(a) Represents adjustments to the fair value of the identifiable net assets acquired, with a corresponding offset to goodwill, made during the measurement period related to the acquisitions of HireUp, Mint, and a local business. The Company may record additional adjustments related to these acquisitions during the remainder of the measurement period, which is not to exceed one year from the acquisition date. Upon conclusion of the measurement period, any subsequent adjustments will be recorded to earnings. See Note 4 - Acquisitions.