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Goodwill, Trade Names, and Other Intangible Assets (Tables)
 12 Months Ended
Dec. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Acquired Intangible Assets
The Company had the following acquired intangible assets:
 December 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$45,930 $24,971 $20,959 $33,430 $22,033 $11,397 
Customer relationships52,538 26,286 26,252 47,738 21,672 26,066 
Non-compete agreements— — — 4 3 1 
Trade names900 548 352 30 16 14 
Software1,700 695 1,005 1,700 355 1,345 
Other intangible assets, net$101,068 $52,500 $48,568 $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 December 31, 2023, estimated annual amortization expense was as follows:
Years Ending December 31:(amounts in thousands)
2024$10,481 
20259,570 
20268,362 
20276,191 
20284,790 
Thereafter9,174 
 $48,568 
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$395,119 $78,621 $473,740 
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)
(12,738)(15,100)(27,838)
Balances as of December 31, 2023
Aggregate goodwill acquired382,381 63,521 445,902 
Accumulated impairment loss(269,874)(40,598)(310,472)
Goodwill, net of impairment loss$112,507 $22,923 $135,430 
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(a) Represents adjustments to the fair value of the identifiable net assets acquired, with a corresponding offset to goodwill, made during the measurement periods related to the acquisitions of HireUp, Mint, and a local business. The measurement periods have concluded, and no further adjustments are anticipated. See Note 4 - Acquisitions.