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Goodwill, Trade Names, and Other Intangible Assets
 12 Months Ended
Dec. 31, 2024
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:
 December 31, 2024December 31, 2023
 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$36,530 $21,945 $14,585 $45,930 $24,971 $20,959 
Customer relationships52,538 30,837 21,701 52,538 26,286 26,252 
Trade names— — — 900 548 352 
Software— — — 1,700 695 1,005 
Other intangible assets, net$89,068 $52,782 $36,286 $101,068 $52,500 $48,568 
Intangible assets not subject to amortization:
Trade names, indefinite-lived$5,900   $5,900 
 
During 2024, fully amortized intangible assets of $6.5 million related to databases and $0.9 million related to trade names, along with the related accumulated amortization, were removed from the table above.
As of December 31, 2024, estimated annual amortization expense was as follows:
Years Ending December 31:(amounts in thousands)
2025$8,651 
20267,482 
20276,191 
20284,791 
20294,107 
Thereafter5,064 
$36,286 
 
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, 2023
Aggregate goodwill acquired$382,381 $63,521 $445,902 
Accumulated impairment loss(269,874)(40,598)(310,472)
Goodwill, net of impairment loss112,507 22,923 135,430 
Changes to aggregate goodwill in 2024  
Impairment charges (a)
(370)— (370)
Balances as of December 31, 2024  
Aggregate goodwill acquired382,381 63,521 445,902 
Accumulated impairment loss(270,244)(40,598)(310,842)
Goodwill, net of impairment loss$112,137 $22,923 $135,060 
________________

(a) Represents the write-off of the relative fair value of the goodwill associated with Selected.

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, 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.

The Company performed its annual quantitative impairment test of goodwill and its indefinite-lived trade name as of October 1, 2024 and 2023, and determined that the estimated fair value of its reporting units and its indefinite-lived trade name exceeded their respective carrying values. Although management believes that the Company’s current estimates and assumptions utilized in its quantitative testing are reasonable and supportable, there can be no assurance that the estimates and assumptions management used for purposes of its assessment as of December 31, 2024 will prove to be accurate predictions of future performance.

At the end of December 2024, the Company discontinued use of the Selected software and associated business. Selected was an asset acquisition completed in December of 2021. As a result, at the end of the fourth quarter of 2024, the Company wrote off goodwill of $0.4 million.

For its long-lived assets and definite-lived intangible assets, the Company reviews for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. As of December 31, 2024, the Company wrote off the database and software intangible assets associated with Selected, and recorded impairment charges of $1.8 million. The Company wrote off certain IT projects and recorded immaterial impairment charges during the year ended December 31, 2023, and impairment charges of $1.9 million during the year ended December 31, 2022.