Goodwill, Trade Names, and Other Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2024

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Acquired Intangible Assets

The Company had the following acquired intangible assets:

	December 31, 2024						December 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 relationships	52,538		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

Schedule of Estimated Annual Amortization Expense

As of December 31, 2024, estimated annual amortization expense was as follows:

Years Ending December 31:	(amounts in thousands)
2025	$	8,651
2026	7,482
2027	6,191
2028	4,791
2029	4,107
Thereafter	5,064
	$	36,286

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, 2023
Aggregate goodwill acquired	$	382,381	$	63,521	$	445,902
Accumulated impairment loss	(269,874)		(40,598)		(310,472)
Goodwill, net of impairment loss	112,507		22,923		135,430
Changes to aggregate goodwill in 2024
Impairment charges (a)	(370)		—		(370)
Balances as of December 31, 2024
Aggregate goodwill acquired	382,381		63,521		445,902
Accumulated impairment loss	(270,244)		(40,598)		(310,842)
Goodwill, net of impairment loss	$	112,137	$	22,923	$	135,060

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