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Goodwill and Intangible Assets (Tables)
 9 Months Ended
Sep. 30, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
Changes in Carrying Amount of Goodwill
The table below sets forth the changes in the carrying value of goodwill by reportable segment for the nine months ended September 30, 2023.

Healthcare		EducationCommercialTotal
Balance as of December 31, 2022:
Goodwill$644,238 $123,652 $312,968 $1,080,858 
Accumulated impairment losses(190,024)(1,417)(264,451)(455,892)
Goodwill, net as of December 31, 2022$454,214 $122,235 $48,517 $624,966 
Goodwill recorded in connection with business acquisition(1)
745 — — 745 
Goodwill, net as of September 30, 2023$454,959 $122,235 $48,517 $625,711 
(1)On September 1, 2023, we completed the acquisition of Roundtable Analytics, Inc. ("Roundtable"), a healthcare analytics company. The results of operations of Roundtable are included within our consolidated financial statements and results of operations of our Healthcare segment as of the acquisition date. The acquisition of Roundtable is not significant to our consolidated financial statements.
Intangible Assets
Intangible assets as of September 30, 2023 and December 31, 2022 consisted of the following:
As of September 30, 2023As of December 31, 2022
Useful Life 
(in years)		Gross
Carrying
Amount		Accumulated
Amortization		Gross
Carrying
Amount		Accumulated
Amortization
Customer relationships
5 to 13
$65,083 $52,003 $74,583 $57,219 
Technology and software
2 to 5
16,230 9,613 13,330 7,975 
Trade names66,000 6,000 6,000 5,907 
Non-competition agreements
2 to 5
920 527 920 340 
Total$88,233 $68,143 $94,833 $71,441 
Schedule of Future Amortization Expense The table below sets forth the estimated annual amortization expense for the intangible assets recorded as of September 30, 2023.
Year Ending December 31,Estimated Amortization Expense
2023$8,219 
2024$5,554 
2025$4,344 
2026$3,112 
2027$2,127