Goodwill and Identifiable Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2020

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of acquired intangible assets by major class

As of December 31, 2020 and 2019, the Company had the following acquired intangible assets:

	As of December 31, 2020						As of December 31, 2019
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
Intangible assets subject to amortization:
Staffing databases	$	36,836	$	(16,706)	$	20,130	$	35,836	$	(13,369)	$	22,467
Customer relationships	444,839		(122,105)		322,734		273,839		(94,206)		179,633
Tradenames and trademarks	166,269		(58,299)		107,970		126,269		(33,545)		92,724
Non-compete agreements	6,371		(3,402)		2,969		4,117		(2,035)		2,082
Acquired technology	36,430		(14,722)		21,708		20,430		(8,262)		12,168
	$	690,745	$	(215,234)	$	475,511	$	460,491	$	(151,417)	$	309,074
Intangible assets not subject to amortization:
Tradenames and trademarks					$	89,400					$	89,400
					$	564,911					$	398,474

Schedule of estimated amortization expense

Based on the current amount of intangibles subject to amortization, the estimated future amortization expense as of December 31, 2020 is as follows:

	Amount
Year ending December 31, 2021	$	61,234
Year ending December 31, 2022	60,351
Year ending December 31, 2023	58,694
Year ending December 31, 2024	52,161
Year ending December 31, 2025	39,199
Thereafter	203,872
	$	475,511

Schedule of goodwill

The following table, which includes reclassified prior period amounts to conform to the new segment reporting structure, summarizes the activity related to the carrying value of goodwill by reportable segment:

	Nurse and Allied Solutions		Physician and Leadership Solutions		Technology and Workforce Solutions		Total
Balance, January 1, 2019	$	224,454	$	163,362	$	50,690	$	438,506
Goodwill adjustment for MedPartners acquisition	23		—		—		23
Goodwill adjustment for PDA and LFT acquisition	—		(14)		—		(14)
Goodwill from Silversheet acquisition	—		—		23,537		23,537
Goodwill from Advanced acquisition	119,839		—		—		119,839
Goodwill from b4health acquisition	—		—		13,660		13,660
Balance, December 31, 2019	344,316		163,348		87,887		595,551
Goodwill adjustment for Advanced acquisition	29		—		—		29
Goodwill adjustment for b4health acquisition	—		—		(66)		(66)
Goodwill from Stratus Video acquisition	—		—		268,971		268,971
Reallocation due to change in segments	(5,330)		(10,548)		15,878		—
Balance, December 31, 2020	$	339,015	$	152,800	$	372,670	$	864,485
Accumulated impairment loss as of December 31, 2019 and 2020	$	154,444	$	60,495	$	—	$	214,939