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Goodwill and Identifiable Intangible Assets (Tables)
12 Months Ended
Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Acquired Intangible Assets By Major Class
As of December 31, 2022 and 2021, the Company had the following acquired intangible assets:
 
 As of December 31, 2022As of December 31, 2021
 Gross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
Gross
Carrying
Amount
Accumulated
Amortization
Net
Carrying
Amount
Intangible assets subject to amortization:
Staffing databases$41,036 $(24,784)$16,252 $36,836 $(19,857)$16,979 
Customer relationships478,122 (179,795)298,327 445,169 (150,255)294,914 
Tradenames and trademarks260,140 (121,576)138,564 256,889 (81,522)175,367 
Non-compete agreements7,555 (6,035)1,520 6,495 (4,621)1,874 
Acquired technology51,306 (29,137)22,169 47,320 (21,994)25,326 
$838,159 $(361,327)$476,832 $792,709 $(278,249)$514,460 
Schedule of Estimated Amortization Expense Based on the net carrying amount of intangible assets subject to amortization, the estimated future amortization expense as of December 31, 2022 is as follows: 
 Amount
Year ending December 31, 2023$86,525 
Year ending December 31, 202476,029 
Year ending December 31, 202560,131 
Year ending December 31, 202651,538 
Year ending December 31, 202749,022 
Thereafter153,587 
$476,832 
Schedule of Goodwill The following table summarizes the activity related to the carrying value of goodwill by reportable segment:
Nurse and Allied
Solutions
Physician and Leadership
Solutions
Technology and Workforce SolutionsTotal
Balance, January 1, 2021$339,015 $152,800 $372,670 $864,485 
Goodwill adjustment for Stratus Video acquisition— — 663 663 
Goodwill from Synzi and SnapMD acquisition— — 27,193 27,193 
Balance, December 31, 2021339,015 152,800 400,526 892,341 
Goodwill adjustment for Synzi and SnapMD acquisition— — 33 33 
Goodwill from Connetics acquisition42,990 — — 42,990 
Balance, December 31, 2022$382,005 $152,800 $400,559 $935,364 
Accumulated impairment loss as of December 31, 2021 and 2022$154,444 $60,495 $— $214,939