Goodwill and Identifiable Intangible Assets (Tables)
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12 Months Ended |
Dec. 31, 2022 |
Goodwill and Intangible Assets Disclosure [Abstract] |
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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, 2022 | | As 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 relationships | 478,122 | | | (179,795) | | | 298,327 | | | 445,169 | | | (150,255) | | | 294,914 | | Tradenames and trademarks | 260,140 | | | (121,576) | | | 138,564 | | | 256,889 | | | (81,522) | | | 175,367 | | Non-compete agreements | 7,555 | | | (6,035) | | | 1,520 | | | 6,495 | | | (4,621) | | | 1,874 | | Acquired technology | 51,306 | | | (29,137) | | | 22,169 | | | 47,320 | | | (21,994) | | | 25,326 | | | $ | 838,159 | | | $ | (361,327) | | | $ | 476,832 | | | $ | 792,709 | | | $ | (278,249) | | | $ | 514,460 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
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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, 2024 | 76,029 | | Year ending December 31, 2025 | 60,131 | | Year ending December 31, 2026 | 51,538 | | Year ending December 31, 2027 | 49,022 | | Thereafter | 153,587 | | | $ | 476,832 | |
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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 Solutions | | Total | 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, 2021 | 339,015 | | | 152,800 | | | 400,526 | | | 892,341 | | Goodwill adjustment for Synzi and SnapMD acquisition | — | | | — | | | 33 | | | 33 | | Goodwill from Connetics acquisition | 42,990 | | | — | | | — | | | 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 | |
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