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Goodwill and Intangible Assets (Tables) | 9 Months Ended
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Sep. 30, 2024
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, 2024.
| Healthcare |  | Education |  | Commercial |  | Total
Balance as of December 31, 2023: |  |  |  |  |  |  |
Goodwill | $ | 644,983 |  |  | $ | 123,652 |  |  | $ | 312,968 |  |  | $ | 1,081,603 |
Accumulated impairment losses | (190,024) |  |  | (1,417) |  |  | (264,451) |  |  | (455,892) |
Goodwill, net as of December 31, 2023 | $ | 454,959 |  |  | $ | 122,235 |  |  | $ | 48,517 |  |  | $ | 625,711 |
Goodwill recorded in connection with business acquisitions | — |  |  | 21,677 |  |  | 76 |  |  | 21,753 |
Foreign currency translation | — |  |  | 77 |  |  | — |  |  | 77 |
Goodwill, net as of September 30, 2024 | $ | 454,959 |  |  | $ | 143,989 |  |  | $ | 48,593 |  |  | $ | 647,541 |
Intangible Assets | Intangible assets as of September 30, 2024 and December 31, 2023 consisted of the following:
|  |  | As of September 30, 2024 |  | As of December 31, 2023
| Useful Life (in years) |  | Gross Carrying Amount |  | Accumulated Amortization |  | Gross Carrying Amount |  | Accumulated Amortization
Customer relationships | 5 to 10 |  | $ | 26,661 |  |  | $ | 9,022 |  |  | $ | 60,636 |  |  | $ | 48,928 |
Technology and software | 2 to 5 |  | 16,230 |  |  | 12,127 |  |  | 16,230 |  |  | 10,195 |
Trade names | 6 |  | 6,000 |  |  | 6,000 |  |  | 6,000 |  |  | 6,000 |
Non-competition agreements | 3 to 5 |  | 950 |  |  | 545 |  |  | 720 |  |  | 389 |
Customer contracts | 1 to 4 |  | 702 |  |  | 302 |  |  | — |  |  | — |
Total |  |  | $ | 50,543 |  |  | $ | 27,996 |  |  | $ | 83,586 |  |  | $ | 65,512 |
Schedule of Future Amortization Expense | The table below sets forth the estimated annual amortization expense for the intangible assets recorded as of September 30, 2024.
Year Ending December 31, |  | Estimated Amortization Expense
2024 |  | $ | 6,518 |
2025 |  | $ | 6,719 |
2026 |  | $ | 4,974 |
2027 |  | $ | 3,582 |
2028 |  | $ | 2,626 |

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