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Goodwill and Intangible Assets (Tables)
 9 Months Ended
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		EducationCommercialTotal
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, 2024As 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 names66,000 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