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Goodwill and Intangible Assets (Tables)
 12 Months Ended
Dec. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Changes in Carrying Amount of Goodwill
The table below sets forth the changes in the carrying amount of goodwill by reportable segment for the years ended December 31, 2024 and 2023. 
HealthcareEducation
Commercial
Total
Balance as of December 31, 2022:
Goodwill$644,238 $123,652 $312,968 $1,080,858 
Accumulated impairment losses(190,024)(1,417)(264,451)(455,892)
Goodwill, net as of December 31, 2022$454,214 $122,235 $48,517 $624,966 
Goodwill recorded in connection with a business combination(1)
745 — — 745 
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 combinations(1)
869 22,476 32,134 55,479 
Goodwill allocated to disposal of business(2)
(2,300)— — (2,300)
Foreign currency translation— (147)— (147)
Balance as of December 31, 2024:
Goodwill$643,552 $145,981 $345,102 $1,134,635 
Accumulated impairment losses(190,024)(1,417)(264,451)(455,892)
Goodwill, net as of December 31, 2024:$453,528 $144,564 $80,651 $678,743 
(1)    See Note 3 “Acquisitions and Divestiture” for additional information on business combinations completed in 2024, 2023 and 2022.
(2)    In 2024, we completed the divestiture of our Studer Education practice within our Healthcare segment, and allocated a portion of goodwill within the Healthcare segment to the disposed practice based on the relative fair values of Studer Education and the remaining segment. The allocated goodwill of $2.3 million was written off and included in the gain on sale of Studer Education. The sale of Studer Education did not meet the criteria for reporting separately as discontinued operations. In connection with the sale, we recorded a $3.6 million pretax gain which is included in other income (expense), net in our consolidated statements of operations.
Intangible Assets
Intangible assets as of December 31, 2024 and 2023 consisted of the following: 
  As of December 31,
  20242023
 Useful Life
in Years		Gross
Carrying
Amount		Accumulated
Amortization		Gross
Carrying
Amount		Accumulated
Amortization
Customer relationships
5 to 10
$30,683 $9,790 $60,636 $48,928 
Technology and software
2 to 5
16,230 12,771 16,230 10,195 
Trade names66,000 6,000 6,000 6,000 
Customer contracts
2 to 4
1,483 418 — — 
Non-competition agreements
2 to 5
1,260 601 720 389 
Total$55,656 $29,580 $83,586 $65,512 
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense The table below sets forth the estimated annual amortization expense for each of the five succeeding years for the intangible assets recorded as of December 31, 2024.
Year Ending December 31,Estimated
Amortization Expense
2025$7,632 
2026$5,882 
2027$4,480 
2028$3,606 
2029$2,477