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Goodwill and Intangible Assets (Tables)
 3 Months Ended
Mar. 31, 2025
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 three months ended March 31, 2025.

Healthcare		EducationCommercialTotal
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 
Goodwill recorded in connection with business acquisitions
— 6,133 — 6,133 
Foreign currency translation— 33 — 33 
Goodwill, net as of March 31, 2025$453,528 $150,730 $80,651 $684,909 
Intangible Assets
Intangible assets as of March 31, 2025 and December 31, 2024 consisted of the following:
As of March 31, 2025As of December 31, 2024
Useful Life 
(in years)		Gross
Carrying
Amount		Accumulated
Amortization		Gross
Carrying
Amount		Accumulated
Amortization
Customer relationships
4 to 10
$33,694 $10,953 $30,683 $9,790 
Technology and software
2 to 5
16,230 13,267 16,230 12,771 
Trade names66,000 6,000 6,000 6,000 
Customer contracts
1 to 4
1,664 697 1,483 418 
Non-competition agreements
2 to 5
1,380 701 1,260 601 
Total$58,968 $31,618 $55,656 $29,580 
Schedule of Future Amortization Expense The table below sets forth the estimated annual amortization expense for the intangible assets recorded as of March 31, 2025.
Year Ending December 31,Estimated Amortization Expense
2025$8,713 
2026$6,912 
2027$5,110 
2028$4,105 
2029$2,544