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Goodwill and Intangible Assets | 3 Months Ended
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Mar. 31, 2026
Goodwill and Intangible Assets Disclosure [Abstract] |
Goodwill and Intangible Assets | Goodwill and Intangible Assets Goodwill The table below sets forth the changes in the carrying value of goodwill by reportable segment for the three months ended March 31, 2026.
| Healthcare |  | Education |  | Commercial |  | Total
Balance as of December 31, 2025: |  |  |  |  |  |  |
Goodwill | $ | 701,624 |  |  | $ | 152,431 |  |  | $ | 388,733 |  |  | $ | 1,242,788 |
Accumulated impairment losses | (190,024) |  |  | (1,417) |  |  | (264,451) |  |  | (455,892) |
Goodwill, net as of December 31, 2025 | $ | 511,600 |  |  | $ | 151,014 |  |  | $ | 124,282 |  |  | $ | 786,896 |
Goodwill recorded in connection with business acquisition(1) | — |  |  | — |  |  | 209 |  |  | 209 |
Foreign currency translation | — |  |  | (79) |  |  | (77) |  |  | (156) |
Goodwill, net as of March 31, 2026 | $ | 511,600 |  |  | $ | 150,935 |  |  | $ | 124,414 |  |  | $ | 786,949 |
(1) The $0.2 million of goodwill recorded for the three months ended March 31, 2026 in connection with a business acquisition relates to the finalized measurements of assets acquired and liabilities assumed in the acquisition of Treliant. See Note 4 "Acquisitions" for additional information on our business combinations completed in 2025. Intangible Assets Intangible assets as of March 31, 2026 and December 31, 2025 consisted of the following:
|  |  | As of March 31, 2026 |  | As of December 31, 2025
| Useful Life (in years) |  | Gross Carrying Amount |  | Accumulated Amortization |  | Gross Carrying Amount |  | Accumulated Amortization
Customer relationships | 4 to 10 |  | $ | 86,079 |  |  | $ | 20,492 |  |  | $ | 86,467 |  |  | $ | 17,384 |
Technology and software | 2 to 5 |  | 12,530 |  |  | 9,506 |  |  | 17,970 |  |  | 14,591 |
Trade names | 6 |  | 6,000 |  |  | 6,000 |  |  | 6,000 |  |  | 6,000 |
Customer contracts | 2 to 4 |  | 1,487 |  |  | 1,415 |  |  | 1,489 |  |  | 1,397 |
Non-competition agreements | 2 to 5 |  | 860 |  |  | 568 |  |  | 1,070 |  |  | 697 |
Total |  |  | $ | 106,956 |  |  | $ | 37,981 |  |  | $ | 112,996 |  |  | $ | 40,069 |
Identifiable intangible assets with finite lives are amortized over their estimated useful lives using either an accelerated or straight-line basis to correspond to the cash flows expected to be derived from the assets. Intangible asset amortization expense was $3.9 million and $2.0 million for the three months ended March 31, 2026 and 2025, respectively. During the three months ended March 31, 2026, we wrote-off $6.0 million of fully amortized intangible assets related to technology and software, customer relationships, and non-competition agreements no longer in use. We did not write-off any intangible assets during the three months ended March 31, 2025. The table below sets forth the estimated annual amortization expense for the intangible assets recorded as of March 31, 2026.
Year Ending December 31, |  | Estimated Amortization Expense
2026 |  | $ | 15,557 |
2027 |  | $ | 13,494 |
2028 |  | $ | 11,846 |
2029 |  | $ | 9,290 |
2030 |  | $ | 7,050 |
Actual future amortization expense could differ from these estimated amounts as a result of future acquisitions, dispositions, and other factors.

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- Definition The entire disclosure for goodwill and intangible assets. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 350 -SubTopic 30 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org/350-30/tableOfContent Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 350 -SubTopic 20 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org/350-20/tableOfContent + Details
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