Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2013

Goodwill and intangible assets consist of the following:


	December 31, 2013							December 31, 2012
(In thousands)	Gross Carrying Amount		Accumulated Amortization			Intangible Assets, Net		Gross Carrying Amount		Accumulated Amortization			Intangible Assets, Net
Intangibles subject to amortization
Proprietary technology		$445,960		($231,634	)		$214,326		$361,660		($197,383	)		$164,277
Customer contracts and relationships		542,205		(352,560	)		189,645		534,355		(323,646	)		210,709

Total		$988,165		($584,194	)		$403,971		$896,015		($521,029	)		$374,986

Intangibles not subject to amortization
Registered trademarks							$52,000							$52,000
Goodwill							1,189,585							1,039,364

Total							$1,241,585							$1,091,364

Changes in the carrying amounts of goodwill by reportable segment for the year ended December 31, 2013 were as follows:


(In thousands)	Clinical and Financial Solutions			Population Health		Managed Services		Total
Balance as of December 31, 2012		$629,195			$271,569		$138,600		$1,039,364
Additions arising from business acquisitions:
dbMotion		0			136,631		0		136,631
Jardogs		0			17,016		0		17,016

Total additions to goodwill		0			153,647		0		153,647
Impairment of goodwill		0			0		0		0
Other adjustments to goodwill		(3,426	)		0		0		(3,426	)

Balance as of December 31, 2013		$625,769			$425,216		$138,600		$1,189,585

Intangible assets are being amortized over their estimated useful lives and amortization expense related to intangible assets was as follows:


	Year Ended December 31,
(In thousands)	2013		2012		2011
Proprietary technology amortization included in cost of revenue, system sales		$33,970		$27,226		$27,478
Intangible amortization included in operating expenses		31,253		35,635		37,344

Total intangible amortization expense		$65,223		$62,861		$64,822

Estimated future amortization expense for the intangible assets that exist as of December 31, 2013 is as follows: