Goodwill and Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2017

Goodwill and intangible assets consist of the following:

	September 30, 2017							December 31, 2016
	Gross							Gross
	Carrying		Accumulated			Intangible		Carrying		Accumulated			Intangible
(In thousands)	Amount		Amortization			Assets, Net		Amount		Amortization			Assets, Net
Intangibles subject to amortization:
Proprietary technology	$	638,118	$	(388,913	)	$	249,205	$	627,819	$	(347,477	)	$	280,342
Customer contracts and relationships		843,458		(454,430	)		389,028		813,021		(430,960	)		382,061
Total	$	1,481,576	$	(843,343	)	$	638,233	$	1,440,840	$	(778,437	)	$	662,403

Intangibles not subject to amortization:
Registered trademarks						$	79,000						$	79,000
Goodwill							1,971,950							1,924,052
Total						$	2,050,950						$	2,003,052

Changes in the carrying amounts of goodwill by reportable segment for the nine months ended September 30, 2017 were as follows:

	Clinical and		Population
(In thousands)	Financial Solutions		Health		Netsmart		Total
Balance as of December 31, 2016	$	843,837	$	404,875	$	675,340	$	1,924,052
DeVero acquisition		0		0		32,943		32,943
Nanthealth provider/patient solutions business		0		9,058		0		9,058
Other additions		405		47		4,503		4,955
Foreign exchange translation		942		0		0		942
Balance as of September 30, 2017	$	845,184	$	413,980	$	712,786	$	1,971,950