INTANGIBLE ASSETS AND GOODWILL (Tables)

12 Months Ended

Dec. 31, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Summary of Definite-Lived Intangible Assets

Our purchased definite-lived intangible assets as of December 31, 2023 and 2022 are summarized as follows:

Total	December 31, 2023
(In thousands)	Customer Relationships		Trademark		Developed Technology		Non-compete Agreements		Total
Gross carrying amount, beginning of period	$	132,170	$	12,320	$	40,800	$	1,400	$	186,690
Intangible assets acquired	16,100		—		1,400		220		17,720
Accumulated amortization	(63,686)		(6,974)		(29,934)		(522)		(101,116)
Accumulated impairment	—		(2,342)		—		—		(2,342)
Held for sale	(8,735)		(3,004)		—		—		(11,739)
Net intangible assets as of December 31, 2023	$	75,849	$	—	$	12,266	$	1,098	$	89,213
Weighted average remaining years of useful life	8		0		8		3		6
	December 31, 2022
(In thousands)	Customer Relationships		Trademark		Developed Technology		Non-compete Agreements		Total
Gross carrying amount, beginning of period	$	112,570	$	12,320	$	37,600	$	—	$	162,490
Intangible assets acquired	19,600		—		3,200		1,400		24,200
Accumulated amortization	(52,371)		(6,076)		(26,010)		(233)		(84,690)
Net intangible assets as of December 31, 2022	$	79,799	$	6,244	$	14,790	$	1,167	$	102,000

Schedule of Remaining Amortization of Definite-Lived Intangible Assets

The following table represents the remaining amortization of definite-lived intangible assets as of December 31, 2023:

(In thousands)
For the year ended December 31,
2024	$	12,506
2025	12,191
2026	11,516
2027	10,496
2028	10,203
Due thereafter	32,301
Total	$	89,213

Schedule of Changes in the Carrying Amount of Goodwill

The following table sets forth the change in the carrying amount of goodwill by segment for the years ended December 31, 2023, 2022, and 2021:

(In thousands)	RCM		EHR		Patient engagement		Total
Balance as of December 31, 2021	$	41,281	$	126,665	$	9,767	$	177,713
Goodwill acquired	20,540		—		—		20,540
Balance as of December 31, 2022	61,821		126,665		9,767		198,253
Goodwill acquired	17,263		—		—		17,263
Goodwill impairment	—		(28,307)		(7,606)		(35,913)
Held for sale	—		(7,694)				(7,694)
Balance as of December 31, 2023	$	79,084	$	90,664	$	2,161	$	171,909