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v3.22.4

Segment Reporting (Details) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2022 USD ($) segment | Dec. 31, 2021 USD ($) segment | Dec. 31, 2020 USD ($) segment
Segment Reporting Information [Line Items] |  |  |
Number of operating segments | segment | 3 | 3 | 3
Sales revenues: | $ 326,648 | $ 280,629 | $ 264,488
Total adjusted EBITDA | 55,899 | 52,677 | 43,387
Revenue cycle |  |  |
Segment Reporting Information [Line Items] |  |  |
Sales revenues: | 179,870 | 131,242 | 107,431
Electronic health record |  |  |
Segment Reporting Information [Line Items] |  |  |
Sales revenues: | 139,823 | 143,109 | 152,954
Patient engagement |  |  |
Segment Reporting Information [Line Items] |  |  |
Sales revenues: | 6,955 | 6,278 | 4,103
Operating segments | Revenue cycle |  |  |
Segment Reporting Information [Line Items] |  |  |
Sales revenues: | 179,870 | 131,242 | 107,431
Total adjusted EBITDA | 36,242 | 30,211 | 22,780
Operating segments | Electronic health record |  |  |
Segment Reporting Information [Line Items] |  |  |
Sales revenues: | 139,823 | 143,109 | 152,954
Total adjusted EBITDA | 19,091 | 23,061 | 21,488
Operating segments | Patient engagement |  |  |
Segment Reporting Information [Line Items] |  |  |
Total adjusted EBITDA | 566 | (595) | (881)
Recurring revenue | Operating segments | Electronic health record |  |  |
Segment Reporting Information [Line Items] |  |  |
Sales revenues: | 124,724 | 124,912 | 121,869
Recurring revenue | Operating segments | Acute Care |  |  |
Segment Reporting Information [Line Items] |  |  |
Sales revenues: | 109,340 | 108,440 | 105,597
Recurring revenue | Operating segments | Post-Acute Care |  |  |
Segment Reporting Information [Line Items] |  |  |
Sales revenues: | 15,384 | 16,472 | 16,272
Recurring revenue | Operating segments | Patient engagement |  |  |
Segment Reporting Information [Line Items] |  |  |
Sales revenues: | 6,955 | 6,278 | 4,103
Non-recurring revenue | Operating segments | Electronic health record |  |  |
Segment Reporting Information [Line Items] |  |  |
Sales revenues: | 15,099 | 18,197 | 31,085
Non-recurring revenue | Operating segments | Acute Care |  |  |
Segment Reporting Information [Line Items] |  |  |
Sales revenues: | 13,138 | 16,939 | 29,173
Non-recurring revenue | Operating segments | Post-Acute Care |  |  |
Segment Reporting Information [Line Items] |  |  |
Sales revenues: | $ 1,961 | $ 1,258 | $ 1,912

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- Definition Number of operating segments. An operating segment is a component of an enterprise: (a) that engages in business activities from which it may earn revenues and incur expenses (including revenues and expenses relating to transactions with other components of the same enterprise), (b) whose operating results are regularly reviewed by the enterprise's chief operating decision maker to make decisions about resources to be allocated to the segment and assess its performance, and (c) for which discrete financial information is available. An operating segment may engage in business activities for which it has yet to earn revenues, for example, start-up operations may be operating segments before earning revenues. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 18 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8672-108599 + Details
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