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Intangible Assets and Goodwill | 12 Months Ended
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Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract] |
Intangible Assets and Goodwill | INTANGIBLE ASSETS AND GOODWILL Our purchased definite-lived intangible assets as of December 31, 2022 and 2021 are summarized as follows:
Total | 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 |
Weighted average remaining years of useful life | 8 |  | 13 |  | 8 |  | 4 |  | 10
| December 31, 2021
(In thousands) | Customer Relationships |  | Trademark |  | Developed Technology |  | Non-compete Agreements |  | Total
Gross carrying amount, beginning of period | $ | 84,370 |  |  | $ | 11,120 |  |  | $ | 29,700 |  |  | $ | — |  |  | $ | 125,190 |
Intangible assets acquired | 28,200 |  |  | 1,200 |  |  | 7,900 |  |  | — |  |  | 37,300 |
Accumulated amortization | (41,738) |  |  | (5,177) |  |  | (20,372) |  |  | — |  |  | (67,287) |
Net intangible assets as of December 31, 2021 | $ | 70,832 |  |  | $ | 7,143 |  |  | $ | 17,228 |  |  | $ | — |  |  | $ | 95,203 |
The following table represents the remaining amortization of definite-lived intangible assets as of December 31, 2022:
(In thousands) |
For the year ended December 31, |
2023 | $ | 16,058 |
2024 | 14,523 |
2025 | 14,208 |
2026 | 12,919 |
2027 | 9,047 |
Due thereafter | 35,245 |
Total | $ | 102,000 |
The following table sets forth the change in the carrying amount of goodwill by segment for the years ended December 31, 2022, 2021, and 2020:
(In thousands) | Revenue cycle | Electronic health record | Patient engagement | Total
Balance as of December 31, 2019 | $ | 13,784 |  | $ | 126,665 |  | $ | 9,767 |  | $ | 150,216 |
Balance as of December 31, 2020 | 13,784 |  | 126,665 |  | 9,767 |  | 150,216 |
Goodwill acquired | 27,497 |  | — |  | — |  | 27,497 |
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 |
We determined there was no impairment to goodwill as of December 31, 2022, 2021, or 2020.

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- Definition The entire disclosure for goodwill and intangible assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -URI https://asc.fasb.org/topic&trid=2144416 + Details
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