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Segment Reporting (Tables) | 12 Months Ended
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Dec. 31, 2022
Segment Reporting [Abstract] |
Schedule of Segment Reporting Information, by Segment | The following table presents a summary of the revenues and adjusted EBITDA of our three operating segments for the years ended December 31, 2022, 2021, and 2020:
| Year Ended December 31,
(In thousands) | 2022 |  | 2021 |  | 2020
Revenues: |  |  |  |  |
RCM | $ | 179,870 |  |  | $ | 131,242 |  |  | $ | 107,431 |
EHR |  |  |  |  |
Recurring revenue |  |  |  |  |
Acute Care EHR | $ | 109,340 |  |  | $ | 108,440 |  |  | $ | 105,597 |
Post-acute Care EHR | $ | 15,384 |  |  | $ | 16,472 |  |  | $ | 16,272 |
Total recurring EHR revenues | 124,724 |  |  | 124,912 |  |  | 121,869 |
Non-recurring revenue |  |  |  |  |
Acute Care EHR | $ | 13,138 |  |  | $ | 16,939 |  |  | $ | 29,173 |
Post-acute Care EHR | $ | 1,961 |  |  | $ | 1,258 |  |  | $ | 1,912 |
Total non-recurring EHR revenues | 15,099 |  |  | 18,197 |  |  | 31,085 |
Total EHR revenue | 139,823 |  |  | 143,109 |  |  | 152,954 |
Patient engagement | 6,955 |  |  | 6,278 |  |  | 4,103 |
Total revenues | $ | 326,648 |  |  | $ | 280,629 |  |  | $ | 264,488 |
Adjusted EBITDA by Segment: |  |  |  |  |
RCM | 36,242 |  |  | 30,211 |  |  | 22,780 |
EHR | 19,091 |  |  | 23,061 |  |  | 21,488 |
Patient engagement | 566 |  |  | (595) |  |  | (881) |
Total adjusted EBITDA | $ | 55,899 |  |  | $ | 52,677 |  |  | $ | 43,387 |
Reconciliation Of Net Income From Continuing Operations To Adjusted Income (Loss) From Before Interest, Taxes, Depreciation And Amortization | The following table reconciles net income to adjusted EBITDA:
| Year Ended December 31,
(In thousands) | 2022 |  | 2021 |  | 2020
Net income, as reported | $ | 15,867 |  |  | $ | 18,430 |  |  | $ | 14,246 |
Deferred revenue and other acquisition-related adjustments | 109 |  |  | 747 |  |  | — |
Depreciation expense | 2,443 |  |  | 2,156 |  |  | 1,790 |
Amortization of software development costs | 3,484 |  |  | 931 |  |  | 118 |
Amortization of acquisition-related intangibles | 17,403 |  |  | 13,786 |  |  | 11,421 |
Stock-based compensation | 5,173 |  |  | 5,457 |  |  | 7,005 |
Severance and other non-recurring charges | 4,504 |  |  | 4,892 |  |  | 1,999 |
Interest expense and other, net | 5,267 |  |  | 1,632 |  |  | 2,270 |
Gain on contingent consideration | (565) |  |  | — |  |  | — |
Provision for income taxes | 2,214 |  |  | 4,646 |  |  | 4,538 |
Total adjusted EBITDA | $ | 55,899 |  |  | $ | 52,677 |  |  | $ | 43,387 |

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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8736-108599 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8813-108599 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI https://asc.fasb.org/extlink&oid=121556970&loc=d3e13816-109267 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -URI https://asc.fasb.org/extlink&oid=126901519&loc=d3e8906-108599 + Details
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