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Intangible Assets and Goodwill (Tables)
 12 Months Ended
Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Summary of Definite-Lived Intangible Assets
Our purchased definite-lived intangible assets as of December 31, 2022 and 2021 are summarized as follows:
Total
December 31, 2022
(In thousands)Customer RelationshipsTrademarkDeveloped TechnologyNon-compete AgreementsTotal
Gross carrying amount, beginning of period$112,570 $12,320 $37,600 $— $162,490 
Intangible assets acquired19,600 — 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 life8138410
December 31, 2021
(In thousands)Customer RelationshipsTrademarkDeveloped TechnologyNon-compete AgreementsTotal
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 
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, 2022:
(In thousands)
For the year ended December 31,
2023$16,058 
202414,523 
202514,208 
202612,919 
20279,047 
Due thereafter35,245 
Total$102,000 
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, 2022, 2021, and 2020:
(In thousands)Revenue cycleElectronic health recordPatient engagementTotal
Balance as of December 31, 2019$13,784 $126,665 $9,767 $150,216 
Balance as of December 31, 202013,784 126,665 9,767 150,216 
Goodwill acquired27,497 — — 27,497 
Balance as of December 31, 202141,281 126,665 9,767 177,713 
Goodwill acquired20,540 — — 20,540 
Balance as of December 31, 2022$61,821 $126,665 $9,767 $198,253