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INTANGIBLE ASSETS AND GOODWILL
3 Months Ended
Mar. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
INTANGIBLE ASSETS AND GOODWILL INTANGIBLE ASSETS AND GOODWILLOur purchased definite-lived intangible assets as of March 31, 2023 and December 31, 2022 are summarized as follows:
March 31, 2023
(In thousands)Customer RelationshipsTrademarkDeveloped TechnologyNon-Compete AgreementsTotal
Gross carrying amount, beginning of period$132,170 $12,320 $40,800 $1,400 $186,690 
Accumulated amortization (55,120)(6,300)(26,982)(303)(88,705)
Net intangible assets as of March 31, 2023
$77,050 $6,020 $13,818 $1,097 $97,985 
Weighted average remaining years of useful life8138410
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 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 
The following table represents the remaining amortization of definite-lived intangible assets as of March 31, 2023:
(In thousands)
For the year ended December 31,
2023$12,043 
202414,523 
202514,208 
202612,919 
20279,047 
Thereafter35,245 
Total$97,985 
The following table sets forth the change in the carrying amount of goodwill by segment for the three months ended March 31, 2023:
(In thousands)RCMEHRPatient engagementTotal
Balance as of December 31, 2022
$61,821 $126,665 $9,767 $198,253 
Goodwill impairment— — — — 
Balance as of March 31, 2023
$61,821 $126,665 $9,767 $198,253 
Goodwill is evaluated for impairment annually on October 1, or more frequently if indicators of impairment are present or changes in circumstances suggest that impairment may exist.