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INTANGIBLE ASSETS AND GOODWILL (Tables) | 9 Months Ended
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Sep. 30, 2023
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Definite-lived Intangible Assets | Our purchased definite-lived intangible assets as of September 30, 2023 and December 31, 2022 are summarized as follows:
| September 30, 2023
(In thousands) | Customer Relationships |  | Trademark |  | Developed Technology |  | Non-Compete Agreements |  | Total
Gross carrying amount, beginning of period | $ | 132,170 |  |  | $ | 12,320 |  |  | $ | 40,800 |  |  | $ | 1,400 |  |  | $ | 186,690 |
Accumulated amortization | (60,619) |  |  | (6,750) |  |  | (28,922) |  |  | (443) |  |  | (96,734) |
Net intangible assets as of September 30, 2023 | $ | 71,551 |  |  | $ | 5,570 |  |  | $ | 11,878 |  |  | $ | 957 |  |  | $ | 89,956 |
Weighted average remaining years of useful life | 7.6 |  | 12.5 |  | 8.3 |  | 3.4 |  | 9.5
| 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 |
Schedule of Remaining Amortization of Definite-lived Intangible Assets | The following table represents the remaining amortization of definite-lived intangible assets as of September 30, 2023:
(In thousands) |
For the year ended December 31, |
2023 | $ | 4,014 |
2024 | 14,523 |
2025 | 14,208 |
2026 | 12,919 |
2027 | 9,047 |
Thereafter | 35,245 |
Total | $ | 89,956 |
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 nine months ended September 30, 2023:
(In thousands) | RCM | EHR | Patient Engagement | Total
Balance as of December 31, 2022 | $ | 61,821 |  | $ | 126,665 |  | $ | 9,767 |  | $ | 198,253 |
Goodwill impairment | — |  | — |  | — |  | — |
Balance as of September 30, 2023 | $ | 61,821 |  | $ | 126,665 |  | $ | 9,767 |  | $ | 198,253 |

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