INTANGIBLE ASSETS AND GOODWILL

9 Months Ended

Sep. 30, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

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

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

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

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.