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INTANGIBLE ASSETS AND GOODWILL (Tables)
 9 Months Ended
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 RelationshipsTrademarkDeveloped TechnologyNon-Compete AgreementsTotal
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 life7.612.58.33.49.5
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 
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 
202414,523 
202514,208 
202612,919 
20279,047 
Thereafter35,245 
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)RCMEHRPatient EngagementTotal
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