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CONDENSED CONSOLIDATED STATEMENTS OF INCOME - USD ($)
shares in Thousands, $ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Revenues        
Total revenues $ 82,712 $ 82,827 $ 253,567 $ 243,424
Costs of revenue (exclusive of amortization and depreciation)        
Total costs of revenue (exclusive of amortization and depreciation) 43,863 43,293 132,173 122,027
Operating Expenses [Abstract]        
Product development 9,778 7,987 26,899 22,897
Sales and marketing 6,818 7,309 21,906 22,578
General and administrative 20,961 13,163 54,471 40,315
Amortization 6,208 5,510 17,549 15,200
Depreciation 297 622 1,392 1,890
Total expenses 87,925 77,884 254,390 224,907
Operating income (loss) (5,213) 4,943 (823) 18,517
Other income (expense):        
Other income 224 355 569 914
Gain (loss) on contingent consideration 0 (589) 0 992
Loss on extinguishment of debt 0 0 0 (125)
Interest expense (3,071) (1,771) (8,405) (4,044)
Total other income (expense) (2,847) (2,005) (7,836) (2,263)
Income (loss) before taxes (8,060) 2,938 (8,659) 16,254
Provision (benefit) for income taxes (4,498) 777 (5,344) 2,904
Net income (loss) $ (3,562) $ 2,161 $ (3,315) $ 13,350
Net income per common share-basic (in dollars per share) $ (0.24) $ 0.15 $ (0.23) $ 0.91
Net income per common share-diluted (in dollars per share) $ (0.24) $ 0.15 $ (0.23) $ 0.91
Weighted average shares outstanding used in per common share computations:        
Basic (in shares) 14,205 14,365 14,181 14,405
Diluted (in shares) 14,205 14,365 14,181 14,405
RCM        
Revenues        
Total revenues $ 46,582 $ 46,875 $ 142,973 $ 134,200
Costs of revenue (exclusive of amortization and depreciation)        
Total costs of revenue (exclusive of amortization and depreciation) 27,159 25,289 81,461 71,068
EHR        
Revenues        
Total revenues 34,493 34,949 104,651 103,855
Costs of revenue (exclusive of amortization and depreciation)        
Total costs of revenue (exclusive of amortization and depreciation) 15,655 17,103 47,894 48,164
Patient Engagement        
Revenues        
Total revenues 1,637 1,003 5,943 5,369
Costs of revenue (exclusive of amortization and depreciation)        
Total costs of revenue (exclusive of amortization and depreciation) $ 1,049 $ 901 $ 2,818 $ 2,795