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INTANGIBLE ASSETS AND GOODWILL (Tables) | 12 Months Ended
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Dec. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract] |
Summary of Definite-Lived Intangible Assets | Our purchased definite-lived intangible assets as of December 31, 2023 and 2022 are summarized as follows:
Total | December 31, 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 |
Intangible assets acquired | 16,100 |  |  | — |  |  | 1,400 |  |  | 220 |  |  | 17,720 |
Accumulated amortization | (63,686) |  |  | (6,974) |  |  | (29,934) |  |  | (522) |  |  | (101,116) |
Accumulated impairment | — |  |  | (2,342) |  |  | — |  |  | — |  |  | (2,342) |
Held for sale | (8,735) |  |  | (3,004) |  |  | — |  |  | — |  |  | (11,739) |
Net intangible assets as of December 31, 2023 | $ | 75,849 |  |  | $ | — |  |  | $ | 12,266 |  |  | $ | 1,098 |  |  | $ | 89,213 |
Weighted average remaining years of useful life | 8 |  | 0 |  | 8 |  | 3 |  | 6
| 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 December 31, 2023:
(In thousands) |
For the year ended December 31, |
2024 | $ | 12,506 |
2025 | 12,191 |
2026 | 11,516 |
2027 | 10,496 |
2028 | 10,203 |
Due thereafter | 32,301 |
Total | $ | 89,213 |
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 years ended December 31, 2023, 2022, and 2021:
(In thousands) | RCM | EHR | Patient engagement | Total
Balance as of December 31, 2021 | $ | 41,281 |  | $ | 126,665 |  | $ | 9,767 |  | $ | 177,713 |
Goodwill acquired | 20,540 |  | — |  | — |  | 20,540 |
Balance as of December 31, 2022 | 61,821 |  | 126,665 |  | 9,767 |  | 198,253 |
Goodwill acquired | 17,263 |  | — |  | — |  | 17,263 |
Goodwill impairment | — |  | (28,307) |  | (7,606) |  | (35,913) |
Held for sale | — |  | (7,694) |  |  | (7,694) |
Balance as of December 31, 2023 | $ | 79,084 |  | $ | 90,664 |  | $ | 2,161 |  | $ | 171,909 |

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