XML 64 R48.htm IDEA: XBRL DOCUMENT v3.24.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Amounts Reclassified (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Costs of revenue (exclusive of amortization and depreciation):      
Total costs of revenue (exclusive of amortization and depreciation) $ 175,868 $ 166,541 $ 135,781
Other expenses      
Product development 37,246 31,898 32,809
General and administrative 76,153 54,965 48,481
Amortization of acquisition-related intangibles   0 0
Amortization   20,887 14,717
Depreciation 1,946 2,443 2,156
RCM      
Costs of revenue (exclusive of amortization and depreciation):      
Total costs of revenue (exclusive of amortization and depreciation) 110,192 97,024 66,015
EHR      
Costs of revenue (exclusive of amortization and depreciation):      
Total costs of revenue (exclusive of amortization and depreciation) $ 62,048 65,661 66,698
As previously reported      
Other expenses      
Product development   30,926 30,389
General and administrative   56,192 50,022
Amortization of acquisition-related intangibles   17,403 13,786
Amortization   0 0
Depreciation   0 0
As previously reported | RCM      
Costs of revenue (exclusive of amortization and depreciation):      
Total costs of revenue (exclusive of amortization and depreciation)   97,010 66,015
As previously reported | EHR      
Costs of revenue (exclusive of amortization and depreciation):      
Total costs of revenue (exclusive of amortization and depreciation)   71,347 70,664
Reclassifications      
Other expenses      
Product development   (1,660) (497)
General and administrative   (1,227) (1,541)
Amortization of acquisition-related intangibles   (17,403) (13,786)
Amortization   20,887 14,717
Depreciation   2,443 2,156
Reclassifications | RCM      
Costs of revenue (exclusive of amortization and depreciation):      
Total costs of revenue (exclusive of amortization and depreciation)   14 0
Reclassifications | EHR      
Costs of revenue (exclusive of amortization and depreciation):      
Total costs of revenue (exclusive of amortization and depreciation)   (3,054) (1,049)
As reclassified      
Other expenses      
Product development   29,266 29,892
General and administrative   54,965 48,481
Amortization of acquisition-related intangibles   0 0
Amortization   20,887 14,717
Depreciation   2,443 2,156
As reclassified | RCM      
Costs of revenue (exclusive of amortization and depreciation):      
Total costs of revenue (exclusive of amortization and depreciation)   97,024 66,015
As reclassified | EHR      
Costs of revenue (exclusive of amortization and depreciation):      
Total costs of revenue (exclusive of amortization and depreciation)   68,293 69,615
Impact of operating expense allocations      
Other expenses      
Product development   2,632 2,917
General and administrative   0 0
Amortization of acquisition-related intangibles   0 0
Amortization   0 0
Depreciation   0 0
Impact of operating expense allocations | RCM      
Costs of revenue (exclusive of amortization and depreciation):      
Total costs of revenue (exclusive of amortization and depreciation)   0 0
Impact of operating expense allocations | EHR      
Costs of revenue (exclusive of amortization and depreciation):      
Total costs of revenue (exclusive of amortization and depreciation)   $ (2,632) $ (2,917)