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SEGMENT REPORTING (Tables) | 3 Months Ended
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Mar. 31, 2024
Segment Reporting [Abstract] |
Schedule of Segment Reporting Information, by Segment | The following table presents a summary of the revenues and adjusted EBITDA of our three operating segments for the three months ended March 31, 2024 and 2023:
| Three Months Ended March 31, |  |
(In thousands) | 2024 |  | 2023 |  |  |  |
Revenues by segment: |  |  |  |  |  |  |
RCM | $ | 53,038 |  |  | $ | 48,631 |  |  |  |  |
EHR |  |  |  |  |  |  |
Recurring revenue |  |  |  |  |  |  |
Acute EHR | 25,910 |  |  | 27,613 |  |  |  |  |
Post-acute EHR | 582 |  |  | 3,906 |  |  |  |  |
Total recurring EHR revenue | 26,492 |  |  | 31,519 |  |  |  |  |
Non-recurring revenue |  |  |  |  |  |  |
Acute EHR | 1,449 |  |  | 3,292 |  |  |  |  |
Post-acute EHR | 81 |  |  | 380 |  |  |  |  |
Total non-recurring EHR revenue | 1,530 |  |  | 3,672 |  |  |  |  |
Total EHR revenue | $ | 28,022 |  |  | $ | 35,191 |  |  |  |  |
Patient Engagement | 2,187 |  |  | 2,411 |  |  |  |  |
Total revenues | $ | 83,247 |  |  | $ | 86,233 |  |  |  |  |
Adjusted EBITDA by segment: |  |  |  |  |  |  |
RCM | $ | 6,396 |  |  | $ | 7,898 |  |  |  |  |
EHR | 2,929 |  |  | 6,157 |  |  |  |  |
Patient Engagement | 129 |  |  | 588 |  |  |  |  |
Total adjusted EBITDA | $ | 9,454 |  |  | $ | 14,643 |  |  |  |  |
Schedule of Reconciliation of Net Income from Continuing Operations to Adjusted Income (Loss) from Before Interest, Taxes, Depreciation and Amortization | The following table reconciles net income to adjusted EBITDA:
| Three Months Ended March 31, |  |
(In thousands) | 2024 |  | 2023 |  |  |  |
Net income (loss), as reported | $ | (2,516) |  |  | $ | 3,084 |  |  |  |  |
Depreciation expense | 400 |  |  | 499 |  |  |  |  |
Amortization of software development costs | 2,742 |  |  | 1,486 |  |  |  |  |
Amortization of acquisition-related intangibles | 3,127 |  |  | 4,014 |  |  |  |  |
Stock-based compensation | 800 |  |  | 1,247 |  |  |  |  |
Severance and other non-recurring charges | 3,844 |  |  | 1,104 |  |  |  |  |
Interest expense | 4,072 |  |  | 2,669 |  |  |  |  |
Gain on sale of AHT | (1,250) |  |  | — |  |  |  |  |
Other | (173) |  |  | (269) |  |  |  |  |
Provision (benefit) for income taxes | (1,592) |  |  | 809 |  |  |  |  |
Total adjusted EBITDA | $ | 9,454 |  |  | $ | 14,643 |  |  |  |  |

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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482573/350-20-50-1 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-25 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-22 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-30 + Details
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