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INTANGIBLE ASSETS AND GOODWILL (Tables) | 3 Months Ended
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Mar. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Definite-lived Intangible Assets | The following tables summarize the gross carrying amounts, accumulated amortization and accumulated impairment of identifiable intangible assets with definite lives by major class as of March 31, 2024 and December 31, 2023:
| March 31, 2024
(In thousands) | Customer Relationships |  | Trademark |  | Developed Technology |  | Non-Compete Agreements |  | Total
Gross carrying amount, beginning of period | $ | 116,470 |  |  | $ | 7,720 |  |  | $ | 31,900 |  |  | $ | 1,620 |  |  | $ | 157,710 |
Accumulated amortization | (43,031) |  |  | (5,378) |  |  | (20,269) |  |  | (604) |  |  | (69,282) |
Accumulated impairment | — |  |  | (2,342) |  |  | — |  |  | — |  |  | (2,342) |
Net intangible assets as of March 31, 2024 | $ | 73,439 |  |  | $ | — |  |  | $ | 11,631 |  |  | $ | 1,016 |  |  | $ | 86,086 |
Weighted average remaining years of useful life | 8.2 |  | 0.0 |  | 8.3 |  | 3.2 |  | 8.2
| 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 |
Schedule of Remaining Amortization of Definite-lived Intangible Assets | The following table represents the remaining amortization of definite-lived intangible assets as of March 31, 2024:
(In thousands) |
For the year ended December 31, |
2024 | $ | 9,379 |
2025 | 12,190 |
2026 | 11,517 |
2027 | 10,497 |
2028 | 10,203 |
Thereafter | 32,300 |
Total | $ | 86,086 |
Schedule of Rollforward of Goodwill Balances | The following table sets forth the change in the carrying value of our goodwill balances by reportable segment for the three months ended March 31, 2024:
(In thousands) | RCM | EHR | Patient Engagement | Total
Gross value at December 31, 2023 | $ | 79,084 |  | $ | 126,665 |  | $ | 9,767 |  | $ | 215,516 |
Accumulated impairment | — |  | (28,307) |  | (7,606) |  | (35,913) |
Held for sale | — |  | (7,694) |  | — |  | (7,694) |
Carrying value at December 31, 2023 | 79,084 |  | 90,664 |  | 2,161 |  | 171,909 |
Purchase price adjustment (Viewgol) | 664 |  | — |  | — |  | 664 |
Gross value at March 31, 2024 | 79,748 |  | 118,971 |  | 9,767 |  | 208,486 |
Accumulated impairment | — |  | (28,307) |  | (7,606) |  | (35,913) |
Carrying value as of March 31, 2024 | $ | 79,748 |  | $ | 90,664 |  | $ | 2,161 |  | $ | 172,573 |

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