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INTANGIBLE ASSETS AND GOODWILL (Tables)

3 Months Ended

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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