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Goodwill and Intangible Assets
12 Months Ended
Dec. 31, 2012
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Intangible Assets
Goodwill and Intangible Assets

Goodwill

Changes in the carrying value of goodwill were as follows (in thousands):

 
 
Caretools
 
MedCafe
 
Modality
 
Total
Balance at December 31, 2010
 
$
1,120

 
$
9,620

 
$
8,339

 
$
19,079

Impairment
 
(1,120
)
 

 

 
(1,120
)
Balance at December 31, 2011
 
$

 
$
9,620

 
$
8,339

 
$
17,959

Balance at December 31, 2012
 
$

 
$
9,620

 
$
8,339

 
$
17,959



Intangible Assets

Intangible assets excluding goodwill consisted of the following (in thousands):
 
December 31, 2012
 
December 31, 2011
 
Gross
Carrying
Amount
 
Accumulated
Amortization
 
Net
Carrying
Amount
 
Gross
Carrying
Amount
 
Accumulated
Amortization
 
Impairment
 
Net
Carrying
Amount
Technology
$
11,260

 
$
8,696

 
$
2,564

 
$
11,780

 
$
5,015

 
$
448

 
$
6,317

Client relationships
30

 
30

 

 
60

 
34

 
26

 

Trademarks and trade name
40

 
40

 

 
50

 
31

 
9

 
10

Non-compete agreement
850

 
646

 
204

 
870

 
423

 
3

 
444

 
$
12,180

 
$
9,412

 
$
2,768

 
$
12,760

 
$
5,503

 
$
486

 
$
6,771


 
Amortization of intangible assets was $4.0 million, $4.2 million and $1.3 million for the years ended December 31, 2012, 2011 and 2010, respectively. Amortization of the acquired intangible assets is reflected in cost of revenues. Amortization for the year ending December 31, 2013 is expected to be approximately $2.8 million.