Goodwill and Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2021

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Changes in the Carrying Amount of Goodwill

The changes in the carrying amount of goodwill consisted of the following:

(In thousands)	Goodwill
Balance at December 31, 2020	$	164,194
Measurement period adjustment—Thrasys	(3,052)
Measurement period adjustment—BHS	(767)
Business acquisition of TTC	57,574
Measurement period adjustment—TTC	347
Business acquisition of Glocal	91,871
Measurement period adjustment—Glocal	18,001
Business acquisition of Innovations	143,730
Measurement period adjustment—Innovations	534
Business acquisition of Cloudbreak	110,968
Measurement period adjustment—Cloudbreak	395
Foreign exchange	(1,981)
Balance at September 30, 2021	$	581,814

Schedule of Changes in Carrying Amounts of Intangible Assets

The changes in carrying amounts of intangible assets consisted of the following:

(In thousands)	Trade Names		Technology and Intellectual Property		Customer Relationships		Total
December 31, 2020	$	7,065	$	10,705	$	10,012	$	27,782
Additions	25,025		51,939		23,000		99,964
Amortization	(1,567)		(4,033)		(1,416)		(7,016)
Foreign exchange	—		(775)		—		(775)
September 30, 2021	$	30,523	$	57,836	$	31,596	$	119,955

Schedule of Estimated Amortization Expense Related to Definite-Lived Intangible Assets

The estimated amortization expense related to definite-lived intangible assets for the five succeeding years is as follows:

(In thousands)	Trade Name Amortization		Technology and Intellectual Property Amortization		Customer Relationships Amortization		Total
Remaining 2021	$	775	$	2,016	$	732	$	3,523
2022	3,100		8,064		2,929		14,093
2023	3,092		8,064		2,929		14,085
2024	2,674		8,064		2,929		13,667
2025	2,650		8,064		2,929		13,643
Thereafter	18,232		23,564		19,148		60,944
	$	30,523	$	57,836	$	31,596	$	119,955