Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 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	(4,124)
Measurement period adjustment—BHS	(663)
Business acquisition of TTC	57,574
Measurement period adjustment—TTC	780
Business acquisition of Glocal	91,871
Measurement period adjustment—Glocal	24,575
Business acquisition of Innovations	143,730
Measurement period adjustment—Innovations	(76)
Business acquisition of Cloudbreak	110,968
Measurement period adjustment—Cloudbreak	(3,658)
Impairment	(297,930)
Foreign exchange	(2,973)
Balance at December 31, 2021	$	284,268

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		Lease		Total
Balance at December 31, 2020	$	7,065	$	10,705	$	10,012	$	—	$	27,782
Additions	25,025		51,865		23,000		790		100,680
Amortization	(2,584)		(7,251)		(2,400)		(116)		(12,351)
Foreign exchange	—		(798)		—		—		(798)
Balance at December 31, 2021	$	29,506	$	54,521	$	30,612	$	674	$	115,313

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		Lease Amortization		Total
2022	$	3,532	$	9,363	$	3,313	$	168	$	16,376
2023	3,524		9,363		3,313		168		16,368
2024	3,107		9,363		3,313		169		15,952
2025	3,083		9,363		3,313		169		15,928
2026	3,083		8,712		3,313		—		15,108
Thereafter	13,177		8,357		14,047		—		35,581
	$	29,506	$	54,521	$	30,612	$	674	$	115,313