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Summary of Significant Accounting Policies - Narrative (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Significant Accounting Policies [Line Items]      
Sales allowance, billing-related adjustments $ 0.9 $ 1.6  
Prepaid implementation costs 0.5 0.5  
Capitalized implementation costs 6.0 4.5  
Implementation costs, amortization 0.5 0.6 $ 0.4
Outstanding standby letters of credit as collateral 13.5 17.7  
Unbilled contracts receivable 89.9 152.4  
Equity compensation 6.6 7.4 6.9
Advertising costs 11.5 16.1 $ 9.5
Cumulative impact of currency fluctuations 1.5 1.5  
Claims-Based Liability Insurance | MDA Holdings Inc      
Significant Accounting Policies [Line Items]      
Letter of credit for malpractice claims $ 0.3 $ 0.4  
Revenue Benchmark | Service | Services      
Significant Accounting Policies [Line Items]      
Concentration risk percentage 5.00% 5.00% 5.00%
Minimum      
Significant Accounting Policies [Line Items]      
Threshold period, past due for payment of services provided 30 days    
Estimated useful life of assets 1 year    
Short term leases period 3 months    
Intangible assets- useful life 1 year    
Maximum      
Significant Accounting Policies [Line Items]      
Threshold period, past due for payment of services provided 60 days    
Estimated useful life of assets 10 years    
Short term leases period 6 months    
Intangible assets- useful life 16 years    
Maximum | Leasehold improvements      
Significant Accounting Policies [Line Items]      
Short term leases period 10 years