Summary of Significant Accounting Policies - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2024	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Dec. 31, 2023	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Significant Accounting Policies [Line Items]
Interest income									$ 2,050	$ 83	$ 10
Sales allowance, billing-related adjustments	$ 500				$ 900				500	900
Credit loss expense	(228)	$ 1,512	$ 18,858	$ 1,290	4,166	$ 2,355	$ 3,134	$ 4,908	21,432	14,562	9,609
Prepaid implementation costs	800				500				800	500
Capitalized implementation costs	10,800				6,000				10,800	6,000
Implementation costs, amortization									700	500	600
Outstanding standby letters of credit as collateral	14,700				13,500				14,700	13,500
Unbilled contracts receivable	60,400				89,900				60,400	89,900
Equity compensation									6,000	6,600	7,400
Advertising costs									8,500	11,500	$ 16,100
Cumulative impact of currency fluctuations	1,500				1,500				1,500	1,500
Managed Service Programs (MSP) Customer
Significant Accounting Policies [Line Items]
Credit loss expense			$ 19,400
Claims-Based Liability Insurance | MDA Holdings Inc
Significant Accounting Policies [Line Items]
Letter of credit for malpractice claims	$ 300				$ 300				$ 300	$ 300
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								1 year
Short term leases period									3 months
Intangible assets- useful life	2 years								2 years
Maximum
Significant Accounting Policies [Line Items]
Threshold period, past due for payment of services provided									60 days
Estimated useful life of assets	10 years								10 years
Short term leases period									6 months
Intangible assets- useful life	16 years								16 years
Maximum | Leasehold improvements
Significant Accounting Policies [Line Items]
Short term leases period									10 years