Summary of Significant Accounting Policies - Narrative (Details) - USD ($) $ in Thousands		3 Months Ended								12 Months Ended
	Dec. 03, 2025	Dec. 31, 2025	Sep. 30, 2025	Jun. 30, 2025	Mar. 31, 2025	Dec. 31, 2024	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Significant Accounting Policies [Line Items]
Interest income										$ 3,129	$ 2,050	$ 83
Sales allowance, billing-related adjustments		$ 300				$ 500				300	500
Credit loss (credit) expense		355	$ (861)	$ 30	$ 35	(228)	$ 1,512	$ 18,858	$ 1,290	(441)	21,432	14,562
Prepaid implementation costs		800				800				800	800
Capitalized implementation costs		14,000				10,800				14,000	10,800
Implementation costs, amortization										800	700	500
Outstanding standby letters of credit as collateral		18,200				14,700				18,200	14,700
Unbilled contracts receivable		48,300				60,400				48,300	60,400
Equity compensation										7,100	6,000	6,600
Advertising costs										7,500	8,500	$ 11,500
Cumulative impact of currency fluctuations		1,700				1,500				1,700	1,500
Aya Holdings II Inc.
Significant Accounting Policies [Line Items]
Proceeds from termination fee	$ 20,000	20,000								20,000
Transaction costs incurred		4,400	$ 4,200	$ 6,000	$ 2,000	4,200				$ 16,600	4,200
Business Combination, Separately Recognized Transaction, Acquisition-Related Cost, Expensed, Statement of Income or Comprehensive Income [Extensible Enumeration]										Acquisition and integration-related (income) costs
Cash outflows (inflows) for merger										$ (5,800)	4,200
Managed Service Programs (MSP) Customer
Significant Accounting Policies [Line Items]
Credit loss (credit) expense								$ 19,400
Claims-Based Liability Insurance | MDA Holdings Inc
Significant Accounting Policies [Line Items]
Letter of credit for malpractice claims		$ 100				$ 300				$ 100	$ 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		3 years								3 years
Short term leases period										3 months
Intangible assets- useful life		7 years								7 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