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Segments and Customer Concentrations - Narrative (Details) - segment
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Segment Reporting Information [Line Items]          
Number of operating segments     1    
Number of reportable segments     1    
Customer Concentration Risk | Revenue | Ascension          
Segment Reporting Information [Line Items]          
Concentration percentage 60.00% 63.00% 61.00% 65.00%  
Customer Concentration Risk | Revenue | Intermountain Healthcare          
Segment Reporting Information [Line Items]          
Concentration percentage 14.00% 12.00% 14.00% 14.00%  
Customer Concentration Risk | Accounts Receivable | Ascension          
Segment Reporting Information [Line Items]          
Concentration percentage     20.00%   25.00%