Intangible Assets and Goodwill - Operating Segment (Details) - USD ($) $ in Thousands	Sep. 30, 2025	Dec. 31, 2024
Intangible Assets and Goodwill
Goodwill	$ 416,390
Accumulated impairment losses	(402,471)
Goodwill, Total	13,919	$ 13,919
Hospital division revenue
Intangible Assets and Goodwill
Goodwill	1,139
Accumulated impairment losses	(1,139)
Goodwill, Total	0
Population Health Management Division
Intangible Assets and Goodwill
Goodwill	415,251
Accumulated impairment losses	(401,332)
Goodwill, Total	$ 13,919