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Revenue - Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Disaggregation of Revenue    
Total revenue $ 216,485 $ 211,789
Hospital division revenue    
Disaggregation of Revenue    
Total revenue 207,570 203,947
Population health management division revenue    
Disaggregation of Revenue    
Total revenue $ 8,915 $ 7,842