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Income Taxes (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 24 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2009
Income Tax Examination [Line Items]          
Income tax (expense) benefit $ (6,695) $ 423 $ 357 $ 423  
Thrasys          
Income Tax Examination [Line Items]          
Long-term capital gain on sale         $ 15,000
Interest on tax, accrued $ 200   200    
Internal Revenue Service (IRS) | Thrasys          
Income Tax Examination [Line Items]          
Assertion of tax owed     $ 5,000    
Interest on tax, percentage     4.00%    
Potential interest expense     $ 3,000    
California Franchise Tax Board | Thrasys          
Income Tax Examination [Line Items]          
Assertion of tax owed     $ 1,300