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Income Taxes (Details) - USD ($)
$ in Thousands
3 Months Ended 24 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Dec. 31, 2009
Income Tax Examination [Line Items]      
Estimated effective tax rate 15.10%    
Income tax benefit $ 2,293 $ 406  
Thrasys      
Income Tax Examination [Line Items]      
Long-term capital gain on sale     $ 15,000
Interest on tax, accrued 200    
Thrasys | Internal Revenue Service (IRS)      
Income Tax Examination [Line Items]      
Assertion of tax owed $ 5,000    
Interest on tax, percentage 4.00%    
Potential interest expense $ 3,000    
Thrasys | California Franchise Tax Board      
Income Tax Examination [Line Items]      
Assertion of tax owed $ 1,300