Income Taxes (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended		24 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2009
Income Tax Examination [Line Items]
Estimated effective tax rate			9.40%
Income tax benefit (expense)	$ 13,219	$ (6,695)	$ 17,744	$ 357
Thrasys
Income Tax Examination [Line Items]
Long-term capital gain on sale					$ 15,000
Interest on tax, accrued	$ 200		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