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Income Taxes (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Dec. 31, 2009
Dec. 31, 2008
Income Tax Examination [Line Items]        
Estimated annual effective interest rate for 2023 0.00%      
Income tax benefit $ 0 $ 2,293    
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