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Income Taxes (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended 24 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2009
Dec. 31, 2008
Dec. 31, 2009
Income Tax Examination [Line Items]              
Income tax benefit (expense) $ 0 $ 13,219 $ (867) $ 17,744      
Discrete tax     $ 600        
Thrasys              
Income Tax Examination [Line Items]              
Long-term capital gain on sale             $ 15,000
Thrasys | Internal Revenue Service (IRS)              
Income Tax Examination [Line Items]              
Assertion of tax owed         $ 5,000 $ 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