Goodwill and Amortizable Intangible Assets - Narrative (Details) - USD ($)		12 Months Ended
	Feb. 28, 2023	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Indefinite Lived Intangible Assets By Major Class [Line Items]
Impairment of goodwill		$ 0	$ 0
Amortization expense		$ 8,000,000	$ 5,000,000	$ 8,200,000
My Personal Health Record Express, Inc.
Indefinite Lived Intangible Assets By Major Class [Line Items]
Cash consideration	$ 45,300,000
Assets and liabilities assumed, developed technology	27,500,000
Assets and liabilities assumed, net liabilities	3,800,000
Goodwill	$ 21,600,000
Useful Life (Years)		10 years