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Intangible Assets and Goodwill - Schedule of Goodwill (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021
Goodwill [Roll Forward]
Goodwill, beginning balance	$ 177,713	$ 150,216
Goodwill acquired	20,540	27,497
Goodwill, ending balance	198,253	177,713
Operating segments \| Revenue cycle
Goodwill [Roll Forward]
Goodwill, beginning balance	41,281	13,784
Goodwill acquired	20,540	27,497
Goodwill, ending balance	61,821	41,281
Operating segments \| Electronic health record
Goodwill [Roll Forward]
Goodwill, beginning balance	126,665	126,665
Goodwill acquired	0	0
Goodwill, ending balance	126,665	126,665
Operating segments \| Patient engagement
Goodwill [Roll Forward]
Goodwill, beginning balance	9,767	9,767
Goodwill acquired	0	0
Goodwill, ending balance	$ 9,767	$ 9,767

Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

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