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Segment Reporting (Details)
$ in Thousands
 12 Months Ended
Dec. 31, 2022
USD ($)
segment
Dec. 31, 2021
USD ($)
segment
Dec. 31, 2020
USD ($)
segment
Segment Reporting Information [Line Items]      
Number of operating segments | segment 3 3 3
Sales revenues: $ 326,648 $ 280,629 $ 264,488
Total adjusted EBITDA 55,899 52,677 43,387
Revenue cycle      
Segment Reporting Information [Line Items]      
Sales revenues: 179,870 131,242 107,431
Electronic health record      
Segment Reporting Information [Line Items]      
Sales revenues: 139,823 143,109 152,954
Patient engagement      
Segment Reporting Information [Line Items]      
Sales revenues: 6,955 6,278 4,103
Operating segments | Revenue cycle      
Segment Reporting Information [Line Items]      
Sales revenues: 179,870 131,242 107,431
Total adjusted EBITDA 36,242 30,211 22,780
Operating segments | Electronic health record      
Segment Reporting Information [Line Items]      
Sales revenues: 139,823 143,109 152,954
Total adjusted EBITDA 19,091 23,061 21,488
Operating segments | Patient engagement      
Segment Reporting Information [Line Items]      
Total adjusted EBITDA 566 (595) (881)
Recurring revenue | Operating segments | Electronic health record      
Segment Reporting Information [Line Items]      
Sales revenues: 124,724 124,912 121,869
Recurring revenue | Operating segments | Acute Care      
Segment Reporting Information [Line Items]      
Sales revenues: 109,340 108,440 105,597
Recurring revenue | Operating segments | Post-Acute Care      
Segment Reporting Information [Line Items]      
Sales revenues: 15,384 16,472 16,272
Recurring revenue | Operating segments | Patient engagement      
Segment Reporting Information [Line Items]      
Sales revenues: 6,955 6,278 4,103
Non-recurring revenue | Operating segments | Electronic health record      
Segment Reporting Information [Line Items]      
Sales revenues: 15,099 18,197 31,085
Non-recurring revenue | Operating segments | Acute Care      
Segment Reporting Information [Line Items]      
Sales revenues: 13,138 16,939 29,173
Non-recurring revenue | Operating segments | Post-Acute Care      
Segment Reporting Information [Line Items]      
Sales revenues: $ 1,961 $ 1,258 $ 1,912