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BASIS OF PRESENTATION - Amounts Reclassified (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Jun. 30, 2024
Jun. 30, 2023
Costs of revenue (exclusive of amortization and depreciation)        
Costs to obtain and fulfill contracts capitalized $ 43,342 $ 44,133 $ 85,103 $ 88,310
Other expenses        
Product development 8,207 8,769 18,894 17,121
Sales and marketing 7,815 8,132 14,408 15,089
General and administrative 18,878 19,057 38,274 33,510
Amortization of acquisition-related intangibles   0   0
Amortization 9,107 5,840 14,975 11,341
Depreciation 400 597 800 1,095
RCM        
Costs of revenue (exclusive of amortization and depreciation)        
Costs to obtain and fulfill contracts capitalized 30,269 27,119 59,866 54,302
EHR        
Costs of revenue (exclusive of amortization and depreciation)        
Costs to obtain and fulfill contracts capitalized $ 13,073 17,014 $ 25,237 34,008
As previously reported        
Other expenses        
Product development   10,595   20,434
Sales and marketing   8,132   15,089
General and administrative   19,654   34,604
Amortization of acquisition-related intangibles   4,014   8,029
Amortization   0   0
Depreciation   0   0
As previously reported | RCM        
Costs of revenue (exclusive of amortization and depreciation)        
Costs to obtain and fulfill contracts capitalized   27,119   54,302
As previously reported | EHR        
Costs of revenue (exclusive of amortization and depreciation)        
Costs to obtain and fulfill contracts capitalized   17,014   34,008
Re-classifications        
Other expenses        
Product development   (1,826)   (3,313)
Sales and marketing   0   0
General and administrative   (597)   (1,094)
Amortization of acquisition-related intangibles   (4,014)   (8,029)
Amortization   5,840   11,341
Depreciation   597   1,095
Re-classifications | RCM        
Costs of revenue (exclusive of amortization and depreciation)        
Costs to obtain and fulfill contracts capitalized   0   0
Re-classifications | EHR        
Costs of revenue (exclusive of amortization and depreciation)        
Costs to obtain and fulfill contracts capitalized   $ 0   $ 0