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Pay vs Performance Disclosure - USD ($)
 12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Pay vs Performance Disclosure                  
Pay vs Performance Disclosure, Table
Value of Initial Fixed $100 Investment Based On(7):
Year
Summary Compensation Table Total for PEO(1)
Compensation Actually Paid to PEO ($)(2)(3)
Average Summary Compensation Table Total for non-PEO NEOs ($)(4)
Average Compensation Actually Paid to non-PEO NEOs ($)(2)(4)(5)
Total Shareholder Return ($)
Peer Group Total Shareholder Return ($)(6)
Net Income (thousands) ($)
Adjusted EBITDA (thousands) ($)(8)
20257,220,61210,338,8592,148,3292,716,06460.58136.4058,520222,092
20241,361,112(16,038,379)6,515,975(953,437)62.84134.7454,336198,760
20231,093,5127,268,130986,1312,429,254135.45133.8562,037187,076
202268,580,07231,304,2649,301,761(708,249)113.48133.4430,358125,690
2021862,46212,703,2375,449,1366,880,527183.42138.3565,76967,347
                
Named Executive Officers, Footnote Mr. Schlanger served as our chief executive officer from January 2017 to December 2021. Mr. Anevski has served as our chief executive officer since January 1, 2022.on-PEO NEOs include Mr. Livingston, Ms. Swartz, Ms. Cummings, and Mr. Clapp. For 2024, 2023, and 2022, the non-PEO NEOs include Mr. Livingston, Mr. Schlanger, Ms. Swartz, and Mr. Sturmer. For 2021, the non-PEO NEOs include Mr. Anevski, Mr. Livingston, Ms. Bealer, and Ms. Greenbaum.                
Peer Group Issuers, Footnote The peer group used for this purpose is Standard & Poor’s 500 Health Care Index, which is one of the peer groups reported in our Annual Report pursuant to Item 201(e) of Regulation S-K.                
PEO Total Compensation Amount $ 7,220,612 $ 1,361,112 $ 1,093,512 $ 68,580,072 $ 862,462        
PEO Actually Paid Compensation Amount $ 10,338,859 (16,038,379) 7,268,130 31,304,264 12,703,237        
Adjustment To PEO Compensation, Footnote Compensation actually paid to our PEO represents the “Total” compensation reported in the Summary Compensation Table for the applicable fiscal year, as adjusted as follows:
2025 ($)2024 ($)2023 ($)2022 ($)2021 ($)
Summary Compensation Table Total7,220,6121,361,1121,093,51268,580,072862,462
Less, value of Stock Awards and Option Awards in Summary Compensation Table(5,599,975)——(67,568,600)—
Plus, year-end fair value of outstanding and unvested equity awards granted in the year6,388,355——39,410,940—
Plus/Less, year-over-year change in fair value of outstanding and unvested equity awards granted in prior years809,756(14,121,283)4,879,355(3,368,117)5,284,970
Plus/Less, change in fair value from the end of the prior fiscal year to the vesting date of equity awards granted in prior years that vested in the year1,520,110(3,278,208)1,295,263(5,750,031)6,555,805
Compensation Actually Paid to PEO10,338,859(16,038,379)7,268,13031,304,26412,703,237
                
Non-PEO NEO Average Total Compensation Amount $ 2,148,329 6,515,975 986,131 9,301,761 5,449,136        
Non-PEO NEO Average Compensation Actually Paid Amount $ 2,716,064 (953,437) 2,429,254 (708,249) 6,880,527        
Adjustment to Non-PEO NEO Compensation Footnote Average compensation actually paid to our non-PEO NEOs represents the average “Total” compensation reported in the Summary Compensation Table for the applicable fiscal year, as adjusted as follows:
2025 ($)2024 ($)2023 ($)2022 ($)2021 ($)
Average Summary Compensation Table Total2,148,3296,515,975986,1319,301,7615,449,136
Less, average value of Stock Awards and Option Awards in Summary Compensation Table(1,409,987)(5,872,570)(324,669)(8,766,978)(4,777,735)
Plus, average year-end fair value of outstanding and unvested equity awards granted in the year1,628,1303,205,690328,1795,604,0533,820,260
Plus/Less, average year-over-year change in fair value of outstanding and unvested equity awards granted in prior years199,427(2,751,154)938,008(3,796,209)1,617,046
Plus, average fair value of equity awards granted and vested in the year—————
Plus/Less, change in fair value from the end of the prior fiscal year to the vesting date of equity awards granted in prior years that vested in the year150,165(2,051,378)501,605(3,050,876)1,950,757
Less, average fair value of equity awards granted in prior years that failed to meet vesting conditions in the year————(1,178,937)
Average Compensation Actually Paid to non-PEO NEOs2,716,064(953,437)2,429,254(708,249)6,880,527
                
Compensation Actually Paid vs. Total Shareholder Return
6199
                
Compensation Actually Paid vs. Net Income
6201
                
Compensation Actually Paid vs. Company Selected Measure
6207
                
Total Shareholder Return Vs Peer Group
6199
                
Tabular List, Table Revenue
b.Adjusted EBITDA
c.Net bookings 		               
Total Shareholder Return Amount $ 60.58 62.84 135.45 113.48 183.42        
Peer Group Total Shareholder Return Amount 136.40 134.74 133.85 133.44 138.35        
Net Income (Loss) $ 58,520,000 $ 54,336,000 $ 62,037,000 $ 30,358,000 $ 65,769,000        
PEO Name Mr. Anevski Mr. Anevski Mr. Anevski Mr. Anevski Mr. Schlanger Mr. Schlanger Mr. Schlanger Mr. Schlanger se Mr. Schlanger
Additional 402(v) Disclosure The fair values of RSUs, PSUs, and stock options included in the CAP to our PEO and the Average CAP to our NEOs are calculated at the required measurement dates, consistent with the approach used to value the awards at the grant date as described in our Annual Report. Any changes to the RSU fair values from the grant date (for current year grants) and from prior year-end (for prior year RSU grants) are based on our updated stock price at the respective measurement dates and updated performance target projections (for PSUs). Changes to the stock option fair values are based on the updated stock price at the respective measurement dates, in addition to updated expected option term, implied volatility of our stock over the updated expected option term, and risk-free rate assumptions. For all years presented, the meaningful increases or decreases in the year-end stock option fair value from the fair value on the grant date were primarily driven by changes in the stock price.The total shareholder return and peer group total shareholder return are five-year cumulative returns assuming an initial fixed investment of $100 and that all dividends, if any, were reinvested.
(8)Adjusted EBITDA is a non-GAAP financial metric. We calculate Adjusted EBITDA as net income, adjusted to exclude depreciation and amortization; stock-based compensation expense; interest and other income, net; and provision for income taxes. The Company selected Adjusted EBITDA as the Company-Selected Measure because it is an important financial measure that helps link CAP to the Company’s NEOs to the Company’s performance for the most recently completed fiscal year. Specifically, Adjusted EBITDA is used as a performance metric in both our annual bonus program and our long-term equity incentive program for our PSUs, which are eligible to be earned based on achievement of specific Adjusted EBITDA targets.
                
Measure:: 1                  
Pay vs Performance Disclosure                  
Name Revenue                
Measure:: 2                  
Pay vs Performance Disclosure                  
Other Performance Measure, Amount 222,092,000 198,760,000 187,076,000 125,690,000 67,347,000        
Name Adjusted EBITDA                
Measure:: 3                  
Pay vs Performance Disclosure                  
Name Net bookings                
PEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table                  
Pay vs Performance Disclosure                  
Adjustment to Compensation, Amount $ (5,599,975) $ 0 $ 0 $ (67,568,600) $ 0        
PEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested                  
Pay vs Performance Disclosure                  
Adjustment to Compensation, Amount 6,388,355 0 0 39,410,940 0        
PEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested                  
Pay vs Performance Disclosure                  
Adjustment to Compensation, Amount 809,756 (14,121,283) 4,879,355 (3,368,117) 5,284,970        
PEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year                  
Pay vs Performance Disclosure                  
Adjustment to Compensation, Amount 1,520,110 (3,278,208) 1,295,263 (5,750,031) 6,555,805        
Non-PEO NEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table                  
Pay vs Performance Disclosure                  
Adjustment to Compensation, Amount (1,409,987) (5,872,570) (324,669) (8,766,978) (4,777,735)        
Non-PEO NEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested                  
Pay vs Performance Disclosure                  
Adjustment to Compensation, Amount 1,628,130 3,205,690 328,179 5,604,053 3,820,260        
Non-PEO NEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested                  
Pay vs Performance Disclosure                  
Adjustment to Compensation, Amount 199,427 (2,751,154) 938,008 (3,796,209) 1,617,046        
Non-PEO NEO | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year                  
Pay vs Performance Disclosure                  
Adjustment to Compensation, Amount 0 0 0 0 0        
Non-PEO NEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year                  
Pay vs Performance Disclosure                  
Adjustment to Compensation, Amount 150,165 (2,051,378) 501,605 (3,050,876) 1,950,757        
Non-PEO NEO | Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year                  
Pay vs Performance Disclosure                  
Adjustment to Compensation, Amount $ 0 $ 0 $ 0 $ 0 $ (1,178,937)