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Transactions - Vital Decisions (Details) - USD ($)
$ in Thousands, shares in Millions
 12 Months Ended
Oct. 01, 2021
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Purchase consideration:        
Cash   $ 49,012 $ 300 $ 8,575
Liabilities assumed:        
Goodwill   $ 426,297 $ 349,029 $ 566,359
Customer relationships        
Liabilities assumed:        
Useful life   14 years 10 months 24 days 16 years 2 months 12 days  
Technology        
Liabilities assumed:        
Useful life   2 years 1 year 9 months 18 days  
Corporate trade name        
Liabilities assumed:        
Useful life   12 years 4 months 24 days 13 years 2 months 12 days  
Vital Decisions        
Business Acquisition [Line Items]        
Voting interests acquired 100.00%      
Equity interest issued or issuable, number of shares (in shares) 1.8      
Contingent consideration arrangements (up to) $ 45,000      
Purchase consideration:        
Cash 46,500      
Fair value of Class A common stock issued 56,626      
Fair value of contingent consideration 14,600      
Total consideration 117,726      
Tangible assets acquired:        
Cash and cash equivalents 1,430      
Accounts receivable 3,301      
Prepaid expenses and other current assets 78      
Other non-current assets 2,564      
Total tangible assets acquired 7,373      
Identifiable intangible assets acquired:        
Identifiable intangible assets 40,000      
Liabilities assumed:        
Accounts payable 93      
Accrued liabilities 661      
Accrued compensation and employee benefits 970      
Deferred tax liabilities, net 499      
Deferred revenue 2,000      
Operating lease liabilities 2,712      
Total liabilities assumed 6,935      
Goodwill 77,288      
Net assets acquired 117,726      
Goodwill, expected tax deductible amount 69,600      
Vital Decisions | Customer relationships        
Identifiable intangible assets acquired:        
Identifiable intangible assets $ 32,500      
Liabilities assumed:        
Useful life 13 years      
Vital Decisions | Technology        
Identifiable intangible assets acquired:        
Identifiable intangible assets $ 5,000      
Liabilities assumed:        
Useful life 5 years      
Vital Decisions | Corporate trade name        
Identifiable intangible assets acquired:        
Identifiable intangible assets $ 2,500      
Liabilities assumed:        
Useful life 15 years