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Transactions - Vital Decisions (Details) - USD ($)
$ in Thousands, shares in Millions
 3 Months Ended 12 Months Ended
Oct. 01, 2021
Mar. 31, 2022
Mar. 31, 2021
Dec. 31, 2021
Dec. 31, 2020
Purchase consideration:          
Cash   $ 70 $ 1,472    
Liabilities assumed:          
Goodwill   $ 426,274 $ 349,022 $ 426,297 $ 349,029
Customer relationships          
Liabilities assumed:          
Useful life   14 years 8 months 12 days   14 years 10 months 24 days  
Technology          
Liabilities assumed:          
Useful life   1 year 8 months 12 days   2 years  
Corporate trade name          
Liabilities assumed:          
Useful life   12 years 2 months 12 days   12 years 4 months 24 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        
Fair value of contingent consideration 14,600        
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