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Business Acquisitions - Allocation of Aggregate Purchase Consideration (Details) - USD ($) | Dec. 31, 2022 | Feb. 04, 2022 | Dec. 31, 2021 | Dec. 31, 2020
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Business Acquisition [Line Items] |  |  |  |
Goodwill | $ 346,585,000 |  | $ 339,209,000 | $ 342,430,000
Deferred revenue |  |  | $ 0 |
Summit Healthcare Services, Inc. |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Accounts receivable |  | $ 1,248,000 |  |
Prepaid expenses and other current assets |  | 30,000 |  |
Property and equipment |  | 9,000 |  |
Operating lease right-of-use assets, non-current |  | 413,000 |  |
Goodwill |  | 5,677,000 |  |
Accounts payable and accrued expenses |  | (295,000) |  |
Deferred revenue | $ (4,800,000) | (4,839,000) |  |
Operating lease liabilities, non-current |  | (413,000) |  |
Total |  | 12,230,000 |  |
Summit Healthcare Services, Inc. | Trademarks |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Finite-lived intangibles |  | 800,000 |  |
Summit Healthcare Services, Inc. | Customer relationships |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Finite-lived intangibles |  | 8,600,000 |  |
Summit Healthcare Services, Inc. | Other intangibles |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Finite-lived intangibles |  | $ 1,000,000 |  |

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