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Business Combinations - Narrative (Details) - USD ($) $ in Thousands |  |  |  |  | 3 Months Ended |
--- | --- | --- | --- | --- | --- | ---
Jan. 22, 2025 | Nov. 08, 2024 | Aug. 01, 2024 | May 24, 2024 | Mar. 31, 2025 | Mar. 31, 2024 | Dec. 31, 2024
Business Acquisition [Line Items] |  |  |  |  |  |  |
Cash payments |  |  |  |  | $ 41,122 | $ 0 |
Goodwill |  |  |  |  | 313,380 |  | $ 259,759
Restricted stock units | Common Stock |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Restricted shares of common stock | 151,148 |  |  |  |  |  |
Upfront Healthcare Services |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Consideration | $ 80,000 |  | $ 39,800 |  |  |  |
Cash payments | 41,100 |  | 36,200 |  |  |  |
Fair value | 31,600 |  | 2,900 |  |  |  |
Contingent consideration liabilities | 7,300 |  | $ 700 |  |  |  |
Percentage interest acquired |  |  | 100.00% |  |  |  |
Cash retention payment | 1,100 |  |  |  | 900 |  |
Stock based compensation related to retention bonus |  |  |  |  | $ 500 |  |
Goodwill | $ 52,912 |  |  |  |  |  |
Upfront Healthcare Services | Customer Relationships |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life | 6 years |  |  |  |  |  |
Upfront Healthcare Services | Developed technologies |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life | 3 years |  |  |  |  |  |
Upfront Healthcare Services | Trademarks |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life | 3 years |  |  |  |  |  |
Upfront Healthcare Services | Restricted shares |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Number of restricted shares issued (in shares) | 106,196 |  |  |  |  |  |
Restricted shares, vested (in shares) |  |  |  |  | 86,975 |  |
Lumeon |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Goodwill |  |  | $ 24,393 |  |  |  |
Lumeon | Customer Relationships |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life |  |  | 7 years |  |  |  |
Lumeon | Developed technologies |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life |  |  | 4 years |  |  |  |
Lumeon | Trademarks |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life |  |  | 5 years |  |  |  |
Carevive Systems, Inc. |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Consideration |  |  |  | $ 22,100 |  |  |
Cash payments |  |  |  | 18,600 |  |  |
Fair value |  |  |  | 2,600 |  |  |
Contingent consideration liabilities |  |  |  | $ 900 |  |  |
Percentage interest acquired |  |  |  | 100.00% |  |  |
Goodwill |  |  |  | $ 15,643 |  |  |
Carevive Systems, Inc. | Customer Relationships |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life |  |  |  | 7 years |  |  |
Carevive Systems, Inc. | Developed technologies |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life |  |  |  | 4 years |  |  |
Carevive Systems, Inc. | Trademarks |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life |  |  |  | 3 years |  |  |
Intraprise Health, LLC. |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Consideration |  | $ 44,900 |  |  |  |  |
Cash payments |  | 25,400 |  |  |  |  |
Fair value |  | $ 19,500 |  |  |  |  |
Percentage interest acquired |  | 100.00% |  |  |  |  |
Goodwill |  | $ 29,598 |  |  |  |  |
Business Acquisition, Goodwill, Expected Tax Deductible Amount |  | 21,500 |  |  |  |  |
Intraprise Health, LLC. | Technology Reporting Unit |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Goodwill |  | 23,700 |  |  |  |  |
Intraprise Health, LLC. | Professional Services Reporting Unit |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Goodwill |  | $ 5,900 |  |  |  |  |
Intraprise Health, LLC. | Developed technologies |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life |  | 3 years |  |  |  |  |
Intraprise Health, LLC. | Trademarks |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life |  | 3 years |  |  |  |  |
Intraprise Health, LLC. | Client Relationships-ENT |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life |  | 7 years |  |  |  |  |
Intraprise Health, LLC. | Client Relationships-SMB |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |
Estimated useful life |  | 3 years |  |  |  |  |

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