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Segment Information - Schedule of significant segment expenses (Details) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Segment Reporting Information [Line Items]
Costs and operating expenses		$ 471,898	$ 951,190	$ 553,043
Employee Compensation [Member]
Segment Reporting Information [Line Items]
Costs and operating expenses		192,812	202,380	197,183
Consulting Costs [Member]
Segment Reporting Information [Line Items]
Costs and operating expenses		24,267	43,135	68,433
Provider Cost [Member]
Segment Reporting Information [Line Items]
Costs and operating expenses		69,538	72,000	73,254
Stock-based Compensation Expense [Member]
Segment Reporting Information [Line Items]
Costs and operating expenses		47,505	72,040	69,144
Other Segment Expense Items [Member]
Segment Reporting Information [Line Items]
Costs and operating expenses	[1]	$ 137,776	$ 561,635	$ 145,029
[1] Other segment expense items primarily include hosting, hardware, corporate compliance, severance, strategic transformation costs, amortization, depreciation, bad debt, goodwill impairment and overhead expenses.

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- Definition

Generally recurring costs associated with normal operations except for the portion of these expenses which can be clearly related to production and included in cost of sales or services. Excludes Selling, General and Administrative Expense.

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- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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