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Segment Information - Schedule of Significant Segment Expenses (Details) - USD ($) $ in Thousands		3 Months Ended		9 Months Ended
		Sep. 30, 2025	Sep. 30, 2024	Sep. 30, 2025	Sep. 30, 2024
Segment Reporting Information [Line Items]
Costs and operating expenses		$ 85,618	$ 108,416	$ 274,139	$ 358,136
Employee Compensation [Member]
Segment Reporting Information [Line Items]
Costs and operating expenses		31,837	46,778	109,956	149,152
Consulting Costs [Member]
Segment Reporting Information [Line Items]
Costs and operating expenses		4,454	5,223	15,467	19,971
Provider Cost [Member]
Segment Reporting Information [Line Items]
Costs and operating expenses		11,741	15,880	38,153	52,188
Stock-based Compensation Expense [Member]
Segment Reporting Information [Line Items]
Costs and operating expenses		4,027	10,599	17,375	36,665
Other Segment Expense Items [Member]
Segment Reporting Information [Line Items]
Costs and operating expenses	[1]	$ 33,559	$ 29,936	$ 93,188	$ 100,160
[1] Other segment expense items primarily include hosting, hardware, corporate compliance, severance, strategic transformation costs, amortization, depreciation 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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