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Carevive Systems, Inc. [Member] Carevive Systems, Inc. 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Granted in Covered Year that are Outstanding and Unvested Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested [Member] Intangible asset impairment charges Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill) Capitalization of internal-use software Capitalized Of Internal Use Software Capitalized Of Internal Use Software Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table [Member] Payables and Accruals [Abstract] Payables and Accruals [Abstract] Statement [Table] Statement [Table] Deferred tax provision Total deferred provision Deferred Income Tax Expense (Benefit) Adjustments to reconcile net loss to net cash provided by (used in) operating activities: Adjustment to Reconcile Net Income to Cash Provided by (Used in) Operating Activity [Abstract] Cash flows from financing activities Cash Provided by (Used in) Financing Activity, Including Discontinued Operation [Abstract] Other Foreign Tax Jurisdiction, Other [Member] Measurement Input, Risk Free Interest Rate Measurement Input, Risk Free Interest Rate [Member] Total consideration transferred, net of cash acquired Business Combination, Recognized Asset Acquired to Liability Assumed, Excess (Less), and Goodwill Common stock, shares issued (in shares) Shares, Issued Deferred revenue Contract with Customer, Liability Amortized Cost Debt Securities, Available-for-Sale, Amortized Cost, Fiscal Year Maturity [Abstract] Massachusetts MASSACHUSETTS All Adjustments to Compensation All Adjustments to Compensation [Member] Treasury stock, shares, retired (in shares) Treasury Stock, Shares, Retired 2022 Restructuring Plan 2022 Restructuring Plan [Member] 2022 Restructuring Plan Amendment Flag Amendment Flag Fair Value Debt Securities, Available-for-Sale, Fair Value, Fiscal Year Maturity [Abstract] Shares authorized (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Authorized Stock-based compensation capitalized as internal-use software Deferred Compensation Arrangement with Individual, Allocated Share-Based Compensation Expense Adjusted Gross Profit: Gross Profit [Abstract] Capitalized internal-use software costs Software Development [Member] Audit Information [Abstract] Audit Information Release of shares, period Share-based Compensation Arrangement by Share-based Payment Award, Acquisition Date Anniversary, Release of Shares, Period Share-based Compensation Arrangement by Share-based Payment Award, Acquisition Date Anniversary, Release of Shares, Period Termination Date Trading Arrangement Termination Date Insider Trading Policies and Procedures Adopted Insider Trading Policies and Procedures Adopted [Flag] Share-Based Payment Arrangement, Tranche Three Share-Based Payment Arrangement, Tranche Three [Member] Weighted-average operating lease discount rate (in percentage) Operating Lease, Weighted Average Discount Rate, Percent Schedule of Information Related to Stock Options Share-Based Payment Arrangement, Option, Activity [Table Text Block] Intraprise Health, LLC. Intraprise Health, LLC. [Member] Intraprise Health, LLC. Schedule of Fair Value Assets Measured on Recurring Basis Fair Value, Assets Measured on Recurring Basis [Table Text Block] Weighted-average shares outstanding used in calculating net loss per share, basic (in shares) Weighted-average number of shares used in calculating net loss per share, basic(in shares) Weighted Average Number of Shares Outstanding, Basic Unrecognized tax benefits, impact effective tax rate Unrecognized Tax Benefits that Would Impact Effective Tax Rate Schedule of the Calculation of Basic and Diluted Net Loss Per Share Attributable to Common Stockholders Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] Vested and exercisable (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Number Segment Reporting [Abstract] Segment Reporting [Abstract] Impairment losses recorded on deferred contract costs Capitalized Contract Cost, Impairment Loss Restricted shares, vested (in shares) Options vested (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested, Number of Shares Debt Disclosure [Abstract] Debt Disclosure [Abstract] Dividends Dividends, Cash Subleased rentable area Subleased Rentable Area Subleased Rentable Area Restructuring and Related Activities [Abstract] Forgone Recovery due to Expense of Enforcement, Amount Forgone Recovery due to Expense of Enforcement, Amount Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] Common stock, par value (in USD per share) Common Stock, Par or Stated Value Per Share Adjustment, increase to net deferred tax liabilities assumed and acquired goodwill Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Deferred Tax Liabilities And Goodwill Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Deferred Tax Liabilities And Goodwill Options granted (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Gross Client Relationships-SMB Client Relationships-SMB [Member] Client Relationships-SMB Use of estimates Use of Estimates, Policy [Policy Text Block] Schedule of Employee Stock Purchase Plan Schedule of Share-Based Payment Award, Employee Stock Purchase Plan, Valuation Assumptions [Table Text Block] Litigation settlement, amount Litigation Settlement, Amount Awarded to Other Party Foreign intangible assets Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets Foreign Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets Foreign Change in foreign currency translation adjustment Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax Insider Trading Arrangements [Line Items] Total liabilities Liabilities Antidilutive Securities, Name [Domain] Antidilutive Securities, Name [Domain] Pension Adjustments Prior Service Cost Pension Adjustments Prior Service Cost [Member] Material Terms of Trading Arrangement Material Terms of Trading Arrangement [Text Block] Additional delayed draw facility Debt Instrument, Additional Draw Amount Debt Instrument, Additional Draw Amount Louisiana LOUISIANA Consolidation Items [Axis] Consolidation Items [Axis] Service contract term Deferred Revenue Arrangement For Service Contract, Term Deferred Revenue Arrangement For Service Contract, Term Counterparty Name [Axis] Counterparty Name [Axis] Schedule of Outstanding RSUs and Related Activity Share-Based Payment Arrangement, Restricted Stock Unit, Activity [Table Text Block] Tax Credit Carryforward, Name [Domain] Tax Credit Carryforward, Name [Domain] Entity Incorporation, State or Country Code Entity Incorporation, State or Country Code Non-NEOs Non-NEOs [Member]