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Basis of Presentation and Summary of Significant Accounting Policies (Details)
3 Months Ended 12 Months Ended
Dec. 31, 2022
USD ($)
Sep. 30, 2022
USD ($)
Dec. 31, 2022
USD ($)
segment
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Jun. 30, 2022
USD ($)
Feb. 04, 2022
USD ($)
Property, Plant and Equipment [Line Items]              
Net translation foreign currency translation loss     $ (2,251,000) $ (14,397,000) $ (11,093,000)    
Foreign exchange translation     1,699,000 (3,221,000)      
Foreign exchange realized gains (losses)     (1,600,000) 200,000 31,500,000    
Impairment of long-lived assets to be disposed of       1,700,000      
Lease asset impairments and other charges $ 1,700,000   0 7,500,000 0    
Lease asset impairments and other charges     0 9,149,000 0    
Impairment of goodwill and intangible assets     $ 0 0 0    
Number of reportable segments | segment     1        
Advertising costs incurred     $ 55,400,000 45,700,000 47,100,000    
Accounts payable and accrued expenses 41,246,000   41,246,000 40,206,000      
Deferred revenue acquired       0      
Stockholders' equity, reclassifications related to bonuses and other corporate accruals prior to the separation, correction     600,000        
Intangible assets, reclassifications related to bonuses and other corporate accruals prior to the separation, correction     800,000        
Settlement agreement, amounts owed, separation and distribution agreement   $ 2,600,000          
Stockholders equity, spin off adjustment     300,000        
Error Correction, Other | Revision of Prior Period, Error Correction, Adjustment              
Property, Plant and Equipment [Line Items]              
Net translation foreign currency translation loss     (5,500,000)        
Foreign exchange translation     5,500,000        
Summit Healthcare Services, Inc.              
Property, Plant and Equipment [Line Items]              
Deferred revenue acquired $ 4,800,000   4,800,000       $ 4,839,000
Accounting Standards Update 2021-08 | Summit Healthcare Services, Inc.              
Property, Plant and Equipment [Line Items]              
Deferred revenue acquired           $ 900,000  
Foreign Currency Translation              
Property, Plant and Equipment [Line Items]              
Other comprehensive loss before reclassifications     $ (2,251,000) (14,397,000) $ (11,093,000)    
Continuing Operations              
Property, Plant and Equipment [Line Items]              
Lease asset impairments and other charges       6,500,000      
Discontinued Operations              
Property, Plant and Equipment [Line Items]              
Lease asset impairments and other charges       $ 1,000,000      
Minimum              
Property, Plant and Equipment [Line Items]              
Estimated useful lives of property and equipment     1 year        
Finite-lived intangible asset, useful life     1 year        
Maximum              
Property, Plant and Equipment [Line Items]              
Estimated useful lives of property and equipment     10 years        
Finite-lived intangible asset, useful life     20 years        
Capitalized software costs | Minimum              
Property, Plant and Equipment [Line Items]              
Estimated useful lives of property and equipment     1 year        
Capitalized software costs | Maximum              
Property, Plant and Equipment [Line Items]              
Estimated useful lives of property and equipment     5 years