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Income Taxes - Narrative (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Operating Loss Carryforwards [Line Items]        
Valuation allowance on deferred tax assets $ 187,525 $ 107,061 $ 55,400  
Increase in valuation allowance recorded as an expense 38,800 34,300    
Decrease in valuation allowance charged to equity 500 17,400    
Net operating loss carryforwards, not subject to expiration 474,500      
Unrecognized tax benefits 2,721 $ 2,917 $ 3,615 $ 2,053
Refund claims related to prior years 600      
Accounting Standards Update 2020-06        
Operating Loss Carryforwards [Line Items]        
Decrease in valuation allowance charged to equity 41,200      
Expiration between 2023 and 2026        
Operating Loss Carryforwards [Line Items]        
Net operating loss carryforwards, subject to expiration 800      
Expiration between 2030 and 2037        
Operating Loss Carryforwards [Line Items]        
Net operating loss carryforwards, subject to expiration 57,300      
Federal        
Operating Loss Carryforwards [Line Items]        
Operating loss carryforwards 532,600      
Federal | Expiration between 2030 and 2037        
Operating Loss Carryforwards [Line Items]        
Operating loss carryforwards generated in taxable years ending on or before December 31 2017 58,200      
Federal | Proficient        
Operating Loss Carryforwards [Line Items]        
Operating loss carryforwards 800      
Federal | Tenfold        
Operating Loss Carryforwards [Line Items]        
Operating loss carryforwards 49,400      
Federal | VoiceBase        
Operating Loss Carryforwards [Line Items]        
Operating loss carryforwards 64,900      
Federal | WildHealth        
Operating Loss Carryforwards [Line Items]        
Operating loss carryforwards 2,000      
Foreign        
Operating Loss Carryforwards [Line Items]        
Increase in valuation recorded 80,500      
Foreign | Federal        
Operating Loss Carryforwards [Line Items]        
Operating loss carryforwards 532,600      
Foreign | Australian Taxation Office        
Operating Loss Carryforwards [Line Items]        
Operating loss carryforwards 1,900      
Foreign | Federal Ministry of Finance, Germany        
Operating Loss Carryforwards [Line Items]        
Operating loss carryforwards 19,300      
State        
Operating Loss Carryforwards [Line Items]        
Operating loss carryforwards 380,500      
Net operating loss carryforwards, not subject to expiration 78,400      
State | Expiration between 2022 and 2041        
Operating Loss Carryforwards [Line Items]        
Net operating loss carryforwards, subject to expiration $ 302,100