Commitments and Contingencies - Outstanding Operating Lease Liabilities (Details) - USD ($)		9 Months Ended
		Sep. 30, 2022	Dec. 31, 2021
Future minimum annual lease and service payments
Total lease liability		$ 87,917,000	$ 98,883,000
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability		12,200,000
Operating Lease, Residual Value of Leased Asset		500,000
Equipment Leases
Future minimum annual lease and service payments
2022		136,000
2023		478,000
2024		467,000
2025		434,000
2026		278,000
Thereafter		0
Total operating leases		1,793,000
Less discount		101,000
Less short-term leases		0
Total lease liability		1,692,000
Facility Leases
Future minimum annual lease and service payments
2022	[1],[2],[3]	3,584,000
2023	[1],[2],[3]	24,471,000
2024	[1],[2],[3]	22,193,000
2025	[1],[2],[3]	11,600,000
2026	[1],[2],[3]	8,507,000
Thereafter	[1],[2],[3]	25,550,000
Total operating leases	[1],[2]	95,905,000
Less discount	[1],[2]	7,518,000
Less short-term leases		162,000
Total lease liability	[1],[2]	$ 88,225,000

[1] During the nine months ended September 30, 2022, the Company recognized an increase of $12.2 million of operating right-of-use assets and leases liabilities related to facility leases.

[2] The Company has entered into various agreements to sublease certain of its premises.

[3] The company has assigned a lease but has remained as the guarantor for performance of the assignee's rent payment obligations for the remainder of the term of the assigned lease at the maximum amount of $0.5 million.