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Segment and Geographic Location Information - Components of Segment Revenues and Adjusted EBITDA (Parenthetical) (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Segment Reporting Information [Line Items]        
Segment Revenues $ 167,937 $ 130,312 $ 458,466 $ 404,902
Segment Adjusted EBITDA 23,303 18,373 [1] 61,097 51,337 [1]
Discontinuing Specialty Lab        
Segment Reporting Information [Line Items]        
Segment Revenues $ 2,000 3,900 $ 5,900 12,900
Segment Adjusted EBITDA   (500)   (100)
Start-up Losses and Investment in New Services        
Segment Reporting Information [Line Items]        
Segment Adjusted EBITDA   $ 1,300   $ 2,900
[1] Includes the add back of start-up losses and investment in new services of $1.3 million and $2.9 million for the three and nine months ended September 30, 2022, respectively.