Segment and Related Information - Narrative (Details)	12 Months Ended
Dec. 31, 2021 USD ($) segment	Dec. 31, 2020 USD ($)	Dec. 31, 2019 USD ($)
Segment and Related Information
Number of operating segments \| segment	2
Revenue from foreign exports	$ 0	$ 0	$ 0
Foreign assets	$ 0	$ 0	$ 0
Patient Care \| Federal Government \| Revenue from Contract with Customer Benchmark \| Customer Concentration
Segment and Related Information
Concentration risk (as a percent)	58.50%	57.70%	57.50%

For an entity that discloses a concentration risk in relation to quantitative amount, which serves as the "benchmark" (or denominator) in the equation, this concept represents the concentration percentage derived from the division.

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
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Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 275
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Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
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Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef
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Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
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