Goodwill and Intangible Assets - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	$ 381,557		$ 381,557		$ 445,042
Amortization expense for intangible assets	20,800	$ 14,300	62,700	$ 55,500
Patient Direct
Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	265,000		265,000		308,000
Products & Healthcare Services
Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	$ 117,000		$ 117,000		$ 137,000