Income Taxes - Effective Income Tax Rate Reconciliation (Details) - USD ($) $ in Thousands	12 Months Ended
Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Income Tax Disclosure [Abstract]
Statutory federal rate	21.00%	21.00%	21.00%
Computed federal income tax expense (benefit) at applicable statutory rate of 21%	$ 17,352	$ 11,323	$ (2,778)
State income tax benefit	35	(283)	(1,448)
Tax credits	(1,978)	(2,507)	(2,391)
Tax effect of international items	(10,698)	(281)	4,705
Uncertain tax positions	(47)	401	(455)
Deferred compensation insurance assets	706	(413)	(290)
Stock-based compensation	(3,423)	(5,571)	(1,822)
Valuation allowance	3,523		1,257
DOJ Settlement			1,890
Remeasurement of state deferred taxes	(375)	(526)	(1,765)
Non-deductible expenses	2,027	2,455	1,077
Remeasurement of contingent consideration liabilities	1,061	733	(1,185)
Other - including the effect of graduated rates	(70)	132	(183)
Total income tax expense (benefit)	$ 8,113	$ 5,463	$ (3,388)

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Percentage of domestic federal statutory tax rate applicable to pretax income (loss).

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Amount of current income tax expense (benefit) and deferred income tax expense (benefit) pertaining to continuing operations.

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