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Investments - Narrative (Details) - USD ($) $ in Thousands | 12 Months Ended |
--- | --- | ---
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | Jul. 24, 2020
Related Party Transaction [Line Items] |  |  |  |
Available for sale investments | $ 1,713 | $ 1,712 |  |
Short term investments average maturity period | 2 years 9 months 18 days | 2 years 8 months 12 days |  |
Debt securities, available for sale, cumulative amount advanced under subscription agreements | $ 20,600 | $ 16,900 |  |
Increase (decrease) in equity securities, FV-NI | 6,300 | 3,200 |  |
Carrying value of long-term investments in equity | 32,600 | 22,600 |  |
Commitment to acquire future long-term investments | 23,300 |  |  |
Equity method investments | $ 0 | 2,373 |  | $ 4,900
Majority investor, ownership percentage | 51.00% |  |  |
Period majority voting share capital can be sold to the company | 18 months |  |  |
Loss on equity method investments | $ 3,136 | 2,161 | $ 366 |
Oncacare |  |  |  |
Related Party Transaction [Line Items] |  |  |  |
Ownership Percentage | 49.00% |  |  |
Loss on equity method investments | $ 3,100 | 2,200 |  |
Increase (decrease) in equity method investments | (2,300) |  |  |
Oncacare |  |  |  |
Related Party Transaction [Line Items] |  |  |  |
Loan granted tp related party |  | $ 10,000 |  |
Related party, loan interest rate |  | 1.60% |  |
Equity method investment, decrease in loan receivable | 800 |  |  |
Loans and Leases Receivable, Related Parties | $ 9,200 |  |  |

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