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Investments - Narrative (Details) - USD ($) $ in Thousands | 12 Months Ended |  |
--- | --- | --- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | Apr. 20, 2023 | Jul. 24, 2020
Related Party Transaction [Line Items] |  |  |  |  |
Available for sale investments | $ 1,954 | $ 1,713 |  |  |
Short term investments average maturity period | 3 years 7 months 6 days | 2 years 9 months 18 days |  |  |
Debt securities, available for sale, cumulative amount advanced under subscription agreements | $ 14,000 | $ 3,700 |  |  |
Increase (decrease) in equity securities, FV-NI | 200 | 6,300 |  |  |
Carrying value of long-term investments in equity | 46,800 | 32,600 |  |  |
Commitment to acquire future long-term investments | 66,400 |  |  |  |
Equity method investments |  |  |  |  | $ 4,900
Loss on equity method investments | $ 383 | 3,136 | $ 2,161 |  |
Oncacare |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |
Percentage of share capital acquired |  |  |  | 51.00% |
Oncacare |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |
Equity method investment, ownership percentage | 49.00% |  |  |  | 49.00%
Equity method investments |  |  |  |  | $ 4,900
Loss on equity method investments | $ 400 | $ 3,100 | $ 2,200 |  |

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