Organization and Summary of Accounting Policies - Medicare Accelerated Payments and Deferred Governmental Grants (Details) - USD ($)	3 Months Ended	6 Months Ended
Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022	Dec. 31, 2022
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Grant funds	$ 0	$ 100,000	$ 1,100,000	$ 1,300,000
Unrecognized grant funds received	$ 0		$ 0		$ 3,000,000
Repayments of grants received		$ 25,000,000		$ 43,000,000

Coronavirus Aid, Relief, and Economic Security Act CARES Act, Government Grant Received, Repayments

No definition available.

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