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Description of Business and Significant Accounting Policies - Additional Information (Details) | 3 Months Ended | 6 Months Ended |  |  |
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Jun. 30, 2024 USD ($) institution shares | Jun. 30, 2023 USD ($) | Jun. 30, 2024 USD ($) segment institution shares | Jun. 30, 2023 USD ($) | Jun. 18, 2024 shares | Jun. 17, 2024 shares | Dec. 31, 2023 institution shares
Schedule of Accounting Policies [Line Items] |  |  |  |  |  |  |
Renewal term |  |  | 1 year |  |  |  |
Number of reportable segments | segment |  |  | 2 |  |  |  |
Payment terms |  |  | The Company’s payment terms with customers on promissory notes can vary based on several factors and the circumstances of each promissory note, however most promissory notes mature over 1 to 4 years. Similar to accounts receivable, each reporting period the Company evaluates the collectability of outstanding notes receivable balances and records an allowance for doubtful accounts representing an estimate of future expected credit losses |  |  |  |
Amortization period of inventories and supplies |  |  | 24 months |  |  |  |
Goodwill and intangible asset impairment |  |  | $ 0 | $ 0 |  |  |
Common stock authorized (in shares) | shares | 200,000,000 |  | 200,000,000 |  | 200,000,000 | 100,000,000 | 200,000,000
Number of financial institutions holding cash and cash equivalents and marketable securities | institution | 2 |  | 2 |  |  |  | 1
Revenue | $ 426,288,000 | $ 418,931,000 | $ 849,721,000 | 836,161,000 |  |  |
Significant Customer | Consolidated revenues | Genesis |  |  |  |  |  |  |
Schedule of Accounting Policies [Line Items] |  |  |  |  |  |  |
Revenue | $ 37,900,000 | $ 47,600,000 | $ 76,700,000 | $ 95,700,000 |  |  |
Percent of revenue | 8.90% | 11.40% | 9.00% | 11.40% |  |  |
Health Care Consulting Company |  |  |  |  |  |  |
Schedule of Accounting Policies [Line Items] |  |  |  |  |  |  |
Investments in equity securities | $ 2,800,000 |  | $ 2,800,000 |  |  |  |
Ownership share | 25.00% |  | 25.00% |  |  |  |
Minimum |  |  |  |  |  |  |
Schedule of Accounting Policies [Line Items] |  |  |  |  |  |  |
Cancellation notice period |  |  | 30 days |  |  |  |
Initial period preceding cancellation notice |  |  | 60 days |  |  |  |
Maximum |  |  |  |  |  |  |
Schedule of Accounting Policies [Line Items] |  |  |  |  |  |  |
Cancellation notice period |  |  | 90 days |  |  |  |
Initial period preceding cancellation notice |  |  | 120 days |  |  |  |

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