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Commitments and Contingencies - Additional Information (Details) $ in Thousands		3 Months Ended								12 Months Ended
	Aug. 02, 2022 USD ($)	Dec. 31, 2022 USD ($)	Sep. 30, 2022 USD ($)	Jun. 30, 2022 USD ($)	Mar. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)	Sep. 30, 2021 USD ($)	Jun. 30, 2021 USD ($)	Mar. 31, 2021 USD ($)	Dec. 31, 2022 USD ($) customer	Dec. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)
Restricted Cash and Cash Equivalents Items [Line Items]
Restricted cash and restricted investments						$ 88,662					$ 88,662
Automatic extension period										1 year
Automatic extension after each period										1 year
Revenue		$ 382,432	$ 352,585	$ 319,939	$ 297,057	248,358	$ 222,471	$ 222,057	$ 215,071
Percent of tax savings to be paid		85.00%								85.00%
Tax receivable agreement liability		$ 45,950				0				$ 45,950	0
UPMC Reseller Agreement
Restricted Cash and Cash Equivalents Items [Line Items]
Number of customers | customer										20
Revenue										$ 1,200	2,400	$ 4,700
Shareholder Class Action Complaint
Restricted Cash and Cash Equivalents Items [Line Items]
Settlement payment	$ 23,500
Collateral with financial institutions
Restricted Cash and Cash Equivalents Items [Line Items]
Restricted cash and restricted investments		10,912				11,662				10,912	11,662
Letter of Credit | Line of Credit
Restricted Cash and Cash Equivalents Items [Line Items]
Maximum borrowing capacity		13,100				15,400				13,100	15,400
Letter of Credit | Line of Credit | Collateral with financial institutions
Restricted Cash and Cash Equivalents Items [Line Items]
Restricted cash and restricted investments		$ 13,100				$ 15,400				$ 13,100	$ 15,400

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