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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principles - Cash Reconciliation (Details) - USD ($)
$ in Thousands
Sep. 30, 2023
Dec. 31, 2022
Sep. 30, 2022
Dec. 31, 2021
Accounting Policies [Abstract]        
Cash and cash equivalents $ 184,536 $ 188,200 $ 156,756  
Restricted cash and restricted investments 39,962 26,958 38,062  
Total cash and cash equivalents and restricted cash shown in the consolidated statements of cash flows $ 224,498 $ 215,158 $ 194,818 $ 354,942