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Commitments and Contingencies - Credit and Concentration Risk (Details) - Customer Concentration Risk	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Cook County Health and Hospitals System | Accounts Receivable | Trade Accounts Receivable
Concentration Risk [Line Items]
Concentration risk			41.20%		42.50%
Cook County Health and Hospitals System | Revenues
Concentration Risk [Line Items]
Concentration risk	15.70%	21.20%	16.80%	23.00%
Center for Medicare & Medicaid Services | Accounts Receivable | Trade Accounts Receivable
Concentration Risk [Line Items]
Concentration risk			14.10%
Molina Healthcare | Accounts Receivable | Trade Accounts Receivable
Concentration Risk [Line Items]
Concentration risk			10.60%		12.00%
Molina Healthcare | Revenues
Concentration Risk [Line Items]
Concentration risk	12.90%		14.20%
Bright Health Management, Inc. | Accounts Receivable | Trade Accounts Receivable
Concentration Risk [Line Items]
Concentration risk					11.30%
Humana Health Insurance Company of Florida, Inc. | Revenues
Concentration Risk [Line Items]
Concentration risk	13.70%
Florida Blue Medicare, Inc. | Revenues
Concentration Risk [Line Items]
Concentration risk		13.70%	10.90%	12.50%

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- Definition

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