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Commitments and Contingencies - Narrative (Details)
$ in Thousands
 3 Months Ended
Mar. 31, 2024
USD ($)
customer
Dec. 31, 2023
USD ($)
Mar. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Restricted Cash and Cash Equivalents Items [Line Items]        
Automatic extension period 1 year      
Automatic extension after each period 1 year      
Percent of tax savings to be paid 85.00%      
Tax receivables agreement liability $ 108,105 $ 107,932    
Percentage of cash and cash equivalents held with FDIC participating bank 98.60%      
Total restricted cash and restricted investments $ 233,478 223,457 $ 191,970 $ 215,158
Percentage of cash held in international banks 1.40%      
UPMC Reseller Agreement        
Restricted Cash and Cash Equivalents Items [Line Items]        
Number of customers | customer 20      
Letter of Credit | Line of Credit        
Restricted Cash and Cash Equivalents Items [Line Items]        
Maximum borrowing capacity $ 18,000 17,900    
Letter of Credit | Line of Credit | Collateral with financial institutions        
Restricted Cash and Cash Equivalents Items [Line Items]        
Restricted funds $ 18,600 $ 18,400