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Stock-based Compensation - Narrative (Details)
1 Months Ended 12 Months Ended
Mar. 31, 2017
Mar. 31, 2016
$ / shares
shares
Dec. 31, 2024
USD ($)
$ / shares
shares
Dec. 31, 2023
USD ($)
$ / shares
shares
Dec. 31, 2022
USD ($)
$ / shares
shares
Dec. 31, 2021
performancePeriod
shares
Apr. 20, 2023
shares
Apr. 15, 2021
shares
Jun. 13, 2018
shares
May 01, 2015
shares
Sep. 23, 2013
shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Number of shares authorized (in shares)             19,400 15,400 10,500 6,000  
Number of options issued (in shares)     375,000 658,000              
Stock-based compensation capitalized | $     $ 0 $ 0 $ 0            
Minimum                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting period     3 years                
Maximum                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting period     4 years                
1st Tranche                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Weighted-average fair value per option granted (in dollars per share) | $ / shares     $ 20.64                
2nd Tranche                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Weighted-average fair value per option granted (in dollars per share) | $ / shares     $ 20.69                
RSUs                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Number of awards issued (in shares)     2,148,000 2,152,000              
Vesting period     3 years                
Vesting percentage     25.00%                
Weighted-average fair value per option granted (in dollars per share) | $ / shares     $ 31.55 $ 33.85 $ 28.23            
Aggregate intrinsic value, vested | $     $ 25,100,000 $ 20,200,000 $ 11,600,000            
Granted (in shares)     1,333,000                
RSUs | New Century Health                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting period     1 year                
RSUs | Non-Employee Directors                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting period     1 year                
RSUs | Minimum                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Requisite service period for vesting     3 years                
RSUs | Maximum                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Requisite service period for vesting     4 years                
RSUs | 1st Tranche                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting percentage     33.00%                
PSUs                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Number of awards issued (in shares)     1,217,000 1,653,000              
Vesting period       3 years              
Weighted-average fair value per option granted (in dollars per share) | $ / shares     $ 34.41                
Granted (in shares)     808,000 500,000 500,000 300,000          
Performance goal threshold         100.00%            
Maximum performance achieved, percentage of targeted shares earned       250.00%   200.00%          
Percentage adjustment of shares earned, total shareholder return in top quartile           10.00%          
Number of performance period | performancePeriod           2          
PSUs | Minimum                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
EBITDA, goal period           2 years          
PSUs | Maximum                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
EBITDA, goal period           3 years          
PSUs | 1st Tranche                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting percentage     50.00%                
Risk-free interest rate     0.12%                
Expected volatility rate     89.50%                
Expected term     2 years                
Expected dividend rate     0.00%                
PSUs | 2nd Tranche                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting percentage     50.00%                
Risk-free interest rate     0.25%                
Expected volatility rate     77.70%                
Expected term     3 years                
Expected dividend rate     0.00%                
Stock options                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting period     4 years                
Vesting percentage     25.00%                
Expiration period     10 years                
Fair value of options vested | $     $ 0.0 $ 600,000 $ 2,600,000            
Intrinsic value of options exercised | $     $ 6,900,000 $ 26,900,000 $ 16,300,000            
Performance-based stock options                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Number of options issued (in shares)     0 106,000              
Granted (in shares)   300,000                  
Risk-free interest rate   1.83%                  
Expected volatility rate   65.00%                  
Expected term   10 years                  
Expected dividend rate   0.00%                  
Weighted-average fair value per option granted (in dollars per share) | $ / shares   $ 6.68                  
Performance-based stock options | Vest on March 1, 2019                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting percentage   50.00%                  
Performance-based stock options | Vest on March 1, 2020                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting percentage   50.00%                  
Common Class A | Performance-based stock options | 1st Tranche                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting percentage 33.33%                    
Award vesting rights, share price threshold (in dollars per share) | $ / shares   $ 13.35                  
Consecutive term   90 days                  
Common Class A | Performance-based stock options | 2nd Tranche                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting percentage 33.33%                    
Award vesting rights, share price threshold (in dollars per share) | $ / shares   $ 16.43                  
Consecutive term   90 days                  
Common Class A | Performance-based stock options | 3rd Tranche                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Vesting percentage 33.33%                    
Award vesting rights, share price threshold (in dollars per share) | $ / shares   $ 19.51                  
Consecutive term   90 days                  
2011 Plan                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Number of options issued (in shares)     4,800,000                
2011 Plan | Restricted stock                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Number of awards issued (in shares)       3,800,000              
2011 Plan | Common Class A                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Number of shares authorized (in shares)                     9,100,000
2015 Plan                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Number of options issued (in shares)     2,800,000 2,800,000              
2015 Plan | RSUs                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Number of awards issued (in shares)     7,300,000 6,300,000              
2015 Plan | Leveraged Stock Units (LSUs)                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Number of awards issued (in shares)     1,900,000 1,900,000              
2015 Plan | PSUs                      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]                      
Number of awards issued (in shares)     2,300,000 1,500,000