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Investments - Narrative (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2008
Schedule of Investments, Other Investments [Line Items]        
Proceeds from the sale of kaléo $ 1,406 $ 47,062 $ 0  
kaleo        
Schedule of Investments, Other Investments [Line Items]        
Cost Method Investments, Original Cost       $ 7,500
Proceeds from the sale of kaléo $ 1,400 $ 47,100