Property and Equipment - Components of Property and Equipment (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 244,035	$ 238,775
Less: Accumulated depreciation	(156,121)	(142,272)
Property and equipment, net	87,914	96,503
Equipment
Property, Plant and Equipment [Line Items]
Property and equipment, gross	127,093	123,139
Computer Software
Property, Plant and Equipment [Line Items]
Property and equipment, gross	35,134	34,469
Buildings and Improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	38,391	38,332
Leasehold Improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	25,948	25,237
Furniture
Property, Plant and Equipment [Line Items]
Property and equipment, gross	14,773	14,902
Land
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 2,696	$ 2,696
Minimum
Property, Plant and Equipment [Line Items]
Property and equipment, estimated useful lives (years)	1 year
Minimum | Equipment
Property, Plant and Equipment [Line Items]
Property and equipment, estimated useful lives (years)	1 year
Minimum | Computer Software
Property, Plant and Equipment [Line Items]
Property and equipment, estimated useful lives (years)	1 year
Minimum | Buildings and Improvements
Property, Plant and Equipment [Line Items]
Property and equipment, estimated useful lives (years)	2 years
Minimum | Leasehold Improvements
Property, Plant and Equipment [Line Items]
Property and equipment, estimated useful lives (years)	1 year
Minimum | Furniture
Property, Plant and Equipment [Line Items]
Property and equipment, estimated useful lives (years)	1 year
Maximum
Property, Plant and Equipment [Line Items]
Property and equipment, estimated useful lives (years)	40 years
Maximum | Equipment
Property, Plant and Equipment [Line Items]
Property and equipment, estimated useful lives (years)	15 years
Maximum | Computer Software
Property, Plant and Equipment [Line Items]
Property and equipment, estimated useful lives (years)	5 years
Maximum | Buildings and Improvements
Property, Plant and Equipment [Line Items]
Property and equipment, estimated useful lives (years)	40 years
Maximum | Leasehold Improvements
Property, Plant and Equipment [Line Items]
Property and equipment, estimated useful lives (years)	17 years
Maximum | Furniture
Property, Plant and Equipment [Line Items]
Property and equipment, estimated useful lives (years)	11 years