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Summary of Significant Accounting Policies - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Disaggregation of Revenue [Line Items]        
Revenue from contracts with customers $ 238,268 $ 238,352 $ 595,860 $ 597,337
Insurance Programs        
Disaggregation of Revenue [Line Items]        
Revenue from contracts with customers     $ 2,700