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Income Taxes - Additional Information (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2022
Operating Loss Carryforwards [Line Items]    
Valuation allowance $ (367,963) $ (425,043)
Gross unrecognized tax benefits 18,100 18,100
Penalties and interest accrued 100 100
Deferred Tax Asset, Operating Loss Carryforwards    
Operating Loss Carryforwards [Line Items]    
Change in valuation allowance 82,200  
Securities Purchase Agreement | HCA Healthcare, Inc. | Health Care Services    
Operating Loss Carryforwards [Line Items]    
Change in valuation allowance (95,200)  
Federal    
Operating Loss Carryforwards [Line Items]    
Net operating loss carryforwards 808,700 802,200
Operating loss carryforwards, indefinite lived 335,800 659,700
State    
Operating Loss Carryforwards [Line Items]    
Net operating loss carryforwards 2,200 2,100
Federal and state    
Operating Loss Carryforwards [Line Items]    
Net operating loss carryforwards valuation allowance 315,300 372,500
Tax credit valuation allowance 50,400 50,400
Capital loss carryforward | Federal and state    
Operating Loss Carryforwards [Line Items]    
Tax credit valuation allowance $ 2,200 $ 2,100