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Income Taxes - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Income Tax Contingency [Line Items]          
Federal statutory tax rate 21.00% 21.00% 21.00% 21.00%  
Statute of limitations minimum     3 years    
Statute of limitations maximum     6 years    
Gross deferred tax assets         $ 146.1
Deferred tax assets related to operating loss carryforwards         $ 81.6
VisitPay          
Income Tax Contingency [Line Items]          
Deferred tax assets related to operating loss carryforwards $ 0.9   $ 0.9