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Goodwill and Intangible Assets - Narrative (Details) - USD ($)
$ in Thousands
Dec. 31, 2023
Dec. 31, 2022
Jan. 01, 2022
Goodwill [Line Items]      
Goodwill impairment charges (see Note 2) $ 16,867 $ 9,944  
Patient services      
Goodwill [Line Items]      
Goodwill impairment charges (see Note 2) 26,179 9,944 $ 0
Clinical trials & other      
Goodwill [Line Items]      
Goodwill impairment charges (see Note 2) $ 632 $ 0 $ 0