Goodwill and Amortizable Intangible Assets (Details) - USD ($) $ in Thousands		3 Months Ended		9 Months Ended
	Feb. 28, 2023	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Indefinite-Lived Intangible Assets [Line Items]
Goodwill		$ 62,387		$ 62,387		$ 41,540
Gross carrying amount of amortizable intangible assets		165,100		165,100		130,800
Accumulated amortization		72,400		72,400		63,100
Amortization expense		3,200	$ 2,100	9,400	$ 7,200
Net cash paid in business combination				44,479	$ 0
Weighted-average life	10 years
mphrX
Indefinite-Lived Intangible Assets [Line Items]
Net cash paid in business combination	$ 44,500
mphrX | Developed Technology
Indefinite-Lived Intangible Assets [Line Items]
Assets acquired	25,700
mphrX | Customer Relationships
Indefinite-Lived Intangible Assets [Line Items]
Goodwill	20,600
Assets acquired	1,900
Net liabilities assumed	$ 3,700
Hawaii Reporting Unit
Indefinite-Lived Intangible Assets [Line Items]
Goodwill		$ 39,000		$ 39,000
Goodwill						$ 39,000