Goodwill and Intangible Assets - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2024	Mar. 31, 2023	Dec. 31, 2023
Acquired Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	$ 342,593		$ 361,835
Intangible amortization	20,300	$ 20,900
Patient Direct
Acquired Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	236,000		250,000
Products & Healthcare Services
Acquired Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	$ 107,000		$ 112,000