Deferred Acquisition Consideration (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Beginning balance of contingent payments	$ 17,847	$ 65,792
Payments	12,431	66,235
Redemption value adjustments	18,721	2,520
Additions	198,937	15,717
Other	(705)	53
Ending balance of contingent payments	222,369	17,847
Asset Acquisition, Contingent Consideration [Line Items]
Additions	198,937	$ 15,717
MDC
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Additions	61,000
Asset Acquisition, Contingent Consideration [Line Items]
Additions	61,000
Concentric, Targeted Victory and Instrument
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Additions	136,000
Asset Acquisition, Contingent Consideration [Line Items]
Additions	$ 136,000