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Goodwill and Intangible Assets - Schedule of Intangible Assets (Details) - USD ($) $ in Thousands | Dec. 31, 2025 | Dec. 31, 2024
--- | --- | ---
Schedule Of Intangible Assets [Line Items] |  |
Definite-lived assets, Gross | $ 911,567 | $ 975,999
Definite-lived assets, Accumulated Amortization | 547,262 | 516,408
Total intangible assets, Net Carrying Value | 364,305 | 459,591
Total intangible assets, Gross | 1,104,817 | 1,111,632
Total intangible assets, Net Carrying Value | $ 557,555 | 595,224
Minimum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 2 years |
Maximum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 20 years |
Licenses |  |
Schedule Of Intangible Assets [Line Items] |  |
Indefinite-lived assets | $ 193,250 | 135,633
Customer Relationships |  |
Schedule Of Intangible Assets [Line Items] |  |
Definite-lived assets, Gross | 502,160 | 542,137
Definite-lived assets, Accumulated Amortization | 356,146 | 335,647
Total intangible assets, Net Carrying Value | $ 146,014 | 206,490
Customer Relationships | Minimum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 5 years |
Customer Relationships | Maximum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 20 years |
Trade Names |  |
Schedule Of Intangible Assets [Line Items] |  |
Definite-lived assets, Gross | $ 318,768 | 332,977
Definite-lived assets, Accumulated Amortization | 154,601 | 140,020
Total intangible assets, Net Carrying Value | $ 164,167 | 192,957
Trade Names | Minimum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 2 years |
Trade Names | Maximum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 20 years |
Licenses |  |
Schedule Of Intangible Assets [Line Items] |  |
Definite-lived assets, Gross | $ 67,395 | 68,425
Definite-lived assets, Accumulated Amortization | 18,886 | 17,528
Total intangible assets, Net Carrying Value | $ 48,509 | 50,897
Licenses | Minimum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 10 years |
Licenses | Maximum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 20 years |
Doctor/Payor Network |  |
Schedule Of Intangible Assets [Line Items] |  |
Definite-lived assets, Gross | $ 5,650 | 12,730
Definite-lived assets, Accumulated Amortization | 4,987 | 10,965
Total intangible assets, Net Carrying Value | $ 663 | 1,765
Doctor/Payor Network | Minimum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 5 years |
Doctor/Payor Network | Maximum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 8 years |
Covenants Not to Complete |  |
Schedule Of Intangible Assets [Line Items] |  |
Definite-lived assets, Gross | $ 6,654 | 8,790
Definite-lived assets, Accumulated Amortization | 4,717 | 5,886
Total intangible assets, Net Carrying Value | $ 1,937 | 2,904
Covenants Not to Complete | Minimum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 2 years |
Covenants Not to Complete | Maximum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 7 years |
Other Intangible Assets [Member] |  |
Schedule Of Intangible Assets [Line Items] |  |
Definite-lived assets, Gross | $ 10,940 | 10,940
Definite-lived assets, Accumulated Amortization | 7,925 | 6,362
Total intangible assets, Net Carrying Value | $ 3,015 | $ 4,578
Other Intangible Assets [Member] | Minimum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 5 years |
Other Intangible Assets [Member] | Maximum |  |
Schedule Of Intangible Assets [Line Items] |  |
Life (years) | 7 years |

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