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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