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Fair Value of Financial Instruments - Narrative (Details)
$ in Thousands
 3 Months Ended 9 Months Ended
Jun. 30, 2025
USD ($)
Mar. 31, 2025
USD ($)
Sep. 30, 2025
USD ($)
Sep. 30, 2024
USD ($)
Dec. 31, 2024
USD ($)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Debt and Equity Securities, Unrealized Gain (Loss)     $ (5,014) $ 0  
Q3 YTD Business Combinations          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Business Combination, Contingent Consideration Arrangements, Description     Of the $18.7 million contingent consideration liabilities acquired in 2025, $15.4 million related to our second quarter business combination and $3.3 million related to our third quarter business combinations. The contingent consideration liabilities acquired represent the acquisition date fair values of the contingent consideration arrangements, pursuant to which we may be required to pay additional consideration to the sellers if specific revenues before reimbursable expenses targets are met over a specified period. The aggregate maximum amount of contingent consideration that may be paid in connection with the 2025 business combinations is $49.5 million, which is payable, if earned, on a staggered basis through December 31, 2028.    
Shorelight Holdings LLC          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Maturity date     Jan. 17, 2027    
Convertible debt investment | Shorelight Holdings LLC          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Debt Securities, Available-for-Sale, Amortized Cost     $ 40,900   $ 40,900
Interest rate (as a percent)     1.69%    
Preferred Stock | Medically Home Group Inc.          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Cumulative unrealized gains     $ 28,600    
Equity Securities without Readily Determinable Fair Value, Impairment Loss, Cumulative Amount     31,300    
Equity securities without readily determinable fair value     2,400   $ 7,400
Debt and Equity Securities, Unrealized Gain (Loss) $ 800 $ 4,200      
Equity Securities, FV-NI     $ 5,000    
Discount rate | Contingent consideration for business acquisitions          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Measurement input         0.056
Discount rate | Contingent consideration for business acquisitions | Minimum          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Measurement input     0.045    
Discount rate | Contingent consideration for business acquisitions | Maximum          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Measurement input     0.054    
Discount rate | Contingent consideration for business acquisitions | Weighted Average          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Measurement input     0.053    
Discount rate | Convertible debt investment | Shorelight Holdings LLC          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Measurement input     0.240   0.235
Discount rate | Convertible debt investment | Shorelight CECL | Minimum          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Measurement input     0.020    
Discount rate | Convertible debt investment | Shorelight CECL | Maximum          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Measurement input     0.121    
Discount rate | Convertible debt investment | Shorelight CECL | Weighted Average          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Measurement input     0.086    
Price volatility | Convertible debt investment | Shorelight Holdings LLC          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Measurement input     0.400   0.400
Price volatility | Convertible debt investment | Shorelight CECL          
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]          
Measurement input         0.400