Goodwill and Intangible Assets - Intangible Assets (Details) - USD ($) $ in Thousands	6 Months Ended
Jun. 30, 2026	Dec. 31, 2025
Intangible assets
Gross Carrying Amount	$ 123,091	$ 112,996
Accumulated Amortization	$ 41,909	40,069
RelateCare
Intangible assets
Useful Life (in years)	10 years
Intangible Asset, Finite-Lived, Acquired	$ 16,400
Customer relationships
Intangible assets
Gross Carrying Amount	102,217	86,467
Accumulated Amortization	$ 23,970	17,384
Customer relationships \| Minimum
Intangible assets
Useful Life (in years)	4 years
Customer relationships \| Maximum
Intangible assets
Useful Life (in years)	10 years
Technology and software
Intangible assets
Gross Carrying Amount	$ 12,530	17,970
Accumulated Amortization	$ 9,861	14,591
Technology and software \| Minimum
Intangible assets
Useful Life (in years)	2 years
Technology and software \| Maximum
Intangible assets
Useful Life (in years)	5 years
Trade names
Intangible assets
Useful Life (in years)	6 years
Gross Carrying Amount	$ 6,000	6,000
Accumulated Amortization	6,000	6,000
Customer contracts
Intangible assets
Gross Carrying Amount	1,484	1,489
Accumulated Amortization	$ 1,433	1,397
Customer contracts \| Minimum
Intangible assets
Useful Life (in years)	2 years
Customer contracts \| Maximum
Intangible assets
Useful Life (in years)	4 years
Non-competition agreements
Intangible assets
Gross Carrying Amount	$ 860	1,070
Accumulated Amortization	$ 645	$ 697
Non-competition agreements \| Minimum
Intangible assets
Useful Life (in years)	2 years
Non-competition agreements \| Maximum
Intangible assets
Useful Life (in years)	5 years

Useful life of finite-lived intangible asset, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents reported fact of one year, five months, and thirteen days. Excludes goodwill and capitalized cost for software to be sold, leased, or marketed.

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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-Section 50
-Paragraph 5
-Publisher FASB
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Amount of accumulated amortization of finite-lived intangible asset. Excludes goodwill and capitalized cost for software to be sold, leased, or marketed.

+ References

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Amount, before accumulated amortization, of finite-lived intangible asset. Excludes goodwill and capitalized cost for software to be sold, leased, or marketed.

+ References

Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
-Topic 350
-SubTopic 40
-Name Accounting Standards Codification
-Section 50
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-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482558/350-40-50-1

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Amount of increase in finite-lived intangible asset acquired in business combination, asset acquisition, and from joint venture formation. Excludes goodwill and capitalized cost for software to be sold, leased, or marketed.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 350
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