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Fair Value of Financial Instruments - Narrative (Details)
$ in Thousands
 3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2026
USD ($)
Sep. 30, 2025
USD ($)
Jun. 30, 2025
USD ($)
Jun. 30, 2026
USD ($)
Jun. 30, 2025
USD ($)
Dec. 31, 2025
USD ($)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]            
Debt and Equity Securities, Unrealized Gain (Loss)       $ (2,239) $ (5,014)  
Debt Securities, Available-for-Sale, Allowance for Credit Loss $ 9,300     (1,067)   $ 10,400
Debt Securities, Available-for-Sale and Held-to-Maturity, Cumulative Unrecognized Gain 2,200     2,200    
Fair Value, Recurring [Member]            
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]            
Assets 90,336     $ 90,336   85,445
Shorelight Holdings LLC            
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]            
Maturity date       Jan. 17, 2027    
Convertible debt investment | Fair Value, Recurring [Member]            
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]            
Assets 33,816     $ 33,816   34,079
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   40,900
Interest rate (as a percent) 1.69%     1.69%    
Preferred Stock | Medically Home Group Inc.            
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]            
Equity securities without readily determinable fair value           $ 2,400
Debt and Equity Securities, Unrealized Gain (Loss)   $ 800 $ 4,200      
Common Stock | Medically Home Group Inc.            
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]            
Cumulative unrealized gains $ 28,600     $ 28,600    
Equity Securities without Readily Determinable Fair Value, Impairment Loss, Cumulative Amount 33,500     33,500    
Equity securities without readily determinable fair value 100     100    
Debt and Equity Securities, Unrealized Gain (Loss) 2,200          
Equity Securities, FV-NI $ 5,000     $ 5,000    
Discount rate | Contingent consideration for business acquisitions | Minimum            
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]            
Measurement input 0.048     0.048   0.043
Discount rate | Contingent consideration for business acquisitions | Maximum            
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]            
Measurement input 0.055     0.055   0.051
Discount rate | Contingent consideration for business acquisitions | Weighted Average            
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]            
Measurement input 0.050     0.050   0.049
Discount rate | Convertible debt investment | Shorelight Holdings LLC            
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]            
Measurement input 0.255     0.255   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     0.020   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     0.121   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 0.088     0.088   0.087
Price volatility | Convertible debt investment | Shorelight Holdings LLC            
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]            
Measurement input 0.475     0.475   0.400
Price volatility | Convertible debt investment | Shorelight CECL            
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]            
Measurement input 47.5     47.5   0.400