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Intangible Assets, Intangible Assets, Net (Details) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Sep. 30, 2025
Dec. 31, 2024
Finite-Lived Intangible Assets, Net [Abstract]    
Gross amount $ 233,473 $ 226,865
Accumulated amortization (57,044) (47,554)
Net carrying amount 176,429 179,311
Intangible Assets, Net (Excluding Goodwill) [Abstract]    
Impairment of assets held for sale 2,400 2,400
Customer and Referral Relationships [Member]    
Finite-Lived Intangible Assets, Net [Abstract]    
Gross amount 161,132 156,747
Accumulated amortization (47,830) (39,218)
Net carrying amount $ 113,302 117,529
Customer and Referral Relationships [Member] | Minimum [Member]    
Finite-Lived Intangible Assets, Net [Abstract]    
Estimated useful life 8 years  
Customer and Referral Relationships [Member] | Maximum [Member]    
Finite-Lived Intangible Assets, Net [Abstract]    
Estimated useful life 16 years  
Tradenames [Member]    
Finite-Lived Intangible Assets, Net [Abstract]    
Gross amount $ 58,719 57,041
Accumulated amortization 0 0
Net carrying amount 58,719 57,041
Non-compete Agreements [Member]    
Finite-Lived Intangible Assets, Net [Abstract]    
Gross amount 13,622 13,077
Accumulated amortization (9,214) (8,336)
Net carrying amount $ 4,408 4,741
Intangible Assets, Net (Excluding Goodwill) [Abstract]    
Impairment of assets held for sale   $ 2,000
Non-compete Agreements [Member] | Minimum [Member]    
Finite-Lived Intangible Assets, Net [Abstract]    
Estimated useful life 5 years  
Non-compete Agreements [Member] | Maximum [Member]    
Finite-Lived Intangible Assets, Net [Abstract]    
Estimated useful life 6 years