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Intangible Assets and Goodwill Schedule of Finite-Lived Intangible Assets (Details) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Finite-Lived Intangible Assets [Line Items]    
Referral relationships $ 8,898 $ 8,898
Non-compete agreements 3,155 3,155
Tradename 747 747
Identifiable intangible assets, gross 12,800 12,800
Accumulated amortization (7,354) (6,176)
Identifiable intangible assets, net $ 5,446 $ 6,624