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Summary of Significant Accounting Policies - Risks and Uncertainties (Details) - Customer - customer
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Dec. 31, 2024
Sales          
Risk and Uncertainties          
Number of customers exceeding 10% of benchmark 0 0 0 0  
Sales | Medicare          
Risk and Uncertainties          
Concentration risk (as a percent) 13.60% 12.60% 13.90% 11.50%  
Accounts receivable          
Risk and Uncertainties          
Number of customers exceeding 10% of benchmark     0   0
Accounts receivable | Medicare          
Risk and Uncertainties          
Concentration risk (as a percent)     13.60%   11.50%