Related Parties - Narrative (Details) $ in Thousands		3 Months Ended		6 Months Ended		12 Months Ended
		Jun. 30, 2024 USD ($) practice	Jun. 30, 2023 USD ($) practice	Jun. 30, 2024 USD ($) practice	Jun. 30, 2023 USD ($) practice	Dec. 31, 2023 USD ($)
Related Party Transaction [Line Items]
Notes receivable, amortization period (in months)				60 months
Incremental borrowing rate		7.13%		7.13%		7.18%
Number of offices with operating lease | practice		12	10	12	10
Payments for operating leases				$ 5,961	$ 4,984
Cost of revenue	[1]	$ 404,589	$ 291,399	759,537	569,933
Related Party
Related Party Transaction [Line Items]
Payments for operating leases		700	1,300	700	1,300
Cost of revenue		364,664	253,083	675,541	500,569
Related Party | Subsidiary Under Common Control of Class A-1
Related Party Transaction [Line Items]
Cost of revenue		374,000	$ 262,800	685,700	$ 506,000
Accounts payable		$ 178,000		$ 178,000		$ 120,900
Related Party | Cost of Goods and Service Benchmark | Supplier Concentration Risk | Subsidiary Under Common Control of Class A-1
Related Party Transaction [Line Items]
Concentration risk (in percentage)		92.00%	90.00%	90.00%	89.00%
Related Party | Accounts Payable | Supplier Concentration Risk | Subsidiary Under Common Control of Class A-1
Related Party Transaction [Line Items]
Concentration risk (in percentage)				94.00%		94.00%

[1] Includes related party inventory expense of $364,664 and $253,083 and $675,541 and $500,569 for the three and six months ended June 30, 2024 and 2023, respectively.