Intangible Assets, net, Intangible Assets, Net (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022
Finite-Lived Intangible Assets, Net [Abstract]
Gross amount	$ 147,690	$ 139,490
Accumulated amortization	(38,008)	(30,735)
Net carrying amount	109,682	108,755
Customer and Referral Relationships [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Gross amount	93,658	86,974
Accumulated amortization	(30,414)	(23,736)
Net carrying amount	$ 63,244	$ 63,238
Customer and Referral Relationships [Member] | Minimum [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Estimated useful life	6 years
Weighted average amortization period	12 years 8 months 12 days
Customer and Referral Relationships [Member] | Maximum [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Estimated useful life	14 years
Weighted average amortization period		12 years 10 months 24 days
Tradenames [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Gross amount	$ 44,573	$ 43,373
Accumulated amortization	0	0
Net carrying amount	44,573	43,373
Intangible Assets, Net (Excluding Goodwill) [Abstract]
Impairment of tradename	$ 1,700
Impairment, Intangible Asset, Indefinite-Lived (Excluding Goodwill), Statement of Income or Comprehensive Income [Extensible Enumeration]	Impairment of goodwill and tradenames
Non-compete Agreements [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Gross amount	$ 9,459	9,143
Accumulated amortization	(7,594)	(6,999)
Net carrying amount	$ 1,865	$ 2,144
Non-compete Agreements [Member] | Minimum [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Estimated useful life	5 years
Weighted average amortization period	5 years 7 months 6 days
Non-compete Agreements [Member] | Maximum [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Estimated useful life	6 years
Weighted average amortization period		5 years 7 months 6 days