Consolidated Statements of Income and Comprehensive Income (Unaudited) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2026	Jun. 30, 2025	Jun. 30, 2026	Jun. 30, 2025
Income Statement [Abstract]
Net revenue	$ 487,783	$ 468,844	$ 963,979	$ 927,203
Operating expenses:
Practice salaries and benefits	336,116	323,502	681,860	660,533
Practice supplies and other operating expenses	19,197	20,614	36,685	39,300
General and administrative expenses	61,291	55,714	121,557	114,318
Depreciation and amortization	5,782	5,313	11,901	10,645
Transformational and restructuring related expenses	8,475	3,834	13,397	10,439
Total operating expenses	430,861	408,977	865,400	835,235
Income from operations	56,922	59,867	98,579	91,968
Investment and other income	4,548	3,727	9,308	8,464
Interest expense	(8,172)	(9,130)	(16,437)	(18,284)
Equity in earnings of unconsolidated affiliate	702	505	1,394	911
Total non-operating expenses	(2,922)	(4,898)	(5,735)	(8,909)
Income before income taxes	54,000	54,969	92,844	83,059
Income tax provision	(14,157)	(15,709)	(23,429)	(23,062)
Net Income	39,843	39,260	69,415	59,997
Unrealized holding (loss) gain on investments, net of tax of $145, $140, $297, and $395	(463)	429	(996)	1,208
Total comprehensive income	$ 39,380	$ 39,689	$ 68,419	$ 61,205
Net income:
Basic	$ 0.5	$ 0.46	$ 0.87	$ 0.71
Diluted	$ 0.49	$ 0.46	$ 0.85	$ 0.7
Weighted average common shares:
Basic	79,440	84,797	79,957	84,653
Diluted	81,412	85,529	82,040	85,517