| Intangible Assets | Note 7: Intangible Assets Intangible assets, net consisted of the following as of: Amortization of intangible assets was $21.0 million and $21.1 million during the three months ended June 30, 2024 and 2023, respectively, and $42.1 million and $42.0 million during the six months ended June 30, 2024 and 2023, respectively
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  
|  | June 30, 2024 |  | December 31, 2023 |  
|  | Gross Carrying Amount
 |  | Accumulated Amortization
 |  | Net Carrying Amount
 |  | Gross Carrying Amount
 |  | Accumulated Amortization
 |  | Net Carrying Amount
 |  
|  | (in thousands) |  
| Indefinite lived intangible assets: |  |  |  |  |  |  |  |  |  |  |  |  
| Medical licenses | $ | 700 |  |  | $ | — |  |  | $ | 700 |  |  | $ | 700 |  |  | $ | — |  |  | $ | 700 |  |  
| Definite lived intangible assets: |  |  |  |  |  |  |  |  |  |  |  |  
| Customer relationships | 684,000 |  |  | (176,700) |  |  | 507,300 |  |  | 684,000 |  |  | (142,500) |  |  | 541,500 |  |  
| Trademarks | 148,635 |  |  | (39,056) |  |  | 109,579 |  |  | 148,635 |  |  | (31,671) |  |  | 116,964 |  |  
| Payor contracts | 4,700 |  |  | (1,175) |  |  | 3,525 |  |  | 4,700 |  |  | (940) |  |  | 3,760 |  |  
| Provider network | 4,800 |  |  | (1,231) |  |  | 3,569 |  |  | 4,800 |  |  | (991) |  |  | 3,809 |  |  
| Total | $ | 842,835 |  |  | $ | (218,162) |  |  | $ | 624,673 |  |  | $ | 842,835 |  |  | $ | (176,102) |  |  | $ | 666,733 |  |  |