| Intangible Assets | Note 7: Intangible Assets Intangible assets, net consisted of the following as of: Amortization of intangible assets was $83.7 million and $84.3 million during the years ended December 31, 2024 and 2023, respectively
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  
|  | December 31, |  
|  | 2024 |  | 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 | 671,819 |  |  | (206,951) |  |  | 464,868 |  |  | 684,000 |  |  | (142,500) |  |  | 541,500 |  |  
| Trademarks | 148,635 |  |  | (46,427) |  |  | 102,208 |  |  | 148,635 |  |  | (31,671) |  |  | 116,964 |  |  
| Payor contracts | 4,700 |  |  | (1,410) |  |  | 3,290 |  |  | 4,700 |  |  | (940) |  |  | 3,760 |  |  
| Provider network | 4,734 |  |  | (1,450) |  |  | 3,284 |  |  | 4,800 |  |  | (991) |  |  | 3,809 |  |  
| Total | $ | 830,588 |  |  | $ | (256,238) |  |  | $ | 574,350 |  |  | $ | 842,835 |  |  | $ | (176,102) |  |  | $ | 666,733 |  |  |