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Acquisitions of Businesses (Details)
12 Months Ended
Aug. 31, 2018
USD ($)
Installment
Apr. 30, 2018
Business
Oct. 31, 2017
USD ($)
Installment
Jun. 30, 2017
USD ($)
Installment
May 31, 2017
USD ($)
Installment
Mar. 23, 2017
USD ($)
Jan. 01, 2017
USD ($)
Installment
Nov. 30, 2016
USD ($)
Installment
Feb. 29, 2016
USD ($)
Installment
Dec. 31, 2018
USD ($)
Clinic
Operation
Dec. 31, 2017
USD ($)
Clinic
Contract
Dec. 31, 2016
USD ($)
Clinic
Subsidiary
Business Combination, Description [Abstract]                        
Percentage of interest acquired                     35.00%  
Number of clinics | Clinic                   5 2 2
Number of acquired operations combined | Operation                   2    
Number of management contracts | Contract                     2  
Number of clinics consolidated with an existing clinic | Clinic                     1  
Number of clinics that operate as a satellite clinic with existing partnerships | Clinic                     1  
Cash paid, net of cash acquired                   $ 16,367,000 $ 36,682,000 $ 23,623,000
Seller notes                   950,000 2,150,000 1,000,000
Total consideration                   17,317,000 38,832,000 24,623,000
Estimated fair value of net tangible assets acquired: [Abstract]                        
Total current assets                   1,691,000 5,853,000 1,372,000
Total non-current assets                   42,000 1,527,000 839,000
Total liabilities                   (486,000) (2,865,000) (399,000)
Net tangible assets acquired                   1,247,000 4,515,000 1,812,000
Referral relationships                   1,879,000 4,250,000 4,919,000
Non-compete                   386,000 660,000 847,000
Tradename                   2,172,000 6,850,000 3,802,000
Goodwill                   19,778,000 46,722,000 32,123,000
Fair value of non-controlling interest (classified as redeemable non-controlling interests)                   (8,145,000) (13,883,000)  
Fair value of non-controlling interest (originally classified as mandatorily redeemable non-controlling interests)                     (10,282,000) (18,880,000)
Total consideration                   $ 17,317,000 $ 38,832,000 $ 24,623,000
Minimum [Member]                        
Business Combination, Description [Abstract]                        
Percentage of interest acquired                   5.50%   2.00%
Maximum [Member]                        
Business Combination, Description [Abstract]                        
Percentage of interest acquired                   35.00%   35.00%
Referral Relationships [Member] | Minimum [Member]                        
Business Combination, Description [Abstract]                        
Estimated useful lives of acquired intangibles                   10 years 1 month 6 days 10 years 1 month 6 days  
Referral Relationships [Member] | Maximum [Member]                        
Business Combination, Description [Abstract]                        
Estimated useful lives of acquired intangibles                   10 years 6 months 14 days 10 years 6 months 14 days  
Non-compete Agreements [Member] | Minimum [Member]                        
Business Combination, Description [Abstract]                        
Estimated useful lives of acquired intangibles                   5 years 1 month 28 days 5 years 1 month 28 days  
Non-compete Agreements [Member] | Maximum [Member]                        
Business Combination, Description [Abstract]                        
Estimated useful lives of acquired intangibles                   6 years 6 years  
Tradenames [Member]                        
Business Combination, Description [Abstract]                        
Estimated useful lives of acquired intangibles                   6 years    
February 2017 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest                       $ 194,000
February 2018 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest                       194,000
Industrial Injury Prevention [Member]                        
Business Combination, Description [Abstract]                        
Percentage of interest acquired   65.00%       55.00%            
Cash paid for acquisition of interest in clinic           $ 6,200,000            
Number of businesses merged | Business   2                    
Percentage of combined business interest owned   59.45%                    
Seller notes           $ 400,000            
August 2018 Acquisition [Member]                        
Business Combination, Description [Abstract]                        
Acquisition date                   Aug. 31, 2018    
Percentage of interest acquired                   70.00%    
Number of clinics | Clinic                   4    
Cash paid for acquisition of interest in clinic $ 7,200,000                      
Business acquisition number of installments to payment of purchase consideration | Installment 2                      
Seller notes $ 400,000                      
August 2018 Acquisition [Member] | August 2019 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest 200,000                      
August 2018 Acquisition [Member] | August 2020 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest $ 200,000                      
January 2017 Acquisition [Member]                        
Business Combination, Description [Abstract]                        
Acquisition date                     Jan. 01, 2017  
Percentage of interest acquired                     70.00%  
Number of clinics | Clinic                     17  
Cash paid for acquisition of interest in clinic             $ 10,700,000          
Business acquisition number of installments to payment of purchase consideration | Installment             2          
Seller notes                       $ 500,000
January 2017 Acquisition [Member] | January 2018 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest             $ 250,000          
January 2017 Acquisition [Member] | January 2019 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest             $ 250,000          
May 2017 Acquisition [Member]                        
Business Combination, Description [Abstract]                        
Acquisition date                     May 31, 2017  
Percentage of interest acquired                     70.00%  
Number of clinics | Clinic                     4  
Cash paid for acquisition of interest in clinic         $ 2,300,000              
Business acquisition number of installments to payment of purchase consideration | Installment         2              
Seller notes         $ 250,000              
May 2017 Acquisition [Member] | May 2018 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest         125,000              
May 2017 Acquisition [Member] | May 2019 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest         $ 125,000              
June 2017 Acquisition [Member]                        
Business Combination, Description [Abstract]                        
Acquisition date                     Jun. 30, 2017  
Percentage of interest acquired                     60.00%  
Number of clinics | Clinic                     9  
Cash paid for acquisition of interest in clinic       $ 15,800,000                
Business acquisition number of installments to payment of purchase consideration | Installment       2                
Seller notes       $ 500,000                
June 2017 Acquisition [Member] | June 2018 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest       250,000                
June 2017 Acquisition [Member] | June 2019 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest       $ 250,000                
October 2017 Acquisition [Member]                        
Business Combination, Description [Abstract]                        
Acquisition date                     Oct. 31, 2017  
Percentage of interest acquired                     70.00%  
Number of clinics | Clinic                     9  
Cash paid for acquisition of interest in clinic     $ 4,000,000                  
Business acquisition number of installments to payment of purchase consideration | Installment     2                  
Seller notes     $ 500,000                  
October 2017 Acquisition [Member] | October 2018 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest     250,000                  
October 2017 Acquisition [Member] | October 2019 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest     $ 250,000                  
February 2016 Acquisition [Member]                        
Business Combination, Description [Abstract]                        
Acquisition date                       Feb. 29, 2016
Percentage of interest acquired                       55.00%
Number of clinics | Clinic                       8
Cash paid for acquisition of interest in clinic                 $ 13,200,000      
Business acquisition number of installments to payment of purchase consideration | Installment                 2      
Seller notes                 $ 500,000      
February 2016 Acquisition [Member] | February 2017 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest                 250,000      
February 2016 Acquisition [Member] | February 2018 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest                 $ 250,000      
November 2016 Acquisition [Member]                        
Business Combination, Description [Abstract]                        
Acquisition date                       Nov. 30, 2016
Percentage of interest acquired                       60.00%
Number of clinics | Clinic                       12
Cash paid for acquisition of interest in clinic               $ 11,000,000        
Business acquisition number of installments to payment of purchase consideration | Installment               2        
Seller notes               $ 500,000        
November 2016 Acquisition [Member] | November 2017 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest               250,000        
November 2016 Acquisition [Member] | November 2018 [Member]                        
Business Combination, Description [Abstract]                        
Acquisition cost payable in two principal installments including accrued interest               $ 250,000        
Acquisition of Single Clinic Practice [Member]                        
Business Combination, Description [Abstract]                        
Aggregate purchase price for the acquired clinic practices                       $ 75,000
Number of subsidiaries acquired clinic practices | Subsidiary                       2
Acquisition of Five Clinic Practices [Member]                        
Business Combination, Description [Abstract]                        
Number of clinics | Clinic                   5    
Cash paid for acquisition of interest in clinic                   $ 1,000,000    
Aggregate purchase price for the acquired clinic practices                   850,000    
Seller notes                   $ 150,000,000,000    
Acquisition of Five Clinic Practices [Member] | August 2019 [Member]                        
Business Combination, Description [Abstract]                        
Percentage of interest accrued                   4.50%