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Organization, Nature of Operations and Basis of Presentation (Details)
$ in Thousands
12 Months Ended
Apr. 30, 2018
Business
Dec. 31, 2018
USD ($)
Clinic
State
Facility
Dec. 31, 2017
USD ($)
Clinic
Dec. 31, 2016
Clinic
Mar. 23, 2017
Organization, Nature of Operations and Basis of Presentation [Abstract]          
Number of clinics operated   591      
Number of states where clinics are operated | State   42      
Number of third party facilities | Facility   28      
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Change Due to Net Income Attributable to Parent and Effects of Changes, Net [Abstract]          
Percentage of interest acquired     35.00%    
Percentage of general partnership interest owned   1.00%      
Number of clinic practices acquired   5 2 2  
Number of clinics consolidated with an existing clinic     1    
Number of clinics that operate as a satellite clinic with existing partnerships     1    
Mandatorily redeemable non-controlling interests | $   $ 0 $ 327    
Minimum [Member]          
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Change Due to Net Income Attributable to Parent and Effects of Changes, Net [Abstract]          
Percentage of interest acquired   5.50%   2.00%  
Percentage of limited partnership interest owned   49.00%      
Maximum [Member]          
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Change Due to Net Income Attributable to Parent and Effects of Changes, Net [Abstract]          
Percentage of interest acquired   35.00%   35.00%  
Percentage of limited partnership interest owned   99.00%      
March 2017 Acquisition [Member]          
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Change Due to Net Income Attributable to Parent and Effects of Changes, Net [Abstract]          
Percentage of interest acquired   55.00%      
Industrial Injury Prevention [Member]          
Consolidation, Less than Wholly Owned Subsidiary, Parent Ownership Interest, Change Due to Net Income Attributable to Parent and Effects of Changes, Net [Abstract]          
Percentage of interest acquired 65.00%       55.00%
Number of businesses merged | Business 2        
Percentage of combined business interest owned 59.45%