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Acquisitions of Businesses (Details)
 12 Months Ended
Nov. 30, 2020
USD ($)
Clinic
Installment
Sep. 30, 2020
USD ($)
Contract
Clinic
Feb. 27, 2020
USD ($)
Partnership
Clinic
Sep. 30, 2019
USD ($)
Clinic
Installment
Apr. 11, 2019
USD ($)
Location
State
Aug. 31, 2018
USD ($)
Clinic
Installment
Apr. 30, 2018
USD ($)
Business
Dec. 31, 2020
USD ($)
Clinic
Partnership
Dec. 31, 2019
USD ($)
Partnership
Clinic
Dec. 31, 2018
USD ($)
Clinic
Mar. 31, 2017
Business Combination, Description [Abstract]                      
Number of clinics | Clinic           5     1    
Number of partnerships in which interest acquired | Partnership               5 4    
Cash paid, net of cash acquired             $ 16,367,000 $ 23,907,000 $ 30,597,000 $ 16,367,000  
Seller notes             950,000        
Total consideration             17,317,000        
Estimated fair value of net tangible assets acquired [Abstract]                      
Total current assets             1,633,000        
Total non-current assets             305,000        
Total liabilities             (525,000)        
Net tangible assets acquired             1,413,000        
Referral relationships             2,926,000        
Non-compete             298,000        
Tradename             990,000        
Goodwill             19,835,000        
Fair value of non-controlling interest (classified as redeemable non-controlling interests)             (8,145,000)        
Total consideration             17,317,000        
Net of cash acquired             $ 372,000   $ 890,000    
Minimum [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest acquired               20.00% 1.00%    
Maximum [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest acquired               35.00% 20.00%    
Referral Relationships [Member]                      
Estimated fair value of net tangible assets acquired [Abstract]                      
Estimated useful lives of acquired intangibles               11 years 10 years 6 months 14 days 10 years 1 month 6 days  
Non-compete Agreements [Member]                      
Estimated fair value of net tangible assets acquired [Abstract]                      
Estimated useful lives of acquired intangibles               6 years 6 years 5 years 1 month 28 days  
Physical Therapy Operations [Member]                      
Business Combination, Description [Abstract]                      
Cash paid, net of cash acquired       $ 12,170,000              
Payable to shareholders of seller       0              
Seller notes       300,000              
Total consideration       12,470,000              
Estimated fair value of net tangible assets acquired [Abstract]                      
Total current assets       650,000              
Total non-current assets       394,000              
Total liabilities       (191,000)              
Net tangible assets acquired       853,000              
Referral relationships       2,600,000              
Non-compete       270,000              
Tradename       740,000              
Goodwill       14,237,000              
Fair value of non-controlling interest (classified as redeemable non-controlling interests)       (6,230,000)              
Total consideration       $ 12,470,000              
November 2020 Acquisition [Member]                      
Business Combination, Description [Abstract]                      
Acquisition date               Nov. 30, 2020      
Percentage of interest acquired 75.00%             75.00%      
Number of clinics | Clinic 3             3      
September 2020 Acquisition [Member]                      
Business Combination, Description [Abstract]                      
Acquisition date               Sep. 30, 2020      
Percentage of interest acquired   70.00%           70.00%      
Number of clinics | Clinic [1]                  
February 2020 Acquisition [Member]                      
Business Combination, Description [Abstract]                      
Acquisition date               Feb. 27, 2020      
Percentage of interest acquired     65.00% [2]         65.00% [3]      
Number of clinics | Clinic     4         4      
September 2019 Acquisition [Member]                      
Business Combination, Description [Abstract]                      
Acquisition date               Sep. 30, 2019      
Percentage of interest acquired       67.00%       67.00%      
Number of clinics | Clinic       11       11      
Aggregate purchase price for the acquired clinic practices       $ 12,400,000              
Cash paid for acquisition of interest in clinic       $ 12,300,000              
Number of installments | Installment       2              
Percentage of interest accrued       5.00%              
Cash paid, net of cash acquired       $ 12,600,000              
Seller notes       300,000              
Estimated fair value of net tangible assets acquired [Abstract]                      
Net of cash acquired       200,000              
September 2019 Acquisition [Member] | September 2020 [Member]                      
Business Combination, Description [Abstract]                      
Cash paid for acquisition of interest in clinic       150,000              
September 2019 Acquisition [Member] | September 2021 [Member]                      
Business Combination, Description [Abstract]                      
Cash paid for acquisition of interest in clinic       $ 150,000              
August 2018 Acquisition [Member]                      
Business Combination, Description [Abstract]                      
Acquisition date               Aug. 31, 2018      
Percentage of interest acquired           70.00%   70.00%      
Number of clinics | Clinic           4   4      
Cash paid for acquisition of interest in clinic           $ 7,300,000          
Number of installments | Installment           2          
Seller notes           $ 400,000          
August 2018 Acquisition [Member] | August 2019 [Member]                      
Business Combination, Description [Abstract]                      
Principal installments           200,000          
August 2018 Acquisition [Member] | August 2020 [Member]                      
Business Combination, Description [Abstract]                      
Principal installments           $ 200,000          
Management and Services Contracts [Member]                      
Business Combination, Description [Abstract]                      
Number of management contracts | Contract   6                  
Remaining contract term               5 years      
Management Contracts [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest acquired   70.00%                  
Number of management contracts | Contract   6                  
Remaining contract term   5 years           5 years      
Aggregate purchase price for the acquired clinic practices   $ 4,200,000                  
Cash paid for acquisition of interest in clinic   3,700,000                  
Seller notes   $ 500,000                  
Management Contracts [Member] | Notes Payable One [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest accrued   5.00%                  
Seller notes   $ 200,000                  
Management Contracts [Member] | Notes Payable Two [Member]                      
Business Combination, Description [Abstract]                      
Seller notes   $ 300,000                  
Acquisitions [Member]                      
Business Combination, Description [Abstract]                      
Cash paid, net of cash acquired                 $ 30,598,000    
Payable to shareholders of seller                 485,000    
Seller notes                 4,300,000    
Total consideration                 35,383,000    
Estimated fair value of net tangible assets acquired [Abstract]                      
Total current assets                 2,291,000    
Total non-current assets                 1,242,000    
Total liabilities                 (3,169,000)    
Net tangible assets acquired                 364,000    
Referral relationships                 6,000,000    
Non-compete                 520,000    
Tradename                 2,040,000    
Goodwill                 32,689,000    
Fair value of non-controlling interest (classified as redeemable non-controlling interests)                 (6,230,000)    
Total consideration                 $ 35,383,000    
Acquisitions [Member] | Physical Therapy Operations [Member]                      
Business Combination, Description [Abstract]                      
Cash paid, net of cash acquired               $ 23,907,000      
Seller notes               1,121,000      
Total consideration               25,028,000      
Estimated fair value of net tangible assets acquired [Abstract]                      
Total current assets               1,271,000      
Total non-current assets               134,000      
Total liabilities               (555,000)      
Net tangible assets acquired               850,000      
Referral relationships               3,597,000      
Non-compete               1,012,000      
Tradename               2,326,000      
Goodwill               28,540,000      
Fair value of non-controlling interest (classified as redeemable non-controlling interests)               (11,297,000)      
Total consideration               25,028,000      
Net of cash acquired               $ 500,000      
April 2019 Acquisition [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest acquired         76.00%            
Aggregate purchase price for the acquired clinic practices         $ 23,600,000            
Cash paid for acquisition of interest in clinic         $ 18,900,000            
Percentage of interest accrued         5.50%            
Cash paid, net of cash acquired         $ 22,900,000            
Payable to shareholders of seller         500,000            
Seller notes         4,000,000.0            
Estimated fair value of net tangible assets acquired [Abstract]                      
Net of cash acquired         $ 700,000            
Number of states of network services | State         45            
Number of onsite client locations | Location         11            
IIPS [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest acquired         100.00%   65.00%       55.00%
Cash paid for acquisition of interest in clinic             $ 8,600,000        
Cash paid, net of cash acquired [4]         $ 18,428,000            
Payable to shareholders of seller [4]         485,000            
Seller notes         4,000,000 [4]   $ 400,000        
Total consideration [4]         22,913,000            
Estimated fair value of net tangible assets acquired [Abstract]                      
Total current assets [4]         1,641,000            
Total non-current assets [4]         848,000            
Total liabilities [4]         (2,978,000)            
Net tangible assets acquired [4]         (489,000)            
Referral relationships [4]         3,400,000            
Non-compete [4]         250,000            
Tradename [4]         1,300,000            
Goodwill [4]         18,452,000            
Fair value of non-controlling interest (classified as redeemable non-controlling interests) [4]         0            
Total consideration [4]         $ 22,913,000            
Number of states of network services | State         45            
Number of onsite client locations | Location         11            
Number of businesses merged | Business             2        
Percentage of combined business interest owned         76.00%   59.45%        
Clinic Practice [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest acquired 75.00%   65.00%                
Number of clinics | Clinic 3   4                
Number of partnerships in which interest acquired | Partnership     4                
Aggregate purchase price for the acquired clinic practices $ 9,100,000   $ 12,300,000                
Cash paid for acquisition of interest in clinic $ 8,800,000   $ 11,900,000                
Number of installments | Installment 2                    
Principal installments $ 162,500                    
Percentage of interest accrued 3.25%   4.75%                
Seller notes $ 300,000   $ 300,000                
Clinic Practice [Member] | Minimum [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest acquired     10.00%                
Clinic Practice [Member] | Maximum [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest acquired     83.80%                
Acquisition of Five Clinic Practices [Member]                      
Business Combination, Description [Abstract]                      
Number of clinics | Clinic                   5  
Aggregate purchase price for the acquired clinic practices                   $ 850,000  
Cash paid for acquisition of interest in clinic                   1,000,000.0  
Seller notes                   $ 150,000  
Acquisition of Five Clinic Practices [Member] | August 2019 [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest accrued                   4.50%  
[1] The business includes six management and services contracts which had a remaining term of approximately five years as of the date acquired.
[2] The four clinics are in four separate partnerships. The Company's interest in the four partnerships range from 10.0% to 83.8%, with an overall 65.0% based on the initial purchase transaction.
[3] The four clinics are in four separate partnerships.  The Company's interest in the four partnerships range from 10.0% to 83.8%, with an overall 65.0% based on the initial purchase transaction.
[4] Industrial injury prevention services