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Redeemable Non-Controlling Interest (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Changes in Carrying Amount (Fair Value) of Redeemable Non-Controlling Interests [Roll Forward]            
Beginning balance $ 137,750          
Operating results allocated to redeemable non-controlling interest partners 11,175 $ 10,659 $ 8,433      
Ending balance 132,340 137,750        
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]            
Redeemable non-controlling interests 137,750 137,750   $ 132,340 $ 137,750  
Redeemable Non-Controlling Interest [Member]            
Changes in Carrying Amount (Fair Value) of Redeemable Non-Controlling Interests [Roll Forward]            
Beginning balance 137,750 133,943 102,572      
Operating results allocated to redeemable non-controlling interest partners 11,175 10,659 8,433      
Distributions to redeemable non-controlling interest partners (12,403) (10,221) (9,835)      
Changes in the fair value of redeemable non-controlling interest 4,632 11,893 24,770      
Purchases of redeemable non-controlling interest (20,521) (8,934) 8,145      
Acquired interest 11,297 6,230 0      
Reduction of non-controlling interest due to sale of USPH partnership interest 0 (6,132) 0      
Sales of redeemable non-controlling interest - temporary equity 1,133 3,120 0      
Notes receivable related to sales of redeemable non-controlling interest - temporary equity (1,006) (2,870) (142)      
Adjustments in notes receivable related to the sales of redeemable non-controlling interest - temporary equity 283 0 0      
Other 0 62 0      
Ending balance 132,340 137,750 133,943      
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]            
Contractual time period has lapsed but holder's employment has not been terminated       62,390 51,921 $ 42,624
Contractual time period has not lapsed and holder's employment has not been terminated       69,950 85,829 91,319
Holder's employment has terminated and contractual time period has expired       0 0 0
Holder's employment has terminated and contractual time period has not expired       0 0 0
Redeemable non-controlling interests $ 132,340 $ 133,943 $ 102,572 $ 132,340 $ 137,750 $ 133,943
Therapy Practice [Member] | Minimum [Member]            
Business Combination, Description [Abstract]            
Business acquisition, percentage of limited partnership acquired       50.00%    
Therapy Practice [Member] | Maximum [Member]            
Business Combination, Description [Abstract]            
Business acquisition, percentage of limited partnership acquired       90.00%    
Therapy Practice [Member] | NewCo. [Member]            
Business Combination, Description [Abstract]            
Percentage of equity interest of subsidiary contributed for acquisition       100.00%    
Business acquisition, percentage of general partnership interest acquired       100.00%    
Business acquisition, consideration payable, term of note 2 years          
Employment agreement renewal term 1 year          
Non-Compete agreement term under condition of termination of employment of employed selling shareholder 2 years          
Therapy Practice [Member] | NewCo. [Member] | Minimum [Member]            
Business Combination, Description [Abstract]            
Employment agreement term 3 years          
Non-Compete agreement term regardless of whether the selling shareholder is employed 5 years          
Therapy Practice [Member] | NewCo. [Member] | Maximum [Member]            
Business Combination, Description [Abstract]            
Employment agreement term 5 years          
Non-Compete agreement term regardless of whether the selling shareholder is employed 6 years