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Acquisition of Business, 2020 Preliminary Purchase Prices Allocation (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Business Combination, Description [Abstract]
Cash paid, net of cash acquired	$ 86,823	$ 23,907	$ 30,597
Acquisitions [Member]
Business Combination, Description [Abstract]
Cash paid, net of cash acquired	86,823	23,912	30,598
Seller notes	2,050	1,121	4,300
Total consideration	96,752	25,033	35,383
Estimated fair value of net tangible assets acquired [Abstract]
Total current assets	6,635	1,049	2,291
Total non-current assets	19,082	196	1,242
Total liabilities	(11,674)	(562)	(3,169)
Net tangible assets acquired	14,043	683	364
Referral relationships	24,855	5,520	6,000
Non-compete	1,074	500	520
Tradename	6,896	1,890	2,040
Goodwill	89,746	27,738	32,689
Fair value of non-controlling interest (classified as redeemable non-controlling interest)	(39,862)	(11,298)	(6,230)
Total consideration	$ 96,752	$ 25,033	$ 35,383

X

- Definition

The amount of goodwill arising from a business combination that is expected to be deductible for tax purposes.

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Amount due from customers or clients for goods or services, including trade receivables, that have been delivered or sold in the normal course of business, and amounts due from others, including related parties expected to be converted to cash, sold or exchanged within one year or the normal operating cycle, if longer, acquired at the acquisition date.

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Amount recognized as of the acquisition date for the identifiable assets acquired in excess of (less than) the aggregate liabilities assumed.

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Amount of assets expected to be realized or consumed after one year or the normal operating cycle, if longer, acquired at the acquisition date.

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The cash outflow associated with the acquisition of a business, net of the cash acquired from the purchase.

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The amount of business acquisition cost of acquired entity debt issued on the date of acquisition.

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Amount of net tangible asset acquired at the acquisition date.

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This element represents the fair value of the redeemable noncontrolling interest in the acquiree at the acquisition date.

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The amount of non-competition agreements recognized as of the acquisition date.

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Amount of referral relationships at the acquisition date.

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The amount of tradename recognized as of the acquisition date.

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Payments to acquire businesses total consideration.

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