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Acquisitions of Businesses, 2019 Acquisition (Details) $ in Thousands			12 Months Ended
	Sep. 30, 2019 USD ($) Clinic Installment	Apr. 11, 2019 USD ($) State Location	Dec. 31, 2021 USD ($) Clinic	Dec. 31, 2020 USD ($) Clinic	Dec. 31, 2019 USD ($)
Business Combination, Description [Abstract]
Number of clinics | Clinic			5	3
Cash paid, net of cash acquired			$ 86,823	$ 23,907	$ 30,597
September 2019 Acquisition [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired	67.00%		67.00%
Number of clinics | Clinic	11		11
Cash paid, net of cash acquired	$ 12,300
Aggregate purchase price for the acquisition	12,400
Cash acquired	200
Cash paid for acquisition	12,600
Seller notes	$ 300
Number of installments | Installment	2
Percentage of interest accrued	5.00%
September 2019 Acquisition [Member] | September 2020 [Member]
Business Combination, Description [Abstract]
Cash paid for acquisition	$ 150
September 2019 Acquisition [Member] | September 2021 [Member]
Business Combination, Description [Abstract]
Cash paid for acquisition	$ 150
April 2019 Acquisition [Member]
Business Combination, Description [Abstract]
Number of states of network services | State		45
Number of onsite client locations | Location		11
Percentage of interest acquired		76.00%
Cash paid, net of cash acquired		$ 18,900
Aggregate purchase price for the acquisition		23,600
Cash acquired		700
Cash paid for acquisition		22,900
Payable to shareholders of seller		500
Seller notes		$ 4,000
Percentage of interest accrued		5.50%

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- Definition

Percentage of voting equity interests acquired at the acquisition date in the business combination.

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The cash inflow associated with the acquisition of business during the period (for example, cash that was held by the acquired business).

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Number of client locations that included in total operated states that are providing industrial injury prevention services.

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