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Acquisitions and Sale of Non-Controlling Interests (Details)		12 Months Ended
	Feb. 27, 2020 Partnership	Dec. 31, 2021 USD ($) Clinic Partnership	Dec. 31, 2020 USD ($) Partnership Clinic Installment	Dec. 31, 2019 USD ($) Partnership	Jun. 30, 2021	Mar. 31, 2021	Nov. 30, 2020
Business Combination, Description [Abstract]
Number of partnerships in which interest acquired | Partnership		5	5	4
Purchase price for additional non controlling interest		$ 1,300,000	$ 300,000
Cash proceeds from sale of non-controlling interest		$ 100,000	$ 100,000
Number of closed clinics sold | Clinic		2	14
Aggregate sale price of clinics		$ 100,000	$ 1,100,000
Cash received related to sale of closed clinics			700,000
Note receivable related to sale of closed clinics			$ 400,000
Number of installments for note receivable | Installment			2
Sale of non-controlling interest percentage in partnership one				1.00%
Tax effect on sale price				$ 196,000
Clinic Practice [Member]
Business Combination, Description [Abstract]
Number of partnerships in which interest acquired | Partnership	4
Percentage of interest acquired	65.00%	75.00%			65.00%	70.00%	75.00%
Clinic Practice [Member] | Minimum [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired	10.00%	5.00%	20.00%	1.00%
Clinic Practice [Member] | Maximum [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired	83.80%	35.00%	35.00%	20.00%

X

- Definition

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

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Represents the purchase by the parent of an additional equity interest in a subsidiary during the period, thereby effecting a change in total (consolidated) equity attributable to the parent. The purchase of the additional equity interest represented by this element increases the parent's controlling interest in the subsidiary.

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Represents a sale by the parent of a portion of its equity interest in a subsidiary during the period, thereby effecting a change in total (consolidated) equity attributable to the parent. The sale of the equity interest represented by this element does not result in a loss of control by the parent.

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Sale price of the clinics sold which were discontinued.

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Cash received related to sale of discontinued clinics.

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Note receivable related to sale of discontinued clinics

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Number of closed clinics sold during the period

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Number of partnership in which interest acquired during the period.

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Refers to noncontrolling percentage sold by an entity during the period.

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