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Redeemable Non-Controlling Interest (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Changes in Carrying Amount (Fair Value) of Redeemable Non-Controlling Interests [Roll Forward]
Beginning balance	$ 132,340
Operating results allocated to redeemable non-controlling interest partners	11,358	$ 11,175	$ 10,659
Ending balance	155,262	132,340
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]
Fair value	155,262	132,340
Redeemable Non-Controlling Interest [Member]
Changes in Carrying Amount (Fair Value) of Redeemable Non-Controlling Interests [Roll Forward]
Beginning balance	132,340	137,750	133,943
Operating results allocated to redeemable non-controlling interest partners	11,358	11,175	10,659
Distributions to redeemable non-controlling interest partners	(11,359)	(12,403)	(10,221)
Changes in the fair value of redeemable non-controlling interest	13,011	4,632	11,893
Purchases of redeemable non-controlling interest	(30,204)	(20,521)	(8,934)
Acquired interest	39,862	11,297	6,230
Reduction of non-controlling interest due to sale of USPH partnership interest		0	(6,132)
Sales of redeemable non-controlling interest - temporary equity	982	1,133	3,120
Notes receivable related to sales of redeemable non-controlling interest - temporary equity	(914)	(1,006)	(2,870)
Adjustments in notes receivable related to the sales of redeemable non-controlling interest - temporary equity	186	283	0
Other	0	0	62
Ending balance	155,262	132,340	137,750
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]
Contractual time period has lapsed but holder's employment has not terminated	80,781	62,390	51,921
Contractual time period has not lapsed and holder's employment has not terminated	74,481	69,950	85,829
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
Fair value	$ 155,262	$ 132,340	$ 137,750
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
ProgressiveHealth [Member] | NewCo. [Member]
Business Combination, Description [Abstract]
Percentage of equity interest of subsidiary contributed for acquisition	100.00%
Non-Compete agreement term under condition of termination of employment of employed selling shareholder	2 years
Non-Compete agreement term regardless of whether the selling shareholder is employed	7 years
Percentage of right to sell equity interest on each of the 4th and 5th anniversaries	30.00%
Percentage of right to sell equity interest on each of the 6th and 7th anniversaries	10.00%

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Change in noncontrolling interest during the period as a result of a change in the redemption value of redeemable noncontrolling interest.

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Amount after tax of income (loss) attributable to other redeemable noncontrolling equity holder.

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The term of the note issued for consideration payable for the acquisition, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

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The amount of reduction in notes receivable from sale of redeemable non-controlling interest attributable to temporary equity interest.

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The distributions during the period for redemption of mandatorily redeemable noncontrolling interests.

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The renewal term of the employment agreement with the subsidiary entity, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

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Amount of Net Income (Loss) attributable to redeemable noncontrolling interest temporary equity.

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The term of non-compete agreement regardless of whether the Selling Shareholder is employed by the subsidiary entity, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

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The amount of notes receivable from sale of redeemable non-controlling interest attributable to temporary equity interest.

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The percentage of right to sell equity interest on each of the 4th and 5th anniversaries by shareholders.

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The percentage of right to sell equity interest on each of the 6th and 7th anniversaries by shareholders.

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The cash inflow associated with the sale of redeemable non-controlling interest attributable to temporary equity interest.

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