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Acquisitions of Businesses, 2024 Acquisitions (Details) $ in Thousands |  |  |  |  |  |  | 9 Months Ended | 12 Months Ended |
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Aug. 31, 2024 USD ($) Clinic | Apr. 30, 2024 USD ($) | Mar. 29, 2024 USD ($) Clinic | Jul. 31, 2023 USD ($) Clinic | May 31, 2023 USD ($) Clinic | Feb. 28, 2023 USD ($) Clinic | Sep. 30, 2024 USD ($) | Sep. 30, 2023 USD ($) | Dec. 31, 2023 USD ($) Clinic | Oct. 31, 2023
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |
Cash paid, net of cash acquired |  |  |  |  |  |  | $ 41,196 | $ 22,994 |  |
Contingent payments |  |  |  |  |  |  | $ 22,700 |  | $ 12,500 |
Customer and Referral Relationships [Member] |  |  |  |  |  |  |  |  |  |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |
Estimated useful lives of acquired intangibles |  |  |  |  |  |  | 12 years |  | 12 years |
Non-compete Agreements [Member] |  |  |  |  |  |  |  |  |  |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |
Estimated useful lives of acquired intangibles |  |  |  |  |  |  | 5 years |  | 5 years 1 month 6 days |
IIP Business [Member] |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  |  |  |  |  |  | 100.00%
Cash paid for acquisition |  |  |  |  |  |  |  |  | $ 3,955 |
Percentage of interest accrued |  |  |  |  |  |  |  |  |  | 100.00%
Cash paid, net of cash acquired |  |  |  |  |  |  | $ 23,106 |  |  |
Seller note |  |  |  |  |  |  | 455 |  | 0 |
Deferred payments |  |  |  |  |  |  | 0 |  | 0 |
Contingent payments |  |  |  |  |  |  | 2,100 |  | 0 |
Total consideration |  |  |  |  |  |  | 25,661 |  | 3,955 |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  | 1,211 |  | 388 |
Total non-current assets |  |  |  |  |  |  | 218 |  | 335 |
Total liabilities |  |  |  |  |  |  | (541) |  | (41) |
Net tangible assets acquired |  |  |  |  |  |  | 888 |  | 682 |
Customer and referral relationships |  |  |  |  |  |  | 6,708 |  | 757 |
Non-compete agreement |  |  |  |  |  |  | 261 |  | 37 |
Tradenames |  |  |  |  |  |  | 1,331 |  | 187 |
Goodwill |  |  |  |  |  |  | 16,473 |  | 2,566 |
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  | 0 |  | (274) |
Total consideration |  |  |  |  |  |  | 25,661 |  | 3,955 |
IIP Business [Member] | Briotix Health, Limited Partnership [Member] |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  | 100.00% |  |  |  |  |  |  |  |
Aggregate purchase price for the acquisition |  | $ 24,000 |  |  |  |  |  |  |  |
Cash paid for acquisition |  | $ 500 |  |  |  |  |  |  |  |
Percentage of interest accrued |  | 5.00% |  |  |  |  |  |  |  |
IIP Business [Member] | Briotix Health, Limited Partnership [Member] | Maximum [Member] |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |
Contingent payments |  |  |  |  |  |  | 2,400 |  |  |
Clinic Practice [Member] |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired | 70.00% |  | 50.00% | 70.00% | 75.00% | 80.00% |  |  |  |
Aggregate purchase price for the acquisition | $ 2,000 |  | $ 16,400 | $ 2,100 | $ 3,100 | $ 6,200 |  |  |  |
Cash paid for acquisition |  |  |  | $ 1,800 | $ 1,700 | $ 5,800 | 500 |  |  |
Percentage of interest accrued |  |  | 4.50% |  |  | 4.50% |  |  |  |
Number of clinics | Clinic | 8 |  | 9 | 5 | 4 | 1 |  |  |  |
Percentage of interest retained by practice founder | 30.00% |  | 50.00% | 30.00% |  | 20.00% |  |  |  |
Seller note |  |  |  |  | $ 300 | $ 400 |  |  |  |
Deferred payments |  |  |  | $ 300 |  |  |  |  |  |
Contingent payments | $ 3,600 |  |  |  |  |  |  |  |  |
Clinic Practice [Member] | Maximum [Member] |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |
Contingent payments |  |  |  |  |  |  | 500 |  |  |
Acquisitions [Member] |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |
Cash paid for acquisition |  |  |  |  |  |  |  |  | $ 26,582 |
Number of clinics | Clinic |  |  |  |  |  |  |  |  | 8 |
Cash paid, net of cash acquired |  |  |  |  |  |  | 41,196 |  |  |
Seller note |  |  |  |  |  |  | 955 |  | $ 985 |
Deferred payments |  |  |  |  |  |  | 0 |  | 830 |
Contingent payments |  |  |  |  |  |  | 6,440 |  | 200 |
Total consideration |  |  |  |  |  |  | 48,591 |  | 28,597 |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  | 2,562 |  | 1,440 |
Total non-current assets |  |  |  |  |  |  | 910 |  | 3,141 |
Total liabilities |  |  |  |  |  |  | (1,163) |  | (3,336) |
Net tangible assets acquired |  |  |  |  |  |  | 2,309 |  | 1,245 |
Customer and referral relationships |  |  |  |  |  |  | 15,371 |  | 8,999 |
Non-compete agreement |  |  |  |  |  |  | 679 |  | 563 |
Tradenames |  |  |  |  |  |  | 3,464 |  | 1,770 |
Goodwill |  |  |  |  |  |  | 46,086 |  | 27,128 |
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  | (19,318) |  | (11,108) |
Total consideration |  |  |  |  |  |  | 48,591 |  | 28,597 |
Acquisitions [Member] | Physical Therapy Operations [Member] |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |
Cash paid for acquisition |  |  |  |  |  |  |  |  | 22,627 |
Cash paid, net of cash acquired |  |  |  |  |  |  | 18,090 |  |  |
Seller note |  |  |  |  |  |  | 500 |  | 985 |
Deferred payments |  |  |  |  |  |  | 0 |  | 830 |
Contingent payments |  |  |  |  |  |  | 4,340 |  | 200 |
Total consideration |  |  |  |  |  |  | 22,930 |  | 24,642 |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  | 1,351 |  | 1,052 |
Total non-current assets |  |  |  |  |  |  | 692 |  | 2,806 |
Total liabilities |  |  |  |  |  |  | (622) |  | (3,295) |
Net tangible assets acquired |  |  |  |  |  |  | 1,421 |  | 563 |
Customer and referral relationships |  |  |  |  |  |  | 8,663 |  | 8,242 |
Non-compete agreement |  |  |  |  |  |  | 418 |  | 526 |
Tradenames |  |  |  |  |  |  | 2,133 |  | 1,583 |
Goodwill |  |  |  |  |  |  | 29,613 |  | 24,562 |
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  | (19,318) |  | (10,834) |
Total consideration |  |  |  |  |  |  | $ 22,930 |  | $ 24,642 |

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