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Acquisitions of Businesses, 2024 Acquisitions (Details)
$ in Thousands
9 Months Ended 12 Months Ended
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