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Acquisitions of Businesses, 2023 Acquisitions (Details)
$ in Thousands
9 Months Ended 12 Months Ended
Aug. 31, 2024
USD ($)
Clinic
Mar. 29, 2024
USD ($)
Clinic
Oct. 31, 2023
USD ($)
Sep. 29, 2023
USD ($)
Clinic
Installment
Jul. 31, 2023
USD ($)
Clinic
May 31, 2023
USD ($)
Clinic
Feb. 28, 2023
USD ($)
Clinic
Sep. 30, 2024
USD ($)
Dec. 31, 2023
USD ($)
Clinic
Business Combination, Description [Abstract]                  
Contingent payments               $ 22,700 $ 12,500
IIP Business [Member]                  
Business Combination, Description [Abstract]                  
Percentage of interest acquired     100.00%            
Deferred payments               0 0
Contingent payments               2,100 0
Cash paid, net of cash acquired                 3,955
Seller note               455 0
Percentage of interest accrued     100.00%            
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
Ergonomics Software Business [Member]                  
Business Combination, Description [Abstract]                  
Percentage of interest acquired     55.00%            
Percentage of pre-acquisition interest retained by practice founder     45.00%            
Percentage of interest accrued     55.00%            
IIP and Ergonomics Software Business [Member]                  
Business Combination, Description [Abstract]                  
Aggregate purchase price for the acquisition     $ 4,000            
Acquisitions [Member]                  
Business Combination, Description [Abstract]                  
Number of clinics | Clinic                 8
Deferred payments               0 $ 830
Contingent payments               6,440 200
Cash paid, net of cash acquired                 26,582
Seller note               955 985
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]                  
Deferred payments               0 830
Contingent payments               4,340 200
Cash paid, net of cash acquired                 22,627
Seller note               500 985
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
Clinic Practice [Member]                  
Business Combination, Description [Abstract]                  
Percentage of interest acquired 70.00% 50.00%     70.00% 75.00% 80.00%    
Number of clinics | Clinic 8 9     5 4 1    
Deferred payments         $ 300        
Contingent payments $ 3,600                
Percentage of ownership interest after the acquisition           45.00%      
Percentage of ownership interest by local partner after the acquisition           30.00%      
Percentage of interest retained by practice founder 30.00% 50.00%     30.00%   20.00%    
Percentage of pre-acquisition interest retained by practice founder           25.00%      
Aggregate purchase price for the acquisition $ 2,000 $ 16,400     $ 2,100 $ 3,100 $ 6,200    
Cash paid by local partner           1,100      
Seller note to be paid by entity           200      
Seller note to be paid by local partner           100      
Cash paid, net of cash acquired         $ 1,800 1,700 5,800 $ 500  
Seller note           $ 300 $ 400    
Percentage of interest accrued   4.50%         4.50%    
September 2023 Multi Clinic Practice Acquisition [Member]                  
Business Combination, Description [Abstract]                  
Percentage of interest acquired       70.00%          
Number of clinics | Clinic       4          
Percentage of interest retained by practice founder       30.00%          
Aggregate purchase price for the acquisition       $ 6,000          
Cash paid, net of cash acquired       $ 5,400          
Number of installments of payment of consideration due | Installment       2          
Seller note       $ 600          
Percentage of interest accrued       5.00%          
September 2023 Multi Clinic Practice Acquisition [Member] | First Installment Due on January 31, 2024 [Member]                  
Business Combination, Description [Abstract]                  
Payment of principal and interest       $ 300          
September 2023 Multi Clinic Practice Acquisition [Member] | Second Installment Due on September 30, 2025[Member]                  
Business Combination, Description [Abstract]                  
Payment of principal and interest       $ 300          
September 2023 Single Clinic Practice Acquisition [Member]                  
Business Combination, Description [Abstract]                  
Percentage of interest acquired       70.00%          
Number of clinics | Clinic       1          
Deferred payments       $ 400          
Percentage of interest retained by practice founder       30.00%          
Aggregate purchase price for the acquisition       $ 7,800          
Cash paid, net of cash acquired       $ 7,400