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Redeemable Non-Controlling Interest (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Changes in Carrying Amount of Redeemable Non-Controlling Interests [Roll Forward]        
Beginning balance     $ 174,828  
Net income allocated to redeemable non-controlling interest partners $ 1,998 $ 1,976 7,539 $ 7,616
Reduction due to separation agreement     (3,033)  
Ending balance 186,602   186,602  
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]        
Fair value 186,602   186,602  
Redeemable Non-Controlling Interest [Member]        
Changes in Carrying Amount of Redeemable Non-Controlling Interests [Roll Forward]        
Beginning balance 184,354 165,513 174,828 167,515
Net income allocated to redeemable non-controlling interest partners 1,998 1,976 7,539 7,616
Distributions to redeemable non-controlling interest partners (2,140) (2,405) (8,107) (8,742)
Changes in the fair value of redeemable non-controlling interest 1,097 2,242 3,158 4,988
Purchases of redeemable non-controlling interest (1,323) 0 (7,650) (8,821)
Acquired interest 2,417 6,465 19,318 10,358
Sales of redeemable non-controlling interest 1,832 954 2,304 3,879
Changes in notes receivable related to redeemable non-controlling interest (1,266) (48) (1,388) (2,096)
Reduction due to separation agreement 0 0 (3,033) 0
Other (367) 0 (367) 0
Ending balance 186,602 174,697 186,602 174,697
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]        
Contractual time period has lapsed but holder's employment has not terminated 74,702 75,026 74,702 75,026
Contractual time period has not lapsed and holder's employment has not terminated 111,900 99,671 111,900 99,671
Holder's employment has terminated and contractual time period has expired 0 0 0 0
Holder's employment has terminated and contractual time period has not expired 0 0 0 0
Fair value $ 186,602 $ 174,697 $ 186,602 $ 174,697
Therapy Practice [Member] | Minimum [Member]        
Business Combination, Description [Abstract]        
Business acquisition, percentage of limited partnership acquired 50.00%   50.00%  
Therapy Practice [Member] | Maximum [Member]        
Business Combination, Description [Abstract]        
Business acquisition, percentage of limited partnership acquired 90.00%   90.00%  
Therapy Practice [Member] | NewCo. [Member]        
Business Combination, Description [Abstract]        
Percentage of equity interest of subsidiary contributed for acquisition 100.00%   100.00%  
Business acquisition, percentage of general partnership interest acquired 100.00%   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%   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%   30.00%  
Percentage of right to sell equity interest on each of the 6th and 7th anniversaries 10.00%   10.00%