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Goodwill (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended	12 Months Ended
	Sep. 30, 2024	Dec. 31, 2023	Sep. 30, 2024	Dec. 31, 2023
Goodwill [Roll Forward]
Beginning balance			$ 509,571	$ 494,101
Acquisitions			46,086	28,083
Adjustments for purchase price allocation of businesses acquired in prior year			(982)	3,187
Impairment of goodwill			(33)	(15,800)
Ending balance	$ 554,642	$ 509,571	554,642	509,571
Closed Clinic [Member]
Goodwill [Roll Forward]
Impairment of goodwill	$ (100)		$ (100)
Industrial Injury Prevention Services [Member]
Goodwill [Roll Forward]
Impairment of goodwill		$ (15,800)		$ (15,800)

X

- Definition

Amount, after accumulated impairment loss, of asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized.

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Amount of increase in asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized resulting from a business combination.

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Amount of impairment loss from asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized.

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