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v3.25.0.1

Segment Information, Segment Financials (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Segment Information [Abstract] |  |  |
Net revenue | $ 671,345 | $ 604,802 | $ 553,144
Operating Costs [Abstract] |  |  |
Salaries and related costs | 399,394 | 353,390 | 319,191
Rent, supplies, contract labor and other | 118,910 | 108,596 | 102,370
Depreciation and amortization | 17,853 | 14,960 | 13,939
Provision for credit losses | 6,912 | 6,172 | 5,548
Clinic closure costs | 4,355 | 175 | 72
Total operating cost | 547,424 | 483,293 | 441,120
Gross profit | 123,921 | 121,509 | 112,024
Impairment of goodwill and other intangible assets | 0 | 17,495 | 9,112
Impairment of assets held for sale | 2,418 | 0 | 0
Unallocated amounts [Abstract] |  |  |
Corporate office costs | (58,290) | (51,953) | (46,111)
Interest expense, debt and other | (8,015) | (9,303) | (5,779)
Interest income from investments | 3,941 | 3,774 | 0
Change in fair value of contingent earn-out consideration | (219) | (1,550) | 2,520
Change in revaluation of put-right liability | (82) | 2,582 | (5)
Equity in earnings of unconsolidated affiliate | 1,014 | 955 | 1,175
Relief Funds | 0 | 467 | 0
Other | 357 | 390 | 859
Total unallocated amounts | 61,294 | 54,638 | 47,341
Income before taxes | 60,209 | 49,376 | 55,571
Assets [Abstract] |  |  |
Goodwill | 667,152 | 509,571 | 494,101
All other assets | 500,315 | 487,667 | 364,053
Total assets | 1,167,467 | 997,238 | 858,154
Industrial Injury Prevention Services [Member] |  |  |
Operating Costs [Abstract] |  |  |
Impairment of goodwill and other intangible assets |  | 17,500 | 9,100
Reportable Segments [Member] | Physical Therapy Operations [Member] |  |  |
Segment Information [Abstract] |  |  |
Net revenue | 574,433 | 526,548 | 476,092
Operating Costs [Abstract] |  |  |
Salaries and related costs | 337,466 | 302,765 | 272,360
Rent, supplies, contract labor and other | 105,019 | 97,873 | 88,523
Depreciation and amortization | 16,741 | 14,542 | 13,563
Provision for credit losses | 6,904 | 6,129 | 5,517
Clinic closure costs | 4,355 | 175 | 72
Gross profit | 103,948 | 105,064 | 96,057
Impairment of assets held for sale | 2,418 | 0 | 0
Assets [Abstract] |  |  |
Goodwill | 595,519 | 437,413 | 408,705
All other assets | 452,905 | 398,272 | 263,131
Reportable Segments [Member] | Industrial Injury Prevention Services [Member] |  |  |
Segment Information [Abstract] |  |  |
Net revenue | 96,912 | 78,254 | 77,052
Operating Costs [Abstract] |  |  |
Salaries and related costs | 61,928 | 50,625 | 46,831
Rent, supplies, contract labor and other | 13,891 | 10,723 | 13,847
Depreciation and amortization | 1,112 | 418 | 376
Provision for credit losses | 8 | 43 | 31
Clinic closure costs | 0 | 0 | 0
Gross profit | 19,973 | 16,445 | 15,967
Impairment of goodwill and other intangible assets | 0 | 17,495 | 9,112
Assets [Abstract] |  |  |
Goodwill | 71,633 | 72,158 | 85,396
All other assets | 47,410 | 89,395 | 100,922
Unallocated Amounts [Member] |  |  |
Unallocated amounts [Abstract] |  |  |
Corporate office costs | 58,290 | 51,953 | 46,111
Interest expense, debt and other | 8,015 | 9,303 | 5,779
Interest income from investments | (3,941) | (3,774) | 0
Change in fair value of contingent earn-out consideration | 219 | 1,550 | (2,520)
Change in revaluation of put-right liability | 82 | (2,582) | 5
Equity in earnings of unconsolidated affiliate | (1,014) | (955) | (1,175)
Relief Funds | 0 | (467) | 0
Other | $ (357) | $ (390) | $ (859)

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