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Acquisitions of Businesses, 2022 Acquisition (Details) $ in Thousands |  |  |  |  |  |  |  |  |  |  |  | 12 Months Ended |
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Nov. 30, 2024 USD ($) Clinic | Aug. 31, 2024 USD ($) Clinic | Mar. 29, 2024 USD ($) Clinic | Jul. 31, 2023 USD ($) Clinic | May 31, 2023 USD ($) Clinic | Feb. 28, 2023 USD ($) Clinic | Nov. 30, 2022 USD ($) Clinic | Oct. 31, 2022 USD ($) Clinic | Sep. 30, 2022 USD ($) Clinic | Aug. 31, 2022 USD ($) Clinic | Mar. 31, 2022 USD ($) Clinic | Dec. 31, 2024 USD ($) | Dec. 31, 2022 USD ($) | Dec. 31, 2023 USD ($)
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent payments |  |  |  |  |  |  |  |  |  |  |  | $ 17,600 |  | $ 9,800
Customer and Referral Relationships [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Estimated useful lives of acquired intangibles |  |  |  |  |  |  |  |  |  |  |  | 12 years | 12 years 2 months 12 days |
Non-compete Agreements [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Estimated useful lives of acquired intangibles |  |  |  |  |  |  |  |  |  |  |  | 5 years | 5 years |
Clinic Practice [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired | 75.00% | 70.00% | 50.00% | 70.00% | 75.00% | 80.00% | 80.00% | 60.00% | 80.00% | 70.00% | 70.00% |  |  |
Number of clinics | Clinic | 8 | 8 | 9 | 5 | 4 | 1 | 13 | 14 | 2 | 6 | 6 |  |  |
Percentage of interest retained by practice founder | 25.00% | 30.00% | 50.00% | 30.00% |  | 20.00% | 20.00% | 40.00% | 20.00% | 30.00% | 30.00% |  |  |
Aggregate purchase price for acquisition | $ 15,900 | $ 2,000 | $ 16,400 | $ 2,100 | $ 3,100 | $ 6,200 | $ 25,000 | $ 19,500 | $ 4,200 | $ 3,500 | $ 11,500 |  |  |
Cash paid for acquisition | $ 15,700 |  | $ 500 |  |  |  | $ 24,200 |  | $ 3,900 | $ 3,300 | $ 11,200 |  |  |
Percentage of interest accrued | 5.00% |  | 4.50% |  |  | 4.50% | 7.00% |  | 5.50% | 5.50% | 3.50% |  |  |
Cash paid, net of cash acquired | $ 15,700 |  | $ 500 |  |  |  | $ 24,200 |  | $ 3,900 | $ 3,300 | $ 11,200 |  |  |
Seller notes | $ 200 |  |  |  | $ 300 | $ 400 | 800 |  | $ 300 | $ 200 | $ 300 |  |  |
Contingent payments |  |  |  |  |  |  |  | $ 9,700 |  |  |  | $ 3,200 |  |
Clinic Practice [Member] | Maximum [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  |  |  |  |  |  |  |  | 35.00% | 35.00% | 35.00%
Contingent payments |  | $ 3,600 |  |  |  |  | $ 1,600 |  |  |  |  | $ 200 |  |
Acquisitions [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash paid for acquisition |  |  |  |  |  |  |  |  |  |  |  |  | $ 59,788 |
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  |  |  |  |  | 59,788 |
Seller notes |  |  |  |  |  |  |  |  |  |  |  | 1,675 | 1,574 | $ 985
Contingent payments |  |  |  |  |  |  |  |  |  |  |  | 17,671 | 10,000 | 200
Total consideration |  |  |  |  |  |  |  |  |  |  |  | 153,933 | 71,362 | 28,597
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  |  |  |  |  |  | 10,902 | 1,329 | 1,533
Total non-current assets |  |  |  |  |  |  |  |  |  |  |  | 31,327 | 7,798 | 3,484
Total liabilities |  |  |  |  |  |  |  |  |  |  |  | (29,043) | (10,930) | (3,204)
Net tangible assets acquired |  |  |  |  |  |  |  |  |  |  |  | 13,186 | (1,803) | 1,813
Customer and referral relationships |  |  |  |  |  |  |  |  |  |  |  | 60,726 | 18,062 | 7,576
Non-compete agreements |  |  |  |  |  |  |  |  |  |  |  | 3,554 | 934 | 366
Tradenames |  |  |  |  |  |  |  |  |  |  |  | 13,641 | 5,445 | 1,867
Goodwill |  |  |  |  |  |  |  |  |  |  |  | 164,529 | 75,525 | 28,083
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  |  |  |  |  |  | (101,703) | (26,801) | (11,108)
Total consideration |  |  |  |  |  |  |  |  |  |  |  | $ 153,933 | $ 71,362 | $ 28,597

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