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v3.25.0.1

Acquisitions of Businesses, Assets and Liabilities of VIEs, Excluding Intercompany Balances (Details) $ in Thousands |  | 12 Months Ended
--- | --- | ---
Oct. 31, 2024 USD ($) | Dec. 31, 2024 USD ($) Clinic | Dec. 31, 2023 USD ($) | Dec. 31, 2022 USD ($)
Business Combination, Description [Abstract] |  |  |  |
Contingent payments |  | $ 17,600 | $ 9,800 |
Assets and liabilities of the VIEs: |  |  |  |
Current assets |  | 137,583 | 233,375 |
Total assets |  | 1,167,467 | 997,238 | $ 858,154
Current liabilities |  | 116,283 | 102,185 |
Total liabilities |  | 408,421 | 345,000 |
Operating results of the VIEs: |  |  |  |
Net revenue |  | 671,345 | 604,802 | 553,144
Operating cost: |  |  |  |
Salaries and related costs |  | 399,394 | 353,390 | 319,191
Rent, supplies, contract labor and other |  | 118,910 | 108,596 | 102,370
Provision for credit losses |  | 6,912 | 6,172 | 5,548
Total operating cost |  | 547,424 | 483,293 | 441,120
Gross profit |  | 123,921 | 121,509 | 112,024
Other expense |  | 3,004 | 2,685 | 1,230
Income before taxes |  | 60,209 | $ 49,376 | $ 55,571
Variable Interest Entities [Member] |  |  |  |
Assets and liabilities of the VIEs: |  |  |  |
Current assets |  | 9,660 |  |
Non-current assets |  | 36,523 |  |
Total assets |  | 46,183 |  |
Current liabilities |  | 5,321 |  |
Non-current liabilities |  | 28,817 |  |
Total liabilities |  | 34,138 |  |
Operating results of the VIEs: |  |  |  |
Net revenue |  | 19,138 |  |
Operating cost: |  |  |  |
Salaries and related costs |  | 11,903 |  |
Rent, supplies, contract labor and other |  | 4,883 |  |
Provision for credit losses |  | 188 |  |
Total operating cost |  | 16,974 |  |
Gross profit |  | 2,164 |  |
Other expense |  | 3 |  |
Income before taxes |  | 2,161 |  |
MSO Metro LLC [Member] |  |  |  |
Business Combination, Description [Abstract] |  |  |  |
Purchase price | $ 76,500 |  |  |
Percentage of interest acquired | 50.00% |  |  |
Contingent payments | $ 20,000 | 11,300 |  |
MSO Metro LLC [Member] | Variable Interest Entities [Member] |  |  |  |
Business Combination, Description [Abstract] |  |  |  |
Purchase price |  | $ 76,500 |  |
Acquisition date |  | Oct. 31, 2024 |  |
Percentage of interest acquired |  | 50.00% |  |
Number of clinics | Clinic |  | 50 |  |
Contingent payments |  | $ 11,300 |  |
March 2024 Acquisition [Member] |  |  |  |
Business Combination, Description [Abstract] |  |  |  |
Acquisition date |  | Mar. 29, 2024 |  |
Percentage of interest acquired |  | 50.00% |  |
Number of clinics | Clinic |  | 9 |  |
March 2024 Acquisition [Member] | Variable Interest Entities [Member] |  |  |  |
Business Combination, Description [Abstract] |  |  |  |
Purchase price |  | $ 16,400 |  |
Acquisition date |  | Mar. 29, 2024 |  |
Percentage of interest acquired |  | 50.00% |  |
Number of clinics | Clinic |  | 9 |  |
Contingent payments |  | $ 200 |  |

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