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Significant Accounting Policies, Impairment of Goodwill, Other Indefinite-Lived Intangible Assets and Long-Lived Assets (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2024 USD ($) Segment ReportingUnit Region	Dec. 31, 2023 USD ($) ReportingUnit Region	Dec. 31, 2022 USD ($)
Goodwill and Other Indefinite-Lived Intangible Assets [Abstract]
Number of business segments | Segment	2
Number of regions | Region	6	6
Impairment of assets held for sale	$ 2,418	$ 0	$ 0
Impairment charge	0	17,495	9,112
Goodwill impairment	$ 0	15,800
Impairment, Intangible Asset, Indefinite-Lived (Excluding Goodwill), Statement of Income or Comprehensive Income [Extensible Enumeration]	Impairment of assets held for sale
Referral Relationships [Member]
Goodwill and Other Indefinite-Lived Intangible Assets [Abstract]
Impairment of intangible assets	$ 1,600
Tradenames [Member]
Goodwill and Other Indefinite-Lived Intangible Assets [Abstract]
Impairment of intangible assets	500	$ 1,700
Other Assets [Member]
Goodwill and Other Indefinite-Lived Intangible Assets [Abstract]
Impairment of intangible assets	$ 300
Industrial Injury Prevention Services [Member]
Goodwill and Other Indefinite-Lived Intangible Assets [Abstract]
Number of reporting units | ReportingUnit	2	2
Impairment charge		$ 17,500	$ 9,100
Goodwill impairment		$ 15,800
Impairment, Intangible Asset, Indefinite-Lived (Excluding Goodwill), Statement of Income or Comprehensive Income [Extensible Enumeration]		Impairment charge
Industrial Injury Prevention Services [Member] | Tradenames [Member]
Goodwill and Other Indefinite-Lived Intangible Assets [Abstract]
Impairment of intangible assets		$ 1,700

X

- Definition

Total loss recognized during the period from the impairment of goodwill plus the loss recognized in the period resulting from the impairment of the carrying amount of intangible assets, other than goodwill.

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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.

+ References

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Indicates line item in statement of income or comprehensive income that includes impairment of indefinite-lived intangible asset excluding goodwill.

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Amount of impairment loss resulting from write-down of assets, excluding financial assets and goodwill, lacking physical substance and having a projected indefinite period of benefit to fair value.

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The aggregate amount of write-downs for impairments recognized during the period for long-lived assets held for abandonment, exchange or sale.

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Number of operating segments. An operating segment is a component of an enterprise: (a) that engages in business activities from which it may earn revenues and incur expenses (including revenues and expenses relating to transactions with other components of the same enterprise), (b) whose operating results are regularly reviewed by the enterprise's chief operating decision maker to make decisions about resources to be allocated to the segment and assess its performance, and (c) for which discrete financial information is available. An operating segment may engage in business activities for which it has yet to earn revenues, for example, start-up operations may be operating segments before earning revenues.

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