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Acquisitions of Businesses, 2024 Acquisitions (Details) $ in Thousands														12 Months Ended
	Nov. 30, 2024 USD ($) Clinic	Oct. 31, 2024 USD ($) shares	Aug. 31, 2024 USD ($) Clinic	Apr. 30, 2024 USD ($)	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, 2023 USD ($)	Dec. 31, 2022 USD ($)	Oct. 31, 2023
Business Combination, Description [Abstract]
Contingent payments														$ 17,600	$ 9,800
Cash paid, net of cash acquired														$ 133,087	$ 26,582	$ 59,788
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
Seller note	$ 200						300	$ 400	$ 800		$ 300	$ 200	$ 300
Percentage of interest accrued	5.00%				4.50%			4.50%	7.00%		5.50%	5.50%	3.50%
Contingent payments										$ 9,700				$ 3,200
Cash paid, net of cash acquired						$ 1,800	$ 1,700	$ 5,800
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
MSO Metro LLC [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired		50.00%
Aggregate purchase price for acquisition		$ 76,500
Cash paid for acquisition		75,000
Shares issued		$ 1,500
Shares issued (in shares) | shares		18,358
Common stock average trailing period		5 days
Contingent payments		$ 20,000												11,300
MSO Metro LLC [Member] | Maximum [Member] | Director and Other Owners [Member]
Business Combination, Description [Abstract]
Right to require percentage of voting interests		20.00%
IIP Business [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired																	100.00%
Seller note														455	$ 0
Shares issued														0
Contingent payments														2,100	0
Cash paid, net of cash acquired														23,106	3,955
Estimated fair value of net tangible assets acquired [Abstract]
Total current assets														1,211	392
Total non-current assets														218	335
Total liabilities														(541)	(41)
Net tangible assets acquired														888	686
Customer and referral relationships														6,708	757
Non-compete agreements														261	37
Tradenames														1,331	187
Goodwill														16,473	2,562
Fair value of non-controlling interest (classified as redeemable non-controlling interest)														0	(274)
Total consideration														25,661	3,955
IIP Business [Member] | Briotix Health, Limited Partnership [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired				100.00%
Aggregate purchase price for acquisition				$ 24,000
Cash paid for acquisition				$ 500
Percentage of interest accrued				5.00%
Contingent payments														2,500
IIP Business [Member] | Briotix Health, Limited Partnership [Member] | Maximum [Member]
Business Combination, Description [Abstract]
Contingent payments				$ 10,000
Acquisitions [Member]
Business Combination, Description [Abstract]
Cash paid for acquisition																$ 59,788
Seller note														1,675	985	1,574
Shares issued														1,500
Contingent payments														17,671	200	10,000
Cash paid, net of cash acquired														133,087	26,582
Estimated fair value of net tangible assets acquired [Abstract]
Total current assets														10,902	1,533	1,329
Total non-current assets														31,327	3,484	7,798
Total liabilities														(29,043)	(3,204)	(10,930)
Net tangible assets acquired														13,186	1,813	(1,803)
Customer and referral relationships														60,726	7,576	18,062
Non-compete agreements														3,554	366	934
Tradenames														13,641	1,867	5,445
Goodwill														164,529	28,083	75,525
Fair value of non-controlling interest (classified as redeemable non-controlling interest)														(101,703)	(11,108)	(26,801)
Total consideration														153,933	28,597	$ 71,362
Acquisitions [Member] | Physical Therapy Operations [Member]
Business Combination, Description [Abstract]
Seller note														1,220	985
Shares issued														1,500
Contingent payments														15,571	200
Cash paid, net of cash acquired														109,981	22,627
Estimated fair value of net tangible assets acquired [Abstract]
Total current assets														9,691	1,141
Total non-current assets														31,109	3,149
Total liabilities														(28,502)	(3,163)
Net tangible assets acquired														12,298	1,127
Customer and referral relationships														54,018	6,819
Non-compete agreements														3,293	329
Tradenames														12,310	1,680
Goodwill														148,056	25,521
Fair value of non-controlling interest (classified as redeemable non-controlling interest)														(101,703)	(10,834)
Total consideration														$ 128,272	$ 24,642

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