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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