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Acquisitions of Businesses, 2022 Acquisition (Details) $ in Thousands												12 Months Ended
	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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Amount due from customers or clients for goods or services, including trade receivables, that have been delivered or sold in the normal course of business, and amounts due from others, including related parties expected to be converted to cash, sold or exchanged within one year or the normal operating cycle, if longer, acquired at the acquisition date.

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Payments to acquire businesses total consideration.

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