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Redeemable Non-Controlling Interest (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Changes in Carrying Amount (Fair Value) of Redeemable Non-Controlling Interests [Roll Forward]      
Beginning balance $ 174,828    
Net income allocated to redeemable non-controlling interest 10,044 $ 4,426 $ 6,902
Reduction due to separation agreement (3,033)    
Ending balance 269,025 174,828  
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]      
Fair value 269,025 174,828  
Redeemable Non-Controlling Interest [Member]      
Changes in Carrying Amount (Fair Value) of Redeemable Non-Controlling Interests [Roll Forward]      
Beginning balance 174,828 167,515 155,262
Net income allocated to redeemable non-controlling interest 10,044 4,426 6,902
Distributions to redeemable non-controlling interest partners (10,579) (11,533) (10,102)
Changes in the fair value of redeemable non-controlling interest 4,964 13,565 3,862
Purchases of redeemable non-controlling interest (8,122) (12,073) (16,061)
Acquired interest 100,336 11,007 26,746
Contributed capital 0 0 231
Sales of redeemable non-controlling interest 1,969 5,012 1,982
Changes in notes receivable related to redeemable non-controlling interest (1,016) (3,091) (1,901)
Reduction due to separation agreement (3,033) 0 0
Adjustments in notes receivables related to the sales of redeemable non-controlling interest (366) 0 594
Ending balance 269,025 174,828 167,515
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]      
Contractual time period has lapsed but holder's employment has not been terminated 74,668 96,876 75,688
Contractual time period has not lapsed and holder's employment has not been terminated 194,357 77,952 91,827
Holder's employment has terminated and contractual time period has expired 0 0 0
Holder's employment has terminated and contractual time period has not expired 0 0 0
Fair value $ 269,025 $ 174,828 $ 167,515
Therapy Practice [Member] | Minimum [Member]      
Business Combination, Description [Abstract]      
Business acquisition, percentage of limited partnership acquired 50.00%    
Therapy Practice [Member] | Maximum [Member]      
Business Combination, Description [Abstract]      
Business acquisition, percentage of limited partnership acquired 90.00%    
Therapy Practice [Member] | NewCo. [Member]      
Business Combination, Description [Abstract]      
Percentage of equity interest of subsidiary contributed for acquisition 100.00%    
Business acquisition, percentage of general partnership interest acquired 100.00%    
Business acquisition, consideration payable, term of note 2 years    
Employment agreement renewal term 1 year    
Non-Compete agreement term under condition of termination of employment of employed selling shareholder 2 years    
Therapy Practice [Member] | NewCo. [Member] | Minimum [Member]      
Business Combination, Description [Abstract]      
Employment agreement term 3 years    
Non-Compete agreement term regardless of whether the selling shareholder is employed 5 years    
Therapy Practice [Member] | NewCo. [Member] | Maximum [Member]      
Business Combination, Description [Abstract]      
Employment agreement term 5 years    
Non-Compete agreement term regardless of whether the selling shareholder is employed 6 years