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Income Taxes, Components of Deferred Tax Assets and Liabilities Included in Consolidated Balance Sheets (Details) - USD ($) $ in Thousands	Dec. 31, 2024	Dec. 31, 2023
Deferred tax assets [Abstract]
Compensation	$ 2,370	$ 1,680
Provision for credit losses	747	574
Lease obligations - including closed clinics	36,205	28,592
Deferred tax assets	39,322	30,846
Deferred tax liabilities [Abstract]
Depreciation and amortization	(32,392)	(27,290)
Operating lease right-of-use assets	(34,221)	(26,427)
Gain on cash flow hedge	(960)	(955)
Change in revaluation of put-right liability	(638)	(586)
Other	(576)	(403)
Deferred tax liabilities	(68,787)	(55,661)
Net deferred tax liabilities	$ (29,465)	$ (24,815)

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