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Segment Information, Segment Financials (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Segment Information [Abstract]      
Net revenue $ 671,345 $ 604,802 $ 553,144
Operating Costs [Abstract]      
Salaries and related costs 399,394 353,390 319,191
Rent, supplies, contract labor and other 118,910 108,596 102,370
Depreciation and amortization 17,853 14,960 13,939
Provision for credit losses 6,912 6,172 5,548
Clinic closure costs 4,355 175 72
Total operating cost 547,424 483,293 441,120
Gross profit 123,921 121,509 112,024
Impairment of goodwill and other intangible assets 0 17,495 9,112
Impairment of assets held for sale 2,418 0 0
Unallocated amounts [Abstract]      
Corporate office costs (58,290) (51,953) (46,111)
Interest expense, debt and other (8,015) (9,303) (5,779)
Interest income from investments 3,941 3,774 0
Change in fair value of contingent earn-out consideration (219) (1,550) 2,520
Change in revaluation of put-right liability (82) 2,582 (5)
Equity in earnings of unconsolidated affiliate 1,014 955 1,175
Relief Funds 0 467 0
Other 357 390 859
Total unallocated amounts 61,294 54,638 47,341
Income before taxes 60,209 49,376 55,571
Assets [Abstract]      
Goodwill 667,152 509,571 494,101
All other assets 500,315 487,667 364,053
Total assets 1,167,467 997,238 858,154
Industrial Injury Prevention Services [Member]      
Operating Costs [Abstract]      
Impairment of goodwill and other intangible assets   17,500 9,100
Reportable Segments [Member] | Physical Therapy Operations [Member]      
Segment Information [Abstract]      
Net revenue 574,433 526,548 476,092
Operating Costs [Abstract]      
Salaries and related costs 337,466 302,765 272,360
Rent, supplies, contract labor and other 105,019 97,873 88,523
Depreciation and amortization 16,741 14,542 13,563
Provision for credit losses 6,904 6,129 5,517
Clinic closure costs 4,355 175 72
Gross profit 103,948 105,064 96,057
Impairment of assets held for sale 2,418 0 0
Assets [Abstract]      
Goodwill 595,519 437,413 408,705
All other assets 452,905 398,272 263,131
Reportable Segments [Member] | Industrial Injury Prevention Services [Member]      
Segment Information [Abstract]      
Net revenue 96,912 78,254 77,052
Operating Costs [Abstract]      
Salaries and related costs 61,928 50,625 46,831
Rent, supplies, contract labor and other 13,891 10,723 13,847
Depreciation and amortization 1,112 418 376
Provision for credit losses 8 43 31
Clinic closure costs 0 0 0
Gross profit 19,973 16,445 15,967
Impairment of goodwill and other intangible assets 0 17,495 9,112
Assets [Abstract]      
Goodwill 71,633 72,158 85,396
All other assets 47,410 89,395 100,922
Unallocated Amounts [Member]      
Unallocated amounts [Abstract]      
Corporate office costs 58,290 51,953 46,111
Interest expense, debt and other 8,015 9,303 5,779
Interest income from investments (3,941) (3,774) 0
Change in fair value of contingent earn-out consideration 219 1,550 (2,520)
Change in revaluation of put-right liability 82 (2,582) 5
Equity in earnings of unconsolidated affiliate (1,014) (955) (1,175)
Relief Funds 0 (467) 0
Other $ (357) $ (390) $ (859)