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Acquisitions of Businesses, 2025 Acquisitions (Details)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Apr. 30, 2025
USD ($)
Feb. 28, 2025
USD ($)
Clinic
Nov. 30, 2024
USD ($)
Clinic
Oct. 31, 2024
USD ($)
Aug. 31, 2024
USD ($)
Clinic
Mar. 29, 2024
USD ($)
Clinic
Jun. 30, 2025
USD ($)
Jun. 30, 2025
USD ($)
Clinic
Jun. 30, 2024
USD ($)
Dec. 31, 2024
USD ($)
Clinic
Business Combination, Description [Abstract]                    
Percentage of ownership interest by local partner after the acquisition 40.00%                  
Percentage of pre-acquisition interest retained by practice founder 20.00%                  
Cash paid, net of cash acquired               $ 6,890 $ 38,695  
Contingent payments             $ 14,800 $ 14,800   $ 17,600
Customer and Referral Relationships [Member]                    
Estimated fair value of net tangible assets acquired [Abstract]                    
Estimated useful lives of acquired intangibles             12 years 12 years   12 years 7 months 6 days
Non-compete Agreements [Member]                    
Estimated fair value of net tangible assets acquired [Abstract]                    
Estimated useful lives of acquired intangibles             6 years 6 years   5 years 9 months 18 days
Physical Therapy Operations [Member]                    
Business Combination, Description [Abstract]                    
Cash paid, net of cash acquired             $ 6,890      
Seller note             0 $ 0    
Deferred payments             0 0    
Contingent payments             3,059 3,059    
Estimated fair value of net tangible assets acquired [Abstract]                    
Total current assets             544 544    
Total non-current assets             140 140    
Total liabilities             (258) (258)    
Net tangible assets acquired             426 426    
Customer and referral relationships             2,857 2,857    
Non-compete agreement             158 158    
Tradenames             672 672    
Goodwill             8,551 8,551    
Fair value of non-controlling interest (classified as redeemable non-controlling interest)             (2,715) (2,715)    
Total consideration             9,949 9,949    
MSO Metro LLC [Member]                    
Business Combination, Description [Abstract]                    
Percentage of interest acquired 50.00%     50.00%            
Cash paid for acquisition       $ 75,000            
Contingent payments       $ 20,000     8,700 8,700    
Clinic Practice [Member]                    
Business Combination, Description [Abstract]                    
Percentage of interest acquired 80.00% 65.00% 75.00%   70.00% 50.00%        
Percentage of ownership interest after the acquisition 40.00%                  
Percentage of ownership interest by local partner after the acquisition 40.00%                  
Percentage of pre-acquisition interest retained by practice founder 20.00%                  
Number of clinics | Clinic   3 8   8 9        
Percentage of interest retained by practice founder   35.00% 25.00%   30.00% 50.00%        
Cash paid for acquisition $ 2,300 $ 3,800 $ 15,700     $ 500        
Seller note     $ 200              
Clinic Practice [Member] | Maximum [Member]                    
Business Combination, Description [Abstract]                    
Contingent payments $ 1,800 $ 1,300     $ 3,600   1,200 1,200    
2025 Acquisition [Member]                    
Business Combination, Description [Abstract]                    
Contingent payments             $ 600 $ 600    
Physical Therapy Clinics [Member]                    
Business Combination, Description [Abstract]                    
Number of clinics | Clinic               4   7