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Acquisitions of Businesses, 2024 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 ($)
Clinic
Oct. 31, 2024
USD ($)
shares
Aug. 31, 2024
USD ($)
Clinic
Apr. 30, 2024
USD ($)
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]                      
Contingent payments               $ 14,800 $ 14,800   $ 17,600
Cash paid, net of cash acquired                 $ 6,890 $ 38,695  
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]                      
Seller note               $ 0 $ 0    
Deferred payments               0 0    
Contingent payments               3,059 3,059    
Cash paid, net of cash acquired               6,890      
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    
IIP Business [Member]                      
Business Combination, Description [Abstract]                      
Seller note                     $ 455
Deferred payments                     0
Contingent payments                     2,100
Cash paid, net of cash acquired                     23,106
Estimated fair value of net tangible assets acquired [Abstract]                      
Total current assets                     1,132
Total non-current assets                     563
Total liabilities                     (463)
Net tangible assets acquired                     1,232
Customer and referral relationships                     6,500
Non-compete agreement                     210
Tradenames                     1,400
Goodwill                     16,319
Fair value of non-controlling interest (classified as redeemable non-controlling interest)                     0
Total consideration                     25,661
IIP Business [Member] | Briotix Health, Limited Partnership [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest acquired           100.00%          
Aggregate purchase price for the acquisition           $ 24,000          
Cash paid for acquisition           $ 500          
Percentage of interest accrued           5.00%          
IIP Business [Member] | Briotix Health, Limited Partnership [Member] | Maximum [Member]                      
Business Combination, Description [Abstract]                      
Contingent payments           $ 10,000   1,800 1,800    
Clinic Practice [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest acquired 80.00% 65.00% 75.00%   70.00%   50.00%        
Number of clinics | Clinic   3 8   8   9        
Percentage of interest retained by practice founder   35.00% 25.00%   30.00%   50.00%        
Aggregate purchase price for the acquisition     $ 15,900   $ 2,000   $ 16,400        
Cash paid for acquisition $ 2,300 $ 3,800 15,700       $ 500        
Seller note     $ 200                
Percentage of interest accrued     5.00%       4.50%        
Clinic Practice [Member] | Maximum [Member]                      
Business Combination, Description [Abstract]                      
Contingent payments $ 1,800 $ 1,300     $ 3,600     1,200 1,200    
MSO Metro LLC [Member]                      
Business Combination, Description [Abstract]                      
Percentage of interest acquired 50.00%     50.00%              
Aggregate purchase price for the acquisition       $ 76,500              
Cash paid for acquisition       75,000              
Shares issued       $ 1,500              
Shares issued (in shares) | shares       18,358              
Common stock average trailing period       5 days              
Contingent payments       $ 20,000       8,700 8,700    
Acquisitions [Member]                      
Business Combination, Description [Abstract]                      
Seller note                     1,675
Deferred payments                     1,500
Contingent payments                     17,671
Cash paid, net of cash acquired                     133,115
Estimated fair value of net tangible assets acquired [Abstract]                      
Total current assets                     11,110
Total non-current assets                     30,945
Total liabilities                     (29,615)
Net tangible assets acquired                     12,440
Customer and referral relationships                     59,597
Non-compete agreement                     3,516
Tradenames                     13,513
Goodwill                     165,038
Fair value of non-controlling interest (classified as redeemable non-controlling interest)                     (100,143)
Total consideration                     153,961
Acquisitions [Member] | Physical Therapy Operations [Member]                      
Business Combination, Description [Abstract]                      
Seller note                     1,220
Deferred payments                     1,500
Contingent payments                     15,571
Cash paid, net of cash acquired                     110,009
Estimated fair value of net tangible assets acquired [Abstract]                      
Total current assets                     9,978
Total non-current assets                     30,382
Total liabilities                     (29,152)
Net tangible assets acquired                     11,208
Customer and referral relationships                     53,097
Non-compete agreement                     3,306
Tradenames                     12,113
Goodwill                     148,719
Fair value of non-controlling interest (classified as redeemable non-controlling interest)                     (100,143)
Total consideration                     $ 128,300
2024 Acquisition [Member]                      
Business Combination, Description [Abstract]                      
Contingent payments               $ 700 $ 700    
Physical Therapy Clinics [Member]                      
Business Combination, Description [Abstract]                      
Number of clinics | Clinic                 4   7