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v3.25.3

Acquisitions of Businesses, 2025 Acquisitions (Details) $ in Thousands |  |  |  |  |  |  |  | 3 Months Ended | 9 Months Ended | 12 Months Ended
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Jul. 31, 2025 USD ($) Clinic | Apr. 30, 2025 USD ($) | Feb. 28, 2025 USD ($) Clinic | Nov. 30, 2024 USD ($) Clinic | Oct. 31, 2024 USD ($) | Aug. 31, 2024 USD ($) Clinic | Mar. 29, 2024 USD ($) Clinic | Sep. 30, 2025 USD ($) | Sep. 30, 2025 USD ($) Clinic | Sep. 30, 2024 USD ($) | 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 |  |  |  |  |  |  |  |  |  | $ 15,214 | $ 41,196 |
Contingent payments |  |  |  |  |  |  |  |  | $ 9,600 | $ 9,600 |  | $ 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 8 months 12 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 10 months 24 days
Physical Therapy Operations [Member] |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  |  | $ 15,214 |  |
Seller note |  |  |  |  |  |  |  |  | $ 300 | 300 |  |
Deferred payments |  |  |  |  |  |  |  |  | 0 | 0 |  |
Contingent payments |  |  |  |  |  |  |  |  | 5,731 | 5,731 |  |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  |  |  | 918 | 918 |  |
Total non-current assets |  |  |  |  |  |  |  |  | 240 | 240 |  |
Total liabilities |  |  |  |  |  |  |  |  | (495) | (495) |  |
Net tangible assets acquired |  |  |  |  |  |  |  |  | 663 | 663 |  |
Customer and referral relationships |  |  |  |  |  |  |  |  | 5,981 | 5,981 |  |
Non-compete agreement |  |  |  |  |  |  |  |  | 310 | 310 |  |
Tradenames |  |  |  |  |  |  |  |  | 1,442 | 1,442 |  |
Goodwill |  |  |  |  |  |  |  |  | 20,903 | 20,903 |  |
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  |  |  | (8,054) | (8,054) |  |
Total consideration |  |  |  |  |  |  |  |  | 21,245 | 21,245 |  |
Clinic Practice [Member] |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  | 60.00% | 80.00% | 65.00% | 75.00% |  | 70.00% | 50.00% |  |  |  |
Number of clinics | Clinic |  | 3 |  | 3 | 8 |  | 8 | 9 |  |  |  |
Percentage of interest retained by practice founder |  | 40.00% |  | 35.00% | 25.00% |  | 30.00% | 50.00% |  |  |  |
Aggregate purchase price for the acquisition |  | $ 7,900 |  |  | $ 15,900 |  | $ 2,000 | $ 16,400 |  |  |  |
Cash paid for acquisition |  | $ 7,600 | $ 2,300 | $ 3,800 | $ 15,700 |  |  | $ 500 |  |  |  |
Percentage of interest accrued |  | 5.00% |  |  | 5.00% |  |  | 4.50% |  |  |  |
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% |  |  |  |  |  |  |  |  |
Seller note |  | $ 300 |  |  | $ 200 |  |  |  |  |  |  |
Clinic Practice [Member] | Maximum [Member] |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |
Contingent payments |  |  | $ 1,800 | $ 1,300 |  |  | $ 3,600 |  | 2,500 | 2,500 |  |
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 |  |  |  |  |  |
Contingent payments |  |  |  |  |  | $ 20,000 |  |  | $ 2,500 | $ 2,500 |  |
July 2025 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  |  |  |  |  | 60.00% | 60.00% |  |
Number of clinics | Clinic |  |  |  |  |  |  |  |  |  | 3 |  |
Contingent payments |  |  |  |  |  |  |  |  | $ 2,600 | $ 2,600 |  |
April 2025 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired | [1] |  |  |  |  |  |  |  | 40.00% | 40.00% |  |
Number of clinics | Clinic | [2] |  |  |  |  |  |  |  |  |  |  |
Contingent payments |  |  |  |  |  |  |  |  | $ 1,000 | $ 1,000 |  |
February 2025 Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  |  |  |  |  | 65.00% | 65.00% |  |
Number of clinics | Clinic |  |  |  |  |  |  |  |  |  | 3 |  |
Contingent payments |  |  |  |  |  |  |  |  | $ 300 | $ 300 |  |
Physical Therapy Clinics [Member] |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |
Number of clinics | Clinic |  |  |  |  |  |  |  |  |  | 14 |  | 8
[1] | On April 30, 2025, the Company acquired an outpatient home care practice that provides speech and occupational therapy through its 50% owned subsidiary MSO Metro LLC. (“Metro”). After the transaction, the Company’s ownership interest is 40%, the local partners have an ownership interest of 40% and the practice’s preacquisition owners have a 20% ownership interest.
[2] | Home-care business

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