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Acquisitions of Businesses, 2024 Acquisitions (Details)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Jul. 31, 2025
USD ($)
Clinic
Apr. 30, 2025
USD ($)
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
Aug. 31, 2025
USD ($)
Sep. 30, 2025
USD ($)
Sep. 30, 2025
USD ($)
Clinic
Sep. 30, 2024
USD ($)
Dec. 31, 2024
USD ($)
Clinic
Business Combination, Description [Abstract]                          
Contingent payments                   $ 9,600 $ 9,600   $ 17,600
Cash paid, net of cash acquired                     $ 15,214 $ 41,196  
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]                          
Seller note                   $ 300 $ 300    
Deferred payments                   0 0    
Contingent payments                   5,731 5,731    
Cash paid, net of cash acquired                     15,214    
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    
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            
Contingent payments                   0 0    
Payment for contingent consideration liability                 $ 1,900        
IIP Business [Member] | Briotix Health, Limited Partnership [Member] | Maximum [Member]                          
Business Combination, Description [Abstract]                          
Contingent payments             $ 10,000            
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          
Seller note $ 300     $ 200                  
Percentage of interest accrued 5.00%     5.00%       4.50%          
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                
Shares issued         $ 1,500                
Shares issued (in shares) | shares         18,358                
Common stock average trailing period         5 days                
Contingent payments         $ 20,000         2,500 2,500    
Acquisitions [Member]                          
Business Combination, Description [Abstract]                          
Seller note                         1,675
Deferred payments                         1,500
Contingent payments                         17,671
Cash paid, net of cash acquired                         133,089
Estimated fair value of net tangible assets acquired [Abstract]                          
Total current assets                         10,579
Total non-current assets                         30,923
Total liabilities                         (29,865)
Net tangible assets acquired                         11,637
Customer and referral relationships                         59,130
Non-compete agreement                         3,800
Tradenames                         13,877
Goodwill                         165,634
Fair value of non-controlling interest (classified as redeemable non-controlling interest)                         (100,143)
Total consideration                         153,935
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                         109,983
Estimated fair value of net tangible assets acquired [Abstract]                          
Total current assets                         9,447
Total non-current assets                         30,360
Total liabilities                         (29,402)
Net tangible assets acquired                         10,405
Customer and referral relationships                         52,630
Non-compete agreement                         3,590
Tradenames                         12,477
Goodwill                         149,315
Fair value of non-controlling interest (classified as redeemable non-controlling interest)                         (100,143)
Total consideration                         $ 128,274
2024 Acquisition [Member]                          
Business Combination, Description [Abstract]                          
Contingent payments                   $ 500 $ 500    
Physical Therapy Clinics [Member]                          
Business Combination, Description [Abstract]                          
Number of clinics | Clinic                     14   8