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v3.25.4

Segment Information, Segment Financials (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2025 | Dec. 31, 2024 | Dec. 31, 2023
Segment Information [Abstract] |  |  |
Net revenue | $ 780,990 | $ 671,345 | $ 604,802
Operating Costs [Abstract] |  |  |
Salaries and related costs | 461,890 | 399,394 | 353,390
Rent, supplies, contract labor and other | 140,431 | 118,910 | 108,596
Depreciation and amortization | 21,059 | 17,853 | 14,960
Provision for credit losses | 7,647 | 6,912 | 6,172
Clinic closure costs | 270 | 4,355 | 175
Total operating cost | 631,297 | 547,424 | 483,293
Gross profit | 149,693 | 123,921 | 121,509
Impairment of goodwill and other intangible assets | 0 | 0 | 17,495
Impairment on assets held for sale | 0 | 2,418 | 0
Unallocated amounts [Abstract] |  |  |
Corporate office costs | (69,260) | (58,290) | (51,953)
Interest expense, debt and other | (9,459) | (8,015) | (9,303)
Interest income from investments | 105 | 3,941 | 3,774
Change in fair value of contingent earn-out consideration | 6,244 | (219) | (1,550)
Change in revaluation of put-right liability | (1,322) | (82) | 2,582
Equity in earnings of unconsolidated affiliate | 1,477 | 1,014 | 955
Loss on sale of a partnership | 123 | 0 | 0
Relief Funds | 0 | 0 | 467
Other | 458 | 357 | 390
Total unallocated amounts | 71,880 | 61,294 | 54,638
Income before taxes | 77,813 | 60,209 | 49,376
Assets [Abstract] |  |  |
Goodwill | 692,392 | 667,152 | 509,571
All other assets | 511,618 | 500,315 |
Total assets | 1,204,010 | 1,167,467 |
Industrial Injury Prevention Services [Member] |  |  |
Operating Costs [Abstract] |  |  |
Impairment of goodwill and other intangible assets |  |  | 17,500
Reportable Segments [Member] | Physical Therapy Operations [Member] |  |  |
Segment Information [Abstract] |  |  |
Net revenue | 666,589 | 574,433 | 526,548
Operating Costs [Abstract] |  |  |
Salaries and related costs | 388,641 | 337,466 | 302,765
Rent, supplies, contract labor and other | 124,226 | 105,019 | 97,873
Depreciation and amortization | 17,834 | 14,775 | 12,576
Provision for credit losses | 7,562 | 6,904 | 6,129
Clinic closure costs | 270 | 4,355 | 175
Gross profit | 128,056 | 105,914 | 107,030
Impairment on assets held for sale | 0 | 2,418 | 0
Assets [Abstract] |  |  |
Goodwill | 604,440 | 579,046 |
All other assets | 434,804 | 415,039 |
Reportable Segments [Member] | Industrial Injury Prevention Services [Member] |  |  |
Segment Information [Abstract] |  |  |
Net revenue | 114,401 | 96,912 | 78,254
Operating Costs [Abstract] |  |  |
Salaries and related costs | 73,249 | 61,928 | 50,625
Rent, supplies, contract labor and other | 16,205 | 13,891 | 10,723
Depreciation and amortization | 3,225 | 3,078 | 2,384
Provision for credit losses | 85 | 8 | 43
Clinic closure costs | 0 | 0 | 0
Gross profit | 21,637 | 18,007 | 14,479
Impairment of goodwill and other intangible assets | 0 | 0 | 17,495
Assets [Abstract] |  |  |
Goodwill | 87,952 | 88,106 |
All other assets | 76,814 | 85,276 |
Unallocated Amounts [Member] |  |  |
Unallocated amounts [Abstract] |  |  |
Corporate office costs | 69,260 | 58,290 | 51,953
Interest expense, debt and other | 9,459 | 8,015 | 9,303
Interest income from investments | (105) | (3,941) | (3,774)
Change in fair value of contingent earn-out consideration | (6,244) | 219 | 1,550
Change in revaluation of put-right liability | 1,322 | 82 | (2,582)
Equity in earnings of unconsolidated affiliate | (1,477) | (1,014) | (955)
Loss on sale of a partnership | 123 | 0 | 0
Relief Funds | 0 | 0 | (467)
Other | $ (458) | $ (357) | $ (390)

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