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Redeemable Non-Controlling Interest (Details) - USD ($) $ in Thousands | 12 Months Ended |  |  |
--- | --- | --- | --- | ---
Dec. 31, 2025 | Dec. 31, 2024 | Dec. 31, 2023 | Apr. 30, 2025 | Oct. 31, 2024 | Apr. 30, 2024
Changes in Carrying Amount (Fair Value) of Redeemable Non-Controlling Interests [Roll Forward] |  |  |  |  |  |
Beginning balance | $ 269,025 |  |  |  |  |
Net income allocated to redeemable non-controlling interest | 13,849 | $ 10,044 | $ 4,426 |  |  |
Transfer from non-controlling interest to redeemable non-controlling interest (permanent equity) | (5,754) | 0 | 0 |  |  |
Reduction due to separation agreement |  | (3,033) |  |  |  |
Ending balance | 293,311 | 269,025 |  |  |  |
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract] |  |  |  |  |  |
Fair value | 293,311 | 269,025 |  |  |  |
Redeemable Non-Controlling Interest [Member] |  |  |  |  |  |
Changes in Carrying Amount (Fair Value) of Redeemable Non-Controlling Interests [Roll Forward] |  |  |  |  |  |
Beginning balance | 269,025 | 174,828 | 167,515 |  |  |
Net income allocated to redeemable non-controlling interest | 13,849 | 10,044 | 4,426 |  |  |
Distributions to redeemable non-controlling interest partners | (14,768) | (10,579) | (11,533) |  |  |
Changes in the fair value of redeemable non-controlling interest | 24,521 | 4,964 | 13,565 |  |  |
Purchases of redeemable non-controlling interest | (14,382) | (8,122) | (12,073) |  |  |
Acquired interest | 7,991 | 100,336 | 11,007 |  |  |
Transfer from non-controlling interest to redeemable non-controlling interest (permanent equity) | 5,753 |  |  |  |  |
Sales of redeemable non-controlling interest | 2,433 | 1,969 | 5,012 |  |  |
Changes in notes receivable related to redeemable non-controlling interest | (1,206) | (1,016) | (3,091) |  |  |
Reduction due to separation agreement | 0 | (3,033) | 0 |  |  |
Adjustments in notes receivables related to the sales of redeemable non-controlling interest | 0 | (366) | 0 |  |  |
Other | 95 | 0 | 0 |  |  |
Ending balance | 293,311 | 269,025 | 174,828 |  |  |
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract] |  |  |  |  |  |
Contractual time period has lapsed but holder's employment has not been terminated | 79,773 | 74,668 | 96,876 |  |  |
Contractual time period has not lapsed and holder's employment has not been terminated | 213,538 | 194,357 | 77,952 |  |  |
Holder's employment has terminated and contractual time period has expired | 0 | 0 | 0 |  |  |
Holder's employment has terminated and contractual time period has not expired | 0 | 0 | 0 |  |  |
Fair value | $ 293,311 | $ 269,025 | $ 174,828 |  |  |
Therapy Practice [Member] | Minimum [Member] |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |
Business acquisition, percentage of limited partnership acquired | 50.00% |  |  |  |  |
Therapy Practice [Member] | Maximum [Member] |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |
Business acquisition, percentage of limited partnership acquired | 90.00% |  |  |  |  |
Therapy Practice [Member] | NewCo. [Member] |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |
Percentage of equity interest of subsidiary contributed for acquisition | 100.00% |  |  |  |  |
Business acquisition, percentage of general partnership interest acquired | 100.00% |  |  |  |  |
Business acquisition, consideration payable, term of note | 2 years |  |  |  |  |
Employment agreement renewal term | 1 year |  |  |  |  |
Non-Compete agreement term under condition of termination of employment of employed selling shareholder | 2 years |  |  |  |  |
Therapy Practice [Member] | NewCo. [Member] | Minimum [Member] |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |
Employment agreement term | 3 years |  |  |  |  |
Non-Compete agreement term regardless of whether the selling shareholder is employed | 5 years |  |  |  |  |
Therapy Practice [Member] | NewCo. [Member] | Maximum [Member] |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |
Employment agreement term | 5 years |  |  |  |  |
Non-Compete agreement term regardless of whether the selling shareholder is employed | 6 years |  |  |  |  |
ProgressiveHealth [Member] | NewCo. [Member] |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |
Percentage of equity interest of subsidiary contributed for acquisition | 100.00% |  |  |  |  |
Non-Compete agreement term under condition of termination of employment of employed selling shareholder | 2 years |  |  |  |  |
Non-Compete agreement term regardless of whether the selling shareholder is employed | 7 years |  |  |  |  |
Percentage of right to sell equity interest on each of the 4th and 5th anniversaries | 30.00% |  |  |  |  |
Percentage of right to sell equity interest on each of the 6th and 7th anniversaries | 10.00% |  |  |  |  |
MSO Metro LLC [Member] |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |
Percentage of interest acquired |  |  |  | 50.00% | 50.00% | 50.00%
Percentage of membership interest to be acquired | 50.00% |  |  |  |  |
Percentage of equity interest of subsidiary contributed for acquisition | 100.00% |  |  |  |  |
Non-Compete agreement term under condition of termination of employment of employed selling shareholder | 6 years |  |  |  |  |
Percentage of right to sell equity interest on each of the 3rd anniversaries | 20.00% |  |  |  |  |

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- Definition As of the reporting date, the aggregate carrying amount of all noncontrolling interests which are redeemable by the (parent) entity (1) at a fixed or determinable price on a fixed or determinable date, (2) at the option of the holder of the noncontrolling interest, or (3) upon occurrence of an event that is not solely within the control of the (parent) entity. This item includes noncontrolling interest holder's ownership (or holders' ownership) regardless of the type of equity interest (common, preferred, other) including all potential organizational (legal) forms of the investee entity. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 480 -SubTopic 10 -Name Accounting Standards Codification -Section S45 -Paragraph 2 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479887/480-10-S45-2 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 480 -SubTopic 10 -Name Accounting Standards Codification -Section S50 -Paragraph 3 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479857/480-10-S50-3 Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 480 -SubTopic 10 -Name Accounting Standards Codification -Section S45 -Paragraph 3 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479887/480-10-S45-3 Reference 4: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 480 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 3A -Subparagraph (24) -Publisher FASB -URI https://asc.fasb.org/1943274/2147480244/480-10-S99-3A Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Topic 480 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (01)(i) -Publisher FASB -URI https://asc.fasb.org/1943274/2147480244/480-10-S99-1 + Details
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- Definition The term of the note issued for consideration payable for the acquisition, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. + References No definition available. + Details
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