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Acquisitions of Businesses, 2023 Acquisitions (Details) $ in Thousands |  |  |  |  |  |  |  |  |  |  | 12 Months Ended |  |
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Jul. 31, 2025 USD ($) Clinic | Feb. 28, 2025 Clinic | Nov. 30, 2024 USD ($) Clinic | Aug. 31, 2024 USD ($) Clinic | Mar. 29, 2024 USD ($) Clinic | Oct. 31, 2023 USD ($) | Sep. 29, 2023 USD ($) Clinic Installment | Jul. 31, 2023 USD ($) Clinic | May 31, 2023 USD ($) Clinic | Feb. 28, 2023 USD ($) Clinic | Dec. 31, 2025 USD ($) | Dec. 31, 2024 USD ($) | Dec. 31, 2023 USD ($) | Apr. 30, 2025 | Apr. 30, 2024
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent payments |  |  |  |  |  |  |  |  |  |  | $ 12,300 | $ 17,600 |  |  |
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 |  |  |  |  |  |  |  |  |  |  | $ 15,674 | $ 133,087 | $ 26,582 |  |
Customer and Referral Relationships [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Estimated useful lives of acquired intangibles |  |  |  |  |  |  |  |  |  |  | 12 years | 15 years 7 months 6 days | 12 years |  |
Non-compete Agreements [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Estimated useful lives of acquired intangibles |  |  |  |  |  |  |  |  |  |  | 6 years | 5 years 10 months 24 days | 5 years 2 months 12 days |  |
Physical Therapy Operations [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Contingent payments |  |  |  |  |  |  |  |  |  |  | $ 5,730 |  |  |  |
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  |  |  | 15,614 |  |  |  |
Seller note |  |  |  |  |  |  |  |  |  |  | 300 |  |  |  |
Total consideration |  |  |  |  |  |  |  |  |  |  | 21,644 |  |  |  |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  |  |  |  |  | 918 |  |  |  |
Total non-current assets |  |  |  |  |  |  |  |  |  |  | 345 |  |  |  |
Total liabilities |  |  |  |  |  |  |  |  |  |  | (495) |  |  |  |
Net tangible assets acquired |  |  |  |  |  |  |  |  |  |  | 768 |  |  |  |
Customer and referral relationships |  |  |  |  |  |  |  |  |  |  | 5,981 |  |  |  |
Non-compete agreement |  |  |  |  |  |  |  |  |  |  | 310 |  |  |  |
Tradenames |  |  |  |  |  |  |  |  |  |  | 1,442 |  |  |  |
Goodwill |  |  |  |  |  |  |  |  |  |  | 21,198 |  |  |  |
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  |  |  |  |  | (8,055) |  |  |  |
Total consideration |  |  |  |  |  |  |  |  |  |  | 21,644 |  |  |  |
IIP Business [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  |  | 100.00% |  |  |  |  |  |  |  |  |
Deferred payments |  |  |  |  |  |  |  |  |  |  |  | $ 0 | $ 0 |  |
Contingent payments |  |  |  |  |  |  |  |  |  |  |  | 2,100 | 0 |  |
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  |  |  |  | 23,106 | 3,955 |  |
Seller note |  |  |  |  |  |  |  |  |  |  |  | 455 | 0 |  |
Total consideration |  |  |  |  |  |  |  |  |  |  |  | 25,661 | 3,955 |  |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  |  |  |  |  |  | 1,132 | 392 |  |
Total non-current assets |  |  |  |  |  |  |  |  |  |  |  | 563 | 335 |  |
Total liabilities |  |  |  |  |  |  |  |  |  |  |  | (463) | (41) |  |
Net tangible assets acquired |  |  |  |  |  |  |  |  |  |  |  | 1,232 | 686 |  |
Customer and referral relationships |  |  |  |  |  |  |  |  |  |  |  | 6,500 | 757 |  |
Non-compete agreement |  |  |  |  |  |  |  |  |  |  |  | 210 | 37 |  |
Tradenames |  |  |  |  |  |  |  |  |  |  |  | 1,400 | 187 |  |
Goodwill |  |  |  |  |  |  |  |  |  |  |  | 16,319 | 2,562 |  |
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  |  |  |  |  |  | 0 | (274) |  |
Total consideration |  |  |  |  |  |  |  |  |  |  |  | 25,661 | 3,955 |  |
Ergonomics Software Business [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  |  | 55.00% |  |  |  |  |  |  |  |  |
Percentage of interest retained by practice founder |  |  |  |  |  | 45.00% |  |  |  |  |  |  |  |  |
IIP and Ergonomics Software Business [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Aggregate purchase price for acquisition |  |  |  |  |  | $ 4,000 |  |  |  |  |  |  |  |  |
Acquisitions [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Deferred payments |  |  |  |  |  |  |  |  |  |  |  | 1,500 | 830 |  |
Contingent payments |  |  |  |  |  |  |  |  |  |  |  | 17,671 | 200 |  |
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  |  |  |  | 133,087 | 26,582 |  |
Seller note |  |  |  |  |  |  |  |  |  |  |  | 1,675 | 985 |  |
Total consideration |  |  |  |  |  |  |  |  |  |  |  | 154,235 | 28,597 |  |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  |  |  |  |  |  | 10,307 | 1,533 |  |
Total non-current assets |  |  |  |  |  |  |  |  |  |  |  | 30,923 | 3,484 |  |
Total liabilities |  |  |  |  |  |  |  |  |  |  |  | (29,866) | (3,204) |  |
Net tangible assets acquired |  |  |  |  |  |  |  |  |  |  |  | 11,364 | 1,813 |  |
Customer and referral relationships |  |  |  |  |  |  |  |  |  |  |  | 53,054 | 7,576 |  |
Non-compete agreement |  |  |  |  |  |  |  |  |  |  |  | 4,028 | 366 |  |
Tradenames |  |  |  |  |  |  |  |  |  |  |  | 17,967 | 1,867 |  |
Goodwill |  |  |  |  |  |  |  |  |  |  |  | 167,964 | 28,083 |  |
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  |  |  |  |  |  | (100,142) | (11,108) |  |
Total consideration |  |  |  |  |  |  |  |  |  |  |  | 154,235 | 28,597 |  |
Acquisitions [Member] | Physical Therapy Operations [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Deferred payments |  |  |  |  |  |  |  |  |  |  |  | 1,500 | 830 |  |
Contingent payments |  |  |  |  |  |  |  |  |  |  |  | 15,571 | 200 |  |
Cash paid, net of cash acquired |  |  |  |  |  |  |  |  |  |  |  | 109,981 | 22,627 |  |
Seller note |  |  |  |  |  |  |  |  |  |  |  | 1,220 | 985 |  |
Total consideration |  |  |  |  |  |  |  |  |  |  |  | 128,574 | 24,642 |  |
Estimated fair value of net tangible assets acquired [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total current assets |  |  |  |  |  |  |  |  |  |  |  | 9,175 | 1,141 |  |
Total non-current assets |  |  |  |  |  |  |  |  |  |  |  | 30,360 | 3,149 |  |
Total liabilities |  |  |  |  |  |  |  |  |  |  |  | (29,403) | (3,163) |  |
Net tangible assets acquired |  |  |  |  |  |  |  |  |  |  |  | 10,132 | 1,127 |  |
Customer and referral relationships |  |  |  |  |  |  |  |  |  |  |  | 46,554 | 6,819 |  |
Non-compete agreement |  |  |  |  |  |  |  |  |  |  |  | 3,818 | 329 |  |
Tradenames |  |  |  |  |  |  |  |  |  |  |  | 16,567 | 1,680 |  |
Goodwill |  |  |  |  |  |  |  |  |  |  |  | 151,645 | 25,521 |  |
Fair value of non-controlling interest (classified as redeemable non-controlling interest) |  |  |  |  |  |  |  |  |  |  |  | (100,142) | (10,834) |  |
Total consideration |  |  |  |  |  |  |  |  |  |  |  | $ 128,574 | $ 24,642 |  |
Clinic Practice [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired | 60.00% | 65.00% | 75.00% | 70.00% | 50.00% |  |  | 70.00% | 75.00% | 80.00% |  |  |  | 80.00% |
Number of clinics | Clinic | 3 | 3 | 8 | 8 | 9 |  |  | 5 | 4 | 1 |  |  |  |  |
Deferred payments |  |  |  |  |  |  |  | $ 300 |  |  |  |  |  |  |
Contingent payments |  |  |  |  |  |  |  |  |  |  | $ 500 |  |  |  |
Percentage of ownership interest after the acquisition |  |  |  |  |  |  |  |  | 45.00% |  |  |  |  | 40.00% |
Percentage of ownership interest by local partner after the acquisition |  |  |  |  |  |  |  |  | 30.00% |  |  |  |  | 40.00% |
Percentage of interest retained by practice founder | 40.00% | 35.00% | 25.00% | 30.00% | 50.00% |  |  | 30.00% |  | 20.00% |  |  |  |  |
Percentage of pre-acquisition interest retained by practice founder |  |  |  |  |  |  |  |  | 25.00% |  |  |  |  | 20.00% |
Aggregate purchase price for acquisition | $ 7,900 |  | $ 15,900 | $ 2,000 | $ 16,400 |  |  | $ 2,100 | $ 3,100 | $ 6,200 |  |  |  |  |
Cash paid by local partner |  |  |  |  |  |  |  |  | 1,100 |  |  |  |  |  |
Seller note to be paid by entity |  |  |  |  |  |  |  |  | 200 |  |  |  |  |  |
Seller note to be paid by local partner |  |  |  |  |  |  |  |  | 100 |  |  |  |  |  |
Cash paid, net of cash acquired |  |  |  |  |  |  |  | $ 1,800 | 1,700 | 5,800 |  |  |  |  |
Seller note | $ 300 |  | $ 200 |  |  |  |  |  | $ 300 | $ 400 |  |  |  |  |
Percentage of interest accrued | 5.00% |  | 5.00% |  | 4.50% |  |  |  |  | 4.50% |  |  |  |  |
September 2023 Multi Clinic Practice Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  |  |  | 70.00% |  |  |  |  |  |  |  |
Number of clinics | Clinic |  |  |  |  |  |  | 4 |  |  |  |  |  |  |  |
Percentage of interest retained by practice founder |  |  |  |  |  |  | 30.00% |  |  |  |  |  |  |  |
Aggregate purchase price for acquisition |  |  |  |  |  |  | $ 6,000 |  |  |  |  |  |  |  |
Cash paid, net of cash acquired |  |  |  |  |  |  | 5,400 |  |  |  |  |  |  |  |
Seller note |  |  |  |  |  |  | $ 600 |  |  |  |  |  |  |  |
Percentage of interest accrued |  |  |  |  |  |  | 5.00% |  |  |  |  |  |  |  |
Number of installments of payment of consideration due | Installment |  |  |  |  |  |  | 2 |  |  |  |  |  |  |  |
September 2023 Multi Clinic Practice Acquisition [Member] | First Installment Due on January 31, 2024 [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payment of principal and interest |  |  |  |  |  |  | $ 300 |  |  |  |  |  |  |  |
September 2023 Multi Clinic Practice Acquisition [Member] | Second Installment Due on September 30, 2025[Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payment of principal and interest |  |  |  |  |  |  | $ 300 |  |  |  |  |  |  |  |
September 2023 Single Clinic Practice Acquisition [Member] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Combination, Description [Abstract] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of interest acquired |  |  |  |  |  |  | 70.00% |  |  |  |  |  |  |  |
Number of clinics | Clinic |  |  |  |  |  |  | 1 |  |  |  |  |  |  |  |
Deferred payments |  |  |  |  |  |  | $ 400 |  |  |  |  |  |  |  |
Percentage of interest retained by practice founder |  |  |  |  |  |  | 30.00% |  |  |  |  |  |  |  |
Aggregate purchase price for acquisition |  |  |  |  |  |  | $ 7,800 |  |  |  |  |  |  |  |
Cash paid, net of cash acquired |  |  |  |  |  |  | $ 7,400 |  |  |  |  |  |  |  |

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