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Acquisitions of Businesses, 2025 Acquisitions (Details)
$ in Thousands
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 ($)
Aug. 31, 2024
USD ($)
Clinic
Mar. 29, 2024
USD ($)
Clinic
Jul. 31, 2023
USD ($)
Clinic
May 31, 2023
USD ($)
Clinic
Feb. 28, 2023
USD ($)
Clinic
Dec. 31, 2025
USD ($)
Clinic
Dec. 31, 2024
USD ($)
Clinic
Dec. 31, 2023
USD ($)
Apr. 30, 2024
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                     $ 15,674 $ 133,087 $ 26,582  
Contingent payments                     $ 12,300 $ 17,600    
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]                            
Cash paid, net of cash acquired                     $ 15,614      
Contingent payments                     5,730      
Payable                     300      
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      
Clinic Practice [Member]                            
Business Combination, Description [Abstract]                            
Percentage of interest acquired 60.00% 80.00% 65.00% 75.00%   70.00% 50.00% 70.00% 75.00% 80.00%        
Number of clinics | Clinic 3   3 8   8 9 5 4 1        
Percentage of interest retained by practice founder 40.00%   35.00% 25.00%   30.00% 50.00% 30.00%   20.00%        
Aggregate purchase price for acquisition $ 7,900     $ 15,900   $ 2,000 $ 16,400 $ 2,100 $ 3,100 $ 6,200        
Cash paid for acquisition $ 7,600 $ 2,300 $ 3,800 $ 15,700     $ 500              
Percentage of interest accrued 5.00%     5.00%     4.50%     4.50%        
Percentage of ownership interest after the acquisition   40.00%             45.00%          
Percentage of ownership interest by local partner after the acquisition   40.00%             30.00%          
Percentage of pre-acquisition interest retained by practice founder   20.00%             25.00%          
Cash paid, net of cash acquired               $ 1,800 $ 1,700 $ 5,800        
Contingent payments                     $ 500      
Payable $ 300     $ 200         $ 300 $ 400        
Clinic Practice [Member] | Maximum [Member]                            
Business Combination, Description [Abstract]                            
Percentage of interest acquired                     35.00% 35.00% 35.00%  
Contingent payments   $ 1,800 $ 1,300     $ 3,600                
MSO Metro LLC [Member]                            
Business Combination, Description [Abstract]                            
Percentage of interest acquired   50.00%     50.00%                 50.00%
Aggregate purchase price for acquisition         $ 76,500                  
Cash paid for acquisition         75,000                  
Contingent payments         $ 20,000           $ 7,400      
July 2025 Acquisition [Member]                            
Business Combination, Description [Abstract]                            
Percentage of interest acquired                     60.00%      
Number of clinics | Clinic                     3      
Contingent payments                     $ 2,800      
April 2025 Acquisition [Member]                            
Business Combination, Description [Abstract]                            
Percentage of interest acquired [1]                     40.00%      
Number of clinics | Clinic [2]                          
Contingent payments                     $ 1,000      
February 2025 Acquisition [Member]                            
Business Combination, Description [Abstract]                            
Percentage of interest acquired                     65.00%      
Number of clinics | Clinic                     3      
Contingent payments                     $ 500      
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