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Acquisitions of Businesses, 2024 Acquisitions (Details)
$ in Thousands
1 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
Jul. 31, 2023
USD ($)
Clinic
May 31, 2023
USD ($)
Clinic
Feb. 28, 2023
USD ($)
Clinic
Nov. 30, 2025
USD ($)
Aug. 31, 2025
USD ($)
Dec. 31, 2025
USD ($)
Clinic
Dec. 31, 2024
USD ($)
Clinic
Dec. 31, 2023
USD ($)
Oct. 31, 2023
Business Combination, Description [Abstract]                                  
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      
Seller note                           300      
Contingent payments                           5,730      
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%            
Payment for contingent consideration liability                       $ 2,500          
Cash paid, net of cash acquired                 1,800 1,700 $ 5,800            
Deferred payments                 $ 300                
Seller note $ 300     $ 200           $ 300 $ 400            
Contingent payments                           $ 500      
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                        
Shares issued         $ 1,500                        
Shares issued (in shares) | shares         18,358                        
Common stock average trailing period         5 days                        
Contingent payments         $ 20,000                 $ 7,400      
IIP Business [Member]                                  
Business Combination, Description [Abstract]                                  
Percentage of interest acquired                                 100.00%
Cash paid, net of cash acquired                             $ 23,106 $ 3,955  
Deferred payments                             0 0  
Seller note                             455 0  
Contingent payments                             2,100 0  
Note payable                             0    
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  
IIP Business [Member] | Briotix Health, Limited Partnership [Member]                                  
Business Combination, Description [Abstract]                                  
Percentage of interest acquired             100.00%                    
Aggregate purchase price for acquisition             $ 24,000                    
Cash paid for acquisition             500                    
IIP Business [Member] | Briotix Health, Limited Partnership [Member] | Maximum [Member]                                  
Business Combination, Description [Abstract]                                  
Payment for contingent consideration liability                         $ 1,900        
Contingent payments             $ 10,000                    
Acquisitions [Member]                                  
Business Combination, Description [Abstract]                                  
Cash paid, net of cash acquired                             133,087 26,582  
Deferred payments                             1,500 830  
Seller note                             1,675 985  
Contingent payments                             17,671 200  
Note payable                             302    
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]                                  
Cash paid, net of cash acquired                             109,981 22,627  
Deferred payments                             1,500 830  
Seller note                             1,220 985  
Contingent payments                             15,571 200  
Note payable                             302    
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  
Physical Therapy Clinics [Member]                                  
Business Combination, Description [Abstract]                                  
Number of clinics | Clinic                           14 8