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Acquisitions of Businesses, Variable Interest Entities (Details)
$ in Thousands
 12 Months Ended
Oct. 31, 2024
USD ($)
Dec. 31, 2025
USD ($)
Clinic
Dec. 31, 2024
USD ($)
Clinic
Dec. 31, 2023
USD ($)
Apr. 30, 2025
Apr. 30, 2024
Business Combination, Description [Abstract]            
Contingent payments   $ 12,300 $ 17,600      
Assets and liabilities of the VIEs:            
Total assets   1,204,010 1,167,467      
Total liabilities   433,811 408,421      
Operating results of the VIEs:            
Net revenue   780,990 671,345 $ 604,802    
Operating cost:            
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    
Total operating cost   631,297 547,424 483,293    
Gross profit   149,693 123,921 121,509    
Other expense   8,864 2,785 1,135    
Provision for income taxes   19,808 14,609 12,156    
Net income   58,005 45,600 $ 37,220    
Variable Interest Entities [Member]            
Assets and liabilities of the VIEs:            
Total assets   255,300 231,300      
Total liabilities   49,500 31,900      
Operating results of the VIEs:            
Net revenue   90,579 19,138      
Operating cost:            
Salaries and related costs   53,901 11,903      
Rent, supplies, contract labor and other   19,704 3,760      
Depreciation and amortization   3,863 1,123      
Provision for credit losses   592 188      
Total operating cost   78,060 16,974      
Gross profit   12,519 2,164      
(Gain) on fair value adjustments   (758) 0      
Other expense   14 3      
Provision for income taxes   219 0      
Net income   13,044 2,161      
MSO Metro LLC [Member]            
Business Combination, Description [Abstract]            
Purchase price $ 76,500          
Percentage of interest acquired 50.00%       50.00% 50.00%
Contingent payments $ 20,000 7,400        
MSO Metro LLC [Member] | Variable Interest Entities [Member]            
Business Combination, Description [Abstract]            
Purchase price     $ 77,000      
Acquisition date     Oct. 31, 2024      
Percentage of interest acquired     50.00%      
Number of clinics | Clinic     50      
Contingent payments   $ 7,400        
March 2024 Acquisition [Member]            
Business Combination, Description [Abstract]            
Acquisition date   Mar. 29, 2024 Mar. 29, 2024      
Percentage of interest acquired   50.00% 50.00%      
Number of clinics | Clinic   9 9      
March 2024 Acquisition [Member] | Variable Interest Entities [Member]            
Business Combination, Description [Abstract]            
Purchase price     $ 16,400      
Acquisition date     Mar. 29, 2024      
Percentage of interest acquired     50.00%      
Number of clinics | Clinic     9      
Contingent payments   $ 2,500