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Acquisitions of Businesses, 2023 Acquisitions (Details)
$ in Thousands
12 Months Ended
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