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Redeemable Non-Controlling Interest (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Apr. 30, 2025
Oct. 31, 2024
Apr. 30, 2024
Changes in Carrying Amount (Fair Value) of Redeemable Non-Controlling Interests [Roll Forward]            
Beginning balance $ 269,025          
Net income allocated to redeemable non-controlling interest 13,849 $ 10,044 $ 4,426      
Transfer from non-controlling interest to redeemable non-controlling interest (permanent equity) (5,754) 0 0      
Reduction due to separation agreement   (3,033)        
Ending balance 293,311 269,025        
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]            
Fair value 293,311 269,025        
Redeemable Non-Controlling Interest [Member]            
Changes in Carrying Amount (Fair Value) of Redeemable Non-Controlling Interests [Roll Forward]            
Beginning balance 269,025 174,828 167,515      
Net income allocated to redeemable non-controlling interest 13,849 10,044 4,426      
Distributions to redeemable non-controlling interest partners (14,768) (10,579) (11,533)      
Changes in the fair value of redeemable non-controlling interest 24,521 4,964 13,565      
Purchases of redeemable non-controlling interest (14,382) (8,122) (12,073)      
Acquired interest 7,991 100,336 11,007      
Transfer from non-controlling interest to redeemable non-controlling interest (permanent equity) 5,753          
Sales of redeemable non-controlling interest 2,433 1,969 5,012      
Changes in notes receivable related to redeemable non-controlling interest (1,206) (1,016) (3,091)      
Reduction due to separation agreement 0 (3,033) 0      
Adjustments in notes receivables related to the sales of redeemable non-controlling interest 0 (366) 0      
Other 95 0 0      
Ending balance 293,311 269,025 174,828      
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]            
Contractual time period has lapsed but holder's employment has not been terminated 79,773 74,668 96,876      
Contractual time period has not lapsed and holder's employment has not been terminated 213,538 194,357 77,952      
Holder's employment has terminated and contractual time period has expired 0 0 0      
Holder's employment has terminated and contractual time period has not expired 0 0 0      
Fair value $ 293,311 $ 269,025 $ 174,828      
Therapy Practice [Member] | Minimum [Member]            
Business Combination, Description [Abstract]            
Business acquisition, percentage of limited partnership acquired 50.00%          
Therapy Practice [Member] | Maximum [Member]            
Business Combination, Description [Abstract]            
Business acquisition, percentage of limited partnership acquired 90.00%          
Therapy Practice [Member] | NewCo. [Member]            
Business Combination, Description [Abstract]            
Percentage of equity interest of subsidiary contributed for acquisition 100.00%          
Business acquisition, percentage of general partnership interest acquired 100.00%          
Business acquisition, consideration payable, term of note 2 years          
Employment agreement renewal term 1 year          
Non-Compete agreement term under condition of termination of employment of employed selling shareholder 2 years          
Therapy Practice [Member] | NewCo. [Member] | Minimum [Member]            
Business Combination, Description [Abstract]            
Employment agreement term 3 years          
Non-Compete agreement term regardless of whether the selling shareholder is employed 5 years          
Therapy Practice [Member] | NewCo. [Member] | Maximum [Member]            
Business Combination, Description [Abstract]            
Employment agreement term 5 years          
Non-Compete agreement term regardless of whether the selling shareholder is employed 6 years          
ProgressiveHealth [Member] | NewCo. [Member]            
Business Combination, Description [Abstract]            
Percentage of equity interest of subsidiary contributed for acquisition 100.00%          
Non-Compete agreement term under condition of termination of employment of employed selling shareholder 2 years          
Non-Compete agreement term regardless of whether the selling shareholder is employed 7 years          
Percentage of right to sell equity interest on each of the 4th and 5th anniversaries 30.00%          
Percentage of right to sell equity interest on each of the 6th and 7th anniversaries 10.00%          
MSO Metro LLC [Member]            
Business Combination, Description [Abstract]            
Percentage of interest acquired       50.00% 50.00% 50.00%
Percentage of membership interest to be acquired 50.00%          
Percentage of equity interest of subsidiary contributed for acquisition 100.00%          
Non-Compete agreement term under condition of termination of employment of employed selling shareholder 6 years          
Percentage of right to sell equity interest on each of the 3rd anniversaries 20.00%