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Segment Information, Segment Financials (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Segment Information [Abstract]      
Net revenue $ 780,990 $ 671,345 $ 604,802
Operating Costs [Abstract]      
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
Clinic closure costs 270 4,355 175
Total operating cost 631,297 547,424 483,293
Gross profit 149,693 123,921 121,509
Impairment of goodwill and other intangible assets 0 0 17,495
Impairment on assets held for sale 0 2,418 0
Unallocated amounts [Abstract]      
Corporate office costs (69,260) (58,290) (51,953)
Interest expense, debt and other (9,459) (8,015) (9,303)
Interest income from investments 105 3,941 3,774
Change in fair value of contingent earn-out consideration 6,244 (219) (1,550)
Change in revaluation of put-right liability (1,322) (82) 2,582
Equity in earnings of unconsolidated affiliate 1,477 1,014 955
Loss on sale of a partnership 123 0 0
Relief Funds 0 0 467
Other 458 357 390
Total unallocated amounts 71,880 61,294 54,638
Income before taxes 77,813 60,209 49,376
Assets [Abstract]      
Goodwill 692,392 667,152 509,571
All other assets 511,618 500,315  
Total assets 1,204,010 1,167,467  
Industrial Injury Prevention Services [Member]      
Operating Costs [Abstract]      
Impairment of goodwill and other intangible assets     17,500
Reportable Segments [Member] | Physical Therapy Operations [Member]      
Segment Information [Abstract]      
Net revenue 666,589 574,433 526,548
Operating Costs [Abstract]      
Salaries and related costs 388,641 337,466 302,765
Rent, supplies, contract labor and other 124,226 105,019 97,873
Depreciation and amortization 17,834 14,775 12,576
Provision for credit losses 7,562 6,904 6,129
Clinic closure costs 270 4,355 175
Gross profit 128,056 105,914 107,030
Impairment on assets held for sale 0 2,418 0
Assets [Abstract]      
Goodwill 604,440 579,046  
All other assets 434,804 415,039  
Reportable Segments [Member] | Industrial Injury Prevention Services [Member]      
Segment Information [Abstract]      
Net revenue 114,401 96,912 78,254
Operating Costs [Abstract]      
Salaries and related costs 73,249 61,928 50,625
Rent, supplies, contract labor and other 16,205 13,891 10,723
Depreciation and amortization 3,225 3,078 2,384
Provision for credit losses 85 8 43
Clinic closure costs 0 0 0
Gross profit 21,637 18,007 14,479
Impairment of goodwill and other intangible assets 0 0 17,495
Assets [Abstract]      
Goodwill 87,952 88,106  
All other assets 76,814 85,276  
Unallocated Amounts [Member]      
Unallocated amounts [Abstract]      
Corporate office costs 69,260 58,290 51,953
Interest expense, debt and other 9,459 8,015 9,303
Interest income from investments (105) (3,941) (3,774)
Change in fair value of contingent earn-out consideration (6,244) 219 1,550
Change in revaluation of put-right liability 1,322 82 (2,582)
Equity in earnings of unconsolidated affiliate (1,477) (1,014) (955)
Loss on sale of a partnership 123 0 0
Relief Funds 0 0 (467)
Other $ (458) $ (357) $ (390)