Acquisitions of Businesses, 2023 Acquisitions (Details) $ in Thousands														12 Months Ended
	Oct. 31, 2023 USD ($)	Sep. 29, 2023 USD ($) Clinic Installment	Jul. 31, 2023 USD ($) Clinic	May 31, 2023 USD ($) Clinic	Feb. 28, 2023 USD ($) Clinic	Nov. 30, 2022 USD ($) Clinic	Oct. 31, 2022 USD ($) Clinic	Sep. 30, 2022 USD ($) Clinic	Aug. 31, 2022 USD ($) Clinic	Mar. 31, 2022 USD ($) Clinic	Dec. 31, 2021 USD ($) Clinic	Jun. 30, 2021 USD ($) Clinic	Mar. 31, 2021 USD ($) Clinic	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)
Business Combination, Description [Abstract]
Contingent payments														$ 9,800	$ 8,300
Customer and Referral Relationships [Member]
Estimated fair value of net tangible assets acquired [Abstract]
Estimated useful lives of acquired intangibles														12 years	12 years 2 months 12 days
Non-compete Agreements [Member]
Estimated fair value of net tangible assets acquired [Abstract]
Estimated useful lives of acquired intangibles														5 years 1 month 6 days	5 years
Physical Therapy Operations [Member]
Business Combination, Description [Abstract]
Deferred payments														$ 830
Contingent payments											$ 837			200
Cash paid, net of cash acquired														22,627
Seller notes											800			985
Total consideration											26,267			24,642
Estimated fair value of net tangible assets acquired [Abstract]
Total current assets											1,885			1,141
Total non-current assets											7,014			3,149
Total liabilities											(8,313)			(3,163)
Net tangible assets acquired											586			1,127
Customer and referral relationships											7,969			6,819
Non-compete agreements											415			329
Tradenames											2,144			1,680
Goodwill											27,109			25,521
Fair value of non-controlling interest (classified as redeemable non-controlling interest)											(11,956)			(10,834)
Total consideration											26,267			24,642
IIP Business [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired	100.00%
Deferred payments														0
Contingent payments														0
Cash paid, net of cash acquired														3,955
Seller notes														0
Total consideration														3,955
Estimated fair value of net tangible assets acquired [Abstract]
Total current assets														392
Total non-current assets														335
Total liabilities														(41)
Net tangible assets acquired														686
Customer and referral relationships														757
Non-compete agreements														37
Tradenames														187
Goodwill														2,562
Fair value of non-controlling interest (classified as redeemable non-controlling interest)														(274)
Total consideration														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 the acquisition	$ 4,000
Acquisitions [Member]
Business Combination, Description [Abstract]
Deferred payments														830
Contingent payments											3,357			200	$ 10,000
Cash paid, net of cash acquired														26,582
Seller notes											2,050			985	1,574
Total consideration											96,752			28,597	71,362
Estimated fair value of net tangible assets acquired [Abstract]
Total current assets											7,473			1,533	1,329
Total non-current assets											19,634			3,484	7,798
Total liabilities											(13,155)			(3,204)	(10,930)
Net tangible assets acquired											13,952			1,813	(1,803)
Customer and referral relationships											29,096			7,576	18,062
Non-compete agreements											915			366	934
Tradenames											7,285			1,867	5,445
Goodwill											85,366			28,083	75,525
Fair value of non-controlling interest (classified as redeemable non-controlling interest)											(39,862)			(11,108)	(26,801)
Total consideration											$ 96,752			28,597	$ 71,362
Clinic Practice [Member]
Business Combination, Description [Abstract]
Percentage of interest acquired			70.00%	75.00%	80.00%	80.00%	60.00%	80.00%	70.00%	70.00%	75.00%	65.00%	70.00%
Number of clinics | Clinic			5	4	1	13	14	2	6	6	3	8	5
Deferred payments			$ 300
Contingent payments							$ 9,800					$ 800		$ 1,600
Percentage of ownership interest after the acquisition				45.00%
Percentage of ownership interest by local partner after the acquisition				30.00%
Percentage of interest retained by practice founder			30.00%		20.00%	20.00%	40.00%	20.00%	30.00%	30.00%	25.00%
Percentage of pre-acquisition interest retained by practice founder				25.00%
Aggregate purchase price for the acquisition			$ 2,100	$ 3,100	$ 6,200	$ 25,000	$ 19,500	$ 4,200	$ 3,500	$ 11,500	$ 3,700	10,300	$ 12,000
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	24,200		3,900	3,300	11,200	3,500	9,000	11,700
Seller notes				$ 300	$ 400	$ 800		$ 300	$ 200	$ 300	$ 200	$ 300	$ 300
Percentage of interest accrued					4.50%	7.00%		5.50%	5.50%	3.50%	3.25%	3.25%	3.25%
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 the acquisition		$ 6,000
Cash paid, net of cash acquired		5,400
Seller notes		$ 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 the acquisition		$ 7,800
Cash paid, net of cash acquired		$ 7,400