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Acquisitions of Businesses, 2022 Acquisition (Details)
$ in Thousands
12 Months Ended
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 ($)
Dec. 31, 2021
USD ($)
Business Combination, Description [Abstract]                            
Cash paid, net of cash acquired                       $ 26,582 $ 59,788 $ 86,823
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  
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%     75.00%
Number of clinics | Clinic 5 4 1 13 14 2 6 6 3 8 5      
Percentage of interest retained by practice founder 30.00%   20.00% 20.00% 40.00% 20.00% 30.00% 30.00% 25.00%         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 for acquisition $ 1,800 1,700 $ 5,800 $ 24,200   $ 3,900 $ 3,300 $ 11,200 $ 3,500 $ 9,000 $ 11,700      
Percentage of interest accrued     4.50% 7.00%   5.50% 5.50% 3.50% 3.25% 3.25% 3.25%     3.25%
Seller notes   $ 300 $ 400 $ 800   $ 300 $ 200 $ 300 $ 200 $ 300 $ 300     $ 200
Contingent payments         $ 9,800         $ 800   $ 1,600    
Clinic Practice [Member] | Maximum [Member]                            
Business Combination, Description [Abstract]                            
Percentage of interest acquired                 35.00%     35.00% 35.00% 35.00%
Contingent payments       $ 1,600                    
Acquisitions [Member]                            
Business Combination, Description [Abstract]                            
Cash paid for acquisition                       $ 26,582    
Cash paid, net of cash acquired                         $ 59,788 $ 86,823
Seller notes                 $ 2,050     985 1,574 2,050
Contingent payments                 3,357     200 10,000 3,357
Total consideration                 96,752     28,597 71,362 96,752
Estimated fair value of net tangible assets acquired [Abstract]                            
Total current assets                 7,473     1,533 1,329 7,473
Total non-current assets                 19,634     3,484 7,798 19,634
Total liabilities                 (13,155)     (3,204) (10,930) (13,155)
Net tangible assets acquired                 13,952     1,813 (1,803) 13,952
Customer and referral relationships                 29,096     7,576 18,062 29,096
Non-compete agreements                 915     366 934 915
Tradenames                 7,285     1,867 5,445 7,285
Goodwill                 85,366     28,083 75,525 85,366
Fair value of non-controlling interest (classified as redeemable non-controlling interest)                 (39,862)     (11,108) (26,801) (39,862)
Total consideration                 $ 96,752     $ 28,597 $ 71,362 $ 96,752