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Acquisitions of Businesses, 2021 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 ($)
Clinic
Nov. 30, 2021
USD ($)
Sep. 30, 2021
USD ($)
Jun. 30, 2021
USD ($)
Clinic
Mar. 31, 2021
USD ($)
Clinic
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Business Combination, Description [Abstract]                                
Contingent payment consideration                           $ 9,800 $ 8,300  
Elimination of contingent consideration liability after revaluation                           $ (1,550) 2,520 $ 0
IIPS [Member]                                
Business Combination, Description [Abstract]                                
Percentage of interest acquired                   70.00%            
Aggregate purchase price for the acquisition                   $ 63,200            
Contingent payment consideration                 $ 2,520             2,520
Cash paid for acquisition                   60,700            
Seller notes                 $ 1,250 $ 1,000           1,250
Percentage of interest accrued                   3.25%            
Remaining contract term                           5 years    
Ownership rights                           $ 1,200   $ 3,522
Elimination of contingent consideration liability after revaluation                             2,000  
Reduction of liability                             0  
IIPS [Member] | Maximum [Member]                                
Business Combination, Description [Abstract]                                
Contingent payment consideration                   $ 2,000            
Return-to-work and Ergonomic Services [Member]                                
Business Combination, Description [Abstract]                                
Aggregate purchase price for the acquisition                     $ 2,700          
Contingent payment consideration                     600          
Aggregate purchase price for the acquisition including contingent consideration                     3,300          
Cash paid for acquisition                     2,400          
Seller notes                     $ 300          
Percentage of interest accrued                     3.25%          
Elimination of contingent consideration liability after revaluation                             600  
Reduction of liability                             $ 0  
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      
Contingent payment consideration         $ 9,800             800   1,600    
Cash paid for acquisition $ 1,800 1,700 5,800 24,200   3,900 3,300 11,200 3,500     9,000 11,700      
Amount payable upon achievement of certain business criteria                       1,000        
Seller notes   $ 300 $ 400 $ 800   $ 300 $ 200 $ 300 $ 200     $ 300 $ 300     $ 200
Percentage of interest accrued     4.50% 7.00%   5.50% 5.50% 3.50% 3.25%     3.25% 3.25%     3.25%
Earn-out payment                           $ 800    
Clinic Practice [Member] | Maximum [Member]                                
Business Combination, Description [Abstract]                                
Percentage of interest acquired                 35.00%         35.00% 35.00% 35.00%
Contingent payment consideration       $ 1,600                        
Clinic Practice [Member] | Pre-Closing Practice Owners [Member]                                
Business Combination, Description [Abstract]                                
Percentage of retained interest by previous owners                       35.00% 30.00%