v3.26.1
Redeemable Non-Controlling Interest (Details)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2026
USD ($)
Jun. 30, 2025
USD ($)
Jun. 30, 2026
USD ($)
Partnership
Jun. 30, 2025
USD ($)
Dec. 31, 2025
USD ($)
Partnership
Apr. 30, 2025
Oct. 31, 2024
Changes in Carrying Amount of Redeemable Non-Controlling Interests [Roll Forward]              
Beginning balance     $ 293,311        
Net income allocated to redeemable non-controlling interest $ 4,080 $ 3,914 6,594 $ 5,926      
Ending balance 317,491   317,491   $ 293,311    
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]              
Fair value 317,491   $ 317,491   $ 293,311    
Number of partnerships in which interest acquired | Partnership     2        
Number of partnerships in which interest was sold | Partnership     1   2    
Redeemable Non-Controlling Interest [Member]              
Changes in Carrying Amount of Redeemable Non-Controlling Interests [Roll Forward]              
Beginning balance     $ 293,311 $ 269,025 $ 269,025    
Net income allocated to redeemable non-controlling interest     6,594   13,849    
Distributions to redeemable non-controlling interest patners     (10,869)   (14,768)    
Changes in the fair value of redeemable non-controlling interest     17,663   24,521    
Purchases of redeemable non-controlling interest     (2,747)   (14,382)    
Capital contribution     335   0    
Acquired interest     12,610   7,991    
Transfer from non-controlling interest to redeemable non-controlling interest (permanent equity)     0   5,753    
Sales of redeemable non-controlling interest     3,869   2,433    
Changes in notes receivable related to redeemable non-controlling interest     (3,304)   (1,206)    
Other     29   95    
Ending balance 317,491   317,491   293,311    
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]              
Contractual time period has lapsed but holder's employment has not terminated 88,666   88,666   79,773    
Contractual time period has not lapsed and holder's employment has not terminated 228,825   228,825   213,538    
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 $ 317,491   $ 317,491   $ 293,311    
Number of partnerships in which interest acquired | Partnership     8   14    
Number of partnerships in which interest was sold | Partnership     8   2    
Therapy Practice [Member] | Minimum [Member]              
Business Combination, Description [Abstract]              
Business acquisition, percentage of limited partnership acquired 50.00%   50.00%        
Therapy Practice [Member] | Maximum [Member]              
Business Combination, Description [Abstract]              
Business acquisition, percentage of limited partnership acquired 90.00%   90.00%        
Therapy Practice [Member] | NewCo. [Member]              
Business Combination, Description [Abstract]              
Percentage of equity interest of subsidiary contributed for acquisition 100.00%   100.00%        
Business acquisition, percentage of general partnership interest acquired 100.00%   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     6 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%   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%   30.00%        
Percentage of right to sell equity interest on each of the 6th and 7th anniversaries 10.00%   10.00%        
MSO Metro LLC [Member]              
Business Combination, Description [Abstract]              
Percentage of equity interest of subsidiary contributed for acquisition 100.00%   100.00%        
Non-Compete agreement term under condition of termination of employment of employed selling shareholder     6 years        
Percentage of interest acquired           50.00% 50.00%
Percentage of membership interest to be acquired 50.00%   50.00%        
Percentage of right to sell equity interest on each of the 3rd anniversaries 20.00%   20.00%