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Redeemable Non-Controlling Interest (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Changes in Carrying Amount (Fair Value) of Redeemable Non-Controlling Interests [Roll Forward]      
Beginning balance $ 155,262    
Operating results allocated to redeemable non-controlling interest partners 6,902 $ 11,358 $ 11,175
Ending balance 167,515 155,262  
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]      
Fair value 167,515 155,262  
Redeemable Non-Controlling Interest [Member]      
Changes in Carrying Amount (Fair Value) of Redeemable Non-Controlling Interests [Roll Forward]      
Beginning balance 155,262 132,340 137,750
Operating results allocated to redeemable non-controlling interest partners 6,902 11,358 11,175
Distributions to redeemable non-controlling interest partners (10,102) (11,359) (12,403)
Changes in the fair value of redeemable non-controlling interest 3,862 13,011 4,632
Purchases of redeemable non-controlling interest (16,061) (30,204) (20,521)
Acquired interest 26,746 39,862 11,297
Contributed capital 231 0 0
Sales of redeemable non-controlling interest - temporary equity 1,982 982 1,133
Notes receivable related to sales of redeemable non-controlling interest - temporary equity (1,901) (914) (1,006)
Adjustments in notes receivable related to the sales of redeemable non-controlling interest - temporary equity 594 186 283
Ending balance 167,515 155,262 132,340
Carrying Amount (Fair Value) of Redeemable Non-Controlling Interest [Abstract]      
Contractual time period has lapsed but holder's employment has not been terminated 75,688 80,781 62,390
Contractual time period has not lapsed and holder's employment has not been terminated 91,827 74,481 69,950
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 $ 167,515 $ 155,262 $ 132,340
Therapy Practice [Member] | Minimum [Member]      
Business Combination, Description [Abstract]      
Business acquisition, percentage of limited partnership acquired 50.00%    
Therapy Practice [Member] | Maximum [Member]      
Business Combination, Description [Abstract]      
Business acquisition, percentage of limited partnership acquired 90.00%    
Therapy Practice [Member] | NewCo. [Member]      
Business Combination, Description [Abstract]      
Percentage of equity interest of subsidiary contributed for acquisition 100.00%    
Business acquisition, percentage of general partnership interest acquired 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 5 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%    
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%    
Percentage of right to sell equity interest on each of the 6th and 7th anniversaries 10.00%