Annual report pursuant to Section 13 and 15(d)

Nature of Operations and Summary of Significant Accounting Policies - Clinics in Operation Under Franchise Agreements or Company-Owned or Managed (Details)

v3.24.0.1
Nature of Operations and Summary of Significant Accounting Policies - Clinics in Operation Under Franchise Agreements or Company-Owned or Managed (Details)
12 Months Ended
Dec. 31, 2023
clinic
letter
Dec. 31, 2022
clinic
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]    
Clinics open at beginning of period 838  
Clinics in operation at the end of the period 935 838
Clinic licenses sold but not yet developed 132 197
Executed letters of intent for future clinic licenses 40 38
Franchised Clinics    
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]    
Clinics open at beginning of period 712 610
Opened during the period 104 121
Acquired during the period 0 2
Sold during the period (3) (16)
Closed during the period (13) (5)
Clinics in operation at the end of the period 800 712
Company-Owned or Managed Clinics    
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]    
Clinics open at beginning of period 126 96
Opened during the period 10 16
Acquired during the period 3 16
Sold during the period 0 (2)
Closed during the period (4) 0
Clinics in operation at the end of the period 135 126