Annual report [Section 13 and 15(d), not S-K Item 405]

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

v3.25.4
Nature of Operations and Summary of Significant Accounting Policies - Clinics in Operation Under Franchise Agreements or Company-Owned or Managed (Details) - clinic
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]    
Clinics open at beginning of year 967  
Clinics in operation at the end of the year 960 967
Clinic licenses sold but not yet developed 82 92
Executed letters of intent for future clinic licenses 57 53
Franchised Clinics    
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]    
Clinics open at beginning of year 842 800
Opened during the year 29 57
Acquired during the year 41 3
Sold during the year 0 0
Closed during the year (27) (18)
Clinics in operation at the end of the year 885 842
Company-Owned or Managed Clinics | Discontinued Operations, Held-for-Sale or Disposed of by Sale | Corporate Clinics    
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]    
Clinics open at beginning of year 125 135
Opened during the year 0 0
Acquired during the year 0 0
Sold during the year (41) (3)
Closed during the year (9) (7)
Clinics in operation at the end of the year 75 125