Quarterly report [Sections 13 or 15(d)]

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

v3.26.1
Nature of Operations and Summary of Significant Accounting Policies - Clinics in Operation Under Franchise Agreements or Company-owned or Managed (Details)
3 Months Ended
Mar. 31, 2026
clinic
license
Mar. 31, 2025
clinic
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]    
Clinics in operation at the end of the period 943 969
Clinic licenses sold but not yet developed 57 94
Future clinic licenses subject to executed letters of intent 53 52
Franchised Clinics    
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]    
Clinics open at beginning of period 885 842
Opened during the period 3 5
Closed during the period (20) 0
Clinics in operation at the end of the period 868 847
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 period 75 125
Sold during the period 0 (2)
Closed during the period 0 (1)
Clinics in operation at the end of the period 75 122