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)

v3.26.3
Nature of Operations and Summary of Significant Accounting Policies - Clinics in Operation Under Franchise Agreements or Company-owned or Managed (Details)
3 Months Ended 9 Months Ended
Sep. 30, 2026
license
clinic
Sep. 30, 2025
clinic
license
Sep. 30, 2026
license
clinic
Sep. 30, 2025
clinic
license
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]        
Clinics in operation at the end of the period 930 962 930 962
Clinic licenses sold but not yet developed at the end of the period | license 47 86 47 86
Future clinic licenses subject to executed letters of intent at the end of the period | license 57 63 57 63
Franchised Clinics        
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]        
Clinics open at the beginning of the period 896 885 885 842
Opened during the period 4 9 12 21
Acquired during the period 26 1 55 40
Closed during the period (11) (11) (37) (19)
Clinics in operation at the end of the period 915 884 915 884
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 the beginning of the period 45 82 75 125
Sold during the period (26) (1) (55) (40)
Closed during the period (4) (3) (5) (7)
Clinics in operation at the end of the period 15 78 15 78