Quarterly report pursuant to Section 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)

v3.22.2.2
Nature of Operations and Summary of Significant Accounting Policies - Clinics in Operation Under Franchise Agreements or Company-owned or Managed (Details) - clinic
3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]        
Closed during the period     0 0
Clinics in operation at the end of the period 805 666 805 666
Clinic licenses sold but not yet developed 212 252 212 252
Licenses for future clinics subject to executed letters of intent 40 43 40 43
Franchised Clinics        
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]        
Clinics open at beginning of period 662 555 610 515
Opened during the period 33 28 91 76
Acquired during the period 1 0 1 0
Sold during the period (4) 0 (8) (8)
Closed during the period (2) 0 (4) 0
Clinics in operation at the end of the period 690 583 690 583
Company-Owned or Managed Clinics        
Product Information, Franchised Clinics, Company-Owned Or Managed Clinics, Activity [Roll Forward]        
Clinics open at beginning of period 107 78 96 64
Opened during the period 5 5 12 11
Acquired during the period 4 0 8 8
Sold during the period (1) 0 (1) 0
Closed during the period 0 0    
Clinics in operation at the end of the period 115 83 115 83