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Variable Interest Entities - Additional Information (Detail) $ in Thousands	9 Months Ended
	Sep. 30, 2025 USD ($) Facility	Dec. 31, 2024 USD ($)
Variable Interest Entity [Line Items]
Consolidated assets	$ 6,412,741	$ 5,956,915
Consolidated liabilities	$ 3,122,811	2,766,084
Variable Interest Entity, Primary Beneficiary [Member]
Variable Interest Entity [Line Items]
Number of facilities operated through non-wholly owned subsidiaries | Facility	15
Consolidated assets	$ 1,283,064	930,925
Consolidated liabilities	$ 45,418	$ 36,771
Variable Interest Entity, Primary Beneficiary [Member] | Minimum [Member]
Variable Interest Entity [Line Items]
Variable interest entity, ownership percentage	65.00%
Variable Interest Entity, Primary Beneficiary [Member] | Maximum [Member]
Variable Interest Entity [Line Items]
Variable interest entity, ownership percentage	88.00%

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