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Interim Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Cash Flows From Operating Activities:    
Net income $ 96,057,000 $ 37,323,000
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 30,543,000 30,266,000
Equity in earnings of unconsolidated investments (589,000) (1,941,000)
Distributions from unconsolidated investments 512,000 470,000
Unrealized gains on marketable equity securities (56,290,000) (2,943,000)
Realized (gains)/losses on sale of marketable securities (331,000) 603,000
Gain on sale of unconsolidated company (1,024,000) 0
Deferred income taxes (15,559,000) 1,059,000
Stock–based compensation 3,062,000 2,119,000
Changes in operating assets and liabilities:    
Accounts receivable (19,898,000) (2,617,000)
Inventories 598,000 (285,000)
Prepaid expenses and other assets 8,809,000 2,444,000
Operating lease obligations 193,000 (936,000)
Trade accounts payable 3,530,000 (487,000)
Accrued payroll 1,989,000 (2,791,000)
Amounts due to third party payors 446,000 (1,043,000)
Accrued risk reserves 6,945,000 5,656,000
Other current liabilities 12,434,000 14,035,000
Other noncurrent liabilities (8,031,000) 6,669,000
Net cash provided by operating activities 94,514,000 85,483,000
Cash Flows From Investing Activities:    
Purchases of property and equipment (19,444,000) (19,300,000)
Proceeds from the sale of unconsolidated company 2,100,000 0
Investments in notes receivable (75,000) (197,000)
Investments in unconsolidated companies (8,370,000) 0
Purchases of marketable securities (24,736,000) (21,763,000)
Proceeds from sale of marketable securities 39,776,000 36,578,000
Net cash used in investing activities (225,048,000) (7,382,000)
Cash Flows From Financing Activities:    
Borrowings under credit facility 150,000,000 0
Repayments under credit facility (3,000,000) 0
Principal payments under finance lease obligations (860,000) (3,711,000)
Dividends paid to common stockholders (27,545,000) (26,520,000)
Noncontrolling interest contributions 1,389,000 0
Issuance of common shares 13,471,000 260,000
Repurchase of common shares (13,502,000) (2,482,000)
Entrance fee refunds (313,000) (258,000)
Net cash provided by/(used in) financing activities 119,640,000 (32,711,000)
Net Increase/(Decrease) in Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents (10,894,000) 45,390,000
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Beginning of Period 125,968,000 74,865,000
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, End of Period 115,074,000 120,255,000
Balance Sheet Classifications:    
Cash and cash equivalents 84,807,000 100,308,000
Restricted Cash and Cash Equivalents 30,267,000 19,947,000
Total Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents 115,074,000 120,255,000
White Oak Senior Living [Member]    
Cash Flows From Investing Activities:    
Acquisition of White Oak Senior Living, net of cash acquired (215,896,000) 0
Other Business Acquisitions [Member]    
Cash Flows From Investing Activities:    
Acquisition of other businesses, net of cash acquired $ 2,097,000 $ (2,700,000)