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Interim Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Cash Flows From Operating Activities:    
Net income $ 97,412,000 $ 96,057,000
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 33,151,000 30,543,000
Equity in earnings of unconsolidated investments (512,000) (589,000)
Distributions from unconsolidated investments 616,000 512,000
Unrealized gains on marketable equity securities (26,748,000) (56,290,000)
Realized gains on sale of marketable securities (872,000) (331,000)
Gain on sale of unconsolidated company 0 (1,024,000)
Gain on sale of property and equipment (3,606,000) 0
Deferred income taxes (2,600,000) (15,559,000)
Stock–based compensation 3,499,000 3,062,000
Changes in operating assets and liabilities:    
Accounts receivable 2,877,000 (19,898,000)
Inventories 1,195,000 598,000
Prepaid expenses and other assets 2,582,000 8,809,000
Operating lease obligations 524,000 193,000
Trade accounts payable (2,926,000) 3,530,000
Accrued payroll 17,272,000 1,989,000
Amounts due to third party payors (291,000) 446,000
Accrued risk reserves 10,416,000 6,945,000
Other current liabilities 30,250,000 12,434,000
Other noncurrent liabilities 832,000 (8,031,000)
Net cash provided by operating activities 168,271,000 94,514,000
Cash Flows From Investing Activities:    
Purchases of property and equipment (26,049,000) (19,444,000)
Proceeds from the sale of unconsolidated company 0 2,100,000
Collections of (investments in) notes receivable 512,000 (75,000)
Investments in unconsolidated companies (3,123,000) (8,370,000)
Purchases of marketable securities (56,953,000) (24,736,000)
Proceeds from sale of marketable securities 64,689,000 39,776,000
Net cash used in investing activities (20,924,000) (225,048,000)
Cash Flows From Financing Activities:    
Borrowings under credit facility 0 150,000,000
Repayments under credit facility (63,875,000) (3,000,000)
Principal payments under finance lease obligations 0 (860,000)
Dividends paid to common stockholders (28,773,000) (27,545,000)
Noncontrolling interest contributions 0 1,389,000
Issuance of common shares 9,415,000 13,471,000
Repurchase of common shares (9,566,000) (13,502,000)
Entrance fee deposits (refunds) 64,000 (313,000)
Net cash (used in)/provided by financing activities (92,735,000) 119,640,000
Net Increase/(Decrease) in Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents 54,612,000 (10,894,000)
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Beginning of Period 96,922,000 125,968,000
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, End of Period 151,534,000 115,074,000
Balance Sheet Classifications:    
Cash and cash equivalents 130,629,000 84,807,000
Restricted Cash and Cash Equivalents 20,905,000 30,267,000
Total Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents 151,534,000 115,074,000
White Oak Senior Living [Member]    
Cash Flows From Investing Activities:    
Acquisition of White Oak Senior Living, net of cash acquired 0 (215,896,000)
Other Business Acquisitions [Member]    
Cash Flows From Investing Activities:    
Acquisition of White Oak Senior Living, net of cash acquired $ 0 $ 2,097,000