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Intangible Assets - Carrying Value and Amortization of Identifiable Intangible Assets and Liabilities (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2025 | Dec. 31, 2024 | Dec. 31, 2023
Finite Lived And Indefinite Lived Intangible Assets By Major Class [Line Items] |  |  |
Total identifiable intangible assets, accumulated amortization | $ (18,224) | $ (18,518) |
Total identifiable intangible assets, gross carrying amount | 119,024 | 121,701 |
Total identifiable intangible assets, net carrying amount | 100,800 | 103,183 |
Amortized intangible assets: |  |  |
Amortization expense | 1,600 | 1,600 | $ 1,600
Estimated amortization expense |  |  |
2026 | 1,613 |  |
2027 | 1,613 |  |
2028 | 1,613 |  |
2029 | 1,613 |  |
2030 | 1,607 |  |
Non-compete agreements |  |  |
Finite Lived And Indefinite Lived Intangible Assets By Major Class [Line Items] |  |  |
Finite-lived intangible assets, gross carrying amount | 29,133 | 31,735 |
Total identifiable intangible assets, accumulated amortization | (18,224) | (18,518) |
Finite-lived intangible assets, net carrying amount | 10,909 | 13,217 |
Trademarks |  |  |
Finite Lived And Indefinite Lived Intangible Assets By Major Class [Line Items] |  |  |
Indefinite-lived intangible assets | $ 61,798 | 61,798 |
Amortized intangible assets: |  |  |
Weighted average time until next renewal | 5 years 4 months 24 days |  |
Certificates of need |  |  |
Finite Lived And Indefinite Lived Intangible Assets By Major Class [Line Items] |  |  |
Indefinite-lived intangible assets | $ 26,318 | 26,393 |
Accreditations |  |  |
Finite Lived And Indefinite Lived Intangible Assets By Major Class [Line Items] |  |  |
Indefinite-lived intangible assets | $ 1,775 | $ 1,775 |
Amortized intangible assets: |  |  |
Weighted average time until next renewal | 1 year 6 months |  |

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