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Intangible Assets - Carrying Value and Amortization of Identifiable Intangible Assets and Liabilities (Details) - USD ($)
$ in Thousands
 12 Months Ended
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