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Accrued Expenses (Details) - USD ($)
$ in Thousands
Jun. 30, 2025
Dec. 31, 2024
Payables and Accruals [Abstract]    
Salaries and related costs $ 31,559 $ 34,886
Credit balances due to patients and payors 6,985 6,359
Group health insurance claims 4,723 2,462
Federal income taxes payable 0 4,544
Contingent consideration payable 14,147 3,043
Other property taxes payable 564 371
Interest payable 378 402
Closure costs 2,085 2,828
Professional fees 1,249 860
Other 3,746 3,758
Total $ 65,436 $ 59,513