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Income Taxes, Components of Deferred Tax Assets and Liabilities Included in Consolidated Balance Sheets (Details) - USD ($) $ in Thousands | Dec. 31, 2025 | Dec. 31, 2024
--- | --- | ---
Deferred tax assets [Abstract] |  |
Compensation | $ 2,045 | $ 2,370
Provision for credit losses | 792 | 747
Lease obligations - including closed clinics | 29,888 | 36,205
Other | 94 | 0
Deferred tax assets | 32,819 | 39,322
Deferred tax liabilities [Abstract] |  |
Depreciation and amortization | (31,274) | (32,392)
Operating lease right-of-use assets | (28,109) | (34,221)
Gain on cash flow hedge | (244) | (960)
Change in revaluation of put-right liability | (312) | (638)
Other | (1,271) | (576)
Deferred tax liabilities | (61,210) | (68,787)
Net deferred tax liabilities | $ (28,391) | $ (29,465)

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