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Accrued Expenses (Details) - USD ($)
$ in Thousands
Dec. 31, 2025
Dec. 31, 2024
Payables and Accruals [Abstract]    
Salaries and related costs $ 37,270 $ 34,886
Contingency payable 12,275 3,043
Payable related to purchase of non-controlling interest (temporary and permanent equity) 12,078 0
Credit balances due to patients and payors 6,468 6,359
Group health insurance claims 2,538 2,462
Closure costs 1,523 2,828
Federal income taxes payable 993 4,544
Professional fees 890 860
Interest payable 393 402
Other property taxes payable 313 371
Other 6,241 3,758
Total $ 80,982 $ 59,513