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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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