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Allowance for Doubtful Accounts - Schedule of Changes in Allowance for Notes Receivable (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023 | Dec. 31, 2023
Accounts receivable |  |  |  |  |
Allowance for doubtful accounts, beginning balance | $ 103,693 | $ 70,420 | $ 80,819 | $ 66,601 |
Write-Offs | (14,468) | (1,039) | (27,456) | (12,798) |
Bad Debt Expense | 1,151 | 9,648 | 37,013 | 25,226 |
Allowance for doubtful accounts, ending balance | 90,376 | 79,029 | 90,376 | 79,029 |
Notes receivable |  |  |  |  |
Allowance for doubtful accounts, beginning balance | 11,592 | 9,242 | 10,880 | 6,863 |
Write-Offs | (3,024) | (2,322) | (3,093) | (2,535) |
Bad Debt Expense | (946) | 4,522 | (165) | 7,114 |
Allowance for doubtful accounts, ending balance | 7,622 | 11,442 | 7,622 | 11,442 |
Total accounts and notes receivable |  |  |  |  |
Allowance for doubtful accounts, beginning balance | 115,285 | 79,662 | 91,699 | 73,464 |
Write-Offs | (17,492) | (3,361) | (30,549) | (15,333) |
Bad Debt Expense | 205 | 14,170 | 36,848 | 32,340 |
Allowance for doubtful accounts, ending balance | 97,998 | 90,471 | 97,998 | 90,471 |
Accounts receivable recovered after write off | 100 | 100 | 100 | 100 |
LaVie Care Centers, LLC |  |  |  |  |
Accounts receivable |  |  |  |  |
Bad Debt Expense |  |  | 17,600 |  |
Standard notes receivable |  |  |  |  |
Notes receivable |  |  |  |  |
Allowance for doubtful accounts, beginning balance | 2,987 | 7,008 | 3,510 | 6,052 |
Write-Offs | 0 | (1,529) | 0 | (1,689) |
Bad Debt Expense | 579 | 1,208 | 56 | 2,324 |
Allowance for doubtful accounts, ending balance | 3,566 | 6,687 | 3,566 | 6,687 |
Delinquent notes receivable |  |  |  |  |
Notes receivable |  |  |  |  |
Allowance for doubtful accounts, beginning balance | 3,850 |  | 2,615 |  |
Write-Offs | 0 |  | (69) |  |
Bad Debt Expense | (786) |  | 518 |  |
Allowance for doubtful accounts, ending balance | 3,064 |  | 3,064 |  |
Total accounts and notes receivable |  |  |  |  |
Financing receivable, allowance for credit loss, transfers |  |  |  |  | $ 2,600
Elevated risk notes receivable |  |  |  |  |
Notes receivable |  |  |  |  |
Allowance for doubtful accounts, beginning balance | 4,755 | 2,234 | 4,755 | 811 |
Write-Offs | (3,024) | (793) | (3,024) | (846) |
Bad Debt Expense | (739) | 3,314 | (739) | 4,790 |
Allowance for doubtful accounts, ending balance | $ 992 | $ 4,755 | $ 992 | $ 4,755 |

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