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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