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Bonds, Note Payable and Other Debt (Tables)
 12 Months Ended
Dec. 31, 2025
Debt Disclosure [Abstract]  
Schedule of Note Payable and Other Debt

Bonds, Note Payable and Other Debt consist of the following:

  

           
  

Weighted
Average

Interest
Rate at
December 31,

   December 31, 
   2025   2025   2024 
   (Amounts in $000s) 
HUD guaranteed loans   3.26%  $254,085   $262,150 
Bank loans   7.17%   163,177    198,441 
Series A, B, C, and D bonds   6.78%   334,766    213,344 
Note payable   10.00%   42,624    - 
Gross bonds, note payable, and other debt       $794,652   $673,935 
Debt issuance costs        (4,154)   (3,400)
Net bonds, note payable, and other debt       $790,498   $670,535 
Schedule of Notes Payable and Other Debt Payables Maturity

Principal payments on the Bonds, Note Payable and Other Debt payable through maturity are as follows (amounts in $000s):

  

Year Ending December 31  Amount 
2026  $258,877 
2027   83,288 
2028   63,414 
2029   169,993 
2030   9,483 
Thereafter   209,597 
Total Principal Payments on Bonds, Note Payable and Other Debt  $794,652