Schedule of Note Payable and Other Debt (Details) - USD ($) $ in Thousands |
Mar. 31, 2026 |
Dec. 31, 2025 |
|---|---|---|
| Short-Term Debt [Line Items] | ||
| Gross Bonds, Note Payable, and other Debt | $ 791,432 | $ 794,652 |
| Debt issuance costs | (3,460) | (4,154) |
| Net Bonds, Note Payable, and other Debt | 787,972 | 790,498 |
| HUD Guaranteed Bank Loans [Member] | ||
| Short-Term Debt [Line Items] | ||
| Gross Bonds, Note Payable, and other Debt | $ 252,028 | 254,085 |
| Weighted average interest rate | 3.26% | |
| Bank Loans [Member] | ||
| Short-Term Debt [Line Items] | ||
| Gross Bonds, Note Payable, and other Debt | $ 161,571 | 163,177 |
| Weighted average interest rate | 6.98% | |
| Series A, B, C, and D bonds [Member] | ||
| Short-Term Debt [Line Items] | ||
| Gross Bonds, Note Payable, and other Debt | $ 337,405 | 334,766 |
| Weighted average interest rate | 7.04% | |
| Notes Payable [Member] | ||
| Short-Term Debt [Line Items] | ||
| Gross Bonds, Note Payable, and other Debt | $ 40,428 | $ 42,624 |
| Weighted average interest rate | 10.00% |