v3.26.1
Notes Payable and Other Debt - Details of Long-term Debt (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2026
Dec. 31, 2025
Debt Instrument [Line Items]    
Debt instrument, outstanding amount $ 43,363 $ 43,960
Senior debt - guaranteed by HUD    
Debt Instrument [Line Items]    
Debt instrument, outstanding amount 26,837 27,281
Senior debt - guaranteed by USDA    
Debt Instrument [Line Items]    
Debt instrument, outstanding amount 6,392 6,575
Senior debt - guaranteed by SBA    
Debt Instrument [Line Items]    
Debt instrument, outstanding amount 494 509
Senior debt - other mortgage indebtedness    
Debt Instrument [Line Items]    
Debt instrument, outstanding amount 3,072 2,979
Senior Debt Obligations | Senior debt - guaranteed by HUD    
Debt Instrument [Line Items]    
Debt instrument, outstanding amount 26,837 27,281
Senior Debt Obligations | Senior debt - guaranteed by USDA    
Debt Instrument [Line Items]    
Debt instrument, outstanding amount 6,392 6,575
Senior Debt Obligations | Senior debt - guaranteed by SBA    
Debt Instrument [Line Items]    
Debt instrument, outstanding amount 494 509
Other Debt    
Debt Instrument [Line Items]    
Debt instrument, outstanding amount $ 930 805
Newpoint Capital | The Pavilion Care Center | Senior Debt Obligations | Senior debt - guaranteed by HUD    
Debt Instrument [Line Items]    
Maturity date Dec. 01, 2039  
Interest rate 3.97%  
Debt instrument, outstanding amount $ 707 727
Newpoint Capital | Hearth And Care Of Greenfield | Senior Debt Obligations | Senior debt - guaranteed by HUD    
Debt Instrument [Line Items]    
Maturity date Aug. 01, 2050  
Interest rate 3.97%  
Debt instrument, outstanding amount $ 1,803 1,825
Newpoint Capital | Woodland Manor | Senior Debt Obligations | Senior debt - guaranteed by HUD    
Debt Instrument [Line Items]    
Maturity date Nov. 01, 2052  
Interest rate 3.97%  
Debt instrument, outstanding amount $ 4,654 4,703
Newpoint Capital | Glenvue H&R | Senior Debt Obligations | Senior debt - guaranteed by HUD    
Debt Instrument [Line Items]    
Maturity date Oct. 01, 2044  
Interest rate 3.75%  
Debt instrument, outstanding amount $ 6,489 6,611
Newpoint Capital | Georgetown Health | Senior Debt Obligations | Senior debt - guaranteed by HUD    
Debt Instrument [Line Items]    
Maturity date Oct. 01, 2046  
Interest rate 2.98%  
Debt instrument, outstanding amount $ 2,872 2,923
KeyBank | Other Debt    
Debt Instrument [Line Items]    
Maturity date Aug. 25, 2030  
Interest rate 0.00%  
Debt instrument, outstanding amount $ 495 495
KeyBank | Autumn Breeze | Senior Debt Obligations | Senior debt - guaranteed by HUD    
Debt Instrument [Line Items]    
Maturity date Jan. 01, 2045  
Interest rate 3.65%  
Debt instrument, outstanding amount $ 5,646 5,751
KeyBank | Sumter Valley | Senior Debt Obligations | Senior debt - guaranteed by HUD    
Debt Instrument [Line Items]    
Maturity date Jan. 01, 2047  
Interest rate 3.70%  
Debt instrument, outstanding amount $ 4,666 4,741
Community Bank | Mountain Trace Rehab | Senior Debt Obligations | Senior debt - guaranteed by USDA    
Debt Instrument [Line Items]    
Maturity date Dec. 24, 2036  
Effective interest rate (as a percent) 10.25%  
Debt instrument, outstanding amount $ 3,114 3,193
Community Bank | Mountain Trace Rehab | Senior Debt Obligations | Senior debt - guaranteed by USDA | Prime Rate    
Debt Instrument [Line Items]    
Basis spread 1.75%  
Cadence Bank N A | Southland Healthcare | Senior Debt Obligations | Senior debt - guaranteed by USDA    
Debt Instrument [Line Items]    
Maturity date Jul. 27, 2036  
Effective interest rate (as a percent) 10.00%  
Debt instrument, outstanding amount $ 3,278 3,382
Cadence Bank N A | Southland Healthcare | Senior Debt Obligations | Senior debt - guaranteed by USDA | Prime Rate    
Debt Instrument [Line Items]    
Basis spread 1.50%  
Cadence Bank N A | Southland Healthcare | Senior Debt Obligations | Senior debt - guaranteed by SBA    
Debt Instrument [Line Items]    
Maturity date Jul. 27, 2036  
Effective interest rate (as a percent) 10.75%  
Debt instrument, outstanding amount $ 494 509
Cadence Bank N A | Southland Healthcare | Senior Debt Obligations | Senior debt - guaranteed by SBA | Prime Rate    
Debt Instrument [Line Items]    
Basis spread 2.25%  
City of Springfield | Eaglewood Care Center | Bonds | Bonds Series A    
Debt Instrument [Line Items]    
Maturity date May 01, 2042  
Interest rate 7.65%  
Debt instrument, outstanding amount $ 5,638 5,811
Exchange Bank Of Alabama | Meadowood Facility    
Debt Instrument [Line Items]    
Maturity date Oct. 01, 2026  
Effective interest rate (as a percent) 4.50%  
Exchange Bank Of Alabama | Meadowood Facility | Senior debt - other mortgage indebtedness    
Debt Instrument [Line Items]    
Debt instrument, outstanding amount $ 2,889 2,979
Exchange Bank Of Alabama | Meadowood Facility | Line of Credit    
Debt Instrument [Line Items]    
Maturity date Feb. 15, 2027  
Effective interest rate (as a percent) 6.75%  
Exchange Bank Of Alabama | Meadowood Facility | Line of Credit | Senior debt - other mortgage indebtedness    
Debt Instrument [Line Items]    
Debt instrument, outstanding amount $ 183  
First Insurance Funding | Other Debt    
Debt Instrument [Line Items]    
Maturity date Aug. 15, 2026  
Interest rate 10.95%  
Debt instrument, outstanding amount $ 229 254
AFCO Insurance | Other Debt    
Debt Instrument [Line Items]    
Maturity date Aug. 09, 2026  
Interest rate 9.50%  
Debt instrument, outstanding amount   34
First Horizon Bank | Other Debt    
Debt Instrument [Line Items]    
Maturity date Feb. 24, 2031  
Interest rate 7.25%  
Debt instrument, outstanding amount $ 187  
Cavalier Senior Living | Other Debt    
Debt Instrument [Line Items]    
Maturity date Nov. 15, 2026  
Interest rate 6.00%  
Debt instrument, outstanding amount $ 19 $ 22