Notes Payable and Other Debt - Summary of Debt (Details) - USD ($) $ in Thousands	Jun. 30, 2025	Dec. 31, 2024
Debt Instrument [Line Items]
Debt instrument, outstanding amount	$ 49,875	$ 50,714
Deferred financing costs	(851)	(886)
Unamortized discount on bonds	(104)	(107)
Senior debt and other debt	48,920	49,721
Senior debt - guaranteed by HUD
Debt Instrument [Line Items]
Debt instrument, outstanding amount	27,717	28,146
Senior debt - guaranteed by USDA
Debt Instrument [Line Items]
Debt instrument, outstanding amount	6,808	6,988
Senior debt - guaranteed by SBA
Debt Instrument [Line Items]
Debt instrument, outstanding amount	526	533
Senior debt Bonds, net of discount
Debt Instrument [Line Items]
Debt instrument, outstanding amount	5,811	5,970
Senior debt - other mortgage indebtedness
Debt Instrument [Line Items]
Debt instrument, outstanding amount	7,543	7,728
Other Debt
Debt Instrument [Line Items]
Debt instrument, outstanding amount	$ 1,470	$ 1,349

Amount, before unamortized (discount) premium and debt issuance costs, of long-term debt. Includes, but is not limited to, notes payable, bonds payable, commercial loans, mortgage loans, convertible debt, subordinated debt and other types of debt.

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