Notes Payable and Other Debt- Details of Long-term Debt (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2025	Dec. 31, 2024	Jun. 30, 2024
Debt Instrument [Line Items]
Debt instrument, outstanding amount	$ 49,875	$ 50,714
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 Other Mortgage Indebtedness
Debt Instrument [Line Items]
Debt instrument, outstanding amount	7,543	7,728
Senior Debt Obligations | Senior debt - guaranteed by HUD
Debt Instrument [Line Items]
Debt instrument, outstanding amount	27,717	28,146
Senior Debt Obligations | Senior debt - guaranteed by USDA
Debt Instrument [Line Items]
Debt instrument, outstanding amount	6,808	6,988
Senior Debt Obligations | Senior debt - guaranteed by SBA
Debt Instrument [Line Items]
Debt instrument, outstanding amount	526	533
Other Debt
Debt Instrument [Line Items]
Debt instrument, outstanding amount	$ 1,470	1,349
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	$ 746	765
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	$ 1,847	1,868
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	$ 4,751	4,799
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	$ 6,731	6,849
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	$ 2,974	3,023
Exchange Bank | Other Debt
Debt Instrument [Line Items]
Maturity date	Nov. 10, 2025
Interest rate	7.75%
Debt instrument, outstanding amount	$ 495	430
KeyBank | Other Debt
Debt Instrument [Line Items]
Maturity date	Aug. 25, 2025
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	$ 5,855	5,956
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	$ 4,813	4,886
Marlin Capital Solutions | Other Debt
Debt Instrument [Line Items]
Maturity date	Jun. 01, 2027
Interest rate	5.00%
Debt instrument, outstanding amount	$ 3	9
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)	9.25%
Debt instrument, outstanding amount	$ 3,333	3,423
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)	9.00%
Debt instrument, outstanding amount	$ 3,475	3,565
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)	9.75%
Debt instrument, outstanding amount	$ 526	533
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	$ 5,811	5,970
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	$ 3,067	3,153
Exchange Bank Of Alabama | Coosa Valley Health Care
Debt Instrument [Line Items]
Maturity date	Oct. 10, 2026
Effective interest rate (as a percent)	3.95%
Exchange Bank Of Alabama | Coosa Valley Health Care | Senior Debt Other Mortgage Indebtedness
Debt Instrument [Line Items]
Debt instrument, outstanding amount	$ 4,476	4,575
First Insurance Funding | Other Debt
Debt Instrument [Line Items]
Maturity date	Various 2024
Interest rate	9.97%
Debt instrument, outstanding amount	$ 443	$ 311
Cavalier Management | Other Debt
Debt Instrument [Line Items]
Maturity date	Jan. 03, 2025
Interest rate	6.00%
Debt instrument, outstanding amount	$ 34