Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023
Cash flows from operating activities:
Net income	$ 17,203	$ 11,933
Adjustments to reconcile net income to net cash provided by (used in) operating activities:
Depreciation and amortization	20,002	19,808
Amortization of deferred loan costs	722	788
Gain on sale of assets, net	(192)	(251)
Loss on derivative instruments, net	1,606	1,103
Gain on extinguishment of debt	(38,148)	(36,339)
Loss from equity method investment	35	0
Provision for bad debt	881	334
Non-cash stock-based compensation expense	1,786	1,503
Other non-cash items	(3)	(1)
Changes in operating assets and liabilities:
Accounts receivable, net	(2,008)	(1,807)
Prepaid expenses and other assets	(756)	1,316
Other assets, net	(199)	294
Accounts payable and accrued expense	(2,791)	6,100
Federal and state income taxes payable	(122)	61
Deferred income	315	723
Other current liabilities	45	(28)
Net cash provided by (used in) operating activities	(1,624)	5,537
Cash flows from investing activities:
Acquisition of unconsolidated entities	(22,342)	0
Community acquisition	(11,105)	0
Capital expenditures	(9,899)	(9,698)
Proceeds from sale of assets	631	343
Net cash used in investing activities	(42,715)	(9,355)
Cash flows from financing activities:
Proceeds from issuance of common stock, net of issuance costs	65,079	0
Proceeds from notes payable	36,648	0
Repayments of notes payable	(48,475)	(5,893)
Purchase of interest rate cap	(1,851)	0
Deferred loan costs paid	(633)	(327)
Other financing costs	(396)	(84)
Net cash provided by (used in) financing activities	50,372	(6,304)
Increase (decrease) in cash and cash equivalents and restricted cash	6,033	(10,122)
Cash, cash equivalents, and restricted cash at beginning of period	17,750	30,742
Cash, cash equivalents, and restricted cash at end of period	23,783	20,620
Cash paid during the period for:
Interest	14,016	14,459
Income taxes paid (refunds received), net	237	76
Non-cash investing and financing activities:
Undeclared dividends on Series A convertible preferred stock	2,707	2,428
Non-cash additions of property and equipment	$ 1,831	$ 1,788