Leases - Narrative (Details)	3 Months Ended
	Mar. 31, 2026 USD ($) campus state	Mar. 31, 2025 USD ($)
Property, Plant and Equipment [Line Items]
Extension term (or more)	1 year
Variable lease payments	$ 0
Lease expense	3,500,000	$ 4,900,000
Cash paid for amounts included in operating lease liabilities	3,500,000	4,700,000
Present value of operating lease liabilities	$ 189,000
Interest rate	7.00%
Finance lease, amortization expense	$ 46,000	$ 46,000
Health+
Property, Plant and Equipment [Line Items]
Number of campuses | campus	27
Number of states | state	8