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Property and Equipment, net - Principal Categories of Property and Equipment (Details) - USD ($)
$ in Thousands
Sep. 30, 2025
Dec. 31, 2024
Property, Plant and Equipment    
Total cost $ 112,851 $ 103,204
Less: accumulated depreciation (30,030) (25,271)
Total property and equipment, net $ 82,821 77,933
Buildings and improvements    
Property, Plant and Equipment    
Useful Life (years) 39 years  
Total cost $ 25,613 19,650
Land    
Property, Plant and Equipment    
Total cost 6,537 4,410
Leasehold improvements    
Property, Plant and Equipment    
Total cost $ 28,375 28,126
Leasehold improvements | Minimum    
Property, Plant and Equipment    
Useful Life (years) 10 years  
Leasehold improvements | Maximum    
Property, Plant and Equipment    
Useful Life (years) 39 years  
Construction in progress    
Property, Plant and Equipment    
Total cost $ 1,764 1,892
Medical equipment    
Property, Plant and Equipment    
Useful Life (years) 10 years  
Total cost $ 35,297 35,395
Office furniture and equipment    
Property, Plant and Equipment    
Useful Life (years) 7 years  
Total cost $ 5,300 3,985
Computer hardware and software    
Property, Plant and Equipment    
Useful Life (years) 5 years  
Total cost $ 7,750 7,579
Vehicles    
Property, Plant and Equipment    
Useful Life (years) 5 years  
Total cost $ 94 95
Signage    
Property, Plant and Equipment    
Useful Life (years) 10 years  
Total cost $ 2,121 $ 2,072