Long-Term Debt and Financing Matters - Senior Secured Credit Facilities (Details) $ in Thousands							12 Months Ended
	Sep. 18, 2025 USD ($)	Sep. 18, 2024	Jul. 19, 2024	Jun. 26, 2024 USD ($)	Aug. 24, 2021 USD ($)	Jul. 08, 2021 USD ($)	Dec. 31, 2025 USD ($)	Dec. 31, 2024 USD ($)	Dec. 31, 2023 USD ($)
Debt Instrument [Line Items]
Repayments of long-term debt							$ 7,988	$ 108,371	$ 13,645
2021 Term Loan B Facility | Senior secured term loan facility
Debt Instrument [Line Items]
Sales threshold, percentage							1
Sales threshold 1st step down, percentage							0.50
Sales threshold 2nd step down, percentage							0
Revolving Credit Facility | 2021 ABL Credit Agreement | Secured Overnight Financing Rate (SOFR) | Non-UT Health East Texas Borrowers | Minimum
Debt Instrument [Line Items]
Variable rate							1.50%
Revolving Credit Facility | 2021 ABL Credit Agreement | Secured Overnight Financing Rate (SOFR) | Non-UT Health East Texas Borrowers | Maximum
Debt Instrument [Line Items]
Variable rate							2.00%
Revolving Credit Facility | 2021 ABL Credit Agreement | Secured Overnight Financing Rate (SOFR) | UT Health East Texas Borrowers | Minimum
Debt Instrument [Line Items]
Variable rate							2.50%
Revolving Credit Facility | 2021 ABL Credit Agreement | Secured Overnight Financing Rate (SOFR) | UT Health East Texas Borrowers | Maximum
Debt Instrument [Line Items]
Variable rate							3.00%
Revolving Credit Facility | 2021 ABL Credit Agreement | Base Rate | Non-UT Health East Texas Borrowers | Minimum
Debt Instrument [Line Items]
Variable rate							0.50%
Revolving Credit Facility | 2021 ABL Credit Agreement | Base Rate | Non-UT Health East Texas Borrowers | Maximum
Debt Instrument [Line Items]
Variable rate							1.00%
Revolving Credit Facility | 2021 ABL Credit Agreement | Base Rate | UT Health East Texas Borrowers | Minimum
Debt Instrument [Line Items]
Variable rate							1.50%
Revolving Credit Facility | 2021 ABL Credit Agreement | Base Rate | UT Health East Texas Borrowers | Maximum
Debt Instrument [Line Items]
Variable rate							2.00%
Senior secured term loan facility
Debt Instrument [Line Items]
Long-term debt					$ 825,000		$ 770,499	$ 773,772
Senior secured term loan facility | 2021 Term Loan B Facility
Debt Instrument [Line Items]
Initial principal amount	$ 777,500			$ 877,500	$ 900,000
Debt instrument term					7 years
Percent of principal	0.0025				0.0025
Repayments of long-term debt				100,000
Reduction of interest rate, basis points		0.0050	0.0025
Variable rate	2.25%	2.75%
Insurance and condemnation threshold, percentage							1
Insurance and condemnation threshold, 1st step down, percentage							0.50
Insurance and condemnation threshold, 2nd step down, percentage							0
Cash flow threshold, percentage							0.50
Cash flow threshold, 1st step down, percentage							0.25
Cash flow threshold, 2nd step down, percentage							0
Senior secured term loan facility | 2021 Term Loan B Facility | Secured Overnight Financing Rate (SOFR)
Debt Instrument [Line Items]
Variable rate			3.25%				2.25%
Senior secured term loan facility | 2021 Term Loan B Facility | Base Rate
Debt Instrument [Line Items]
Variable rate	1.25%	1.75%	2.25%		2.75%		1.25%
Senior secured term loan facility | 2021 Term Loan B Facility | 2021 ABL Credit Agreement
Debt Instrument [Line Items]
Interest rate							1.00%
Senior secured term loan facility | 2021 Term Loan B Facility | 2021 ABL Credit Agreement | Secured Overnight Financing Rate (SOFR)
Debt Instrument [Line Items]
Variable rate							0.50%
Senior secured term loan facility | 2021 Term Loan B Facility | 2021 ABL Credit Agreement | Fed Funds Effective Rate Overnight Index Swap Rate
Debt Instrument [Line Items]
Variable rate							0.50%
Senior secured term loan facility | Revolving Credit Facility | 2021 ABL Credit Agreement
Debt Instrument [Line Items]
Debt instrument term						5 years
Maximum borrowing capacity				$ 325,000		$ 225,000	$ 325,000
Minimum fixed charge coverage ratio							1.00	1.00
Interest rate							1.00%
Senior secured term loan facility | Revolving Credit Facility | 2021 ABL Credit Agreement | Maximum
Debt Instrument [Line Items]
Interest rate							0.00%
Senior secured term loan facility | Revolving Credit Facility | 2021 ABL Credit Agreement | Non-UT Health East Texas Borrowers
Debt Instrument [Line Items]
Maximum borrowing capacity							$ 275,000
Senior secured term loan facility | Revolving Credit Facility | 2021 ABL Credit Agreement | UT Health East Texas Borrowers
Debt Instrument [Line Items]
Maximum borrowing capacity							$ 50,000
Senior secured term loan facility | Revolving Credit Facility | 2021 ABL Credit Agreement | Fed Funds Effective Rate Overnight Index Swap Rate
Debt Instrument [Line Items]
Variable rate							0.50%