Allowance for Doubtful Accounts - Additional Information (Details) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2025 USD ($)	Sep. 30, 2024 USD ($)	Sep. 30, 2025 USD ($) category	Sep. 30, 2024 USD ($)
Accounts, Notes, Loans and Financing Receivable [Line Items]
Bad debt expense	$ 6,882	$ 1,151	$ 64,391	$ 37,013
Interest income	800	$ 500	$ 3,100	$ 2,200
Number of tiers receivable | category			4
Genesis Healthcare, Inc.
Accounts, Notes, Loans and Financing Receivable [Line Items]
Accounts receivable	50,400		$ 50,400
Notes receivable	$ 20,400		$ 20,400
Allowance percentage	1		1
Bad debt expense	$ 2,700		$ 63,900