Acquisitions Acquisitions Intangible Assets (Details) $ in Thousands	Dec. 31, 2025 USD ($)
Intangible Asset, Acquired, Finite-Lived [Line Items]
Business Combination, Goodwill	$ 97,800
Current Year Acquisition [Member]
Intangible Asset, Acquired, Finite-Lived [Line Items]
Business Combination, Recognized Liability Assumed, Liability, Current	2,369
Business Combination, Deferred revenue and deferred receipts held in trust	55,806
Top Two Acquisitions
Intangible Asset, Acquired, Finite-Lived [Line Items]
Business Combination, Recognized Asset Acquired, Other Asset, Current	2,201
Business Combination, Recognized Asset Acquired, Property, Plant, and Equipment	51,259
Business Combination, Deferred charges and other assets	340
Business Combination, Goodwill	97,768
Business Combination, Recognized Liability Assumed, Liability	83,305
Business Acquisition, Care trusts' corpus	9,223
Business Combination, Recognized Liability Assumed, Other Liability, Noncurrent	476
Business Combination, Recognized Asset Acquired to Liability Assumed, Excess (Less)	$ 120,647
Minimum [Member]
Intangible Asset, Acquired, Finite-Lived [Line Items]
Finite-Lived Intangible Assets, Useful Life	5 years
Minimum [Member] | Customer Relationships [Member]
Intangible Asset, Acquired, Finite-Lived [Line Items]
Finite-Lived Intangible Assets, Useful Life	10 years
Minimum [Member] | Noncompete Agreements [Member]
Intangible Asset, Acquired, Finite-Lived [Line Items]
Finite-Lived Intangible Assets, Useful Life	1 year
Minimum [Member] | Trade Names [Member]
Intangible Asset, Acquired, Finite-Lived [Line Items]
Finite-Lived Intangible Assets, Useful Life	5 years
Maximum [Member]
Intangible Asset, Acquired, Finite-Lived [Line Items]
Finite-Lived Intangible Assets, Useful Life	89 years
Maximum [Member] | Customer Relationships [Member]
Intangible Asset, Acquired, Finite-Lived [Line Items]
Finite-Lived Intangible Assets, Useful Life	20 years
Maximum [Member] | Noncompete Agreements [Member]
Intangible Asset, Acquired, Finite-Lived [Line Items]
Finite-Lived Intangible Assets, Useful Life	15 years
Maximum [Member] | Trade Names [Member]
Intangible Asset, Acquired, Finite-Lived [Line Items]
Finite-Lived Intangible Assets, Useful Life	89 years