Schedule of Intangible Assets and Goodwill (Details) - USD ($) $ in Thousands	Sep. 30, 2025	Dec. 31, 2024	Sep. 30, 2024	Dec. 31, 2023
Finite-Lived Intangible Assets [Line Items]
Gross	$ 130,780	$ 79,900	$ 73,900	$ 55,900
Accumulated amortization	(59,799)	(51,953)	(50,614)	(47,296)
Net carrying amount	70,981	27,947	23,286	8,604
Acquisition of lease rights		50,880		18,000
Amortization		(7,846)		(3,318)
Goodwill Including CON Licenses [Member]
Finite-Lived Intangible Assets [Line Items]
Gross	1,323	1,323	1,323	1,323
Accumulated amortization
Net carrying amount	1,323	1,323	1,323	1,323
Acquisition of lease rights
Amortization
Lease Rights [Member]
Finite-Lived Intangible Assets [Line Items]
Gross	129,457	78,577	72,577	54,577
Accumulated amortization	(59,799)	(51,953)	(50,614)	(47,296)
Net carrying amount	$ 69,658	26,624	$ 21,963	7,281
Acquisition of lease rights		50,880		18,000
Amortization		$ (7,846)		$ (3,318)

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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