Income Taxes - Significant Components of Deferred Tax Assets and Liabilities (Details) - USD ($) $ in Thousands	Dec. 31, 2022	Dec. 31, 2021
Deferred Tax Assets:
Accrued other and prepaid expenses	$ 96	$ 237
Allowance for doubtful accounts	3,471	1,644
Intangible assets	7,518	9,273
Net operating loss carryforwards	1,389	4,112
Accrued professional liability claims	1,118	1,335
Accrued workers’ compensation claims	3,631	3,097
Share-based compensation	992	840
Operating lease liabilities	2,228	3,790
Credit carryforwards	1	41
Other	630	505
Gross deferred tax assets	21,074	24,874
Valuation allowance	(2)	(20)
Deferred tax assets	21,072	24,854
Deferred Tax Liabilities:
Depreciation	(1,411)	(1,515)
Indefinite-lived intangibles	(11,829)	(9,993)
Operating lease right-of-use assets	(740)	(1,821)
Tax on unrepatriated earnings	(247)	(190)
Deferred tax liabilities	(14,227)	(13,519)
Net deferred taxes	$ 6,845	$ 11,335