Property and Equipment (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Property, Plant and Equipment [Line Items]
Operating lease — right-of-use assets	$ 26,074,000	$ 21,176,000
Total property and equipment, at cost	47,532,000	60,862,000
Less accumulated depreciation	20,971,000	32,042,000
Property and equipment, net	26,561,000	28,820,000
Depreciation	10,100,000	9,700,000	$ 4,900,000
ROU Assets depreciation	5,600,000	4,900,000	$ 0
Housekeeping and Dietary equipment
Property, Plant and Equipment [Line Items]
Property and equipment, gross	13,862,000	25,219,000
Computer hardware and software
Property, Plant and Equipment [Line Items]
Property and equipment, gross	6,015,000	12,769,000
Other
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 1,581,000	$ 1,698,000