Property and Equipment (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2021	Mar. 31, 2020	Dec. 31, 2020
Property, Plant and Equipment [Line Items]
Operating lease — right-of-use assets	$ 29,229		$ 26,074
Total property and equipment, at cost	50,484		47,532
Less accumulated depreciation	22,762		20,971
Total property and equipment, net	27,722		26,561
Depreciation	2,600	$ 2,500
ROU Assets depreciation	1,500	$ 1,400
Housekeeping and dietary equipment
Property, Plant and Equipment [Line Items]
Property and equipment, gross	13,800		13,862
Computer hardware and software
Property, Plant and Equipment [Line Items]
Property and equipment, gross	5,874		6,015
Other
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 1,581		$ 1,581