Property and Equipment (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Property, Plant and Equipment [Line Items]
Operating lease — right-of-use assets	$ 33,217	$ 26,074
Total property and equipment, at cost	54,301	47,532
Less accumulated depreciation	26,199	20,971
Property and equipment, net	28,102	26,561
Depreciation	10,300	10,100	$ 9,700
ROU Assets depreciation	6,400	5,600	$ 4,900
Housekeeping and Dietary equipment
Property, Plant and Equipment [Line Items]
Property and equipment, gross	13,468	13,862
Computer hardware and software
Property, Plant and Equipment [Line Items]
Property and equipment, gross	5,880	6,015
Other
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 1,736	$ 1,581