Schedule II - Valuation of Qualifying Accounts of Continuing Operations (Details) - USD ($) $ in Thousands	3 Months Ended	12 Months Ended
	Jun. 30, 2019	Dec. 31, 2020	Dec. 31, 2019
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Valuation allowance	$ 20,000
Professional Liability Reserve
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Balance at Beginning of Period		$ 27,390	$ 27,201
Charged to Costs and Expenses		6,919	10,435
Other		(1,625)	(3,020)
Payments		(7,940)	(7,226)
Balance at End of Period		24,744	27,390
Workers Compensation Reserve
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Balance at Beginning of Period		921	618
Charged to Costs and Expenses		1,352	400
Other		0	0
Payments		(1,234)	(97)
Balance at End of Period		1,039	921
Health Insurance Reserve
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Balance at Beginning of Period		1,810	1,396
Charged to Costs and Expenses		14,003	16,733
Other		0	0
Payments		(13,455)	(16,319)
Balance at End of Period		2,358	1,810
Deferred Tax Valuation Allowance
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Balance at Beginning of Period		21,855	228
Charged to Other Accounts		0	21,627
Payments		(2,921)	0
Balance at End of Period		$ 18,934	$ 21,855