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Other Accrued Liabilities (Details) - USD ($)
$ in Thousands
Jun. 30, 2021
Dec. 31, 2020
Jun. 30, 2020
Payables and Accruals [Abstract]      
Quality assurance fee $ 6,455 $ 6,631  
Refunds payable 39,492 36,323  
Resident advances 4,297 8,558  
Unapplied state relief funds 5,792 6,520  
Cash held in trust for patients 7,808 6,052  
Dividends payable 2,894 2,868 $ 2,718
Property taxes 8,158 9,222  
Other 10,897 11,144  
Other accrued liabilities $ 85,793 $ 87,318