Revenue Recognition and Receivables - Disaggregation of Revenue (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019
Revenue from Contract with Customer [Abstract]
COVID-19, Medicaid funds received	$ 16,142
COVID-19 ,Hospice funds received	823
Disaggregation of Revenue [Line Items]
Total revenues	$ 475,718	$ 475,020
Total revenues, as a percent	100.00%	100.00%
Medicaid
Disaggregation of Revenue [Line Items]
Total revenues	$ 217,147	$ 222,560
Total revenues, as a percent	45.60%	46.90%
Medicare
Disaggregation of Revenue [Line Items]
Total revenues	$ 94,375	$ 80,798
Total revenues, as a percent	19.80%	17.00%
Managed Care
Disaggregation of Revenue [Line Items]
Total revenues	$ 49,708	$ 50,323
Total revenues, as a percent	10.40%	10.60%
Private Pay and other
Disaggregation of Revenue [Line Items]
Total revenues	$ 114,488	$ 121,339
Total revenues, as a percent	24.20%	25.50%