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Income Taxes - Narrative (Details)
$ in Thousands
12 Months Ended 24 Months Ended 36 Months Ended
Mar. 27, 2020
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2019
USD ($)
Jun. 30, 2019
Dec. 31, 2020
USD ($)
Sep. 30, 2020
nursing_center
Income Tax Disclosure [Line Items]              
Cumulative pre-tax income (loss) from continuing operations   $ 5,999 $ (11,780)     $ (18,526)  
Tax contingency       $ 9,500      
Cumulative loss preceding months         36 years    
Number of nursing center facilities terminated | nursing_center             10
Deferred tax assets, valuation allowance   18,934 21,855 $ 21,855   18,934  
CARES Act, tax refund received $ 1,227            
Net operating losses   5,576       5,576  
Work Opportunity Tax Credit              
Income Tax Disclosure [Line Items]              
Employment tax credit   355 $ 210        
IRS              
Income Tax Disclosure [Line Items]              
Operating loss carryforwards limited by change in ownership provisions   $ 257       $ 257