Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019
CASH FLOWS FROM OPERATING ACTIVITIES:
NET INCOME (LOSS)	$ 5,159	$ (36,063)
Loss from discontinued operations	(1,371)	(8,589)
Income (loss) from continuing operations	6,530	(27,474)
Adjustments to reconcile income (loss) from continuing operations to net cash provided by operating activities:
Depreciation and amortization	9,069	9,122
Deferred income tax provision (benefit)	(1,227)	15,421
Provision for self-insured professional liability, net of cash payments	372	4,739
Stock based and deferred compensation	570	573
Debt retirement costs	247	0
Provision for leases, net of cash payments	3,063	3,897
Amortization of right-of-use assets	23,942	21,890
Government settlement expense	0	3,100
Other	482	1,507
Changes in other assets and liabilities affecting operating activities:
Receivables	6,816	9,200
Prepaid expenses and other assets	(3,060)	(6,693)
Trade accounts payable and accrued expenses	(579)	(1,793)
Deferred income	25,900	0
Operating lease liabilities	(23,938)	(21,154)
Net cash provided by continuing operations	48,187	12,335
Net cash used in discontinued operations	(1,371)	(7,003)
Net cash provided by operating activities	46,816	5,332
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of property and equipment	(4,100)	(4,980)
Purchases of property and equipment with stimulus funds	(1,496)	0
Net cash used in continuing operations	(5,596)	(4,980)
Net cash provided by discontinued operations	0	6
Net cash used in investing activities	(5,596)	(4,974)
CASH FLOWS FROM FINANCING ACTIVITIES:
Repayment of debt and finance lease obligations	(81,864)	(12,541)
Proceeds from issuance of debt	68,485	12,500
Proceeds from stimulus funds used to purchase property and equipment	1,496	0
Financing costs	(1,228)	(333)
Issuance and redemption of employee equity awards	2	41
Net cash used in continuing operations	(13,109)	(333)
Net cash provided by (used in) discontinued operations	0	0
Net cash used in financing activities	(13,109)	(333)
NET INCREASE IN CASH	28,111	25
CASH, beginning of period	2,710	2,685
CASH, end of period	30,821	2,710
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
Cash payments of interest	4,483	5,390
Cash payments of income taxes	57	432
SUPPLEMENTAL INFORMATION ON NON-CASH INVESTING AND FINANCING TRANSACTIONS:
Acquisition of equipment through finance lease	44	483
Acquisition of operating leases through adoption of ASC Topic 842	0	389,403
Lease modification	$ 7,051	$ (48,877)