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Income Taxes - Components of Deferred Tax Assets and Liabilities Included in Consolidated Balance Sheets (Details) - USD ($) $ in Thousands	Dec. 31, 2020	Dec. 31, 2019
Deferred tax assets [Abstract]
Compensation	$ 1,865	$ 1,964
Allowance for credit losses	396	514
Acquired net operating losses	558	840
Lease obligations - including closed clinics	23,819	21,445
Deferred tax assets	26,638	24,763
Deferred tax liabilities [Abstract]
Depreciation and amortization	(12,650)	(13,195)
Operating lease right-of-use assets	(21,419)	(21,416)
Other	(348)	(223)
Deferred tax liabilities	(34,417)	(34,834)
Net deferred tax liability	$ (7,779)	$ (10,071)

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