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Accrued Expenses (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Payables and Accruals [Abstract]    
Salaries and related costs $ 23,569 $ 24,646
Credit balances due to patients and payors 6,649 5,756
Group health insurance claims 1,984 2,113
Closure costs 498 1,333
Federal taxes payable 2,716 9,885
MAAPP Funds Payable 0 14,054
Contingent payment related to acquisition 1,000 0
Settlement of a legal matter 2,750 0
Other 6,539 1,959
Total 45,705 $ 59,746
Deferred employer payroll taxes - CARES ACT 4,200  
Federal income tax receivable $ 1,500