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Almost Family Merger Pro Forma Schedule (Details) - Almost Family - USD ($)
$ / shares in Units, $ in Thousands
6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Preliminary merger consideration    
Net service revenue $ 997,043 $ 896,827
Net income attributable to the Company $ 37,652 $ 29,181
Diluted earnings per share (in usd per share) $ 1 $ 1