Almost Family Merger - Additional Information (Details) - USD ($) $ in Millions		9 Months Ended
	Apr. 01, 2018	Sep. 30, 2018
Business Acquisition [Line Items]
Exchange ratio	91.50%
Shares of the Company issued	12,765,288
Transaction costs related to the Merger		$ 0.9
Almost Family
Business Acquisition [Line Items]
Exchange ratio	91.50%
Shares of the Company issued	12,800,000
Transaction costs related to the Merger		$ 27.1
Customer relationships | Almost Family
Business Acquisition [Line Items]
Amortization period	20 years