Almost Family Merger - Additional Information (Details) - USD ($) $ in Millions		12 Months Ended
	Apr. 01, 2018	Dec. 31, 2018
Business Acquisition [Line Items]
Exchange ratio	91.50%
Shares of the Company issued (in shares)	12,765,288
Almost Family
Business Acquisition [Line Items]
Exchange ratio	91.50%
Shares of the Company issued (in shares)	12,800,000
Transaction costs related to the Merger		$ 33.0
Customer Relationships | Almost Family
Business Acquisition [Line Items]
Amortization period	20 years