Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2017	Mar. 31, 2016
Condensed Consolidated Statements of Income [Abstract]
Net service revenues	$ 101,606	$ 92,602
Cost of service revenues	74,289	68,283
Gross profit	27,317	24,319
General and administrative expenses	20,905	22,188
Gain on sale of adult day services centers	2,065
Depreciation and amortization	1,516	1,478
Total operating expenses	20,356	23,666
Operating income	6,961	653
Interest income	(7)	(7)
Interest expense	651	426
Total interest expense, net	644	419
Other income	57
Income before income taxes	6,374	234
Income tax expense	2,115	77
Net income	$ 4,259	$ 157
Net income per common share
Basic income per share	$ 0.37	$ 0.01
Diluted income per share	$ 0.37	$ 0.01
Weighted average number of common shares and potential common shares outstanding:
Basic	11,434	11,022
Diluted	11,581	11,178