Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Condensed Consolidated Statements of Income [Abstract]
Net service revenues	$ 103,559	$ 100,927	$ 205,165	$ 193,529
Cost of service revenues	75,048	75,232	149,337	143,515
Gross margin	28,511	25,695	55,828	50,014
General and administrative expenses	19,006	17,744	37,879	38,565
Gain on sale of adult day services centers			(2,065)
Depreciation and amortization	1,514	1,744	3,030	3,222
Provision for doubtful accounts	2,070	1,813	4,102	3,181
Total operating expenses	22,590	21,301	42,946	44,968
Operating income	5,921	4,394	12,882	5,046
Interest income	(13)	(23)	(20)	(30)
Interest expense	2,108	686	2,759	1,112
Total interest expense, net	2,095	663	2,739	1,082
Other income	44		101
Income before income taxes	3,870	3,731	10,244	3,964
Income tax expense	1,170	1,131	3,285	1,207
Net income	$ 2,700	$ 2,600	$ 6,959	$ 2,757
Net income per common share
Basic income per share	$ 0.24	$ 0.23	$ 0.61	$ 0.25
Diluted income per share	$ 0.23	$ 0.23	$ 0.60	$ 0.25
Weighted average number of common shares and potential common shares outstanding:
Basic	11,470	11,361	11,452	11,192
Diluted	11,622	11,385	11,604	11,217