Acquisitions (Narrative) (Details) $ in Thousands					3 Months Ended
	Feb. 27, 2018 USD ($)	Jan. 01, 2018 USD ($)	Oct. 01, 2017 USD ($)	Aug. 01, 2017 USD ($) item	Mar. 31, 2018 USD ($)	Mar. 31, 2017 USD ($)
Business Acquisition [Line Items]
Net service revenues					$ 109,448	$ 101,606
New Mexico [Member]
Business Acquisition [Line Items]
Net service revenues					11,770	6,943
New York [Memebr]
Business Acquisition [Line Items]
Net service revenues					15,363	14,274
Illinois [Member]
Business Acquisition [Line Items]
Net service revenues					57,358	$ 53,988
Sun Cities Homecare [Member] | Arizona [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition			$ 2,300
Acquisition related costs			$ 200
Net service revenues					500
Net income from continuing operations					17
Options Home Care [Member] | New Mexico [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition				$ 22,600
Acquisition related costs				$ 800
Net service revenues					4,500
Net income from continuing operations					200
Options Home Care [Member] | Minimum [Member] | New Mexico [Member]
Business Acquisition [Line Items]
Number of counties under personal care services | item				20
Ambercare Corporation [Member] | New Mexico [Member]
Business Acquisition [Line Items]
Business combination purchase price of entity to be acquired	$ 40,000
Purchase price credit estimated excess cash held at closing	$ 10,600
Lifestyle Options, Inc. [Member] | Illinois [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition		$ 4,100
Acquisitions of business cash consideration		3,300
Business acquisition, contingent earn-out obligation		800
Acquisition related costs		$ 48
Net service revenues					1,500
Net income from continuing operations					$ 12