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Acquisitions (Narrative) (Details) - USD ($)
$ in Thousands
3 Months Ended
May 01, 2018
Apr. 01, 2018
Jan. 01, 2018
Mar. 31, 2019
Dec. 31, 2018
Mar. 31, 2018
Business Acquisition [Line Items]            
Total purchase price for business acquisition           $ 3,283
Net service revenues       $ 139,254   109,476
Net income from continuing operations       5,840   6,001
Goodwill       $ 135,399 $ 135,442  
Minimum [Member]            
Business Acquisition [Line Items]            
Intangible assets, estimated useful lives       3 years    
Maximum [Member]            
Business Acquisition [Line Items]            
Intangible assets, estimated useful lives       25 years    
Ambercare Corporation [Member]            
Business Acquisition [Line Items]            
Cash paid for acquisition $ 12,028          
Total purchase price allocation 51,622          
Goodwill 28,831          
Ambercare Corporation [Member] | Minimum [Member] | Trade Name and Customer Relationships [Member]            
Business Acquisition [Line Items]            
Intangible assets, estimated useful lives       3 years    
Ambercare Corporation [Member] | Maximum [Member] | Trade Name and Customer Relationships [Member]            
Business Acquisition [Line Items]            
Intangible assets, estimated useful lives       15 years    
Ambercare Corporation [Member] | New Mexico [Member]            
Business Acquisition [Line Items]            
Total purchase price for business acquisition 39,600          
Cash paid for acquisition $ 12,000          
Integration costs       $ 100    
Net service revenues       14,800    
Net income from continuing operations       3,400    
Arcadia Home Care And Staffing [Member]            
Business Acquisition [Line Items]            
Integration costs       100    
Total purchase price allocation   $ 18,852        
Net service revenues       10,300    
Net income from continuing operations       $ 1,300    
Total purchase price for business acquisition   18,900        
Goodwill   $ 13,072        
Arcadia Home Care And Staffing [Member] | Minimum [Member] | Trade Names, Customer Relationships and State Licenses [Member]            
Business Acquisition [Line Items]            
Intangible assets, estimated useful lives       7 years    
Arcadia Home Care And Staffing [Member] | Maximum [Member] | Trade Names, Customer Relationships and State Licenses [Member]            
Business Acquisition [Line Items]            
Intangible assets, estimated useful lives       15 years    
Affiliate Branches of Arcadia [Member]            
Business Acquisition [Line Items]            
Acquisitions of business cash consideration         600  
Goodwill         $ 600  
Lifestyle Options, Inc. [Member]            
Business Acquisition [Line Items]            
Total purchase price allocation     $ 4,130      
Goodwill     2,751      
Lifestyle Options, Inc. [Member] | Minimum [Member] | Trade Name and Customer Relationships [Member]            
Business Acquisition [Line Items]            
Intangible assets, estimated useful lives       10 years    
Lifestyle Options, Inc. [Member] | Maximum [Member] | Trade Name and Customer Relationships [Member]            
Business Acquisition [Line Items]            
Intangible assets, estimated useful lives       15 years    
Lifestyle Options, Inc. [Member] | Illinois [Member]            
Business Acquisition [Line Items]            
Net service revenues       $ 1,200    
Net income from continuing operations       $ 0    
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           $ 48,000