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Acquisitions (Narrative) (Details)
3 Months Ended 9 Months Ended
Jul. 01, 2020
USD ($)
Oct. 01, 2019
USD ($)
location
$ / shares
shares
Aug. 01, 2019
USD ($)
Jun. 01, 2019
USD ($)
Sep. 30, 2020
USD ($)
$ / shares
Sep. 30, 2019
USD ($)
shares
Sep. 30, 2020
USD ($)
$ / shares
Sep. 30, 2019
USD ($)
shares
Dec. 31, 2019
$ / shares
Business Acquisition [Line Items]                  
Total purchase price for business acquisition             $ 11,869,000 $ 53,224,000  
Net service revenues         $ 193,987,000 $ 168,993,000 568,779,000 456,415,000  
Operating income (loss) from continuing operations         $ 11,930,000 $ 7,255,000 $ 31,058,000 $ 19,154,000  
Common stock, par value | $ / shares         $ 0.001   $ 0.001   $ 0.001
Common Stock [Member]                  
Business Acquisition [Line Items]                  
Shares issued during period | shares           2,300,000   2,300,000  
Maximum [Member]                  
Business Acquisition [Line Items]                  
Intangible assets, estimated useful lives             25 years    
Minimum [Member]                  
Business Acquisition [Line Items]                  
Intangible assets, estimated useful lives             3 years    
Trade Names [Member]                  
Business Acquisition [Line Items]                  
Identifiable intangible assets acquired               $ 1,400  
Customer Relationships [Member] | Maximum [Member]                  
Business Acquisition [Line Items]                  
Intangible assets, estimated useful lives             10 years    
Customer Relationships [Member] | Minimum [Member]                  
Business Acquisition [Line Items]                  
Intangible assets, estimated useful lives             5 years    
A Plus Health Care, Inc [Member]                  
Business Acquisition [Line Items]                  
Total purchase price for business acquisition $ 12,200,000                
Excess cash held by acquired business $ 2,800,000                
Acquisition related costs         $ 300,000   $ 300,000    
Net service revenues         2,600,000   2,600,000    
Operating income (loss) from continuing operations         500,000   500,000    
A Plus Health Care, Inc [Member] | Trade Names [Member]                  
Business Acquisition [Line Items]                  
Intangible assets, estimated useful lives 15 years                
Identifiable intangible assets acquired $ 1,400,000                
Hospice Partners [Member]                  
Business Acquisition [Line Items]                  
Total purchase price for business acquisition   $ 135,600,000              
Net service revenues         13,000,000.0   40,300,000    
Operating income (loss) from continuing operations         3,500,000   9,500,000    
Number of locations | location   21              
Integration costs             1,500,000    
Hospice Partners [Member] | Common Stock [Member]                  
Business Acquisition [Line Items]                  
Shares issued during period | shares   2,300,000              
Common stock, par value | $ / shares   $ 0.001              
Public offering price, per share | $ / shares   $ 79.50              
Hospice Partners [Member] | Common Stock [Member] | Over Allotment Option [Member]                  
Business Acquisition [Line Items]                  
Shares issued during period | shares   300,000              
Hospice Partners [Member] | Trade Names [Member]                  
Business Acquisition [Line Items]                  
Intangible assets, estimated useful lives   15 years              
Identifiable intangible assets acquired   $ 9,500,000              
Hospice Partners [Member] | Noncompete Agreements                  
Business Acquisition [Line Items]                  
Identifiable intangible assets acquired   $ 2,500,000              
Hospice Partners [Member] | Noncompete Agreements | Maximum [Member]                  
Business Acquisition [Line Items]                  
Intangible assets, estimated useful lives   5 years              
Hospice Partners [Member] | Noncompete Agreements | Minimum [Member]                  
Business Acquisition [Line Items]                  
Intangible assets, estimated useful lives   3 years              
Hospice Partners [Member] | State Licenses [Member]                  
Business Acquisition [Line Items]                  
Indefinite lived intangible assets acquired   $ 6,100,000              
Alliance Home Health Care [Member]                  
Business Acquisition [Line Items]                  
Total purchase price for business acquisition     $ 23,500,000            
Integration costs           $ 300,000 200,000 300,000  
Alliance Home Health Care [Member] | New York [Member]                  
Business Acquisition [Line Items]                  
Net service revenues         3,300,000 3,400,000 12,000,000.0 3,400,000  
Operating income (loss) from continuing operations         700,000 800,000 2,700,000 800,000  
Alliance Home Health Care [Member] | State Licenses [Member]                  
Business Acquisition [Line Items]                  
Intangible assets, estimated useful lives     10 years            
Identifiable intangible assets acquired     $ 1,100,000            
Indefinite lived intangible assets acquired     $ 4,300,000            
VIP Health Care Services [Member]                  
Business Acquisition [Line Items]                  
Total purchase price for business acquisition       $ 29,900,000          
Acquisition related costs               300,000  
Integration costs           200,000 200,000 300,000  
VIP Health Care Services [Member] | New York [Member]                  
Business Acquisition [Line Items]                  
Net service revenues         9,700,000 13,200,000 30,500,000 17,600,000  
Operating income (loss) from continuing operations         $ (400,000) $ (400,000) $ (1,100,000) $ (100,000)  
VIP Health Care Services [Member] | State Licenses [Member]                  
Business Acquisition [Line Items]                  
Intangible assets, estimated useful lives       6 years          
Identifiable intangible assets acquired       $ 10,700,000          
VIP Health Care Services [Member] | Customer Relationships [Member]                  
Business Acquisition [Line Items]                  
Intangible assets, estimated useful lives       8 years          
Identifiable intangible assets acquired       $ 4,700,000