Goodwill and Intangible Assets (Narrative) (Details) - USD ($)		3 Months Ended		9 Months Ended
	Jul. 01, 2020	Sep. 30, 2020	Sep. 30, 2019	Sep. 30, 2020	Sep. 30, 2019	Dec. 31, 2019
Goodwill [Line Items]
Goodwill		$ 286,552,000		$ 286,552,000		$ 275,368,000
Adjustment of goodwill related to divestiture				1,167,000
Amortization expense		1,700,000	$ 1,800,000	$ 5,300,000	$ 4,400,000
Weighted average remaining lives of identifiable intangible assets				8 years 8 months 12 days
Personal Care [Member]
Goodwill [Line Items]
Goodwill		139,267,000		$ 139,267,000		$ 126,577,000
A Plus Health Care, Inc [Member]
Goodwill [Line Items]
Goodwill	$ 11,252,000
A Plus Health Care, Inc [Member] | Personal Care [Member]
Goodwill [Line Items]
Goodwill		11,300,000		11,300,000
General and Administrative Expense [Member]
Goodwill [Line Items]
Loss of disposal of assets		$ 300,000		$ 300,000
Trade Names [Member]
Goodwill [Line Items]
Identifiable intangible assets acquired					$ 1,400
Trade Names [Member] | A Plus Health Care, Inc [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives	15 years
Identifiable intangible assets acquired	$ 1,400,000
Minimum [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives				3 years
Minimum [Member] | Customer and Referral Relationships [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives				5 years
Maximum [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives				25 years
Maximum [Member] | Customer and Referral Relationships [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives				10 years