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Goodwill and Intangible Assets Disclosure [Text Block] (Details) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended
Jan. 31, 2019
Mar. 31, 2019
Mar. 31, 2018
Dec. 31, 2018
Goodwill   $ 52,998   $ 50,697
Intangible Assets, Net (Excluding Goodwill)   14,304   $ 13,163
Amortization of Intangible Assets   $ 359 $ 361  
My1HR Acquiree Member        
Goodwill, Acquired During Period $ 2,301      
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life   17 years    
Specialty Health Segment Member        
Goodwill, Acquired During Period     2,301  
Finite-lived Intangible Assets Acquired     1,500  
Amortization of Intangible Assets   $ 359 $ 361