Acquisitions (Details) $ in Thousands	3 Months Ended
Mar. 31, 2019 USD ($) Operations	Mar. 31, 2018 USD ($)
Business Acquisition [Line Items]
Payments to Acquire Businesses, Gross	$ 8,928
Payments to Acquire Asset Acquisitions	5,763	$ 4,447
Note payable due to seller from business acquisition	924	$ 0
Goodwill & Indefinite-lived Intangible Assets [Member]
Business Acquisition [Line Items]
Payments to Acquire Businesses, Gross	7,101
Building and improvements
Business Acquisition [Line Items]
Payments to Acquire Asset Acquisitions	$ 5,033
Asset Acquisition [Member]
Business Acquisition [Line Items]
Number of Businesses Acquired \| Operations	2
Business Combination [Member]
Business Acquisition [Line Items]
Number of Businesses Acquired \| Operations	3

Cash paid to acquire acquisitions.

No definition available.

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+ References

No definition available.

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- Definition

The fair value of notes issued in noncash investing and financing activities.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
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- Definition

The number of businesses acquired by the entity during the period.

+ References

No definition available.

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- Definition

The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 50
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