Details of Certain Balance Sheet Accounts (Schedule of Accrued Expenses) (Details) - USD ($) $ in Thousands		3 Months Ended
		Mar. 31, 2019	Dec. 31, 2018
Current portion of operating lease liabilities		$ 5,154
Accrued health insurance	[1]	3,681	$ 3,926
Accrued professional fees		2,096	2,260
Accrued payroll taxes		1,585	769
Other		4,686	4,693
Accrued Liabilities, Current		17,202	11,648
Health insurance reimbursement and contribution due		$ 700	$ 600
Illinois [Member]
Contributions due after fund received, period		5 days

[1] The Company provides health insurance coverage to qualified union employees providing personal care services in Illinois through a Taft-Hartley multi-employer health and welfare plan under Section 302(c)(5) of the Labor Management Relations Act of 1947. The Company’s insurance contributions equal the amount reimbursed by the state of Illinois. Contributions are due within five business days from the date the funds are received from the state. Amounts due of $0.7 million and $0.6 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance as of March 31, 2019 and December 31, 2018, respectively.