Acquisitions (Narrative) (Details) - USD ($)					3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 01, 2019	May 01, 2018	Apr. 01, 2018	Jan. 01, 2018	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018	Dec. 31, 2018
Business Acquisition [Line Items]
Total purchase price for business acquisition							$ 29,808,000	$ 61,809,000
Net service revenues					$ 149,692,000	$ 131,258,000	288,946,000	240,734,000
Net income from continuing operations					7,128,000	5,563,000	$ 12,968,000	11,564,000
Minimum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives							3 years
Maximum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives							25 years
VIP Health Care Services [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition	$ 29,900,000
Acquisition related costs					200,000		$ 200,000
Integration costs					100,000		100,000
Cash paid for acquisition	110,000
Total purchase price allocation	$ 29,918,000
VIP Health Care Services [Member] | New York [Member]
Business Acquisition [Line Items]
Net service revenues					4,400,000		4,400,000
Net income from continuing operations					300,000		$ 300,000
VIP Health Care Services [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives							6 years
VIP Health Care Services [Member] | Customer Relationships [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives							8 years
Ambercare Corporation [Member]
Business Acquisition [Line Items]
Cash paid for acquisition		$ 12,028,000
Total purchase price allocation		51,622,000
Ambercare Corporation [Member] | New Mexico [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition		39,600,000
Acquisition related costs						500,000		500,000
Integration costs					100,000	100,000	$ 200,000	100,000
Net service revenues					15,700,000	9,200,000	30,600,000	9,200,000
Net income from continuing operations					3,700,000	1,800,000	$ 7,100,000	1,800,000
Cash paid for acquisition		$ 12,000,000
Ambercare Corporation [Member] | Trade Name and Customer Relationships [Member] | Minimum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives							3 years
Ambercare Corporation [Member] | Trade Name and Customer Relationships [Member] | Maximum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives							15 years
Arcadia Home Care And Staffing [Member]
Business Acquisition [Line Items]
Acquisition related costs						500,000		500,000
Net service revenues					10,900,000	10,800,000	$ 21,300,000	10,800,000
Net income from continuing operations					1,400,000	1,600,000	$ 2,700,000	1,600,000
Total purchase price allocation			$ 18,852,000
Total purchase price for business acquisition			$ 18,900,000
Arcadia Home Care And Staffing [Member] | Trade Names, Customer Relationships and State Licenses [Member] | Minimum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives							7 years
Arcadia Home Care And Staffing [Member] | Trade Names, Customer Relationships and State Licenses [Member] | Maximum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives							15 years
Lifestyle Options, Inc. [Member]
Business Acquisition [Line Items]
Total purchase price allocation				$ 4,130,000
Lifestyle Options, Inc. [Member] | Illinois [Member]
Business Acquisition [Line Items]
Net service revenues					1,300,000	1,500,000	$ 2,500,000	3,000,000
Net income from continuing operations					$ 100,000	$ 100,000	$ 100,000	$ 300,000
Total purchase price for business acquisition				4,100,000
Acquisitions of business cash consideration				3,300,000
Business acquisition, contingent earn-out obligation				$ 800,000
Contingent consideration, remeasured									$ 0
Lifestyle Options, Inc. [Member] | Trade Name and Customer Relationships [Member] | Minimum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives							10 years
Lifestyle Options, Inc. [Member] | Trade Name and Customer Relationships [Member] | Maximum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives							15 years