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Segment Information (Summary of Revenues Disaggregated by Revenue Source) (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Segment Reporting Information [Line Items]        
Net service revenues $ 149,692 $ 131,258 $ 288,946 $ 240,734
Cost of services revenues 109,222 95,515 210,902 177,058
Gross profit 40,470 35,743 78,044 63,676
General and administrative expenses 30,222 26,495 59,479 48,032
Operating income 7,713 6,913 13,956 11,502
Operating Segments [Member]        
Segment Reporting Information [Line Items]        
General and administrative expenses 15,436 11,506 30,252 19,987
Operating income 25,034 24,237 47,792 43,689
Personal Care [Member]        
Segment Reporting Information [Line Items]        
Net service revenues 138,254 125,086 266,895 234,562
Cost of services revenues 102,829 91,843 198,825 173,386
Gross profit 35,425 33,243 68,070 61,176
Personal Care [Member] | Operating Segments [Member]        
Segment Reporting Information [Line Items]        
General and administrative expenses 13,232 10,309 25,771 18,790
Operating income 22,193 22,934 42,299 42,386
Hospice [Member]        
Segment Reporting Information [Line Items]        
Net service revenues 8,437 4,649 16,354 4,649
Cost of services revenues 4,322 2,574 8,092 2,574
Gross profit 4,115 2,075 8,262 2,075
Hospice [Member] | Operating Segments [Member]        
Segment Reporting Information [Line Items]        
General and administrative expenses 1,548 854 3,138 854
Operating income 2,567 1,221 5,124 1,221
Home Health [Member]        
Segment Reporting Information [Line Items]        
Net service revenues 3,001 1,523 5,697 1,523
Cost of services revenues 2,071 1,098 3,985 1,098
Gross profit 930 425 1,712 425
Home Health [Member] | Operating Segments [Member]        
Segment Reporting Information [Line Items]        
General and administrative expenses 656 343 1,343 343
Operating income $ 274 $ 82 $ 369 $ 82