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Goodwill and Intangible Assets (Narrative) (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Aug. 01, 2019
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Jun. 01, 2019
Dec. 31, 2018
Goodwill [Line Items]              
Goodwill   $ 162,016   $ 162,016     $ 135,442
Amortization expense   1,800 $ 1,900 $ 4,400 $ 4,900    
Weighted average remaining lives of identifiable intangible assets       7 years 9 months 18 days      
Personal Care [Member]              
Goodwill [Line Items]              
Goodwill   125,027   $ 125,027     112,377
Hospice [Member]              
Goodwill [Line Items]              
Goodwill   35,261   35,261     22,200
Home Health [Member]              
Goodwill [Line Items]              
Goodwill   1,728   $ 1,728     $ 865
VIP Health Care Services [Member]              
Goodwill [Line Items]              
Goodwill           $ 10,374  
VIP Health Care Services [Member] | State Licenses [Member]              
Goodwill [Line Items]              
Intangible assets, estimated useful lives       6 years      
Finite-lived intangible assets related to acquisition       $ 10,700      
VIP Health Care Services [Member] | Customer Relationships [Member]              
Goodwill [Line Items]              
Intangible assets, estimated useful lives       8 years      
Finite-lived intangible assets related to acquisition       $ 4,700      
VIP Health Care Services [Member] | Personal Care [Member]              
Goodwill [Line Items]              
Goodwill   $ 10,400   $ 10,400      
Alliance Home Health Care [Member]              
Goodwill [Line Items]              
Goodwill $ 15,973            
Alliance Home Health Care [Member] | State Licenses [Member]              
Goodwill [Line Items]              
Intangible assets, estimated useful lives       10 years      
Finite-lived intangible assets related to acquisition 1,100     $ 5,400      
Alliance Home Health Care [Member] | Personal Care [Member]              
Goodwill [Line Items]              
Goodwill 2,100            
Alliance Home Health Care [Member] | Hospice [Member]              
Goodwill [Line Items]              
Goodwill 13,000            
Alliance Home Health Care [Member] | Home Health [Member]              
Goodwill [Line Items]              
Goodwill $ 900            
Minimum [Member]              
Goodwill [Line Items]              
Intangible assets, estimated useful lives       3 years      
Maximum [Member]              
Goodwill [Line Items]              
Intangible assets, estimated useful lives       25 years