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Acquisitions (Tables)
 12 Months Ended
Dec. 31, 2016
Business Acquisition [Line Items]  
Unaudited Pro Forma Condensed Consolidated Income Statement Information
  For the Years Ended December 31,
  (Amounts in Thousands)
    2016   2015   2014
Net service revenues $ 405,524 $ 392,887 $ 334,517
Operating income from continuing operations   14,437   20,383   19,458
Net income from continuing operations   11,409   14,135   12,893
Earnings from discontinued operations   97   270   280
Net income $ 11,506 $ 14,405 $ 13,173
Net income per common share            
Basic income per share            
Continuing operations $ 1.01 $ 1.29 $ 1.18
Discontinued operations   0.01   0.02   0.03
Basic income per share $ 1.02 $ 1.31 $ 1.21
Diluted income per share            
Continuing operations $ 1.00 $ 1.27 $ 1.16
Discontinued operations   0.01   0.02   0.03
Diluted income per share $ 1.01 $ 1.29 $ 1.19
South Shore Home Health Service, Inc and Acaring Home Care, LLC [Member]  
Business Acquisition [Line Items]  
Schedule Of Purchase Price Allocation
    Total  
    (Amounts in  
    Thousands)  
Goodwill $ 5,265  
Identifiable intangible assets   9,957  
Accounts receivable   6,807  
Other current assets   858  
Accrued liabilities   (1,593 )
Accounts payable   (1,268 )
Total purchase price allocation $ 20,026  
Five Points Healthcare of Virginia, LLC ("Five Points") [Member]  
Business Acquisition [Line Items]  
Schedule Of Purchase Price Allocation
    Total  
    (Amounts in  
    Thousands)  
Goodwill $ 2,885  
Identifiable intangible assets   920  
Accounts receivable   472  
Accrued liabilities   (155 )
Accounts payable   (7 )
Total purchase price allocation $ 4,115  

     
Priority Home Health Care, Inc [Member]  
Business Acquisition [Line Items]  
Schedule Of Purchase Price Allocation
    Total  
    (Amounts in  
    Thousands)  
Goodwill $ 1,862  
Identifiable intangible assets   1,930  
Accounts receivable   951  
Furniture, fixtures and equipment   58  
Other current assets   8  
Accrued liabilities   (339 )
Accounts payable   (220 )
Total purchase price allocation $ 4,250  
Cura Partners, LLC [Member]  
Business Acquisition [Line Items]  
Schedule Of Purchase Price Components
    Total
    (Amounts in
    Thousands)
Cash $ 7,172
Contingent earn-out obligation   1,020
Total purchase price $ 8,192
Schedule Of Purchase Price Allocation
    Total  
    (Amounts in  
    Thousands)  
Goodwill $ 4,317  
Identifiable intangible assets   3,950  
Accounts receivable   521  
Furniture, fixtures and equipment   65  
Other current assets   60  
Accrued liabilities   (553 )
Accounts payable   (168 )
Total purchase price allocation $ 8,192