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Property and Equipment (Narrative) (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Sep. 30, 2016
property
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Property, Plant and Equipment [Line Items]        
Property and equipment   $ 16,821 $ 17,771  
Depreciation and amortization   6,647 4,717 $ 3,830
Illinois [Member]        
Property, Plant and Equipment [Line Items]        
Number of adult day centers disposed | property 3      
Internally Developed Software [Member]        
Property, Plant and Equipment [Line Items]        
Property and equipment   2,900    
Computer Equipment and Software and Leasehold Improvements [Member]        
Property, Plant and Equipment [Line Items]        
Depreciation and amortization   $ 1,700 $ 1,700 $ 1,400