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Acquisitions (Narrative) (Details) |  |  |  |  | 3 Months Ended | 9 Months Ended |
--- | --- | --- | --- | --- | --- | --- | ---
Jul. 01, 2020 USD ($) | Oct. 01, 2019 USD ($) location $ / shares shares | Aug. 01, 2019 USD ($) | Jun. 01, 2019 USD ($) | Sep. 30, 2020 USD ($) $ / shares | Sep. 30, 2019 USD ($) shares | Sep. 30, 2020 USD ($) $ / shares | Sep. 30, 2019 USD ($) shares | Dec. 31, 2019 $ / shares
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  |  |  |  |  | $ 11,869,000 | $ 53,224,000 |
Net service revenues |  |  |  |  | $ 193,987,000 | $ 168,993,000 | 568,779,000 | 456,415,000 |
Operating income (loss) from continuing operations |  |  |  |  | $ 11,930,000 | $ 7,255,000 | $ 31,058,000 | $ 19,154,000 |
Common stock, par value | $ / shares |  |  |  |  | $ 0.001 |  | $ 0.001 |  | $ 0.001
Common Stock [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Shares issued during period | shares |  |  |  |  |  | 2,300,000 |  | 2,300,000 |
Maximum [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  |  |  | 25 years |  |
Minimum [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  |  |  | 3 years |  |
Trade Names [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  |  |  |  |  |  |  | $ 1,400 |
Customer Relationships [Member] | Maximum [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  |  |  | 10 years |  |
Customer Relationships [Member] | Minimum [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  |  |  | 5 years |  |
A Plus Health Care, Inc [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition | $ 12,200,000 |  |  |  |  |  |  |  |
Excess cash held by acquired business | $ 2,800,000 |  |  |  |  |  |  |  |
Acquisition related costs |  |  |  |  | $ 300,000 |  | $ 300,000 |  |
Net service revenues |  |  |  |  | 2,600,000 |  | 2,600,000 |  |
Operating income (loss) from continuing operations |  |  |  |  | 500,000 |  | 500,000 |  |
A Plus Health Care, Inc [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives | 15 years |  |  |  |  |  |  |  |
Identifiable intangible assets acquired | $ 1,400,000 |  |  |  |  |  |  |  |
Hospice Partners [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  | $ 135,600,000 |  |  |  |  |  |  |
Net service revenues |  |  |  |  | 13,000,000.0 |  | 40,300,000 |  |
Operating income (loss) from continuing operations |  |  |  |  | 3,500,000 |  | 9,500,000 |  |
Number of locations | location |  | 21 |  |  |  |  |  |  |
Integration costs |  |  |  |  |  |  | 1,500,000 |  |
Hospice Partners [Member] | Common Stock [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Shares issued during period | shares |  | 2,300,000 |  |  |  |  |  |  |
Common stock, par value | $ / shares |  | $ 0.001 |  |  |  |  |  |  |
Public offering price, per share | $ / shares |  | $ 79.50 |  |  |  |  |  |  |
Hospice Partners [Member] | Common Stock [Member] | Over Allotment Option [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Shares issued during period | shares |  | 300,000 |  |  |  |  |  |  |
Hospice Partners [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  | 15 years |  |  |  |  |  |  |
Identifiable intangible assets acquired |  | $ 9,500,000 |  |  |  |  |  |  |
Hospice Partners [Member] | Noncompete Agreements |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Identifiable intangible assets acquired |  | $ 2,500,000 |  |  |  |  |  |  |
Hospice Partners [Member] | Noncompete Agreements | Maximum [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  | 5 years |  |  |  |  |  |  |
Hospice Partners [Member] | Noncompete Agreements | Minimum [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  | 3 years |  |  |  |  |  |  |
Hospice Partners [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Indefinite lived intangible assets acquired |  | $ 6,100,000 |  |  |  |  |  |  |
Alliance Home Health Care [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  | $ 23,500,000 |  |  |  |  |  |
Integration costs |  |  |  |  |  | $ 300,000 | 200,000 | 300,000 |
Alliance Home Health Care [Member] | New York [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  | 3,300,000 | 3,400,000 | 12,000,000.0 | 3,400,000 |
Operating income (loss) from continuing operations |  |  |  |  | 700,000 | 800,000 | 2,700,000 | 800,000 |
Alliance Home Health Care [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  | 10 years |  |  |  |  |  |
Identifiable intangible assets acquired |  |  | $ 1,100,000 |  |  |  |  |  |
Indefinite lived intangible assets acquired |  |  | $ 4,300,000 |  |  |  |  |  |
VIP Health Care Services [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Total purchase price for business acquisition |  |  |  | $ 29,900,000 |  |  |  |  |
Acquisition related costs |  |  |  |  |  |  |  | 300,000 |
Integration costs |  |  |  |  |  | 200,000 | 200,000 | 300,000 |
VIP Health Care Services [Member] | New York [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Net service revenues |  |  |  |  | 9,700,000 | 13,200,000 | 30,500,000 | 17,600,000 |
Operating income (loss) from continuing operations |  |  |  |  | $ (400,000) | $ (400,000) | $ (1,100,000) | $ (100,000) |
VIP Health Care Services [Member] | State Licenses [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  | 6 years |  |  |  |  |
Identifiable intangible assets acquired |  |  |  | $ 10,700,000 |  |  |  |  |
VIP Health Care Services [Member] | Customer Relationships [Member] |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  | 8 years |  |  |  |  |
Identifiable intangible assets acquired |  |  |  | $ 4,700,000 |  |  |  |  |

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