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Subsequent Events (Narrative) (Details) - USD ($) $ in Thousands |  | 3 Months Ended | 12 Months Ended
--- | --- | --- | ---
Feb. 11, 2021 | Dec. 31, 2020 | Sep. 30, 2020 | Jun. 30, 2020 | Mar. 31, 2020 | Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Subsequent Event [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net service revenues |  | $ 195,996 | $ 193,987 | $ 184,576 | $ 190,216 | $ 192,376 | $ 168,993 | $ 148,915 | $ 138,507 | $ 764,775 | $ 648,791 | $ 516,647
Consumer Directed Personal Assistance Program [Member] | Subsequent Event [Member] |  |  |  |  |  |  |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Net service revenues | $ 52,000 |  |  |  |  |  |  |  |  |  |  |
Consumer Directed Personal Assistance Program [Member] | Minimum [Member] | Subsequent Event [Member] |  |  |  |  |  |  |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Estimated transition period | 6 months |  |  |  |  |  |  |  |  |  |  |
Consumer Directed Personal Assistance Program [Member] | Maximum [Member] | Subsequent Event [Member] |  |  |  |  |  |  |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |  |  |  |  |  |  |
Estimated transition period | 12 months |  |  |  |  |  |  |  |  |  |  |

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