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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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