National Mentor (NMH) 10-Q 17 Feb 15 2015 Q1 Quarterly report Financial data

Document_and_Entity_Informatio

Document and Entity Information	3 Months Ended
	Dec. 31, 2014	Feb. 17, 2015
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	FALSE
Document Period End Date	31-Dec-14
Document Fiscal Year Focus	2015
Document Fiscal Period Focus	Q1
Trading Symbol	NMH
Entity Registrant Name	NATIONAL MENTOR HOLDINGS, INC.
Entity Central Index Key	1338690
Current Fiscal Year End Date	-21
Entity Filer Category	Non-accelerated Filer
Entity Common Stock, Shares Outstanding		100

Condensed_Consolidated_Balance

Condensed Consolidated Balance Sheets (USD $)	Dec. 31, 2014	Sep. 30, 2014
In Thousands, unless otherwise specified
Current assets:
Cash and cash equivalents	$5,058	$196,022
Restricted cash	2,421	1,944
Accounts receivable, net of allowances of $12,198 and $11,491 at December 31, 2014 and September 30, 2014	146,993	141,376
Deferred tax assets, net	18,176	18,176
Prepaid expenses and other current assets	19,183	15,265
Total current assets	191,831	372,783
Property and equipment, net	159,996	159,486
Intangible assets, net	328,484	327,726
Goodwill	259,829	257,730
Restricted cash	50,000	50,000
Other assets	39,971	39,258
Total assets	1,030,111	1,206,983
Current liabilities:
Accounts payable	20,601	22,350
Accrued payroll and related costs	75,295	84,176
Other accrued liabilities	45,182	48,963
Obligations under capital lease, current	462	451
Current portion of long-term debt	6,000	168,000
Total current liabilities	147,540	323,940
Other long-term liabilities	70,225	69,314
Deferred tax liabilities, net	69,597	70,841
Obligations under capital lease, less current portion	5,938	6,058
Long-term debt, less current portion	637,367	635,195
Commitments and contingencies (Note 13)
Stockholder's Equity
Common stock, $0.01 par value; 1,000 shares authorized; and 100 shares issued and outstanding at December 31, 2014 and September 30, 2014, respectively	0	0
Additional paid-in capital	218,077	216,917
Accumulated deficit	-118,633	-115,282
Total stockholder's equity	99,444	101,635
Total liabilities and stockholder's equity	$1,030,111	$1,206,983

Condensed_Consolidated_Balance1

Condensed Consolidated Balance Sheets (Parenthetical) (USD $)	Dec. 31, 2014	Sep. 30, 2014
In Thousands, except Share data, unless otherwise specified
Statement of Financial Position [Abstract]
Allowances for accounts receivable	$12,198	$11,491
Common stock, par value	$0.01	$0.01
Common stock, shares authorized	1,000	1,000
Common stock, shares issued	100	100
Common stock, shares outstanding	100	100

Consolidated_Statements_of_Ope

Consolidated Statements of Operations (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013
Income Statement [Abstract]
Net revenue	$334,590	$303,992
Cost of revenue (exclusive of depreciation expense shown below)	257,558	238,691
Operating expenses:
General and administrative	40,308	36,251
Depreciation and amortization	17,210	15,926
Total operating expenses	57,518	52,177
Income from operations	19,514	13,124
Other income (expense):
Management fee of related party	-162	-345
Other income, net	140	387
Extinguishment of debt	-14,343
Interest expense	-10,905	-19,501
Loss from continuing operations before income taxes	-5,756	-6,335
Benefit for income taxes	-2,460	-1,652
Loss from continuing operations	-3,296	-4,683
Loss from discontinued operations, net of tax	-55	-7
Net loss	($3,351)	($4,690)

Consolidated_Statements_of_Com

Consolidated Statements of Comprehensive Loss (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013
Statement of Comprehensive Income [Abstract]
Net loss	($3,351)	($4,690)
Other comprehensive income (loss), net of tax:
Gain on derivative instrument classified as cash flow hedge, including a tax effect for the three months ended December 31, 2013 of $310		466
Comprehensive loss	($3,351)	($4,224)

Consolidated_Statements_of_Com1

Consolidated Statements of Comprehensive Loss (Parenthetical) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013
Statement of Comprehensive Income [Abstract]
Tax effects of changes in unrealized gain on derivatives	$310

Consolidated_Statements_of_Cas

Consolidated Statements of Cash Flows (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013
Operating activities:
Net loss	($3,351)	($4,690)
Adjustments to reconcile net loss to net cash (used in) provided by operating activities:
Accounts receivable allowances	4,294	3,840
Depreciation of property and equipment	7,831	6,636
Amortization of intangible assets	9,445	9,429
Amortization and write-off of original issue discount and initial purchasers discount	3,672	734
Amortization and write-off of financing costs	1,522	719
Stock-based compensation	1,160	20
Deferred income taxes	-1,244	-1,238
Loss on disposal of assets	65	18
Changes in operating assets and liabilities:
Accounts receivable	-9,911	-2,912
Other assets	-6,153	-5,851
Accounts payable	-1,236	-8,191
Accrued payroll and related costs	-8,881	-2,177
Other accrued liabilities	-3,781	10,339
Other long-term liabilities	911	3,440
Net cash (used in) provided by operating activities	-5,657	10,116
Investing activities:
Cash paid for acquisitions, net of cash received	-12,518	-1,240
Purchases of property and equipment	-8,886	-6,023
Changes in restricted cash	-477	-468
Proceeds from sale of assets	183	390
Net cash used in investing activities	-21,698	-7,341
Financing activities:
Repayments of long-term debt	-163,500	-1,400
Proceeds from borrowings under senior revolver	2,500	2,500
Repayments of borrowings under senior revolver	-2,500	-2,500
Repayments of capital lease obligations	-109	-101
Net cash used in financing activities	-163,609	-1,501
Net (decrease) increase in cash and cash equivalents	-190,964	1,274
Cash and cash equivalents at beginning of period	196,022	19,315
Cash and cash equivalents at end of period	5,058	20,589
Supplemental disclosure of cash flow information
Cash paid for interest	10,783	10,050
Cash paid for income taxes	113	86
Supplemental disclosure of non-cash investing activities:
Accrued property and equipment	$451	$459

Business_Overview

Business Overview	3 Months Ended
	Dec. 31, 2014
Accounting Policies [Abstract]
Business Overview	1. Business Overview
	National Mentor Holdings, Inc., through its wholly-owned subsidiaries (collectively, the “Company”), is a leading provider of home- and community-based health and human services to individuals with intellectual and/or developmental disabilities, acquired brain injury and other catastrophic injuries and illnesses; and to youth with emotional, behavioral and/or medically complex challenges. Since the Company’s founding in 1980, the Company’s operations have grown to 35 states. The Company provides residential services to over 12,600 clients and more than 16,900 clients receive periodic services from the Company in non-residential settings.
	The Company designs customized service plans to meet the unique needs of its clients, which it delivers in home- and community-based settings. Most of the Company’s service plans involve residential support, typically in small group homes, host home settings, or specialized community facilities, designed to improve the clients’ quality of life and to promote their independence and participation in community life. Other services offered include supported living, day and transitional programs, vocational services, case management, family-based and outpatient therapeutic services, post-acute treatment and neurorehabilitation, neurobehavioral rehabilitation and physical, occupational and speech therapies, among others. The Company’s customized service plans offer its clients as well as the payors of these services, an attractive, cost-effective alternative to health and human services provided in large, institutional settings.
	National Mentor Holdings, Inc. is an indirect, wholly-owned subsidiary of Civitas Solutions, Inc. (“Civitas”). Civitas is a subsidiary of NMH Investment, LLC (“NMH Investment”), which was formed in connection with the acquisition of our business by affiliates of Vestar Capital Partners (“Vestar”) in 2006. The equity interests of NMH Investment are owned by Vestar and certain of our executive officers and directors and other members of management. On September 22, 2014, Civitas completed an initial public offering (the “IPO”) of its common stock and became a reporting company under the Securities Exchange Act of 1934, as amended.

Significant_Accounting_Policie

Significant Accounting Policies	3 Months Ended
	Dec. 31, 2014
Accounting Policies [Abstract]
Significant Accounting Policies	2. Significant Accounting Policies
	Basis of Presentation
	The accompanying unaudited condensed consolidated financial statements have been prepared by the Company in accordance with generally accepted accounting principles (“GAAP”) for interim financial information and pursuant to the applicable rules and regulations of the Securities and Exchange Commission (“SEC”). Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. The unaudited condensed consolidated financial statements herein should be read in conjunction with the Company’s audited consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2014, which is on file with the SEC. In the opinion of management, the accompanying unaudited condensed consolidated financial statements contain all adjustments, consisting of normal and recurring accruals, necessary to present fairly the financial statements in accordance with GAAP. Intercompany balances and transactions between the Company and its subsidiaries have been eliminated in consolidation. Operating results for the three months ended December 31, 2014 may not necessarily be indicative of results to be expected for any other interim period or for the full year.
	The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates.
	Our financial results are affected by the selection and application of accounting policies and methods. There were no material changes in the three months ended December 31, 2014 to the application of significant accounting policies as described in our audited financial statements for the year ended September 30, 2014.

Recent_Accounting_Pronouncemen

Recent Accounting Pronouncements	3 Months Ended
	Dec. 31, 2014
Accounting Changes and Error Corrections [Abstract]
Recent Accounting Pronouncements	3. Recent Accounting Pronouncements
	Reporting Discontinued Operations—In April 2014, the FASB issued Accounting Standards Update No. 2014-08, Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity (“ASU 2014-08”). ASU 2014-08 changes the definition of a discontinued operation to include only those disposals of components of an entity that represent a strategic shift that has (or will have) a major effect on an entity’s operations and financial results, and changes the criteria and enhances disclosures for reporting discontinued operations. The pronouncement is applied prospectively, and was effective for the first quarter of our fiscal year ending September 30, 2015. The adoption has not had an impact on the Company’s consolidated financial statements; however, it is expected that it will significantly limit the classification of future disposals of components as discontinued operations.
	Revenue from Contracts with Customers— In May 2014, the FASB issued Accounting Standards Update No. 2014-09, Revenue from Contracts with Customers (ASU 2014-09), which supersedes nearly all existing revenue recognition guidance under U.S. GAAP. The core principle of ASU 2014-09 is to recognize revenues when promised goods or services are transferred to customers in an amount that reflects the consideration to which an entity expects to be entitled for those goods or services. ASU 2014-09 defines a five step process to achieve this core principle and, in doing so, more judgment and estimates may be required within the revenue recognition process than are required under existing U.S. GAAP. The standard is effective for annual periods beginning after December 15, 2016, and interim periods therein, using either of the following transition methods: (i) a full retrospective approach reflecting the application of the standard in each prior reporting period with the option to elect certain practical expedients, or (ii) a retrospective approach with the cumulative effect of initially adopting ASU 2014-09 recognized at the date of adoption (which includes additional footnote disclosures). The Company is evaluating the effect that ASU 2014-09 will have on its consolidated financial statements and related disclosures. The Company has not yet selected a transition method.

LongTerm_Debt

Long-Term Debt	3 Months Ended
	Dec. 31, 2014
Debt Disclosure [Abstract]
Long-Term Debt	4. Long-Term Debt
	As of December 31, 2014 and September 30, 2014, the Company’s long-term debt consisted of the following:
	(in thousands)	December 31,			September 30,
		2014			2014
	Term loan principal and interest due in quarterly installments through January 31, 2021, subject to acceleration to November 15, 2017	$	595,500		$	597,000
	Original issue discount on term loan, net of accumulated amortization		(1,136	)		(1,235	)
	Senior notes, due February 15, 2018; semi-annual cash interest payments due each February 15th and August 15th (interest rate of 12.50%)		50,000			212,000
	Original issue discount and initial purchaser discount on senior notes, net of accumulated amortization		(997	)		(4,570	)
			643,367			803,195
	Less current portion		6,000			168,000
	Long-term debt	$	637,367		$	635,195
	Senior Secured Credit Facilities
	On January 31, 2014, NMHI and NMH Holdings, LLC entered into a new senior credit agreement (the “senior credit agreement”) with Barclays Bank PLC, as administrative agent, and the other agents and lenders named therein, for the new senior secured credit facilities (the “senior secured credit facilities”), consisting of a $600.0 million term loan facility (the “term loan facility”), of which $50.0 million was deposited in a cash collateral account in support of issuance of letters of credit under an institutional letter of credit facility (the “institutional letter of credit facility”), and a $100.0 million senior secured revolving credit facility (the “senior revolver”).
	Term loan
	As of December 31, 2014 and September 30, 2014, the Company had $595.5 million and $597.0 million, respectively, of borrowings under the term loan. At December 31, 2014, the variable interest rate on the term loan was 4.25%. At September 30, 2014, the variable interest rate on the term loan was 4.75%.
	Senior revolver
	During the three months ended December 31, 2014, the Company had borrowings and repayments of $2.5 million on the senior revolver. At December 31, 2014 and September 30, 2014, the Company had no outstanding borrowings under the senior revolver.
	At September 30, 2014, the Company had $100.0 million of available credit under the senior revolver. On October 21, 2014, the Company increased the revolving commitment under the senior revolver by $20.0 million, on terms identical to those applicable to the existing senior revolver. At December 31, 2014, the Company had $119.1 million of available credit under the senior revolver.
	The Company had $48.4 million and $44.3 million of standby letters of credit issued under the institutional letter of credit facility primarily related to the Company’s workers’ compensation insurance coverage at December 31, 2014 and September 30, 2014, respectively. The Company also issued $0.9 million of standby letters of credit under the senior revolver at December 31, 2014. The Company’s institutional letter of credit facility provided for the issuance of letters of credit up to the $50.0 million limit, subject to certain maintenance and issuance limitations, and letters of credit in excess of that amount reduced availability under the Company’s senior revolver. The interest rate for borrowings under the senior revolver was 5.5% and 6.0% as of December 31, 2014 and September 30, 2014, respectively.
	The senior revolver includes borrowing capacity available for borrowings on same-day notice, referred to as the “swingline loans.” Any swingline loans or other borrowings under the senior revolver would have maturities less than one year, and would be reflected under current portion of long-term debt on the Company’s consolidated balance sheets.
	Senior Notes
	In February 2011, the Company issued $250.0 million of 12.5% senior notes due 2018 (the “senior notes”). As of September 30, 2014, the Company had $212.0 million of aggregate principal amount of senior notes outstanding. On October 17, 2014, the Company paid $175.6 million to redeem $162.0 million in aggregate principal of senior notes plus accrued interest of $3.5 million using proceeds from the Civitas initial public offering. In accordance with the provisions of the indenture governing the senior notes, the amount paid included an associated call premium of $10.1 million. As a result of this redemption, the company expensed deferred financing fees of $0.8 million, original issue discount of $3.4 million, and the call premium of $10.1 million resulting in $14.3 million of expense reflected in extinguishment of debt in the statement of operations. As of December 31, 2014, the Company had $50.0 million of aggregate principal amount of senior notes outstanding.
	On February 2, 2015, the Company issued a conditional notice of redemption for all of its outstanding senior notes. The Company intends to refinance the remaining outstanding senior notes as market conditions permit. If the refinancing is successful, the senior notes would be retired on March 4, 2015.
	Covenants
	The senior credit agreement and the indenture governing the senior notes contain negative financial and non-financial covenants, including, among other things, limitations on the ability of the Company and its subsidiaries to incur additional debt, create liens on assets, transfer or sell assets, pay dividends, redeem stock or make other distributions or investments, and engage in certain transactions with affiliates.
	In addition, the senior credit agreement contains a springing financial covenant. If, at the end of any fiscal quarter, the Company’s usage of the senior revolver exceeds 30% of the commitments thereunder, it is required to maintain at the end of each such fiscal quarter a consolidated first lien leverage ratio of not more than 5.50 to 1.00. This consolidated first lien leverage ratio will step down to 5.00 to 1.00 commencing with the fiscal quarter ending March 31, 2017. The springing financial covenant was not in effect as of December 31, 2014 or September 31, 2014 as Company’s usage of the senior revolver did not exceed the threshold for that quarter.
	The senior credit agreement also contains a number of covenants that, among other things, restrict, subject to certain exceptions, Company’s ability and that of its subsidiaries to: (i) incur additional indebtedness; (ii) create liens on assets; (iii) engage in mergers or consolidations; (iv) sell assets; (v) pay dividends and distributions or repurchase our capital stock; (vi) enter into swap transactions; (vii) make investments, loans or advances; (viii) repay certain junior indebtedness; (ix) engage in certain transactions with affiliates; (x) enter into sale and leaseback transactions; (xi) amend material agreements governing certain of its junior indebtedness; (xii) change its lines of business; (xiii) make certain acquisitions; and (xiv) limitations on the letter of credit cash collateral account. If the Company withdraws any of the $50.0 million from the cash collateral account supporting the issuance of letters of credit, it must use the cash to either prepay the term loan facility or to secure any other obligations under the senior secured credit facilities in a manner reasonably satisfactory to the administrative agent. The senior credit agreement contains customary affirmative covenants and events of default.
	Derivatives
	The Company entered into an interest rate swap in a notional amount of $400.0 million effective March 31, 2011, which expired on September 30, 2014. The Company accounted for the interest rate swap as a cash flow hedge and the effectiveness of the hedge relationship was assessed on a quarterly basis. The fair value of the swap agreement, representing the price that would be paid to transfer the liability in an orderly transaction between market participants, was $2.4 million or $1.5 million after taxes, at December 31, 2013. The fair value was recorded in current liabilities and was determined based on pricing models and independent formulas using current assumptions. The change in fair market value of $0.5 million, including a tax effect of $0.3 million, was recorded in the consolidated statements of comprehensive loss for the three months ended December 31, 2013.
	On January 20, 2015, the Company entered into two new interest rate swap agreements in an aggregate notional amount of $375.0 million in order to reduce the variability of cash flows of our variable rate debt. The Company entered into these interest rate swaps to hedge the risk of changes in the floating rate of interest on borrowings under the term loan. Under the terms of the swaps, the Company will receive from the counterparty a quarterly payment based on a rate equal to the greater of 3-month LIBOR or 1.00% per annum, and the Company will make payments to the counterparty based on a fixed rate of 1.795% per annum, in each case on the notional amount of $375.0 million, settled on a net payment basis.

Stockholders_Equity

Stockholder's Equity	3 Months Ended
	Dec. 31, 2014
Equity [Abstract]
Stockholder's Equity	5. Stockholder’s Equity
	Common Stock
	The holders of the Company’s common stock are entitled to receive dividends when and as declared by the Company’s Board of Directors. In addition, the holders of common stock are entitled to one vote per share. All of the outstanding shares of common stock are held by National Mentor Holdings, LLC.

Business_Combinations

Business Combinations	3 Months Ended
	Dec. 31, 2014
Business Combinations [Abstract]
Business Combinations	6. Business Combinations
	The operating results of the businesses acquired are included in the consolidated statements of operations from the date of acquisition. The Company accounted for the acquisitions under the purchase method of accounting and, as a result, the purchase price was allocated to the assets acquired and liabilities assumed based upon their respective fair values. The excess of the purchase price over the estimated fair value of net tangible assets was allocated to specifically identified intangible assets, with the residual being allocated to goodwill.
	Fiscal 2015 Acquisitions
	During the three months ended December 31, 2014, the Company acquired certain assets of three companies complementary to its business for a total fair value consideration of $12.5 million.
	Capstone Services, LLC (“Capstone”). On October 31, 2014, the Company acquired the assets of Capstone for $4.5 million. Capstone is located in Minnesota and provides residential and home-based supportive living services to individuals with developmental disabilities. As a result of this acquisition, the Company recorded $0.8 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $3.5 million of intangible assets which included $2.6 million of agency contracts with a weighted average useful life of 12 years, $0.8 million of licenses and permits with a weighted average useful life of 10 years, and $0.1 million of non-compete/non-solicit agreement with a useful life of 5 years. In addition, the Company acquired total tangible assets of $0.2 million.
	Lakeview Systems (“Lakeview”). On December 29, 2014, the Company acquired certain assets of Lakeview’s New Hampshire programs for $8.0 million. Lakeview provides community-based residential services for individuals with brain injuries. Based on the estimated fair values of the net assets acquired at the date of acquisition, the Company recorded $1.3 million of goodwill in the Post-acute Specialty Rehabilitation Services segment, which is expected to be deductible for tax purposes. The Company acquired $6.7 million of intangible assets which included $6.0 million of agency contracts with a weighted average useful life of 12 years, $0.7 million of licenses and permits with a weighted average useful life of 10 years, and $31 thousand of non-compete/non-solicit agreement with a useful life of 5 years. In addition, the Company acquired total tangible assets of $40 thousand.
	Other Acquisitions. During fiscal 2015, the Company acquired the assets of Kessel Group Home, Inc. This acquisition is in the business of providing group home and related services to individuals with developmental disabilities and is included in our Human Services segment. Total cash consideration for this company was $60.6 thousand of which $57.3 thousand was recorded to goodwill and $3.3 thousand was recorded to tangible assets.
	The following table summarizes the recognized amounts of identifiable assets acquired assumed at the date of each acquisition:
	(in thousands)	Identifiable		Property and		Total identifiable		Goodwill
		intangible		equipment		net assets
		assets
	Capstone	$	3,539	$	173	$	3,712	$	762
	Lakeview		6,664		40		6,704		1,280
	Other Acquisitions		—		3		3		57
	Total	$	10,203	$	216	$	10,419	$	2,099
	Pro forma Results of Operations
	The following table presents the unaudited pro forma financial results as if the fiscal 2015 acquisitions had occurred on the first day of the period presented. The pro forma information presented below does not intend to indicate what the Company’s results of operations would have been if the acquisitions had in fact occurred at the beginning of the earliest period presented nor does it intend to be a projection of the impact on future results or trends. The Company has determined that the presentation of the results of operations for each of these acquisitions, from the date of acquisition, is impracticable due to the integration of the operations upon acquisition.
		Three Months Ended
		December 31,
	(in thousands)	2014		2013
	Pro forma net revenues	$	336,928	$	307,701
	Income from operations		20,087		13,945
	Fiscal 2014 Acquisitions
	During the three months ended December 31, 2013, the Company acquired one company complementary to its business in the Human Services segment for a total cash consideration of $1.2 million.
	Show-Me Health Care, Inc. (“Show-Me Health Care”). On November 29, 2013, the Company acquired the assets of Show-Me Health Care for $1.2 million. Show-Me Health Care is located in Missouri and provides community-based supportive living services to individuals with developmental disabilities. As a result of this acquisition, the Company recorded $0.3 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $0.9 million of intangible assets which included $0.7 million of agency contracts with a weighted average useful life of 12 years, $0.2 million of licenses and permits with a weighted average useful life of 10 years, and $14 thousand of non-compete/non-solicit agreement with a useful life of 5 years.
	The following table summarizes the recognized amounts of identifiable assets acquired assumed at the date of the acquisition:
	(in thousands)	Identifiable		Property and		Total identifiable		Goodwill
		intangible		equipment		net assets
		assets
	Show-Me Health Care	$	895	$	9	$	904	$	336
	Total	$	895	$	9	$	904	$	336

Goodwill_and_Intangible_Assets

Goodwill and Intangible Assets	3 Months Ended
	Dec. 31, 2014
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets	7. Goodwill and Intangible Assets
	Goodwill
	The changes in goodwill for the three months ended December 31, 2014 are as follows (in thousands):
		Human		Post -Acute		Total
		Services		Specialty
				Rehabilitation
				Services
		(in thousands)
	Balance as of September 30, 2014	$	190,756	$	66,974	$	257,730
	Goodwill acquired through acquisitions		819		1,280		2,099
	Balance as of December 31, 2014	$	191,575	$	68,254	$	259,829
	Intangible Assets
	Intangible assets consist of the following as of December 31, 2014 (in thousands):
	Description	Weighted		Gross		Accumulated		Intangible
		Average		Carrying		Amortization		Assets,
		Remaining Life		Value				Net
	Agency contracts		8 years	$	493,598	$	232,109	$	261,489
	Non-compete/non-solicit		3 years		5,881		2,711		3,170
	Relationship with contracted caregivers		2 years		10,963		9,285		1,678
	Trade names		2 years		4,067		3,034		1,033
	Trade names (indefinite life)		—		45,800		—		45,800
	Licenses and permits		3 years		49,063		33,932		15,131
	Intellectual property		1 year		904		721		183
				$	610,276	$	281,792	$	328,484
	Intangible assets consist of the following as of September 30, 2014 (in thousands):
	Description	Weighted		Gross		Accumulated		Intangible
		Average		Carrying		Amortization		Assets,
		Remaining Life		Value				Net
	Agency contracts		8 years	$	484,994	$	224,566	$	260,428
	Non-compete/non-solicit		3 years		5,716		2,448		3,268
	Relationship with contracted caregivers		2 years		10,963		9,013		1,950
	Trade names		4 years		7,467		2,907		4,560
	Trade names (indefinite life)		—		42,400		—		42,400
	Licenses and permits		3 years		47,629		32,724		14,905
	Intellectual property		2 years		904		689		215
				$	600,073	$	272,347	$	327,726
	Amortization expense was $9.4 million for the three months ended December 31, 2014 and 2013.
	The estimated remaining amortization expense related to intangible assets with finite lives for the nine months remaining in fiscal 2015 and each of the four succeeding years and thereafter is as follows:
	(in thousands)
	2015	$	28,822
	2016		36,623
	2017		32,571
	2018		31,679
	2019		31,340
	Thereafter		121,649
	Total	$	282,684

Related_Party_Transactions

Related Party Transactions	3 Months Ended
	Dec. 31, 2014
Related Party Transactions [Abstract]
Related Party Transactions	8. Related Party Transactions
	Management Agreement
	On February 9, 2011, the Company entered into an amended and restated management agreement with Vestar Capital Partners V, L.P. (“Vestar”) relating to certain advisory and consulting services for an annual management fee equal to the greater of (i) $850 thousand or (ii) an amount equal to 1.0% of the Company’s consolidated earnings before interest, taxes, depreciation, amortization and management fee for each fiscal year determined as set forth in the Company’s senior credit agreement.
	The Company recorded $0.2 million and $0.3 million of management fees and expenses for the three months ended December 31, 2014 and 2013, respectively. The $0.2 million of expense during the three months ended December 31, 2014 relates to reimbursable expenses that were incurred prior to the termination of the management agreement on September 22, 2014. The accrued liability relating to such fees and expenses was $0.6 million at September 30, 2014 and $0.2 million at December 31, 2014.
	Lease Agreements
	The Company leases several offices, homes and other facilities from its employees, or from relatives of employees, primarily in the states of Minnesota, Florida, and California. These leases have various expiration dates extending out as far as December 2019. Related party lease expense was $0.2 million for the three months ended December 31, 2014, as compared to $0.3 for the three months ended December 31, 2013.
	Intercompany Payables
	At December 31, 2014 and September 30, 2014, the Company had $1.3 million and $2.6 million of payables due to Civitas, respectively.

Fair_Value_Measurements

Fair Value Measurements	3 Months Ended
	Dec. 31, 2014
Fair Value Disclosures [Abstract]
Fair Value Measurements	9. Fair Value Measurements
	The Company measures and reports its financial assets and liabilities on the basis of fair value. Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date.
	A three-level hierarchy for disclosure has been established to show the extent and level of judgment used to estimate fair value measurements, as follows:
	Level 1: Quoted market prices in active markets for identical assets or liabilities.
	Level 2: Significant other observable inputs (quoted prices in active markets for similar assets or liabilities, quoted prices for identical or similar assets or liabilities in markets that are not active, or inputs other than quoted prices that are observable for the asset or liability).
	Level 3: Significant unobservable inputs for the asset or liability. These values are generally determined using pricing models which utilize management estimates of market participant assumptions.
	Valuation techniques for assets and liabilities measured using Level 3 inputs may include methodologies such as the market approach, the income approach or the cost approach, and may use unobservable inputs such as projections, estimates and management’s interpretation of current market data. These unobservable inputs are only utilized to the extent that observable inputs are not available or cost-effective to obtain.
	A description of the valuation methodologies used for instruments measured at fair value as well as the general classification of such instruments pursuant to the valuation hierarchy, is set forth below.
	The following table sets forth the Company’s assets and liabilities that were accounted for at fair value on a recurring basis as of December 31, 2014.
	(in thousands)	Total			Quoted		Significant Other		Significant
					Market Prices		Observable		Unobservable
					(Level 1)		Inputs		Inputs
							(Level 2)		(Level 3)
	Liabilities
	Contingent consideration	$	(2,400	)	$	—	$	—	$	(2,400	)
	The following table sets forth the Company’s assets and liabilities that were accounted for at fair value on a recurring basis as of September 30, 2014.
	(in thousands)	Total			Quoted		Significant Other		Significant
					Market Prices		Observable		Unobservable
					(Level 1)		Inputs		Inputs
							(Level 2)		(Level 3)
	Assets
	Money Market Funds	$	130,000		$	130,000	$	—	$	—
	Liabilities
	Contingent consideration	$	(2,400	)	$	—	$	—	$	(2,400	)
	Money Market Funds. The Company’s money market funds are classified within Level 1 of the fair value hierarchy because they are valued using quoted prices in active markets for identical instruments.
	Contingent Consideration. In connection with the acquisition of Mass Adult Day Health (“Adult Day Health”), the Company recorded contingent consideration pertaining to the amounts potentially payable to the former owners of Adult Day Health. Such contingent consideration is measured at fair value and is based on significant inputs not observable in the market, which represent Level 3 inputs within the fair value hierarchy. The valuation of contingent consideration uses assumptions the Company believes would be made by a market participant. The Company assesses these estimates on an ongoing basis as additional data impacting the assumptions is obtained. Changes in the fair value of contingent consideration related to updated assumptions and estimates are recognized within the consolidated statements of operations.
	The following table presents a summary of changes in fair value of the Company’s Level 3 liabilities measured on a recurring basis for the three months ended December 31, 2014.
		3 months ended
		December 31, 2014
	Balance at September 30, 2014	$	(2,400	)
	Change in fair value of contingent consideration liability		—
	Balance at December 31, 2014	$	(2,400	)
	At December 31, 2014 and September 30, 2014, the carrying values of cash, accounts receivable, accounts payable and variable rate debt approximated fair value. The carrying value and fair value of the Company’s fixed rate debt instruments are set forth below:
		December 31, 2014					September 30, 2014
	(in thousands)	Carrying			Fair		Carrying		Fair
		Amount			Value		Amount		Value
	Senior notes (issued February 9, 2011)	$	49,003		$	52,440	$	207,430	$	225,780
	The fair values were estimated using calculations based on quoted market prices when available and company – specific credit risk. If the Company’s long-term debt was measured at fair value, it would have been categorized as Level 2 in the fair value hierarchy.

Income_Taxes

Income Taxes	3 Months Ended
	Dec. 31, 2014
Income Tax Disclosure [Abstract]
Income Taxes	10. Income Taxes
	The Company’s effective income tax rate for the interim periods was based on management’s estimate of the Company’s annual effective tax rate for the applicable year. For the three months ended December 31, 2014 and 2013, the Company’s effective income tax rate was 42.7% and 26.1%, respectively. These rates differ from the federal statutory income tax rate primarily due to state income taxes, nondeductible permanent differences such as meals and nondeductible compensation, and net operating losses not benefited.
	The Company files a federal consolidated return and files various state income tax returns. The Company files various state income tax returns and, generally, is no longer subject to income tax examinations by the taxing authorities for years prior to September 30, 2011. The Company did not have a reserve for uncertain income tax positions at December 31, 2014 and September 30, 2014. The Company does not expect any significant changes to unrecognized tax benefits within the next twelve months. The Company’s policy is to recognize interest and penalties related to unrecognized tax benefits as charges to income tax expense.

Segment_Information

Segment Information	3 Months Ended
	Dec. 31, 2014
Segment Reporting [Abstract]
Segment Information	11. Segment Information
	The Company conducts its business through two reportable business segments: the Human Services Segment and the Post-Acute Specialty Rehabilitation Services (“SRS”) Segment.
	Through the Human Services Segment, the Company primarily provides home and community-based human services to adults and children with intellectual and developmental disabilities (“I/DD”), and to youth with emotional, behavioral and/or medically complex challenges (“ARY”). The operations of the Human Services Segment have been organized by management into three business units largely based upon geography. These business units, which comprise three operating segments, have been aggregated based on the criteria set forth in ASC Topic 280, Segment Reporting. Through the SRS Segment, the Company delivers services to individuals who have suffered acquired brain injury, spinal injuries and other catastrophic injuries and illnesses. The operations of the SRS Segment have been organized by management into two business units, NeuroRestorative and CareMeridian, based upon service type. The NeuroRestorative operating group provides behavioral therapies to brain injured clients in post-acute community settings and the CareMeridian operating group provides a higher level of medical support to traumatically injured clients. These business units, which comprise two operating segments, have been aggregated based on the criteria set forth in ASC Topic 280, Segment Reporting. Each operating segment is aligned with the Company’s reporting structure and has a segment manager that is directly accountable for its operations and regularly reports results to the chief operating decision maker for the purpose of evaluating these results and making decisions regarding resource allocations.
	The Company evaluates performance based on income from operations. Income from operations is revenue less operating expenses and is not affected by other income (expense) or by income taxes.
	Activities classified as “Corporate” in the table below relate primarily to unallocated home office expenses.
	The following table is a financial summary by reportable segments for the periods indicated (in thousands):
	For the three months ended December 31,	Human		Post-Acute		Corporate			Consolidated
		Services		Specialty
				Rehabilitation
				Services
	2014
	Net revenue	$	271,969	$	62,621	$	—		$	334,590
	Income (loss) from operations		31,177		6,529		(18,192	)		19,514
	Total assets		635,759		231,224		163,128			1,030,111
	Depreciation and amortization		11,387		5,239		584			17,210
	Purchases of property and equipment		4,310		4,164		412			8,886
	Income (loss) from continuing operations before income taxes		10,512		2,069		(18,337	)		(5,756	)
	2013
	Net revenue	$	248,500	$	55,492	$	—		$	303,992
	Income (loss) from operations		22,130		4,300		(13,306	)		13,124
	Depreciation and amortization		10,905		4,373		648			15,926
	Purchases of property and equipment		3,060		2,227		736			6,023
	Income (loss) from continuing operations before income taxes		5,944		853		(13,132	)		(6,335	)
	Revenue derived from contracts with state and local governmental payors in the state of Minnesota, the Company’s largest state, which is included in the Human Services segment, accounted for approximately 15% and 14% of the Company’s net revenue for the three months ended December 31, 2014 and 2013, respectively.

Accruals_for_SelfInsurance

Accruals for Self-Insurance	3 Months Ended
	Dec. 31, 2014
Text Block [Abstract]
Accruals for Self-Insurance	12. Accruals for Self-Insurance
	The Company maintains insurance for professional and general liability, workers’ compensation liability, automobile liability and health insurance liabilities that includes self-insured retentions. The Company intends to maintain such coverage in the future and is of the opinion that its insurance coverage is adequate to cover potential losses on asserted claims. Employment practices liability is fully self-insured.
	The Company records expenses related to claims on an incurred basis, which includes estimates of fully developed losses for both reported and unreported claims. The accruals for the health, workers’ compensation, automobile, and professional and general liability programs are based on analyses performed by management and take into account reports by independent third parties. Accruals are periodically reevaluated and increased or decreased based on new information.
	For professional and general liability, from October 1, 2011 to September 30, 2013, the Company was self-insured for the first $4.0 million of each and every claim with no aggregate limit. Commencing October 1, 2013, the Company is self-insured for $4.0 million per claim and $28.0 million in the aggregate. In connection with the acquisition by Vestar on June 29, 2006 (the “Merger”), the Company purchased additional insurance for certain claims relating to pre-Merger periods subject to $1.0 million per claim and up to $2.0 million in aggregate retentions.
	For workers’ compensation, the Company has a $350 thousand per claim retention with statutory limits. Automobile liability has a $100 thousand per claim retention, with additional insurance coverage above the retention. The Company purchases specific stop loss insurance as protection against extraordinary claims liability for health insurance claims. Stop loss insurance covers claims that exceed $300 thousand on a per member basis.
	The Company reports its self-insurance liabilities on a gross basis without giving effect to insurance recoveries. Anticipated insurance recoveries are presented in Prepaid expenses and other current assets and Other assets on the Company’s consolidated balance sheets. Self-insured liabilities are presented in Accrued payroll and related costs, Other accrued liabilities and Other long-term liabilities on its consolidated balance sheets.

Other_Commitments_and_Continge

Other Commitments and Contingencies	3 Months Ended
	Dec. 31, 2014
Commitments and Contingencies Disclosure [Abstract]
Other Commitments and Contingencies	13. Other Commitments and Contingencies
	The Company is in the health and human services business and, therefore, has been and continues to be subject to substantial claims alleging that the Company, its employees or its independently contracted host-home caregivers (“Mentors”) failed to provide proper care for a client. The Company is also subject to claims by its clients, its employees, its Mentors or community members against the Company for negligence, intentional misconduct or violation of applicable laws. Included in the Company’s recent claims are claims alleging personal injury, assault, abuse, wrongful death and other charges. Regulatory agencies may initiate administrative proceedings alleging that the Company’s programs, employees or agents violate statutes and regulations and seek to impose monetary penalties on the Company. The Company could be required to incur significant costs to respond to regulatory investigations or defend against civil lawsuits and, if the Company does not prevail, the Company could be required to pay substantial amounts of money in damages, settlement amounts or penalties arising from these legal proceedings.
	The Company is also subject to potential lawsuits under the False Claims Act and other federal and state whistleblower statutes designed to combat fraud and abuse in the health care industry. These lawsuits can involve significant monetary awards that may incentivize private plaintiffs to bring these suits. If the Company is found to have violated the False Claims Act, it could be excluded from participation in Medicaid and other federal healthcare programs. The Patient Protection and Affordable Care Act provides a mandate for more vigorous and widespread enforcement activity to combat fraud and abuse in the health care industry.
	The Company is also subject to employee-related claims under state and federal law, including claims for discrimination, wrongful discharge or retaliation; claims for wage and hour violations under the Fair Labor Standards Act or state wage and hour laws.

Subsequent_Events

Subsequent Events	3 Months Ended
	Dec. 31, 2014
Subsequent Events [Abstract]
Subsequent Events	14. Subsequent Events
	On January 13, 2015, the Company acquired Cassel & Associates (“Cassel”) within its Post-Acute Specialty Rehabilitation Services business for aggregate consideration of $18.2 million. Cassel provides non-residential therapeutic vocational services to individuals recovering from brain injuries in the state of Michigan.
	On January 20, 2015, the Company entered into two new interest rate swap agreements in an aggregate notional amount of $375.0 million in order to reduce the variability of cash flows of our variable rate debt. The Company entered into these interest rate swaps to hedge the risk of changes in the floating rate of interest on borrowings under the term loan. Under the terms of the swaps, the Company will receive from the counterparty a quarterly payment based on a rate equal to the greater of 3-month LIBOR or 1.00% per annum, and the Company will make payments to the counterparty based on a fixed rate of 1.795% per annum, in each case on the notional amount of $375.0 million, settled on a net payment basis.
	On February 2, 2015, the Company issued a conditional notice of redemption for all of its outstanding senior notes. The Company intends to refinance the remaining outstanding senior notes as market conditions permit. If the refinancing is successful, the senior notes would be retired on March 4, 2015.

Significant_Accounting_Policie1

Significant Accounting Policies (Policies)	3 Months Ended
	Dec. 31, 2014
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation
	The accompanying unaudited condensed consolidated financial statements have been prepared by the Company in accordance with generally accepted accounting principles (“GAAP”) for interim financial information and pursuant to the applicable rules and regulations of the Securities and Exchange Commission (“SEC”). Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. The unaudited condensed consolidated financial statements herein should be read in conjunction with the Company’s audited consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2014, which is on file with the SEC. In the opinion of management, the accompanying unaudited condensed consolidated financial statements contain all adjustments, consisting of normal and recurring accruals, necessary to present fairly the financial statements in accordance with GAAP. Intercompany balances and transactions between the Company and its subsidiaries have been eliminated in consolidation. Operating results for the three months ended December 31, 2014 may not necessarily be indicative of results to be expected for any other interim period or for the full year.
	The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates.
	Our financial results are affected by the selection and application of accounting policies and methods. There were no material changes in the three months ended December 31, 2014 to the application of significant accounting policies as described in our audited financial statements for the year ended September 30, 2014.
Reporting Discontinued Operations	Reporting Discontinued Operations—In April 2014, the FASB issued Accounting Standards Update No. 2014-08, Presentation of Financial Statements (Topic 205) and Property, Plant, and Equipment (Topic 360): Reporting Discontinued Operations and Disclosures of Disposals of Components of an Entity (“ASU 2014-08”). ASU 2014-08 changes the definition of a discontinued operation to include only those disposals of components of an entity that represent a strategic shift that has (or will have) a major effect on an entity’s operations and financial results, and changes the criteria and enhances disclosures for reporting discontinued operations. The pronouncement is applied prospectively, and was effective for the first quarter of our fiscal year ending September 30, 2015. The adoption has not had an impact on the Company’s consolidated financial statements; however, it is expected that it will significantly limit the classification of future disposals of components as discontinued operations.
Revenue from Contracts with Customers	Revenue from Contracts with Customers— In May 2014, the FASB issued Accounting Standards Update No. 2014-09, Revenue from Contracts with Customers (ASU 2014-09), which supersedes nearly all existing revenue recognition guidance under U.S. GAAP. The core principle of ASU 2014-09 is to recognize revenues when promised goods or services are transferred to customers in an amount that reflects the consideration to which an entity expects to be entitled for those goods or services. ASU 2014-09 defines a five step process to achieve this core principle and, in doing so, more judgment and estimates may be required within the revenue recognition process than are required under existing U.S. GAAP. The standard is effective for annual periods beginning after December 15, 2016, and interim periods therein, using either of the following transition methods: (i) a full retrospective approach reflecting the application of the standard in each prior reporting period with the option to elect certain practical expedients, or (ii) a retrospective approach with the cumulative effect of initially adopting ASU 2014-09 recognized at the date of adoption (which includes additional footnote disclosures). The Company is evaluating the effect that ASU 2014-09 will have on its consolidated financial statements and related disclosures. The Company has not yet selected a transition method.

LongTerm_Debt_Tables

Long-Term Debt (Tables)	3 Months Ended
	Dec. 31, 2014
Debt Disclosure [Abstract]
Long-Term Debt	As of December 31, 2014 and September 30, 2014, the Company’s long-term debt consisted of the following:
	(in thousands)	December 31,			September 30,
		2014			2014
	Term loan principal and interest due in quarterly installments through January 31, 2021, subject to acceleration to November 15, 2017	$	595,500		$	597,000
	Original issue discount on term loan, net of accumulated amortization		(1,136	)		(1,235	)
	Senior notes, due February 15, 2018; semi-annual cash interest payments due each February 15th and August 15th (interest rate of 12.50%)		50,000			212,000
	Original issue discount and initial purchaser discount on senior notes, net of accumulated amortization		(997	)		(4,570	)
			643,367			803,195
	Less current portion		6,000			168,000
	Long-term debt	$	637,367		$	635,195

Business_Combinations_Tables

Business Combinations (Tables)	3 Months Ended
	Dec. 31, 2014
Schedule of Pro Forma Results of Operations	The Company has determined that the presentation of the results of operations for each of these acquisitions, from the date of acquisition, is impracticable due to the integration of the operations upon acquisition.
		Three Months Ended
		December 31,
		2014		2013
	Pro forma net revenues	$	336,928	$	307,701
	Income from operations		20,087		13,945
Fiscal 2015 Acquisitions [Member]
Schedule of Recognized Amounts of Identifiable Assets Acquired Assumed	The following table summarizes the recognized amounts of identifiable assets acquired assumed at the date of the acquisition:
	(in thousands)	Identifiable		Property and		Total identifiable		Goodwill
		intangible		equipment		net assets
		assets
	Capstone	$	3,539	$	173	$	3,712	$	762
	Lakeview		6,664		40		6,704		1,280
	Other Acquisitions		—		3		3		57
	Total	$	10,203	$	216	$	10,419	$	2,099
Fiscal 2014 Acquisitions [Member]
Schedule of Recognized Amounts of Identifiable Assets Acquired Assumed	The following table summarizes the recognized amounts of identifiable assets acquired assumed at the date of the acquisition:
	(in thousands)	Identifiable		Property and		Total identifiable		Goodwill
		intangible		equipment		net assets
		assets
	Show-Me Health Care	$	895	$	9	$	904	$	336
	Total	$	895	$	9	$	904	$	336

Goodwill_and_Intangible_Assets1

Goodwill and Intangible Assets (Tables)	3 Months Ended
	Dec. 31, 2014
Goodwill and Intangible Assets Disclosure [Abstract]
Schedule of Changes in Goodwill	The changes in goodwill for the three months ended December 31, 2014 are as follows (in thousands):
		Human		Post -Acute		Total
		Services		Specialty
				Rehabilitation
				Services
		(in thousands)
	Balance as of September 30, 2014	$	190,756	$	66,974	$	257,730
	Goodwill acquired through acquisitions		819		1,280		2,099
	Balance as of December 31, 2014	$	191,575	$	68,254	$	259,829
Schedule of Intangible Assets	Intangible assets consist of the following as of December 31, 2014 (in thousands):
	Description	Weighted		Gross		Accumulated		Intangible
		Average		Carrying		Amortization		Assets,
		Remaining Life		Value				Net
	Agency contracts		8 years	$	493,598	$	232,109	$	261,489
	Non-compete/non-solicit		3 years		5,881		2,711		3,170
	Relationship with contracted caregivers		2 years		10,963		9,285		1,678
	Trade names		2 years		4,067		3,034		1,033
	Trade names (indefinite life)		—		45,800		—		45,800
	Licenses and permits		3 years		49,063		33,932		15,131
	Intellectual property		1 year		904		721		183
				$	610,276	$	281,792	$	328,484
	Intangible assets consist of the following as of September 30, 2014 (in thousands):
	Description	Weighted		Gross		Accumulated		Intangible
		Average		Carrying		Amortization		Assets,
		Remaining Life		Value				Net
	Agency contracts		8 years	$	484,994	$	224,566	$	260,428
	Non-compete/non-solicit		3 years		5,716		2,448		3,268
	Relationship with contracted caregivers		2 years		10,963		9,013		1,950
	Trade names		4 years		7,467		2,907		4,560
	Trade names (indefinite life)		—		42,400		—		42,400
	Licenses and permits		3 years		47,629		32,724		14,905
	Intellectual property		2 years		904		689		215
				$	600,073	$	272,347	$	327,726
Schedule of Amortization Expense Related to Intangible Assets	The estimated remaining amortization expense related to intangible assets with finite lives for the nine months remaining in fiscal 2015 and each of the four succeeding years and thereafter is as follows:
	(in thousands)
	2015	$	28,822
	2016		36,623
	2017		32,571
	2018		31,679
	2019		31,340
	Thereafter		121,649
	Total	$	282,684

Fair_Value_Measurements_Tables

Fair Value Measurements (Tables)	3 Months Ended
	Dec. 31, 2014
Fair Value Disclosures [Abstract]
Fair Value of Assets and Liabilities on a Recurring Basis	The following table sets forth the Company’s assets and liabilities that were accounted for at fair value on a recurring basis as of December 31, 2014.
	(in thousands)	Total			Quoted		Significant Other		Significant
					Market Prices		Observable		Unobservable
					(Level 1)		Inputs		Inputs
							(Level 2)		(Level 3)
	Liabilities
	Contingent consideration	$	(2,400	)	$	—	$	—	$	(2,400	)
	The following table sets forth the Company’s assets and liabilities that were accounted for at fair value on a recurring basis as of September 30, 2014.
	(in thousands)	Total			Quoted		Significant Other		Significant
					Market Prices		Observable		Unobservable
					(Level 1)		Inputs		Inputs
							(Level 2)		(Level 3)
	Assets
	Money Market Funds	$	130,000		$	130,000	$	—	$	—
	Liabilities
	Contingent consideration	$	(2,400	)	$	—	$	—	$	(2,400	)
Summary of Changes in Fair Value of Company's Level 3 Liabilities Measured on Recurring Basis	The following table presents a summary of changes in fair value of the Company’s Level 3 liabilities measured on a recurring basis for the three months ended December 31, 2014.
		3 months ended
		December 31, 2014
	Balance at September 30, 2014	$	(2,400	)
	Change in fair value of contingent consideration liability		—
	Balance at December 31, 2014	$	(2,400	)
Carrying Value and Fair Value of Debt Instruments	At December 31, 2014 and September 30, 2014, the carrying values of cash, accounts receivable, accounts payable and variable rate debt approximated fair value. The carrying value and fair value of the Company’s fixed rate debt instruments are set forth below:
		December 31, 2014					September 30, 2014
	(in thousands)	Carrying			Fair		Carrying		Fair
		Amount			Value		Amount		Value
	Senior notes (issued February 9, 2011)	$	49,003		$	52,440	$	207,430	$	225,780

Segment_Information_Tables

Segment Information (Tables)	3 Months Ended
	Dec. 31, 2014
Segment Reporting [Abstract]
Performance of Operating Segments	The following table is a financial summary by reportable segments for the periods indicated (in thousands):
	For the three months ended December 31,	Human		Post-Acute		Corporate			Consolidated
		Services		Specialty
				Rehabilitation
				Services
	2014
	Net revenue	$	271,969	$	62,621	$	—		$	334,590
	Income (loss) from operations		31,177		6,529		(18,192	)		19,514
	Total assets		635,759		231,224		163,128			1,030,111
	Depreciation and amortization		11,387		5,239		584			17,210
	Purchases of property and equipment		4,310		4,164		412			8,886
	Income (loss) from continuing operations before income taxes		10,512		2,069		(18,337	)		(5,756	)
	2013
	Net revenue	$	248,500	$	55,492	$	—		$	303,992
	Income (loss) from operations		22,130		4,300		(13,306	)		13,124
	Depreciation and amortization		10,905		4,373		648			15,926
	Purchases of property and equipment		3,060		2,227		736			6,023
	Income (loss) from continuing operations before income taxes		5,944		853		(13,132	)		(6,335	)

Business_Overview_Additional_I

Business Overview - Additional Information (Detail)	Dec. 31, 2014
	State
Product Information [Line Items]
Area of operations, number of states	35
Minimum [Member]
Product Information [Line Items]
Number of residential clients	12,600
Number of periodic clients	16,900

LongTerm_Debt_LongTerm_Debt_De

Long-Term Debt - Long-Term Debt (Detail) (USD $)	Dec. 31, 2014	Oct. 17, 2014	Sep. 30, 2014
In Thousands, unless otherwise specified
Debt Instrument [Line Items]
Long-term debt current and non current	$643,367		$803,195
Less current portion	6,000		168,000
Long-term debt	637,367		635,195
Long-term debt current and non current	643,367		803,195
Term Loan [Member]
Debt Instrument [Line Items]
Long-term debt	595,500		597,000
Discount on long-term debt	-1,136		-1,235
Senior Notes [Member]
Debt Instrument [Line Items]
Long-term debt	50,000		212,000
Discount on long-term debt	($997)	($3,400)	($4,570)

LongTerm_Debt_LongTerm_Debt_Pa

Long-Term Debt - Long-Term Debt (Parenthetical) (Detail)	3 Months Ended	12 Months Ended
	Dec. 31, 2014	Sep. 30, 2014	Feb. 28, 2011
Term Loan [Member]
Debt Instrument [Line Items]
Debt instrument, maturity date	31-Jan-21	31-Jan-21
Debt instrument subject to acceleration date	15-Nov-17	15-Nov-17
Senior Notes [Member]
Debt Instrument [Line Items]
Debt instrument, maturity date	15-Feb-18	15-Feb-18
Debt instrument, interest rate	12.50%	12.50%	12.50%

LongTerm_Debt_Additional_Infor

Long-Term Debt - Additional Information (Detail) (USD $)	3 Months Ended		12 Months Ended
	Dec. 31, 2014	Dec. 31, 2013	Sep. 30, 2014	Oct. 21, 2014	Jan. 31, 2014
Debt Instrument [Line Items]
Deposit in cash collateral	$50,000,000
Borrowings under senior revolver	2,500,000	2,500,000
Repayments of borrowings under senior revolver	2,500,000	2,500,000
Senior Revolver [Member]
Debt Instrument [Line Items]
Availability of borrowings	119,100,000		100,000,000		100,000,000
Borrowings under senior revolver	2,500,000
Letters of credit issued	0		0
Repayments of borrowings under senior revolver	2,500,000
Additional borrowing capacity				20,000,000
Interest rate for borrowings	5.50%		6.00%
Senior Revolver [Member] | Swingline and The Senior Revolver [Member] | Maximum [Member]
Debt Instrument [Line Items]
Debt instrument maturity term	1 year
Standby Letters of Credit [Member]
Debt Instrument [Line Items]
Deposit in cash collateral					50,000,000
Letters of credit issued	48,400,000		44,300,000
Letter of credit borrowing capacity	50,000,000
Standby Letters of Credit Senior Revolver Facility [Member]
Debt Instrument [Line Items]
Letters of credit issued	900,000
Term Loan [Member]
Debt Instrument [Line Items]
Debt instrument, face amount					600,000,000
Long-term debt	$595,500,000		$597,000,000
Interest rate on term loan	4.25%		4.75%

LongTerm_Debt_Senior_Notes_and

Long-Term Debt - Senior Notes and Covenants - Additional Information (Detail) (USD $)	3 Months Ended	0 Months Ended
	Dec. 31, 2014	Oct. 17, 2014	Feb. 02, 2015	Sep. 30, 2014	Feb. 28, 2011
Debt Instrument [Line Items]
Extinguishment of debt expense	$14,343,000
Agreement contains a springing financial covenant	The senior credit agreement contains a springing financial covenant. If, at the end of any fiscal quarter, the Company's usage of the senior revolver exceeds 30% of the commitments thereunder, it is required to maintain at the end of each such fiscal quarter a consolidated first lien leverage ratio of not more than 5.50 to 1.00. This consolidated first lien leverage ratio will step down to 5.00 to 1.00 commencing with the fiscal quarter ending March 31, 2017.
Percentage of revolving commitments	30.00%
Consolidated first lien leverage ratio, maximum	550.00%
Senior credit agreement description	The senior credit agreement also contains a number of covenants that, among other things, restrict, subject to certain exceptions, the Companybs ability and that of its subsidiaries to: (i) incur additional indebtedness; (ii) create liens on assets; (iii) engage in mergers or consolidations; (iv) sell assets; (v) pay dividends and distributions or repurchase our capital stock; (vi) enter into swap transactions; (vii) make investments, loans or advances; (viii) repay certain junior indebtedness; (ix) engage in certain transactions with affiliates; (x) enter into sale and leaseback transactions; (xi) amend material agreements governing certain of its junior indebtedness; (xii) change its lines of business; (xiii) make certain acquisitions; and (xiv) limitations on the letter of credit cash collateral account.
Amount deposited in cash collateral account in support of issuance of letters of credit	50,000,000
Quarter Ended March 31, 2017 [Member]
Debt Instrument [Line Items]
Consolidated first lien leverage ratio, maximum	500.00%
Senior Notes [Member]
Debt Instrument [Line Items]
Amount paid to redeem aggregate principal of debt		175,600,000
Aggregate principal amount redeemed		162,000,000
Expense of redemption premium		10,100,000
Accrued and unpaid interest		3,500,000
Long-term debt	50,000,000			212,000,000
Debt instrument, interest rate	12.50%			12.50%	12.50%
Debt instrument, face amount					250,000,000
Deferred financing fees		800,000
Debt instrument original issue discount	997,000	3,400,000		4,570,000
Extinguishment of debt expense		$14,300,000
Senior Notes [Member] | Subsequent Events [Member]
Debt Instrument [Line Items]
Retirement date of senior notes			4-Mar-15

LongTerm_Debt_Derivatives_Addi

Long-Term Debt - Derivatives - Additional Information (Detail) (USD $)	3 Months Ended
	Dec. 31, 2013	Dec. 31, 2014	Sep. 30, 2014	Jan. 20, 2015
				Swap
Debt Instrument [Line Items]
Change in fair value of swap agreement	$466,000
Tax effects of changes in unrealized gain on derivatives	310,000
Interest Rate Swap Agreements [Member]
Debt Instrument [Line Items]
Interest rate swap in a notional amount			400,000,000
Expiration date of derivative instrument		30-Sep-14
Effective date of derivative instrument		31-Mar-11
Fair value of swap agreement before tax	2,400,000
Fair value of swap agreement after tax	1,500,000
Change in fair value of swap agreement	500,000
Tax effects of changes in unrealized gain on derivatives	300,000
Quarterly payment received from counter party		Equal to the greater of 3-month LIBOR or 1.00% per annum
Interest Rate Swap Agreements [Member] | Subsequent Events [Member]
Debt Instrument [Line Items]
Interest rate swap in a notional amount				$375,000,000
Number of interest rate swap agreement				2
Minimum interest received from counter party				1.00%
Payments on fixed rate				1.80%

Stockholders_Equity_Additional

Stockholder's Equity - Additional Information (Detail)	3 Months Ended
	Dec. 31, 2014
Equity [Abstract]
Common stock vote per share	One vote per share

Business_Combinations_Addition

Business Combinations - Additional Information (Detail) (USD $)	3 Months Ended		0 Months Ended
	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2014	Nov. 29, 2013
	Company	Company
Business Acquisition [Line Items]
Number of companies acquired	3	1
Fair value consideration of acquired companies	$12,500,000	$1,200,000
Goodwill	2,099,000		2,099,000	336,000
Property and equipment	216,000		216,000	9,000
Other Acquisitions [Member]
Business Acquisition [Line Items]
Cost of acquisition	60,600
Goodwill	57,000		57,000
Property and equipment	3,000		3,000
Capstone [Member]
Business Acquisition [Line Items]
Business acquisition date			31-Oct-14
Cost of acquisition			4,500,000
Goodwill	762,000		762,000
Recognized identifiable intangible assets acquired	3,539,000		3,539,000
Property and equipment	173,000		173,000
Capstone [Member] | Agency Contracts [Member]
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired	2,600,000		2,600,000
Weighted average useful life of intangible asses			12 years
Capstone [Member] | Licenses and Permits [Member]
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired	800,000		800,000
Weighted average useful life of intangible asses			10 years
Capstone [Member] | Non-Compete/Non-Solicit [Member]
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired	100,000		100,000
Weighted average useful life of intangible asses			5 years
Capstone [Member] | Human Services [Member]
Business Acquisition [Line Items]
Goodwill	800,000		800,000
Lakeview [Member]
Business Acquisition [Line Items]
Business acquisition date			29-Dec-14
Cost of acquisition			8,000,000
Goodwill	1,280,000		1,280,000
Recognized identifiable intangible assets acquired	6,700,000		6,700,000
Property and equipment	40,000		40,000
Lakeview [Member] | Agency Contracts [Member]
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired	6,000,000		6,000,000
Weighted average useful life of intangible asses			12 years
Lakeview [Member] | Licenses and Permits [Member]
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired	700,000		700,000
Weighted average useful life of intangible asses			10 years
Lakeview [Member] | Non-Compete/Non-Solicit [Member]
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired	31,000		31,000
Weighted average useful life of intangible asses			5 years
Lakeview [Member] | Post-Acute Specialty Rehabilitation Services [Member]
Business Acquisition [Line Items]
Goodwill	1,300,000		1,300,000
Show Me Health Care [Member]
Business Acquisition [Line Items]
Cost of acquisition				1,200,000
Goodwill				336,000
Recognized identifiable intangible assets acquired				900,000
Property and equipment				9,000
Show Me Health Care [Member] | Agency Contracts [Member]
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired				700,000
Weighted average useful life of intangible asses				12 years
Show Me Health Care [Member] | Licenses and Permits [Member]
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired				200,000
Weighted average useful life of intangible asses				10 years
Show Me Health Care [Member] | Non-Compete/Non-Solicit [Member]
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired				14,000
Weighted average useful life of intangible asses				5 years
Show Me Health Care [Member] | Human Services [Member]
Business Acquisition [Line Items]
Goodwill				$300,000

Business_Combinations_Schedule

Business Combinations - Schedule of Recognized Amounts of Identifiable Assets Acquired Assumed (Detail) (USD $)	Dec. 31, 2014	Nov. 29, 2013
In Thousands, unless otherwise specified
Business Acquisition [Line Items]
Identifiable intangible assets	$10,203	$895
Property and equipment	216	9
Total identifiable net assets	10,419	904
Goodwill	2,099	336
Capstone [Member]
Business Acquisition [Line Items]
Identifiable intangible assets	3,539
Property and equipment	173
Total identifiable net assets	3,712
Goodwill	762
Lakeview [Member]
Business Acquisition [Line Items]
Identifiable intangible assets	6,664
Property and equipment	40
Total identifiable net assets	6,704
Goodwill	1,280
Other Acquisitions [Member]
Business Acquisition [Line Items]
Property and equipment	3
Total identifiable net assets	3
Goodwill	57
Show Me Health Care [Member]
Business Acquisition [Line Items]
Identifiable intangible assets		895
Property and equipment		9
Total identifiable net assets		904
Goodwill		$336

Business_Combinations_Pro_Form

Business Combinations - Pro Forma Results of Operations (Detail) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013
Business Combinations [Abstract]
Pro forma net revenues	$336,928	$307,701
Income from operations	$20,087	$13,945

Goodwill_and_Intangible_Assets2

Goodwill and Intangible Assets - Schedule of Changes in Goodwill (Detail) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014
Goodwill [Line Items]
Beginning Balance	$257,730
Goodwill acquired through acquisitions	2,099
Ending Balance	259,829
Human Services [Member]
Goodwill [Line Items]
Beginning Balance	190,756
Goodwill acquired through acquisitions	819
Ending Balance	191,575
Post-Acute Specialty Rehabilitation Services [Member]
Goodwill [Line Items]
Beginning Balance	66,974
Goodwill acquired through acquisitions	1,280
Ending Balance	$68,254

Goodwill_and_Intangible_Assets3

Goodwill and Intangible Assets - Schedule of Intangible Assets (Detail) (USD $)	3 Months Ended	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Sep. 30, 2014
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Value	$610,276	$600,073
Accumulated Amortization	281,792	272,347
Intangible Assets, Net	328,484	327,726
Trade Names (Indefinite Life) [Member]
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Value	45,800	42,400
Intangible Assets, Net	45,800	42,400
Agency Contracts [Member]
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life	8 years	8 years
Gross Carrying Value	493,598	484,994
Accumulated Amortization	232,109	224,566
Intangible Assets, Net	261,489	260,428
Non-Compete/Non-Solicit [Member]
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life	3 years	3 years
Gross Carrying Value	5,881	5,716
Accumulated Amortization	2,711	2,448
Intangible Assets, Net	3,170	3,268
Relationship with Contracted Caregivers [Member]
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life	2 years	2 years
Gross Carrying Value	10,963	10,963
Accumulated Amortization	9,285	9,013
Intangible Assets, Net	1,678	1,950
Trade Names [Member]
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life	2 years	4 years
Gross Carrying Value	4,067	7,467
Accumulated Amortization	3,034	2,907
Intangible Assets, Net	1,033	4,560
Licenses and Permits [Member]
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life	3 years	3 years
Gross Carrying Value	49,063	47,629
Accumulated Amortization	33,932	32,724
Intangible Assets, Net	15,131	14,905
Intellectual Property [Member]
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life	1 year	2 years
Gross Carrying Value	904	904
Accumulated Amortization	721	689
Intangible Assets, Net	$183	$215

Goodwill_and_Intangible_Assets4

Goodwill and Intangible Assets - Additional Information (Detail) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013
Goodwill and Intangible Assets Disclosure [Abstract]
Amortization expense	$9,445	$9,429

Goodwill_and_Intangible_Assets5

Goodwill and Intangible Assets - Schedule of Amortization Expense Related to Intangible Assets (Detail) (USD $)	Dec. 31, 2014
In Thousands, unless otherwise specified
Goodwill and Intangible Assets Disclosure [Abstract]
2015	$28,822
2016	36,623
2017	32,571
2018	31,679
2019	31,340
Thereafter	121,649
Total	$282,684

Related_Party_Transactions_Add

Related Party Transactions - Additional Information (Detail) (USD $)	0 Months Ended	3 Months Ended
	Feb. 09, 2011	Dec. 31, 2014	Dec. 31, 2013	Sep. 30, 2014
Related Party Transaction [Line Items]
Management fee of related party		$162,000	$345,000
Related party lease expense		200,000	300,000
Vestar [Member]
Related Party Transaction [Line Items]
Management fee percentage of consolidated earnings before interest, taxes, depreciation, amortization and management fee	1.00%
Management fee of related party		200,000	300,000
Accrued liability related to management agreement		200,000		600,000
Vestar [Member] | Minimum [Member]
Related Party Transaction [Line Items]
Annual management fee for certain advisory and consulting services payable	850,000
Civitas [Member]
Related Party Transaction [Line Items]
Intercompany payables due to related party		$1,300,000		$2,600,000

Fair_Value_Measurements_Fair_V

Fair Value Measurements - Fair Value of Assets and Liabilities on a Recurring Basis (Detail) (USD $)	Dec. 31, 2014	Sep. 30, 2014
In Thousands, unless otherwise specified
Contingent Consideration [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value liabilities	($2,400)	($2,400)
Money Market Funds [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value asset		130,000
Quoted Market Prices (Level 1) [Member] | Money Market Funds [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value asset		130,000
Significant Unobservable Inputs (Level 3) [Member] | Contingent Consideration [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value liabilities	($2,400)	($2,400)

Fair_Value_Measurements_Summar

Fair Value Measurements - Summary of Changes in Fair Value of Company's Level 3 Liabilities Measured on Recurring Basis (Detail) (Contingent Consideration [Member], USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014
Contingent Consideration [Member]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Fair value of liabilities beginning balance	($2,400)
Change in fair value of contingent consideration liability	0
Fair value of liabilities ending balance	($2,400)

Fair_Value_Measurements_Carryi

Fair Value Measurements - Carrying Amount of Debt Instrument (Detail) (USD $)	Dec. 31, 2014	Sep. 30, 2014
In Thousands, unless otherwise specified
Carrying Amount [Member]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Senior notes (issued February 9, 2011)	$49,003	$207,430
Fair Value [Member]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Senior notes (issued February 9, 2011)	$52,440	$225,780

Fair_Value_Measurements_Carryi1

Fair Value Measurements - Carrying Amount of Debt Instrument (Parenthetical) (Detail) (Senior Notes [Member])	3 Months Ended	12 Months Ended
	Dec. 31, 2014	Sep. 30, 2014
Senior Notes [Member]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Senior notes issuance date	9-Feb-11	9-Feb-11

Income_Taxes_Additional_Inform

Income Taxes - Additional Information (Detail) (USD $)	3 Months Ended
	Dec. 31, 2014	Dec. 31, 2013	Sep. 30, 2014
Income Tax Disclosure [Abstract]
Effective tax rate	42.70%	26.10%
Reserve for uncertain income tax positions	$0		$0

Segment_Information_Additional

Segment Information - Additional Information (Detail)	3 Months Ended
	Dec. 31, 2014	Dec. 31, 2013
Segment Reporting Information [Line Items]
Number of reportable segments	2
Post-Acute Specialty Rehabilitation Services [Member]
Segment Reporting Information [Line Items]
Number of business units	2
Number of operating segments	2
Human Services [Member]
Segment Reporting Information [Line Items]
Number of business units	3
Number of operating segments	3
Human Services [Member] | MINNESOTA | Geographic Concentration Risk [Member] | Sales Revenue, Segment [Member]
Segment Reporting Information [Line Items]
Percent of revenue	15.00%	14.00%

Segment_Information_Performanc

Segment Information - Performance of Operating Segments (Detail) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2014	Dec. 31, 2013	Sep. 30, 2014
Segment Reporting Information [Line Items]
Net revenue	$334,590	$303,992
Income (loss) from operations	19,514	13,124
Total assets	1,030,111		1,206,983
Depreciation and amortization	17,210	15,926
Purchases of property and equipment	8,886	6,023
Income (loss) from continuing operations before income taxes	-5,756	-6,335
Operating Segments [Member] | Human Services [Member]
Segment Reporting Information [Line Items]
Net revenue	271,969	248,500
Income (loss) from operations	31,177	22,130
Total assets	635,759
Depreciation and amortization	11,387	10,905
Purchases of property and equipment	4,310	3,060
Income (loss) from continuing operations before income taxes	10,512	5,944
Operating Segments [Member] | Post-Acute Specialty Rehabilitation Services [Member]
Segment Reporting Information [Line Items]
Net revenue	62,621	55,492
Income (loss) from operations	6,529	4,300
Total assets	231,224
Depreciation and amortization	5,239	4,373
Purchases of property and equipment	4,164	2,227
Income (loss) from continuing operations before income taxes	2,069	853
Corporate [Member]
Segment Reporting Information [Line Items]
Income (loss) from operations	-18,192	-13,306
Total assets	163,128
Depreciation and amortization	584	648
Purchases of property and equipment	412	736
Income (loss) from continuing operations before income taxes	($18,337)	($13,132)

Accruals_for_SelfInsurance_Add

Accruals for Self-Insurance - Additional Information (Detail) (USD $)	0 Months Ended	3 Months Ended	24 Months Ended	0 Months Ended
	Oct. 01, 2013	Dec. 31, 2014	Sep. 30, 2013	Jun. 29, 2006
Accruals For Self Insurance And Other Commitments And Contingencies [Line Items]
Aggregate self-insurance for professional and general liability	$28,000,000
Insured amount for professional and general liability, per claim	4,000,000		4,000,000
Claim retention with statutory limit, Workers' compensation		350,000
Claim retention with statutory limit, automobile liability		100,000
Stop loss insurance coverage against extraordinary claims		300,000
Vestar [Member]
Accruals For Self Insurance And Other Commitments And Contingencies [Line Items]
Aggregate self-insurance for professional and general liability				2,000,000
Insured amount for professional and general liability, per claim				$1,000,000

Subsequent_Events_Additional_I

Subsequent Events - Additional Information (Detail) (USD $)	3 Months Ended		0 Months Ended
	Dec. 31, 2014	Dec. 31, 2013	Jan. 13, 2015	Feb. 02, 2015	Sep. 30, 2014	Jan. 20, 2015
						Swap
Subsequent Event [Line Items]
Aggregate consideration for the acquisition	$12,500,000	$1,200,000
Interest Rate Swap Agreements [Member]
Subsequent Event [Line Items]
Quarterly payment received from counter party	Equal to the greater of 3-month LIBOR or 1.00% per annum
Interest rate swap in a notional amount					400,000,000
Subsequent Events [Member] | Interest Rate Swap Agreements [Member]
Subsequent Event [Line Items]
Minimum interest received from counter party						1.00%
Payments on fixed rate						1.80%
Interest rate swap in a notional amount						375,000,000
Number of interest rate swap agreement						2
Subsequent Events [Member] | Post-Acute Specialty Rehabilitation Services [Member] | Cassel [Member]
Subsequent Event [Line Items]
Aggregate consideration for the acquisition			$18,200,000
Senior Notes [Member] | Subsequent Events [Member]
Subsequent Event [Line Items]
Retirement date of senior notes				4-Mar-15