National Mentor (NMH) Inactive 10-Q12 Feb 142014 Q1 Quarterly reportFinancial data

Company Profile

Document_and_Entity_Informatio

Document and Entity Information	3 Months Ended
Document and Entity Information	Dec. 31, 2013	Feb. 12, 2014
Document And Entity Information [Abstract]	'	'
Document Type	'10-Q	'
Amendment Flag	'false	'
Document Period End Date	31-Dec-13	'
Document Fiscal Year Focus	'2014	'
Document Fiscal Period Focus	'Q1	'
Entity Registrant Name	'NATIONAL MENTOR HOLDINGS, INC.	'
Entity Central Index Key	'0001338690	'
Current Fiscal Year End Date	'--09-30	'
Entity Filer Category	'Non-accelerated Filer	'
Entity Common Stock, Shares Outstanding	'	100

Condensed_Consolidated_Balance

Condensed Consolidated Balance Sheets (USD $)	Dec. 31, 2013	Sep. 30, 2013
In Thousands, unless otherwise specified	Dec. 31, 2013	Sep. 30, 2013
Current assets:	'	'
Cash and cash equivalents	$20,589	$19,315
Restricted cash	1,275	807
Accounts receivable, net	144,026	144,954
Deferred tax assets, net	18,113	18,424
Prepaid expenses and other current assets	22,056	17,771
Total current assets	206,059	201,271
Property and equipment, net	152,180	153,635
Intangible assets, net	327,657	336,191
Goodwill	235,959	235,623
Restricted cash	50,000	50,000
Other assets	44,499	43,652
Total assets	1,016,354	1,020,372
Current liabilities:	'	'
Accounts payable	17,925	26,568
Accrued payroll and related costs	63,163	65,340
Other accrued liabilities	54,638	45,066
Obligations under capital lease, current	438	430
Current portion of long-term debt	5,600	5,600
Total current liabilities	141,764	143,004
Other long-term liabilities	72,376	68,936
Deferred tax liabilities, net	81,995	83,235
Obligations under capital lease, less current portion	6,400	6,509
Long-term debt, less current portion	778,853	779,519
Commitments and contingencies	'	'
SHAREHOLDER'S DEFICIT	'	'
Common stock	'	'
Additional paid-in capital	33,950	33,929
Accumulated other comprehensive loss	-1,414	-1,880
Accumulated deficit	-97,570	-92,880
Total shareholder's deficit	-65,034	-60,831
Total liabilities and shareholder's deficit	$1,016,354	$1,020,372

Condensed_Consolidated_Stateme

Condensed Consolidated Statements of Operations (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Income Statement [Abstract]	'	'
Net revenue	$307,481	$293,636
Cost of revenue (exclusive of depreciation expense shown below)	241,852	233,721
Operating expenses:	'	'
General and administrative	36,481	36,658
Depreciation and amortization	16,065	15,508
Total operating expenses	52,546	52,166
Income from operations	13,083	7,749
Other income (expense):	'	'
Management fee of related party	-345	-336
Other income, net	347	338
Interest income	30	5
Interest expense	-19,501	-19,604
Loss from continuing operations before income taxes	-6,386	-11,848
Benefit for income taxes	-1,673	-3,499
Loss from continuing operations	-4,713	-8,349
Income (loss) from discontinued operations, net of tax	23	-25
Net loss	($4,690)	($8,374)

Condensed_Consolidated_Stateme1

Condensed Consolidated Statements of Comprehensive Loss (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Amounts Reclassified Out Of Accumulated Other Comprehensive Income Loss [Abstract]	'	'
Net loss	($4,690)	($8,374)
Other comprehensive gain, net of tax:	'	'
Gain on derivative instrument classified as cash flow hedge, net of tax for the three months ended December 31, 2013 and 2012 of $310 and $221, respectively	466	265
Comprehensive loss	($4,224)	($8,109)

Condensed_Consolidated_Stateme2

Condensed Consolidated Statements of Comprehensive Loss (Parenthetical) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Amounts Reclassified Out Of Accumulated Other Comprehensive Income Loss [Abstract]	'	'
Tax effects of changes in unrealized gain on derivatives	$310	$221

Condensed_Consolidated_Stateme3

Condensed Consolidated Statements of Cash Flows (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Operating activities	'	'
Net loss	($4,690)	($8,374)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:	'	'
Accounts receivable allowances	3,840	3,788
Depreciation and amortization of property and equipment	6,636	6,151
Amortization of intangible assets	9,429	9,416
Amortization of original issue discount and initial purchasers discount	734	737
Amortization of financing costs	719	696
Stock-based compensation	20	171
Deferred income taxes	-1,238	-2,130
Loss on disposal of assets	18	152
Non-cash impairment charge	'	99
Changes in operating assets and liabilities:	'	'
Accounts receivable	-2,912	-7,120
Other assets	-5,851	-3,725
Accounts payable	-8,191	-9,234
Accrued payroll and related costs	-2,177	-2,482
Other accrued liabilities	10,339	4,206
Other long-term liabilities	3,440	4,957
Net cash provided by (used in) operating activities	10,116	-2,692
Investing activities	'	'
Cash paid for acquisitions, net of cash received	-1,240	-475
Purchases of property and equipment	-6,023	-8,227
Changes in restricted cash	-468	123
Proceeds from sale of assets	390	468
Net cash used in investing activities	-7,341	-8,111
Financing activities	'	'
Repayments of long-term debt	-1,400	-1,325
Proceeds from borrowings under senior revolver	2,500	301,200
Repayments of borrowings under senior revolver	-2,500	-287,300
Repayments of capital lease obligations	-101	-125
Payments of financing costs	'	-1,647
Net cash provided by (used in) financing activities	-1,501	10,803
Net increase in cash and cash equivalents	1,274	'
Cash and cash equivalents at beginning of period	19,315	'
Cash and cash equivalents at end of period	20,589	'
Supplemental disclosure of cash flow information	'	'
Cash paid for interest	10,050	10,359
Cash paid for income taxes	86	150
Supplemental disclosure of non-cash investing activities:	'	'
Accrued property, plant and equipment	$459	$817

Basis_of_Presentation

Basis of Presentation	3 Months Ended
Basis of Presentation	Dec. 31, 2013
Accounting Policies [Abstract]	'
Basis of Presentation	'
	1. Basis of Presentation
	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 adults and children 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 36 states. The Company provides residential services to approximately 12,200 clients, some of whom also receive periodic services. Approximately 16,800 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.
	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, 2013, 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, 2013 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.

Recent_Accounting_Pronouncemen

Recent Accounting Pronouncements	3 Months Ended
Recent Accounting Pronouncements	Dec. 31, 2013
Accounting Changes And Error Corrections [Abstract]	'
Recent Accounting Pronouncements	'
	2. Recent Accounting Pronouncements
	Technical Corrections and Improvements — In October 2012, the FASB issued Accounting Standards Update No. 2012-04, Technical Corrections and Improvements (“ASU 2012-04”). The amendments in this update cover a wide range of Topics in the Accounting Standards Codification. These amendments include technical corrections and improvements to the Accounting Standards Codification and conforming amendments related to fair value measurements. The amendments in this update were effective for the Company beginning the first quarter of the fiscal year ending September 30, 2014. This adoption did not have a material impact on the Company’s consolidated financial statements.

LongTerm_Debt

Long-Term Debt	3 Months Ended
	Dec. 31, 2013
Debt Disclosure [Abstract]	'
Long-Term Debt	'

	3. Long-Term Debt

	As of December 31, 2013 and 2012, the Company’s long-term debt consisted of the following:



	(in thousands)	December 31,			September 30,
		2013			2013
	Term loan (including the Incremental Term Loan), principal and interest due in quarterly installments through February 9, 2017	$	545,125		$	546,525
	Original issue discount on term loan, net of accumulated amortization		(4,071	)		(4,403	)
	Senior notes, due February 15, 2018; semi-annual cash interest payments due each February 15th and August 15th (interest rate of 12.50%)		250,000			250,000
	Original issue discount and initial purchase discount on senior notes, net of accumulated amortization		(6,601	)		(7,003	)
	Senior revolver, due February 9, 2016; quarterly cash interest payments at a variable interest rate		—			—

			784,453			785,119
	Less current portion		5,600			5,600

	Long-term debt	$	778,853		$	779,519




	Senior Secured Credit Facilities

	The senior secured credit facilities were repaid and replaced with new senior secured credit facilities on January 31, 2014. See note 13 subsequent events. The following describes the senior credit agreement as in effect on December 31, 2013.

	On February 9, 2011, the Company completed the February 2011 Refinancing, which included entering into a senior credit agreement (as amended, the “senior credit agreement”) for senior secured credit facilities, consisting of a (i) six-year $530.0 million 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 (ii) $75.0 million five-year senior secured revolving credit facility. The $530.0 million term loan was issued at a price equal to 98.5% of its face value and amortizes one percent per year, paid quarterly, with the remaining balance payable at maturity. The Company refers to these facilities, as amended on October 15, 2012, as the “senior secured credit facilities”.

	On October 15, 2012, the Company entered into an Amendment Agreement (the “Amendment Agreement”), to amend and restate the senior credit agreement governing the senior secured credit facilities. The Amendment Agreement converted the existing term loan facility into a tranche B-1 term loan facility in aggregate principal amount of $522.1 million (the “term loan”). The proceeds were used to prepay the existing term loan facility. Total fees incurred related to the Amendment Agreement were $1.7 million of which a majority of the amount was being amortized over the life of the term loan. The Amendment Agreement also replaced the Company’s existing $75 million revolving credit facility and the borrowings thereunder with a new $75 million revolving credit facility (the “senior revolver”). The interest rates under the senior secured credit facilities were unchanged by the Amendment Agreement, except that the LIBOR floor applicable to borrowings under the senior secured credit facilities was reduced by 0.50%.

	The interest rate on borrowings under the senior secured credit facilities was equal to (i) a rate equal to the greater of (a) the prime rate, (b) the federal funds rate plus 1/2 of 1% and (c) the Eurodollar rate for an interest period of one-month beginning on such day plus 100 basis points (subject to an ABR floor of 2.25% per annum), plus 4.25%; or (ii) the Eurodollar rate (subject to a LIBOR floor of 1.25% per annum), plus 5.25%, at the Company’s option.

	Term loan

	The original term loan was issued at a price equal to 98.5% of its face value. The senior credit agreement also included an annual provision for the prepayment of a portion of the outstanding term loan amounts beginning in fiscal 2011 equal to an amount ranging from 0 to 50% of a calculated amount, depending on the Company’s leverage ratio, if the Company generated certain levels of cash flow. The Company has not been required to make such a prepayment of its term loan to-date. The Company was required to repay the term loan in quarterly principal installments of 0.25% of the original principal amount, with the balance payable at maturity.

	On February 4, 2013, the Company entered into an Incremental Amendment No. 1 (the “Incremental Amendment No. 1”) to the Amendment Agreement. The Incremental Amendment No. 1 provided for an additional $30.0 million term loan (the “incremental term loan”) under the Company’s existing term loan. The net proceeds of the incremental term loan were used to repay $29.8 million of outstanding borrowings under the senior revolver. Total fees incurred related to the Incremental Amendment No.1 were $0.4 million which were being amortized over the remaining period of the term loan. The Company was required to repay the incremental term loan in quarterly principal installments of 0.25% of the principal amount, with the balance payable at maturity of the term loan. All of the other terms of the incremental term loan were identical to the term loan.

	At December 31, 2013, the Company had $545.1 million of borrowings under the term loan (including the incremental term loan). At December 31, 2013, the variable interest rate on the term loan was 6.5%.

	Senior revolver

	During the three months ended December 31, 2013, the Company drew $2.5 million under the senior revolver and repaid $2.5 million during the period. At December 31, 2013, the Company had no outstanding borrowings under the senior revolver and $75.0 million of availability under the senior revolver. The Company had $42.5 million of standby letters of credit issued under the institutional letter of credit facility primarily related to the Company’s workers’ compensation insurance coverage. The Company’s institutional letter of credit facility provided for the issuance of letters of credit up to the $50.0 million limit, 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 7.5% as of December 31, 2013.

	The senior revolver included 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 connection with the February 2011 Refinancing, the Company issued $250.0 million of 12.5% senior notes due 2018 (the “senior notes”) at a price equal to 97.7% of their face value, for net proceeds of $244.3 million. The net proceeds were further reduced by an initial purchasers’ discount of $5.6 million. The senior notes are the Company’s unsecured obligations and are guaranteed by certain of the Company’s existing subsidiaries.

	Covenants

	The senior credit agreement contained and the indenture governing the senior notes contains negative financial and non-financial covenants, including, among other things, limitations on the Company’s ability to incur additional debt, 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 governing the Company’s senior secured credit facilities contained financial covenants that required the Company to maintain a specified consolidated leverage ratio and consolidated interest coverage ratio.

	The Company is restricted from paying dividends to NMH Holdings, LLC (“Parent”) in excess of $15.0 million, except for dividends used for the repurchase of equity from former officers and employees and for the payment of management fees, taxes, and certain other exceptions.

	Derivatives

	The Company entered into an interest rate swap in a notional amount of $400.0 million effective March 31, 2011, maturing on September 30, 2014. The Company entered into this interest rate swap to hedge the risk of changes in the floating rate of interest on borrowings under the term loan. Under the terms of the swap, the Company received from the counterparty a quarterly payment based on a rate equal to the greater of 3-month LIBOR and 1.75% per annum, and the Company made payments to the counterparty based on a fixed rate of 2.55% per annum, in each case on the notional amount of $400.0 million, settled on a net payment basis.

	On October 15, 2012, the Company amended the terms of its interest rate swap agreement in connection with the amendment and restatement of the terms of the senior secured credit facilities. The notional amount of the interest rate swap of $400.0 million and maturity date of September 30, 2014 remained unchanged. Under the new terms of the interest rate swap, the Company receives from the counterparty a quarterly payment based on a rate equal to the greater of 3-month LIBOR and 1.25% per annum, and the Company makes payments to the counterparty based on a fixed rate of 2.08% per annum, in each case on the notional amount of $400.0 million, settled on a net payment basis. Based on the applicable margin of 5.25% under the Company’s term loan, this swap effectively fixed the Company’s cost of borrowing for $400.0 million of the term loan at 7.3% per annum for the term of the swap. As a result of the modification of the terms of the interest rate swap agreement, the fair value of the interest rate swap was increased by $68 thousand and the increase in fair value is being amortized into Other income (expense) over the remaining term of the interest rate swap agreement.

The Company accounts for the interest rate swap as a cash flow hedge and the effectiveness of the hedge relationship is 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 (under Other accrued liabilities) and was determined based on pricing models and independent formulas using current assumptions. The change in fair market value is recorded in the consolidated statements of comprehensive loss.

The refinancing of the Company’s senior secured credit facilities as described in note 13 subsequent events did not affect the Company’s interest rate swap agreement.

Shareholders_Equity

Shareholder's Equity	3 Months Ended
Shareholder's Equity	Dec. 31, 2013
Equity [Abstract]	'
Shareholder's Equity	'
	4. Shareholder’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 Parent.
	Dividends to Parent
	From time to time, our indirect parent NMH Investment may repurchase equity units from employees upon or after their departures from the Company. The Company accounts for these repurchases as dividends to its indirect parent NMH Investment to fund these repurchases. There were no dividends paid for the three months ended December 31, 2013 and 2012, respectively.

Business_Combinations

Business Combinations	3 Months Ended
	Dec. 31, 2013
Business Combinations [Abstract]	'
Business Combinations	'
	5. 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.
	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. 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 primarily $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)	Show-Me
		Health Care
	Identifiable intangible assets	$	895
	Property and equipment		9

	Total identifiable net assets		904
	Goodwill		336

Goodwill_and_Intangible_Assets

Goodwill and Intangible Assets	3 Months Ended
Goodwill and Intangible Assets	Dec. 31, 2013
Goodwill And Intangible Assets Disclosure [Abstract]	'
Goodwill and Intangible Assets	'
	6. Goodwill and Intangible Assets
	Goodwill
	The changes in goodwill for the three months ended December 31, 2013 are as follows:


			Human		Post -Acute		Total
			Services		Specialty
					Rehabilitation
					Services
			(in thousands)
	Balance as of September 30, 2013		$	169,622	$	66,001	$	235,623
	Goodwill acquired through acquisitions			336		—		336

	Balance as of December 31, 2013		$	169,958	$	66,001	$	235,959


	Intangible Assets
	Intangible assets consist of the following as of December 31, 2013:


	Description		Gross		Accumulated		Intangible
			Carrying		Amortization		Assets,
			Value				Net
	(in thousands)
	Agency contracts		$	465,148	$	203,375	$	261,773
	Non-compete/non-solicit			4,943		2,292		2,651
	Relationship with contracted caregivers			10,963		8,180		2,783
	Trade names			3,787		2,531		1,256
	Trade names (indefinite life)			42,400		—		42,400
	Licenses and permits			45,973		29,493		16,480
	Intellectual property			904		590		314

			$	574,118	$	246,461	$	327,657

	Intangible assets consist of the following as of September 30, 2013:


	Description		Gross		Accumulated		Intangible
			Carrying		Amortization		Assets,
			Value				Net
	(in thousands)
	Agency contracts		$	464,480	$	195,737	$	268,743
	Non-compete/non-solicit			4,929		2,058		2,871
	Relationship with contracted caregivers			10,963		7,905		3,058
	Trade names			3,787		2,431		1,356
	Trade names (indefinite life)			42,400		—		42,400
	Licenses and permits			45,760		28,343		17,417
	Intellectual property			904		558		346

			$	573,223	$	237,032	$	336,191

	Amortization expense for continuing operations was $9.4 million for the three months ended December 31, 2013 and 2012, respectively. There was no amortization expense for discontinued operations for the three months ended December 31, 2013 as compared to $0.1 million for the three months ended December 31, 2012.
	The estimated remaining amortization expense related to intangible assets with finite lives for the nine months remaining in fiscal 2014 and each of the four succeeding years and thereafter is as follows:


	(in thousands)
	2014		$	27,763
	2015			35,464
	2016			33,544
	2017			29,361
	2018			28,435
	Thereafter			130,690

		$	285,257

Related_Party_Transactions

Related Party Transactions	3 Months Ended
Related Party Transactions	Dec. 31, 2013
Related Party Transactions [Abstract]	'
Related Party Transactions	'
	7. 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.
	As part of the management agreement, the Company agreed to indemnify Vestar and its affiliates from and against all losses, claims, damages and liabilities arising out of the performance by Vestar of its services pursuant to the management agreement. The management agreement will terminate upon such time that Vestar and its partners and their respective affiliates hold, directly or indirectly in the aggregate, less than 20% of the voting power of the outstanding voting stock of the Company.

	This agreement provides for the payment of reasonable and customary fees to Vestar for services in connection with a sale of the Company, an initial public offering by or involving NMH Investment, LLC (“NMH Investment”) or any of its subsidiaries or any extraordinary acquisition by or involving NMH Investment or any of its subsidiaries; provided, that such fees shall only be paid with the consent of the directors of the Company who are not affiliated with or employed by Vestar. The Company recorded $0.3 million of management fees and expenses for the three months ended December 31, 2013 and 2012, respectively. The accrued liability related to the management agreement was $0.6 million and $0.5 million at December 31, 2013 and September 30, 2013, respectively.
	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 March 2018. Related party lease expense was $0.3 million and $0.4 million for the three months ended December 31, 2013 and 2012, respectively.

Fair_Value_Measurements

Fair Value Measurements

3 Months Ended

Dec. 31, 2013

Fair Value Disclosures [Abstract]

Fair Value Measurements

8. 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.

Assets and liabilities recorded at fair value at December 31, 2013 consist of:

(in thousands)

Total

Quoted

Significant Other

Significant

Market Prices

Observable

Unobservable

(Level 1)

Inputs

(Level 2)

(Level 3)

Interest rate swap agreements

(2,398

)

—

(2,398

)

—

Assets and liabilities recorded at fair value at September 30, 2013 consist of:

(in thousands)

Total

Quoted

Significant Other

Significant

Market Prices

Observable

Unobservable

(Level 1)

Inputs

(Level 2)

(Level 3)

Interest rate swap agreements

(3,165

)

—

(3,165

)

—

Interest rate swap agreements. The fair value of the swap agreements was recorded in current liabilities (under Other accrued liabilities) in the Company’s consolidated balance sheets. The fair value of these agreements was determined based on pricing models and independent formulas using current assumptions that included swap terms, interest rates and forward LIBOR curves and the Company’s credit risk.

At December 31, 2013 and September 30, 2013, 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, 2013

September 30, 2013

(in thousands)

Carrying

Fair

Carrying

Fair

Amount

Value

Amount

Value

Senior notes (issued February 9, 2011)

243,399

268,750

242,997

268,750

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
Income Taxes	Dec. 31, 2013
Income Tax Disclosure [Abstract]	'
Income Taxes	'

	9. 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, 2013, the Company’s effective income tax rate was 26.2% compared to an effective tax rate of 29.5% for the three months ended December 31, 2012. These rates differ from the federal statutory income tax rate primarily due to nondeductible permanent differences such as meals and nondeductible compensation, and net operating losses not benefited.

	NMH Holdings, Inc. 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, 2010. The Company did not have a reserve for uncertain income tax positions at December 31, 2013. 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
Segment Information	Dec. 31, 2013
Segment Reporting [Abstract]	'
Segment Information	'
	10. Segment Information
	The Company has two reportable segments, Human Services and Post-Acute Specialty Rehabilitation Services (“SRS”).
	The Human Services segment delivers home and community-based human services to adults and children with intellectual and/or developmental disabilities and to youth with emotional, behavioral and/or medically complex challenges. Human Services is organized in a reporting structure composed of two operating segments which are aggregated into one reportable segment based on similarity of the economic characteristics and services provided.
	The SRS segment delivers health care and community-based health and human services to individuals who have suffered acquired brain and/or spinal injuries and other catastrophic injuries and illnesses. This segment is organized in a reporting structure composed of two operating segments which are aggregated based on similarity of economic characteristics and services provided.
	Activities classified as “Corporate” in the table below relate primarily to unallocated home office items.
	The Company generally evaluates the performance of its operating segments based on income (loss) from operations. The following is a financial summary by reportable operating segment for the periods indicated.


	For the three months ended December 31,	Human		Post -Acute		Corporate			Consolidated
		Services		Specialty
				Rehabilitation
				Services
		(in thousands)
	2013
	Net revenue	$	251,989	$	55,492	$	—		$	307,481
	Income (loss) from operations		22,089		4,300		(13,306	)		13,083
	Total assets		648,364		203,330		164,660			1,016,354
	Depreciation and amortization		11,044		4,373		648			16,065
	Purchases of property and equipment		3,060		2,227		736			6,023
	Income (loss) from continuing operations before income taxes		5,893		853		(13,132	)		(6,386	)
	2012
	Net revenue	$	242,426	$	51,210	$	—		$	293,636
	Income (loss) from operations		19,812		4,434		(16,497	)		7,749
	Depreciation and amortization		11,100		3,848		560			15,508
	Purchases of property and equipment		5,421		2,270		536			8,227
	Income (loss) from continuing operations before income taxes		3,317		1,085		(16,250	)		(11,848	)

	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 14% of the Company’s revenue for the three months ended December 31, 2013 and 2012 respectively.

Accruals_for_SelfInsurance

Accruals for Self-Insurance	3 Months Ended
Accruals for Self-Insurance	Dec. 31, 2013
Commitments And Contingencies Disclosure [Abstract]	'
Accruals for Self-Insurance	'
	11. 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
Other Commitments and Contingencies	Dec. 31, 2013
Commitments And Contingencies Disclosure [Abstract]	'
Other Commitments and Contingencies	'
	12. 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.

	Finally, 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.
	The Company reserves for costs related to contingencies in accordance with aggregate estimates, or when a loss is not included in its estimates and the loss is probable and the amount is reasonably estimable. While the Company believes the provision for legal contingencies is adequate, the outcome of the legal proceedings is difficult to predict and the Company may settle legal claims or be subject to judgments for amounts that differ from the Company’s estimates.

Subsequent_Events

Subsequent Events	3 Months Ended
Subsequent Events	Dec. 31, 2013
Subsequent Events [Abstract]	'
Subsequent Events	'

	13. Subsequent Events

	Management Transition

	On January 1, 2014, Bruce F. Nardella, who served as President and Chief Operating Officer, became the Chief Executive Officer and President and the sole principal executive officer. NMH Investment authorized grants of 100,000 Class F Common Units and 100,000 Class H Common Units to the President and Chief Operating Officer in connection with his promotion. Also on January 1, 2014, Edward M. Murphy, who served as Chief Executive Officer, became the Executive Chair of the Board and Gregory Torres, who served as Chairman of the Board, stepped down as Chairman but will remain a director of the Company.

	Acquisitions

	Subsequent to the three months ended December 31, 2013, the Company acquired two companies complementary to its Human Service business and one company complementary to its Post-Acute Specialty Rehabilitation Services business. Aggregate cash consideration for these acquisitions was approximately $10.5 million. The Company is in the process of completing the allocation of the purchase prices to the fair value of net assets acquired.

	New Senior Secured Credit Facilities

	On January 31, 2014, the Company and NMH Holdings, LLC (“Parent”) entered into a new senior credit agreement (the “new 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 “new senior secured credit facilities”), consisting of a $600.0 million term loan facility (the “new 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 “new senior revolver”). The new term loan facility has a seven-year maturity and the new senior revolver has a five-year maturity; provided, that if the Company’s 12.50% Senior Notes due 2018 (the “senior notes”) are not refinanced in full on or prior to the date that is three months prior to February 15, 2018, such maturity dates shall spring forward to November 15, 2017. The new senior credit agreement provides that the Company may make one or more offers to the lenders, and consummate transactions with individual lenders that accept the terms contained in such offers, to extend the maturity date of the lender’s term loans and/or revolving commitments, subject to certain conditions, and any extended term loans or revolving commitments will constitute a separate class of term loans or revolving commitments.

	All of the Company’s obligations under the new senior secured credit facilities are guaranteed by NMH Holdings, LLC (“Parent”) and the subsidiary guarantors named therein (the “Subsidiary Guarantors”). Pursuant to the Guarantee and Security Agreement, dated as of January 31, 2014 (the “guarantee and security agreement”), among Parent, as parent guarantor, the Company, certain subsidiaries of the Company, as subsidiary guarantors and Barclays Bank, PLC, as administrative agent, subject to certain exceptions, the obligations under the new senior secured credit facilities are secured by a pledge of 100% of the Company’s capital stock and the capital stock of certain domestic subsidiaries owned by the Company and any other domestic Subsidiary Guarantor and 65% of the capital stock of any first tier foreign subsidiaries, and a security interest in substantially all of the Company’s tangible and intangible assets and the tangible and intangible assets of Parent and each Subsidiary Guarantor.

	As of January 31, 2014, the Company had no borrowings under the new senior revolver and approximately $44.7 million of letters of credit issued under the institutional letter of credit facility.

	Borrowings under the new senior secured credit facilities bear interest, at the Company’s option, at: (i) an ABR rate equal to the greater of (a) the prime rate of Barclays Bank PLC, (b) the federal funds rate plus 1/2 of 1.0%, and (c) the Eurodollar rate for an interest period of one-month beginning on such day plus 100 basis points, plus 2.75% (provided that the ABR rate applicable to the new term loan facility shall not be less than 2.00% per annum); or (ii) the Eurodollar rate (provided that the Eurodollar rate applicable to the new term loan facility shall not be less than 1.00% per annum), plus 3.75%. The Company is also required to pay a commitment fee to the lenders under the new senior revolver at an initial rate of 0.50% of the average daily unutilized commitments thereunder. The Company must also pay customary letter of credit fees, including a fronting fee as well as administration fees.

	Partial Redemption of Bonds

	The Company issued a partial notice of redemption that it will redeem $38 million aggregate principal amount of the currently outstanding $250.0 million aggregate principal amount of the senior notes on February 26, 2014, in accordance with the provisions of the indenture governing the senior notes. The redemption price of the senior notes is 106.250% of the principal amount redeemed, plus accrued and unpaid interest to, but not including, the redemption date.

Recent_Accounting_Pronouncemen1

Recent Accounting Pronouncements (Policies)	3 Months Ended
Recent Accounting Pronouncements (Policies)	Dec. 31, 2013
Accounting Changes And Error Corrections [Abstract]	'
Technical Corrections and Improvements	'
Technical Corrections and Improvements	Technical Corrections and Improvements — In October 2012, the FASB issued Accounting Standards Update No. 2012-04, Technical Corrections and Improvements (“ASU 2012-04”). The amendments in this update cover a wide range of Topics in the Accounting Standards Codification. These amendments include technical corrections and improvements to the Accounting Standards Codification and conforming amendments related to fair value measurements. The amendments in this update were effective for the Company beginning the first quarter of the fiscal year ending September 30, 2014. This adoption did not have a material impact on the Company’s consolidated financial statements.

LongTerm_Debt_Tables

Long-Term Debt (Tables)	3 Months Ended
Long-Term Debt (Tables)	Dec. 31, 2013
Debt Disclosure [Abstract]	'
Long-Term Debt	'

	As of December 31, 2013 and 2012, the Company’s long-term debt consisted of the following:



	(in thousands)	December 31,			September 30,
	(in thousands)	2013			2013
	Term loan (including the Incremental Term Loan), principal and interest due in quarterly installments through February 9, 2017	$	545,125		$	546,525
	Original issue discount on term loan, net of accumulated amortization		(4,071	)		(4,403	)
	Senior notes, due February 15, 2018; semi-annual cash interest payments due each February 15th and August 15th (interest rate of 12.50%)		250,000			250,000
	Original issue discount and initial purchase discount on senior notes, net of accumulated amortization		(6,601	)		(7,003	)
	Senior revolver, due February 9, 2016; quarterly cash interest payments at a variable interest rate		—			—

			784,453			785,119
	Less current portion		5,600			5,600

	Long-term debt	$	778,853		$	779,519

Business_Combinations_Tables

Business Combinations (Tables)	3 Months Ended
Business Combinations (Tables)	Dec. 31, 2013
Business Combinations [Abstract]	'
Schedule of Recognized Amounts of Identifiable Assets Acquired	'
	The following table summarizes the recognized amounts of identifiable assets acquired assumed at the date of the acquisition:


	(in thousands)	Show-Me
	(in thousands)	Health Care
	Identifiable intangible assets	$	895
	Property and equipment		9

	Total identifiable net assets		904
	Goodwill		336

Goodwill_and_Intangible_Assets1

Goodwill and Intangible Assets (Tables)	3 Months Ended
Goodwill and Intangible Assets (Tables)	Dec. 31, 2013
Goodwill And Intangible Assets Disclosure [Abstract]	'
Schedule of Changes in Goodwill	'
	The changes in goodwill for the three months ended December 31, 2013 are as follows:


		Human		Post -Acute		Total
		Services		Specialty
				Rehabilitation
				Services
		(in thousands)
	Balance as of September 30, 2013	$	169,622	$	66,001	$	235,623
	Goodwill acquired through acquisitions		336		—		336

	Balance as of December 31, 2013	$	169,958	$	66,001	$	235,959

Schedule of Intangible Assets	'
	Intangible assets consist of the following as of December 31, 2013:


	Description	Gross		Accumulated		Intangible
		Carrying		Amortization		Assets,
		Value				Net
	(in thousands)
	Agency contracts	$	465,148	$	203,375	$	261,773
	Non-compete/non-solicit		4,943		2,292		2,651
	Relationship with contracted caregivers		10,963		8,180		2,783
	Trade names		3,787		2,531		1,256
	Trade names (indefinite life)		42,400		—		42,400
	Licenses and permits		45,973		29,493		16,480
	Intellectual property		904		590		314

		$	574,118	$	246,461	$	327,657

	Intangible assets consist of the following as of September 30, 2013:


	Description	Gross		Accumulated		Intangible
		Carrying		Amortization		Assets,
		Value				Net
	(in thousands)
	Agency contracts	$	464,480	$	195,737	$	268,743
	Non-compete/non-solicit		4,929		2,058		2,871
	Relationship with contracted caregivers		10,963		7,905		3,058
	Trade names		3,787		2,431		1,356
	Trade names (indefinite life)		42,400		—		42,400
	Licenses and permits		45,760		28,343		17,417
	Intellectual property		904		558		346

		$	573,223	$	237,032	$	336,191

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 2014 and each of the four succeeding years and thereafter is as follows:


	(in thousands)
	2014	$	27,763
	2015		35,464
	2016		33,544
	2017		29,361
	2018		28,435
	Thereafter		130,690

		$	285,257

Fair_Value_Measurements_Tables

Fair Value Measurements (Tables)

3 Months Ended

Dec. 31, 2013

Fair Value Disclosures [Abstract]

Fair Value of Assets and Liabilities

Assets and liabilities recorded at fair value at December 31, 2013 consist of:

(in thousands)

Total

Quoted

Significant Other

Significant

Market Prices

Observable

Unobservable

(Level 1)

Inputs

(Level 2)

(Level 3)

Interest rate swap agreements

(2,398

)

—

(2,398

)

—

Assets and liabilities recorded at fair value at September 30, 2013 consist of:

(in thousands)

Total

Quoted

Significant Other

Significant

Market Prices

Observable

Unobservable

(Level 1)

Inputs

(Level 2)

(Level 3)

Interest rate swap agreements

(3,165

)

—

(3,165

)

—

Carrying Amount of Debt Instrument

December 31, 2013

September 30, 2013

(in thousands)

Carrying

Fair

Carrying

Fair

Amount

Value

Amount

Value

Senior notes (issued February 9, 2011)

243,399

268,750

242,997

268,750

Segment_Information_Tables

Segment Information (Tables)	3 Months Ended
Segment Information (Tables)	Dec. 31, 2013
Segment Reporting [Abstract]	'
Performance of Operating Segments	'
	The Company generally evaluates the performance of its operating segments based on income (loss) from operations. The following is a financial summary by reportable operating segment for the periods indicated.


	For the three months ended December 31,	Human		Post -Acute		Corporate			Consolidated
		Services		Specialty
				Rehabilitation
				Services
		(in thousands)
	2013
	Net revenue	$	251,989	$	55,492	$	—		$	307,481
	Income (loss) from operations		22,089		4,300		(13,306	)		13,083
	Total assets		648,364		203,330		164,660			1,016,354
	Depreciation and amortization		11,044		4,373		648			16,065
	Purchases of property and equipment		3,060		2,227		736			6,023
	Income (loss) from continuing operations before income taxes		5,893		853		(13,132	)		(6,386	)
	2012
	Net revenue	$	242,426	$	51,210	$	—		$	293,636
	Income (loss) from operations		19,812		4,434		(16,497	)		7,749
	Depreciation and amortization		11,100		3,848		560			15,508
	Purchases of property and equipment		5,421		2,270		536			8,227
	Income (loss) from continuing operations before income taxes		3,317		1,085		(16,250	)		(11,848	)

Basis_of_Presentation_Addition

Basis of Presentation - Additional Information (Detail)	Dec. 31, 2013
	Clients
	State
Organization Consolidation And Presentation Of Financial Statements [Abstract]	'
Area of operations, number of states	36
Number of residential clients	12,200
Number of periodic clients	16,800

LongTerm_Debt_LongTerm_Debt_De

Long-Term Debt - Long-Term Debt (Detail) (USD $)	Dec. 31, 2013	Sep. 30, 2013
In Thousands, unless otherwise specified	Dec. 31, 2013	Sep. 30, 2013
Debt Instrument [Line Items]	'	'
Long-term debt	$784,453	$785,119
Less current portion	5,600	5,600
Long-term debt	778,853	779,519
Term Loan (Including the Incremental Term Loan) Principal and Interest Due in Quarterly Installments Through February 9, 2017 [Member]	'	'
Debt Instrument [Line Items]	'	'
Long-term debt	545,125	546,525
Original Issue Discount on Term Loan, Net of Accumulated Amortization [Member]	'	'
Debt Instrument [Line Items]	'	'
Long-term debt	-4,071	-4,403
Senior Notes [Member]	'	'
Debt Instrument [Line Items]	'	'
Long-term debt	250,000	250,000
Original Issue Discount and Initial Purchase Discount on Senior Notes, Net of Accumulated Amortization [Member]	'	'
Debt Instrument [Line Items]	'	'
Long-term debt	-6,601	-7,003
Senior Revolver, Due February 9, 2016; Quarterly Cash Interest Payments at a Variable Interest Rate [Member]	'	'
Debt Instrument [Line Items]	'	'
Long-term debt	'	'

LongTerm_Debt_LongTerm_Debt_Pa

Long-Term Debt - Long-Term Debt (Parenthetical) (Detail)	3 Months Ended	12 Months Ended
Long-Term Debt - Long-Term Debt (Parenthetical) (Detail)	Dec. 31, 2013	Sep. 30, 2013	Feb. 28, 2011
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%
Senior Revolver, Due February 9, 2016; Quarterly Cash Interest Payments at a Variable Interest Rate [Member]	'	'	'
Debt Instrument [Line Items]	'	'	'
Debt instrument, maturity date	9-Feb-16	9-Feb-16	'
Term Loan [Member]	'	'	'
Debt Instrument [Line Items]	'	'	'
Debt instrument, maturity date	9-Feb-17	9-Feb-17	'

LongTerm_Debt_Additional_Infor

Long-Term Debt - Additional Information (Detail) (USD $)

0 Months Ended

3 Months Ended

1 Months Ended

3 Months Ended

12 Months Ended

3 Months Ended

0 Months Ended

3 Months Ended

0 Months Ended

3 Months Ended

Oct. 15, 2012

Dec. 31, 2013

Oct. 15, 2012

Mar. 31, 2011

Dec. 31, 2013

Feb. 28, 2011

Dec. 31, 2013

Sep. 30, 2013

Dec. 31, 2013

Sep. 30, 2011

Feb. 09, 2011

Sep. 30, 2011

Dec. 31, 2013

Feb. 09, 2011

Dec. 31, 2013

Feb. 09, 2011

Oct. 15, 2012

Dec. 31, 2013

Feb. 04, 2013

Dec. 31, 2013

Revolving Credit Facility [Member]

Derivatives [Member]

Interest Rate Swap [Member]

Covenants [Member]

Senior Notes [Member]

Term Loan [Member]

Senior Revolver, Due February 9, 2016; Quarterly Cash Interest Payments at a Variable Interest Rate [Member]

Letter of Credit [Member]

Senior Secured Credit Facilities [Member]

Senior Secured Credit Facility [Member]

Tranche B-1 Term Loan [Member]

New Revolving Credit Facility under Amendment Agreement [Member]

Interest Rate Swap [Member]

Eurodollar Future [Member]

Senior Secured Credit Facility Incremental Amendment No. 1 [Member]

Swingline and The Senior Revolver [Member]

Derivatives [Member]

Minimum [Member]

Maximum [Member]

Standby Letters of Credit [Member]

Maximum [Member]

Short Term And Long Term Debt [Line Items]

Debt instrument, face amount

$250,000,000

$530,000,000

$75,000,000

$530,000,000

$522,100,000

$30,000,000

Amount deposited in cash collateral account in support of issuance of letters of credit

50,000,000

Price of term loan issued of its face value

98.50%

Amortization rate of price of term loan was issued of its face value

1.00%

Debt instrument, amendment date

15-Oct-12

4-Feb-13

Debt instrument, fees incurred related to Amendment Agreement

1,700,000

400,000

Borrowings under the term loan

75,000,000

545,100,000

50,000,000

75,000,000

Reduction in percentage of LIBOR floor rate

0.50%

Variable interest rate on term loan

'The interest rate on borrowings under the senior secured credit facilities is equal to (i) a rate equal to the greater of (a) the prime rate, (b) the federal funds rate plus 1/2 of 1% and (c) the Eurodollar rate for an interest period of one-month beginning on such day plus 100 basis points (subject to an ABR floor of 2.25% per annum), plus 4.25%; or (ii) the Eurodollar rate (subject to a LIBOR floor of 1.25% per annum), plus 5.25%, at the Company's option.

Revolver basis spread on variable rate, federal funds

1.00%

4.25%

5.25%

Line of credit, floor rate

2.25%

1.25%

Eurodollar rate for interest period

1.00%

Provision for prepayment of outstanding term loan

'0 to 50%

Prepayment term loan percentage

0.00%

50.00%

Repayment of principal installment

0.25%

Proceeds of the incremental term loan were used to repay

29,800,000

Interest rate on term loan

7.30%

6.50%

Drawings

2,500,000

Repayment

2,500,000

Availability of borrowings

75,000,000

Outstanding borrowings

42,500,000

Outstanding Amount

Interest rate for borrowings

7.50%

Debt instrument maturity term

'1 year

Debt instrument, interest rate

12.50%

Rate of price of face value

97.70%

Net proceeds

244,300,000

The net proceeds were reduced by an initial purchasers' discount

5,600,000

Maximum limit of dividends pay to NMH Holdings, LLC ("Parent")

15,000,000

Interest rate swap in a notional amount

400,000,000

Maturity date of derivative instrument

30-Sep-14

Base rate on interest rate swap instrument derivative

'3-month LIBOR

Margin on base rate (as a percent) for interest rate swap

1.25%

1.75%

Term loan rate as per the swap

2.55%

Quarterly payment received from counterparty

'Equal to the greater of 3-month LIBOR and 1.25% per annum

Payments on fixed rate

2.08%

Fair value of the interest rate swap

68,000

Applicable margin rate on Company's term loan

5.25%

Fair value of swap agreement before tax

2,400,000

Fair value of swap agreement after tax

$1,500,000

Shareholders_Equity_Additional

Shareholder's Equity - Additional Information (Detail) (USD $)	3 Months Ended
	Dec. 31, 2013	Dec. 31, 2012
Equity [Abstract]	'	'
Common stock vote per share	'One vote per share	'
Dividends paid	$0	$0

Business_Combinations_Addition

Business Combinations - Additional Information (Detail) (USD $)	3 Months Ended	0 Months Ended
	Dec. 31, 2013	Nov. 29, 2013	Nov. 29, 2013	Nov. 29, 2013	Nov. 29, 2013
	Company	Show Me Health Care [Member]	Show Me Health Care [Member]	Show Me Health Care [Member]	Show Me Health Care [Member]
			Agency Contracts [Member]	Licenses and Permits [Member]	Non-Compete Agreements [Member]
Business Acquisition [Line Items]	'	'	'	'	'
Number of companies acquired	1	'	'	'	'
Fair value consideration of acquired companies	$1,200,000	'	'	'	'
Cost of acquisition	'	1,200,000	'	'	'
Fair value of goodwill	'	336,000	'	'	'
Recognized identifiable intangible assets acquired	'	$900,000	$700,000	$200,000	$14,000
Tenure of agency contract	'	'	'12 years	'10 years	'5 years

Business_Combinations_Schedule

Business Combinations - Schedule of Recognized Amounts of Identifiable Assets Acquired (Detail) (Show Me Health Care [Member], USD $)	Nov. 29, 2013
In Thousands, unless otherwise specified	Nov. 29, 2013
Show Me Health Care [Member]	'
Business Acquisition [Line Items]	'
Identifiable intangible assets	$895
Property and equipment	9
Total identifiable net assets	904
Goodwill	$336

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, 2013
Goodwill [Line Items]	'
Beginning Balance	$235,623
Goodwill acquired through acquisitions	336
Ending Balance	235,959
Human Services [Member]	'
Goodwill [Line Items]	'
Beginning Balance	169,622
Goodwill acquired through acquisitions	336
Ending Balance	169,958
Post - Acute Specialty Rehabilitation Services [Member]	'
Goodwill [Line Items]	'
Beginning Balance	66,001
Goodwill acquired through acquisitions	'
Ending Balance	$66,001

Goodwill_and_Intangible_Assets3

Goodwill and Intangible Assets - Schedule of Intangible Assets (Detail) (USD $)	Dec. 31, 2013	Sep. 30, 2013
In Thousands, unless otherwise specified	Dec. 31, 2013	Sep. 30, 2013
Finite-Lived Intangible Assets [Line Items]	'	'
Gross Carrying Value	$574,118	$573,223
Accumulated Amortization	246,461	237,032
Intangible Assets, Net	327,657	336,191
Agency Contracts [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross Carrying Value	465,148	464,480
Accumulated Amortization	203,375	195,737
Intangible Assets, Net	261,773	268,743
Non-Compete/Non-Solicit [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross Carrying Value	4,943	4,929
Accumulated Amortization	2,292	2,058
Intangible Assets, Net	2,651	2,871
Relationship with Contracted Caregivers [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross Carrying Value	10,963	10,963
Accumulated Amortization	8,180	7,905
Intangible Assets, Net	2,783	3,058
Trade Names (Indefinite Life) [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross Carrying Value	42,400	42,400
Intangible Assets, Net	42,400	42,400
Licenses and Permits [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross Carrying Value	45,973	45,760
Accumulated Amortization	29,493	28,343
Intangible Assets, Net	16,480	17,417
Intellectual Property [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross Carrying Value	904	904
Accumulated Amortization	590	558
Intangible Assets, Net	314	346
Trade Names [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross Carrying Value	3,787	3,787
Accumulated Amortization	2,531	2,431
Intangible Assets, Net	$1,256	$1,356

Goodwill_and_Intangible_Assets4

Goodwill and Intangible Assets - Additional Information (Detail) (Finite-Lived Intangible Assets [Member], USD $)	3 Months Ended
In Millions, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Finite-Lived Intangible Assets [Member]	'	'
Goodwill And Intangible Assets Disclosure [Line Items]	'	'
Amortization expense for continuing operations	$9.40	$9.40
Amortization expense for discontinued operations	$0	$0.10

Goodwill_and_Intangible_Assets5

Goodwill and Intangible Assets - Schedule of Amortization Expense Related to Intangible Assets (Detail) (USD $)	Dec. 31, 2013
In Thousands, unless otherwise specified	Dec. 31, 2013
Goodwill And Intangible Assets Disclosure [Abstract]	'
2014	$27,763
2015	35,464
2016	33,544
2017	29,361
2018	28,435
Thereafter	130,690
Amortization expense related to intangible assets	$285,257

Related_Party_Transactions_Add

Related Party Transactions - Additional Information (Detail) (USD $)	0 Months Ended	3 Months Ended
	Feb. 09, 2011	Dec. 31, 2013	Dec. 31, 2012	Sep. 30, 2013
Related Party Transaction [Line Items]	'	'	'	'
Contract termination, percentage of voting power of outstanding voting stock	'	20.00%	'	'
Management fees and expenses	'	$345,000	$336,000	'
Vestar Capital Partners [Member]	'	'	'	'
Related Party Transaction [Line Items]	'	'	'	'
Management fee percentage of consolidated earnings before interest, taxes, depreciation, amortization and management fee	1.00%	'	'	'
Management fees and expenses	'	300,000	300,000	'
Accrued liability related to management agreement	'	600,000	'	500,000
Vestar Capital Partners [Member] \| Minimum [Member]	'	'	'	'
Related Party Transaction [Line Items]	'	'	'	'
Annual management fee for certain advisory and consulting services payable	850,000	'	'	'
Lease Agreements [Member]	'	'	'	'
Related Party Transaction [Line Items]	'	'	'	'
Related party lease expense	'	$300,000	$400,000	'
Lease Agreements [Member] \| Maximum [Member]	'	'	'	'
Related Party Transaction [Line Items]	'	'	'	'
Lease expiration date	'	31-Mar-18	'	'

Fair_Value_Measurements_Fair_V

Fair Value Measurements - Fair Value of Assets and Liabilities (Detail) (Interest Rate Swap Agreements [Member], USD $)	Dec. 31, 2013	Sep. 30, 2013
In Thousands, unless otherwise specified	Dec. 31, 2013	Sep. 30, 2013
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]	'	'
Fair value of assets and liabilities	($2,398)	($3,165)
Quoted Market Prices (Level 1) [Member]	'	'
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]	'	'
Fair value of assets and liabilities	'	'
Significant Other Observable Inputs (Level 2) [Member]	'	'
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]	'	'
Fair value of assets and liabilities	-2,398	-3,165
Significant Unobservable Inputs (Level 3) [Member]	'	'
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]	'	'
Fair value of assets and liabilities	'	'

Fair_Value_Measurements_Carryi

Fair Value Measurements - Carrying Amount of Debt Instrument (Detail) (USD $)	Dec. 31, 2013	Sep. 30, 2013
In Thousands, unless otherwise specified	Dec. 31, 2013	Sep. 30, 2013
Carrying Amount [Member]	'	'
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]	'	'
Senior notes (issued February 9, 2011)	$243,399	$242,997
Fair Value [Member]	'	'
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]	'	'
Senior notes (issued February 9, 2011)	$268,750	$268,750

Income_Taxes_Additional_Inform

Income Taxes - Additional Information (Detail)	3 Months Ended
Income Taxes - Additional Information (Detail)	Dec. 31, 2013	Dec. 31, 2012
Income Tax Disclosure [Abstract]	'	'
Effective tax rate	26.20%	29.50%

Segment_Information_Additional

Segment Information - Additional Information (Detail)	3 Months Ended
Segment Information - Additional Information (Detail)	Dec. 31, 2013	Dec. 31, 2012
Segment Reporting Information [Line Items]	'	'
Number of reportable segments	2	'
Human Services [Member]	'	'
Segment Reporting Information [Line Items]	'	'
Number of operating segments	2	'
Post - Acute Specialty Rehabilitation Services [Member]	'	'
Segment Reporting Information [Line Items]	'	'
Number of operating segments	2	'
State and Local Government Payor [Member] \| Human Services [Member] \| Sales [Member]	'	'
Segment Reporting Information [Line Items]	'	'
Revenue derived from contracts with state and local governmental payors in the state of Minnesota	14.00%	14.00%

Segment_Information_Performanc

Segment Information - Performance of Operating Segments (Detail) (USD $)	3 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Sep. 30, 2013
Segment Reporting Information [Line Items]	'	'	'
Net revenue	$307,481	$293,636	'
Income (loss) from operations	13,083	7,749	'
Total assets	1,016,354	'	1,020,372
Depreciation and amortization	16,065	15,508	'
Purchases of property and equipment	6,023	8,227	'
Income (loss) from continuing operations before income taxes	-6,386	-11,848	'
Human Services [Member]	'	'	'
Segment Reporting Information [Line Items]	'	'	'
Net revenue	251,989	242,426	'
Income (loss) from operations	22,089	19,812	'
Total assets	648,364	'	'
Depreciation and amortization	11,044	11,100	'
Purchases of property and equipment	3,060	5,421	'
Income (loss) from continuing operations before income taxes	5,893	3,317	'
Post - Acute Specialty Rehabilitation Services [Member]	'	'	'
Segment Reporting Information [Line Items]	'	'	'
Net revenue	55,492	51,210	'
Income (loss) from operations	4,300	4,434	'
Total assets	203,330	'	'
Depreciation and amortization	4,373	3,848	'
Purchases of property and equipment	2,227	2,270	'
Income (loss) from continuing operations before income taxes	853	1,085	'
Corporate [Member]	'	'	'
Segment Reporting Information [Line Items]	'	'	'
Income (loss) from operations	-13,306	-16,497	'
Total assets	164,660	'	'
Depreciation and amortization	648	560	'
Purchases of property and equipment	736	536	'
Income (loss) from continuing operations before income taxes	($13,132)	($16,250)	'

Accruals_for_SelfInsurance_Add

Accruals for Self-Insurance - Additional Information (Detail) (USD $)	0 Months Ended		3 Months Ended	24 Months Ended
	Oct. 02, 2013	Jun. 29, 2006	Dec. 31, 2013	Sep. 30, 2013
Commitments And Contingencies Disclosure [Abstract]	'	'	'	'
Aggregate self-insurance for professional and general liability	$28,000,000	$2,000,000	'	$0
Insured amount for professional and general liability, per claim	4,000,000	1,000,000	'	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 extra ordinary claims	'	'	$300,000	'

Subsequent_Events_Additional_I

Subsequent Events - Additional Information (Detail) (USD $)

3 Months Ended

0 Months Ended

3 Months Ended

Dec. 31, 2013

Sep. 30, 2013

Feb. 09, 2011

Oct. 15, 2012

Dec. 31, 2013

Sep. 30, 2013

Feb. 28, 2011

Dec. 31, 2013

Jan. 31, 2014

Dec. 31, 2013

Jan. 02, 2014

Company

Term Loan [Member]

Senior Secured Credit Facilities [Member]

Senior Notes [Member]

Subsequent Event [Member]

Class F Non-voting Common Units [Member]

Class H Common Units [Member]

Letter of Credit [Member]

Revolving Credit Facility [Member]

Term Loan [Member]

Senior Secured Credit Facilities [Member]

Base Rate [Member]

Interest Rate Swap [Member]

A B R Based Rate [Member]

Eurodollar Future [Member]

Domestic Subsidiary [Member]

Foreign Subsidiaries [Member]

Letter of Credit [Member]

Senior Notes [Member]

Human Services [Member]

Post - Acute Specialty Rehabilitation Services [Member]

Subsequent Event [Member]

Senior Credit Agreement [Member]

Term Loan [Member]

Senior Credit Agreement [Member]

Company

Senior Credit Agreement [Member]

Subsequent Event [Line Items]

Number of units authorized to grants to our President and Chief Operating Officer as per transition plan

100,000

Aggregate consideration for the acquisition

$1,200,000

$10,500,000

Number of company acquired

Debt instrument, face amount

530,000,000

250,000,000

600,000,000

100,000,000

Amount deposited in cash collateral account in support of issuance of letters of credit

50,000,000

Debt instrument maturity term

'7 years

'5 years

Interest on senior notes

12.50%

Percentage of common stock shares pledged to secured loans

100.00%

65.00%

Aggregate principal amount outstanding

$784,453,000

$785,119,000

$250,000,000

$44,700,000

$250,000,000

$38,000,000

Revolver basis spread on variable rate, federal funds

1.00%

0.50%

2.75%

3.75%

Debt Instrument basis point on variable rate

1.00%

Debt Instrument Minimum stated rate

2.00%

1.00%

Percentage of commitment fee on unutilized commitment

0.50%

Redemption price percentage

106.25%