National Mentor (NMH) 10-K 17 Dec 14 2014 FY Annual report Financial data

Document_and_Entity_Informatio

Document and Entity Information (USD $)	12 Months Ended
	Sep. 30, 2014	Dec. 17, 2014	Mar. 31, 2014
Document And Entity Information [Abstract]
Document Type	10-K
Amendment Flag	FALSE
Document Period End Date	30-Sep-14
Document Fiscal Year Focus	2014
Document Fiscal Period Focus	FY
Trading Symbol	NMH
Entity Registrant Name	NATIONAL MENTOR HOLDINGS, INC.
Entity Central Index Key	1338690
Current Fiscal Year End Date	-21
Entity Well-known Seasoned Issuer	No
Entity Current Reporting Status	Yes
Entity Voluntary Filers	Yes
Entity Filer Category	Non-accelerated Filer
Entity Common Stock, Shares Outstanding		100
Entity Public Float			$0

Consolidated_Balance_Sheets

Consolidated Balance Sheets (USD $)	Sep. 30, 2014	Sep. 30, 2013
In Thousands, unless otherwise specified
Current Assets:
Cash and cash equivalents	$196,022	$19,315
Restricted cash	1,944	807
Accounts receivable, net of allowances of $11,491 and $12,494 at September 30, 2014 and 2013, respectively	141,376	144,954
Deferred tax assets, net	18,176	18,424
Prepaid expenses and other current assets	15,265	17,771
Total current assets	372,783	201,271
Property and equipment, net	159,486	153,635
Intangible assets, net	327,726	336,191
Goodwill	257,730	235,623
Restricted cash	50,000	50,000
Other assets	39,258	43,652
Total assets	1,206,983	1,020,372
Current Liabilities:
Accounts payable	22,350	26,568
Accrued payroll and related costs	84,176	65,340
Other accrued liabilities	48,963	45,066
Obligations under capital lease, current	451	430
Current portion of long-term debt	168,000	5,600
Total current liabilities	323,940	143,004
Other long-term liabilities	69,314	68,936
Deferred tax liabilities, net	70,841	83,235
Obligations under capital lease, less current portion	6,058	6,509
Long-term debt, less current portion	635,195	779,519
Commitments and contingencies (Notes 14, 15 and 16)
Stockholder's Equity (Deficit)
Common stock, $0.01 par value; 1,000 shares authorized; and 100 shares issued and outstanding at September 30, 2014 and 2013, respectively	0	0
Additional paid-in capital	216,917	33,929
Accumulated other comprehensive loss		-1,880
Accumulated deficit	-115,282	-92,880
Total stockholder's equity (deficit)	101,635	-60,831
Total liabilities and stockholder's equity (deficit)	$1,206,983	$1,020,372

Consolidated_Balance_Sheets_Pa

Consolidated Balance Sheets (Parenthetical) (USD $)	Sep. 30, 2014	Sep. 30, 2013
In Thousands, except Share data, unless otherwise specified
Statement of Financial Position [Abstract]
Allowances for accounts receivable	$11,491	$12,494
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 $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Income Statement [Abstract]
Net revenue	$1,255,838	$1,182,509	$1,107,351
Cost of revenue (exclusive of depreciation expense shown separately below)	983,043	921,618	861,691
Operating expenses:
General and administrative	144,304	145,184	139,630
Depreciation and amortization	67,488	63,573	59,987
Total operating expenses	211,792	208,757	199,617
Income from operations	61,003	52,134	46,043
Other income (expense):
Management fee of related party	-9,488	-1,359	-1,325
Other income, net	191	911	2
Extinguishment of debt	-14,699
Interest income	183	135	328
Interest expense	-69,348	-78,075	-79,445
Loss from continuing operations before income taxes	-32,158	-26,254	-34,397
Benefit for income taxes	-11,138	-9,942	-19,772
Loss from continuing operations	-21,020	-16,312	-14,625
(Loss) gain from discontinued operations, net of tax expense (benefit) for the fiscal year ended September 30, 2014, 2013 and 2012 of ($877), ($1,260) and $155	-1,382	-1,984	245
Net loss	($22,402)	($18,296)	($14,380)

Consolidated_Statements_of_Ope1

Consolidated Statements of Operations (Parenthetical) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Income Statement [Abstract]
Loss from discontinued operations	($877)	($1,260)	$155

Consolidated_Statements_of_Com

Consolidated Statements of Comprehensive Loss (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Amounts Reclassified Out Of Accumulated Other Comprehensive Income Loss [Abstract]
Net loss	($22,402)	($18,296)	($14,380)
Other comprehensive gain, net of tax:
Unrealized gains on derivative instrument classified as cash flow hedge net of tax for the fiscal year ended September 30, 2014, 2013 and 2012 of $310, $1,027, and $447	466	1,478	659
Reclassification adjustments for gains on derivative instruments included in net income, net of tax for the fiscal year ended September 30, 2014 of $942	1,414
Comprehensive loss	($20,522)	($16,818)	($13,721)

Consolidated_Statements_of_Com1

Consolidated Statements of Comprehensive Loss (Parenthetical) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Amounts Reclassified Out Of Accumulated Other Comprehensive Income Loss [Abstract]
Tax effects of changes in unrealized gain on derivatives	$310	$1,027	$447
Unrealized gains (losses) on securities, Reclassification adjustment for gains included in net income, tax expense	$942

Consolidated_Statements_of_Sto

Consolidated Statements of Stockholder's Equity (Deficit) (USD $)	Total	Common Stock [Member]	Additional Paid-in Capital [Member]	Accumulated Other Comprehensive (Loss) Income [Member]	Accumulated Deficit [Member]
In Thousands, except Share data	USD ($)		USD ($)	USD ($)	USD ($)
Balance at Sep. 30, 2011	($31,123)		$33,098	($4,017)	($60,204)
Balance, shares at Sep. 30, 2011		100
Other comprehensive income, net of tax	659			659
Stock-based compensation	672		672
Dividend to parent	-75		-75
Net loss	-14,380				-14,380
Balance at Sep. 30, 2012	-44,247		33,695	-3,358	-74,584
Balance, shares at Sep. 30, 2012		100
Other comprehensive income, net of tax	1,478			1,478
Stock-based compensation	273		273
Dividend to parent	-39		-39
Net loss	-18,296				-18,296
Balance at Sep. 30, 2013	-60,831		33,929	-1,880	-92,880
Balance, shares at Sep. 30, 2013	100	100
Parent capital contribution	182,203		182,203
Other comprehensive income, net of tax	1,880			1,880
Stock-based compensation	895		895
Dividend to parent	-110		-110
Net loss	-22,402				-22,402
Balance at Sep. 30, 2014	$101,635		$216,917		($115,282)
Balance, shares at Sep. 30, 2014	100	100

Consolidated_Statements_of_Cas

Consolidated Statements of Cash Flows (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Cash Flows from operating activities:
Net loss	($22,402)	($18,296)	($14,380)
Adjustments to reconcile net loss to net cash provided by operating activities:
Accounts receivable allowances	20,392	18,286	12,902
Depreciation	28,742	25,753	24,118
Amortization of intangible assets	37,953	37,600	36,885
Amortization and write-off of original issue discount and initial purchasers discount	7,101	2,946	2,956
Amortization and write-off of financing costs	10,523	2,851	2,395
Stock-based compensation	895	273	672
Deferred income taxes	-13,396	-12,212	-14,561
Gain on changes in derivative fair value	-33
Loss on disposal of assets	385	165	283
Non-cash impairment charge	3,605	6,344	955
Changes in operating assets and liabilities, net of acquisitions
Accounts receivable	-16,815	-9,249	-33,092
Other assets	4,441	553	-1,699
Accounts payable	-4,279	-5,930	5,961
Accrued payroll and related costs	18,836	5,330	3,324
Other accrued liabilities	8,722	-2,719	6,562
Other long-term liabilities	-754	4,043	-4,030
Net cash provided by operating activities	83,916	55,738	29,251
Cash Flows from investing activities:
Cash paid for acquisitions, net of cash received	-53,699	-9,275	-16,544
Purchases of property and equipment	-35,295	-31,901	-29,995
Changes in restricted cash	-1,137	327	-198
Proceeds from sale of assets	1,207	1,472	4,075
Net cash used in investing activities	-88,924	-39,377	-42,662
Cash Flows from financing activities:
Issuance of long term-debt, net of original issue discount	598,500	30,000
Repayments of long-term debt	-587,525	-5,525	-5,300
Proceeds from borrowings under senior revolver	9,300	469,400	679,200
Repayments of borrowings under senior revolver	-9,300	-488,400	-660,200
Repayments of capital lease obligations	-430	-434	-399
Dividend to parent	-110	-39	-75
Payments of financing costs	-10,923	-2,048	-78
Parent capital contribution	182,203
Net cash provided by financing activities	181,715	2,954	13,148
Net increase (decrease) in cash and cash equivalents	176,707	19,315	-263
Cash and cash equivalents at beginning of period	19,315		263
Cash and cash equivalents at end of period	196,022	19,315
Supplemental disclosure of cash flow information
Cash paid for interest	64,155	71,670	73,110
Cash paid for income taxes, net	1,051	1,665	441
Supplemental disclosure of non-cash investing activities:
Accrued contingent consideration	2,400
Accrued property, plant and equipment	966	919	2,093
Supplemental disclosure of non-cash financing activities:
Capital lease obligation incurred to acquire assets			$2,434

Basis_of_Presentation

Basis of Presentation	36 Months Ended
	Sep. 30, 2014
Accounting Policies [Abstract]
Basis of Presentation	1. Basis of Presentation
	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.
	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 over 12,600 clients, some of whom also receive periodic services, and more than 16,500 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.

Significant_Accounting_Policie

Significant Accounting Policies	36 Months Ended
	Sep. 30, 2014
Accounting Policies [Abstract]
Significant Accounting Policies	2. Significant Accounting Policies
	Principles of Consolidation
	The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. Intercompany accounts and transactions between the Company and its subsidiaries have been eliminated in consolidation.
	Use of Estimates
	The preparation of financial statements in conformity with generally accepted accounting principles (“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. On an on-going basis, we evaluate our estimates and judgments and methodologies. Actual results could differ from these estimates under different assumptions or conditions.
	These accounting policies and estimates are periodically reevaluated, and adjustments are made when facts and circumstances dictate a change.
	Fair Value Measurements
	The accounting standard for fair value measurements defines fair value, establishes a framework for measuring fair value in accordance with GAAP, and requires detailed disclosures about fair value measurements. Under this standard, fair value is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. The valuation techniques are based on observable and unobservable inputs. Observable inputs reflect readily obtainable data from independent sources, while unobservable inputs reflect certain market assumptions. This standard classifies these inputs into the following hierarchy:
	Level 1 Inputs - Quoted prices for identical instruments in active markets.
	Level 2 Inputs - Quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations whose inputs are observable or whose significant value drivers are observable.
	Level 3 Inputs - Instruments with primarily unobservable value drivers.
	The fair value hierarchy level is determined by asset class based on the lowest level of significant input. In periods of market inactivity, the observability of prices and inputs may be reduced for certain instruments. This condition could cause an instrument to be reclassified between levels. During the year ended September 30, 2014, there were no transfers between levels.
	The carrying amounts of the Company’s cash and cash equivalents, accounts receivable, net, accounts payable, accrued expenses, self-insurance assets and liabilities and variable rate debt approximate their fair value.
	Cash Equivalents
	The Company considers short-term investments with maturity dates of 90 days or less at the date of purchase to be cash equivalents. Cash equivalents primarily consist of money market funds and the carrying value of cash equivalents approximates fair value.
	Restricted Cash
	Restricted cash consists of a cash collateral account set up to support the issuance of letters of credit under the Company’s institutional letter of credit facility and funds provided from government payors restricted for client use.
	Concentrations of Credit and Other Risks
	Financial instruments that potentially subject the Company to credit risk primarily consist of cash and cash equivalents, self-insurance receivables and accounts receivable. Cash and cash equivalents are deposited with federally insured commercial banks in the United States, which, at times may exceed federally insured limits. The unlimited coverage by the Federal Deposit Insurance Corporation (“FDIC”) expired on December 31, 2012. Accounts are currently guaranteed by the FDIC up to $250 thousand. The Company has not experienced any losses in such accounts. The Company derives approximately 90% of its revenue from state and local government payors. These entities fund a significant portion of their payments to the Company through federal matching funds, which pass through various state and local government agencies.
	Revenue Recognition
	Revenue is reported net of allowances for unauthorized sales and estimated sales adjustments. Revenue is also reported net of any state provider taxes or gross receipts taxes levied on services the Company provides. Sales adjustments are estimated based on an analysis of historical sales adjustments and recent developments in payment trends. Revenue is recognized when evidence of an arrangement exists, the service has been provided, the price is fixed or determinable and collectability is reasonably assured.
	The Company recognizes revenue for services performed pursuant to contracts with various state and local government agencies and private health care agencies as follows: cost-reimbursement contract revenue is recognized at the time the service costs are incurred and units-of-service contract revenue is recognized at the time the service is provided. For the Company’s cost-reimbursement contracts, the rate provided by the payor is based on a certain level of service and types of costs incurred in delivering the service. From time to time, the Company receives payments under cost-reimbursement contracts in excess of the allowable costs required to support those payments. In such instances, the Company estimates and records a liability for such excess payments. At the end of the contract period, any balance of excess payments is maintained as a liability until it is reimbursed to the payor. Revenue in the future may be affected by changes in rate-setting structures, methodologies or interpretations that may be enacted in states where the Company operates or by the federal government.
	Cost of Revenue
	The Company classifies expenses directly related to providing services as cost of revenue, except for depreciation and amortization related to cost of revenue, which are shown separately in the consolidated statements of operations. Direct costs and expenses principally include salaries and benefits for service provider employees, per diem payments to independently contracted host-home caregivers (“Mentors”), residential occupancy expenses, which are primarily comprised of rent and utilities related to facilities providing direct care, certain client expenses such as food and medicine and transportation costs for clients requiring services, professional and general liability expense, employment practices liability expense and workers’ compensation expense.
	Property and Equipment
	Property and equipment are recorded at cost and are depreciated when placed into service using a straight-line method, based on their estimated useful lives as follows:
	Asset Description	Estimated Useful Life
		(in years)
	Land		Indefinite
	Building		30
	Leasehold Improvements		Not to exceed 7 years or length of lease
	Vehicles		5
	Computer hardware ad software		3
	Furniture, fixtures and equipment		5-Mar
	Capital lease assets are depreciated over the lesser of the lease term or the useful life of the asset. Expenditures for maintenance and repairs are charged to operating expenses as incurred. When assets are sold or retired, the corresponding cost and accumulated depreciation are removed from the related accounts and any gain or loss is recorded in the period of the sale or retirement.
	Internal Use Software Development Costs
	The Company capitalizes certain costs associated with its internally developed software that are incurred subsequent to the preliminary project stage. Specifically, the Company capitalizes the payroll and payroll-related costs of employees who are directly involved with and who devote time to the Company’s software development project and other applicable third-party costs, and amortizes these costs on a straight-line basis over the estimated useful life of the software of three years. Amortization begins when the internal-use software is ready for its intended use.
	Internal use software development costs of $1.5 million have been capitalized for the year ended September 30, 2014. The capitalized amounts were included as part of construction in progress on the consolidated balance sheets in property and equipment. Because the Company believes that the project is not substantially complete and ready for its intended use, no amortization expense has been recorded to date.
	Accounts Receivable
	Accounts receivable primarily consist of amounts due from government agencies, not-for-profit providers and commercial insurance companies. An estimated allowance for doubtful accounts is recorded to the extent it is probable that a portion or all of a particular account will not be collected. In evaluating the collectability of accounts receivable, the Company considers a number of factors, including payment trends in individual states, age of the accounts and the status of ongoing disputes with third party payors. Complex rules and regulations regarding billing and timely filing requirements in various states are also a factor in our assessment of the collectability of accounts receivable. Actual collections of accounts receivable in subsequent periods may require changes in the estimated allowance for doubtful accounts. Changes in these estimates are charged or credited to revenue as a contractual allowance in the consolidated statements of operations in the period of the change in estimate.
	Goodwill and Indefinite-lived Intangible Assets
	The Company reviews costs of purchased businesses in excess of the fair value of net assets acquired (goodwill), and indefinite-lived intangible assets for impairment at least annually, unless significant changes in circumstances indicate a potential impairment may have occurred sooner. The Company conducts its annual impairment test for both goodwill and indefinite-lived intangible assets on July 1st of each year.
	The Company is required to test goodwill on a reporting unit basis, of which there are two for each of the Company’s reporting segments. The Company has the option to first assess qualitative factors to determine whether further impairment testing is necessary. The Company has elected to bypass the qualitative assessments and proceed directly to the two-step impairment test. The first step is to compare the fair value of the reporting unit with its carrying value. If the carrying amount of the reporting unit exceeds its fair value then the second step of the goodwill impairment test is performed. The second step of the goodwill impairment test compares the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill in order to determine the amount of impairment to be recognized. The excess of the carrying value of goodwill above the implied goodwill, if any, would be recognized as an impairment charge. Fair values are established using the discounted cash flow method.
	For its indefinite-lived intangible assets, the Company has the option to first assess qualitative factors to determine whether further impairment testing is necessary. The Company has elected to bypass the qualitative assessments and proceed directly to the quantitative impairment test. The impairment test for indefinite-lived intangible assets requires the determination of the fair value of the intangible asset. If the fair value of the indefinite-lived intangible asset is less than its carrying value, an impairment loss is recognized in an amount equal to the difference. Fair values are established using the relief from royalty method.
	The fair value of a reporting unit is based on discounted estimated future cash flows. The assumptions used to estimate fair value include management’s best estimates of future growth, capital expenditures, discount rates and market conditions over an estimate of the remaining operating period. As such, actual results may differ from these estimates and lead to a revaluation of the Company’s goodwill and indefinite-lived intangible assets.
	Impairment of Long-Lived Assets
	The Company reviews long-lived assets for impairment when circumstances indicate the carrying amount of an asset may not be recoverable based on the undiscounted future cash flows of the asset. If the carrying amount of the asset is determined not to be recoverable, a write-down to fair value is recorded.
	Income Taxes
	The Company accounts for income taxes using the asset and liability method. Under this method, deferred tax assets and liabilities are determined by multiplying the differences between the financial reporting and tax reporting bases for assets and liabilities by the enacted tax rates expected to be in effect when such differences are recovered or settled. These deferred tax assets and liabilities are separated into current and long-term amounts based on the classification of the related assets and liabilities for financial reporting purposes and netted by jurisdiction. Valuation allowances on deferred tax assets are estimated based on the Company’s assessment of the realizability of such amounts.
	The Company also recognizes the benefits of tax positions when certain criteria are satisfied. The Company may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such a position should be measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. The Company recognizes interest and penalties related to uncertain tax positions as a component of income tax expense which is consistent with the recognition of these items in prior reporting periods.
	Derivative Financial Instruments
	The Company reports derivative financial instruments on the balance sheet at fair value and establishes criteria for designation and effectiveness of hedging relationships. Changes in the fair value of derivatives are recorded each period in current operations or in the consolidated statements of comprehensive income (loss) depending upon whether the derivative is designated as part of a hedge transaction and, if it is, the type of hedge transaction.
	The Company, from time to time, enters into interest rate swap agreements to hedge against variability in cash flows resulting from fluctuations in the benchmark interest rate, which is LIBOR, on the Company’s debt. These agreements involve the exchange of variable interest rates for fixed interest rates over the life of the swap agreement without an exchange of the notional amount upon which the payments are based. On a quarterly basis, the differential to be received or paid as interest rates change is accrued and recognized as an adjustment to interest expense in the accompanying consolidated statement of operations. In addition, on a quarterly basis, the mark to market valuation is recorded as an adjustment to gain (loss) on derivative within the consolidated statements of comprehensive income (loss). The related amount receivable from or payable to counterparties is included as an asset or liability, respectively, in the Company’s consolidated balance sheets.
	Stock-Based Compensation
	NMH Investment adopted an equity-based compensation plan in 2006, and from time to time it has issued units of limited liability company interests pursuant to such plan, consisting of Class B Units, Class C Units, Class D Units, Class E Units, Class F Units, Class G Units and Class H Units. The units are limited liability company interests and are available for issuance to the Company’s employees and members of the Board of Directors for incentive purposes. For purposes of determining the compensation expense associated with these grants, management values the business enterprise using a variety of widely accepted valuation techniques which considered a number of factors such as the Company’s financial performance, the values of comparable companies and the lack of marketability of the Company’s equity. The Company then uses the option pricing method to determine the fair value of these units at the time of grant using valuation assumptions consisting of the expected term in which the units will be realized; a risk-free interest rate equal to the U.S. federal treasury bond rate consistent with the term assumption; expected dividend yield, for which there is none; and expected volatility based on the historical data of equity instruments of comparable companies. For Class B Units, Class C Units, Class D Units, Class E Units and Class F Units, the estimated fair value of the units, less an assumed forfeiture rate, is recognized in expense on a straight-line basis over the requisite service periods of the awards. The Class G Units and Class H Units vest upon a liquidity event and/or upon the occurrence of certain investment return conditions, for which the compensation expense will then be recognized in its entirety when probable.
	In fiscal 2014, Civitas adopted an equity-based compensation plan and issued stock-based awards including non-qualified stock options and restricted stock units. The Company recognizes the fair value of stock-based compensation expense over the requisite service period of the individual grantee, which equals the vesting period. The Company is required to estimate future forfeitures of stock-based awards for recognition of compensation expense. The Company will record additional expense if the actual forfeitures are lower than estimated and will record a recovery of prior recognized expense if the actual forfeitures are higher than estimated. The actual expense recognized over the vesting period will only be for those awards that vest.
	Accruals for Self-Insurance
	The Company maintains employment practices liability, professional and general liability, workers’ compensation, automobile liability and health insurance with policies that include self-insured retentions. 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, employment practices liability and professional and general liability programs are based on analyses performed internally by management and for certain balances, take into account reports by independent third party actuaries. Accruals relating to prior periods are periodically re-evaluated and increased or decreased based on new information.
	Self-Insurance Gross versus Net Presentation
	The Company reports its 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 consolidated balance sheets. Self-insured liabilities are presented in accrued payroll and related costs, other accrued liabilities and other long-term liabilities on the Company’s consolidated balance sheets.
	Legal Contingencies
	The Company reserves for costs related to contingencies when a loss is probable and the amount is reasonably estimable or a range of loss can be determined. These accruals represent management’s best estimate of probable loss. Disclosure is also provided when it is reasonably possible that a loss will be incurred or when it is reasonably possible that the amount of loss will exceed the recorded provision. Significant judgment is required in both the determination of probability and the determination as to whether an exposure is reasonably estimable. Because of uncertainties related to these matters, accruals are based only on the best information available at the time. As additional information becomes available, the Company reassesses the potential liability related to pending claims and litigation and may revise its estimates. These revisions in the estimates of the potential liabilities could have a material impact on our consolidated results of operations and financial position.
	Discontinued Operations
	The Company analyzes its operations that have been divested or classified as held-for-sale to determine if they qualify for discontinued operations accounting. Only operations that qualify as a component of an entity, as defined by the Accounting Standards Codification (“ASC”), can be classified as a discontinued operation. In addition, only components where the cash flows of the component have been or will be eliminated from ongoing operations by the end of the assessment period and where the Company does not have significant continuing involvement with the divested operations would qualify for discontinued operations accounting.
Subsequent Events
The Company considers events or transactions that have occurred after the balance sheet date of September 30, 2014, but prior to the filing of the financial statements with the Securities and Exchange Commission, or SEC, to provide additional evidence relative to certain estimates or to identify matters that require additional recognition or disclosure. Subsequent events have been evaluated through the filing of the financial statements accompanying this Annual Report on Form 10-K.

Recent_Accounting_Pronouncemen

Recent Accounting Pronouncements	36 Months Ended
	Sep. 30, 2014
Accounting Changes and Error Corrections [Abstract]
Recent Accounting Pronouncements	3. 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 in the first quarter of the fiscal year ended September 30, 2014. This adoption did not have a material impact on the Company’s consolidated financial statements.
	Technical Corrections and Improvements Related to Glossary Terms – In March 2014, the FASB issued Accounting Standards Update No. 2014-06, Technical Corrections and Improvements Related to Glossary Terms (“ASU 2014-06”). The amendments in this update relate to glossary terms and cover a wide range of Topics in the Codification. The amendments in this update were effective for the Company beginning in the second quarter of the fiscal year ended September 30, 2014. This adoption did not have a material impact on the Company’s consolidated financial statements.
	Income Taxes—In July 2013, the FASB issued Accounting Standards Update No. 2013-11, Income Taxes (Topic 740): - Presentation of an Unrecognized Tax Benefit When a Net Operating Loss Carryforward, a Similar Tax Loss, or a Tax Credit Carryforward Exists (“ASU 2013-11”). ASU 2013-11 requires an entity to present the reserve for uncertain tax positions when a net operating loss carryforward, a similar tax loss, or a tax credit carryforward exists. This guidance requires the reserve for uncertain tax positions to be presented in the financial statements as a reduction to the deferred tax asset for a tax loss or other tax carryforward that would be applied in the settlement of the uncertain tax position. This guidance, which was effective for the Company beginning in the second quarter of the fiscal year ended September 30, 2014, did not have a material effect on our consolidated financial statements.
	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 to be applied prospectively, and is effective for the first quarter of fiscal year ending September 30, 2015. It is expected that the adoption 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.

Business_Combinations

Business Combinations	36 Months Ended
	Sep. 30, 2014
Business Combinations [Abstract]
Business Combinations	4. 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 2014 Acquisitions
	During the fiscal year ended September 30, 2014, the Company acquired eleven companies complementary to its business for a total fair value consideration of $56.1 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.
	Occazio, Inc. (“Occazio”). On January 2, 2014, the Company acquired the assets of Occazio for $5.5 million. Occazio is located in Indiana and provides residential, home care and home health care services to consumers with intellectual and/or developmental disabilities. As a result of this acquisition, the Company recorded $1.4 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $3.9 million of intangible assets which included $2.9 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, $0.2 million trade name with a useful life of 5 years, and $24 thousand 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.
	Momentum Rehabilitation Services, Inc., D/B/A Ann Arbor Rehabilitation Centers (“Ann Arbor”). On February 7, 2014, the Company acquired the assets of Ann Arbor for $4.8 million. Ann Arbor is located in Michigan and provides comprehensive on and off-campus residential housing and personalized daily services to adults with traumatic brain injury. As a result of this acquisition, the Company recorded $1.0 million of goodwill in the Post-Acute Specialty Rehabilitation Services segment, which is expected to be deductible for tax purposes. The Company acquired $3.8 million of intangible assets which included $3.7 million of agency contracts with a weighted average useful life of 12 years, $0.1 million trade name with a useful life of 5 years, and $33 thousand of non-compete/non-solicit agreement with a useful life of 5 years.
	Tender Loving Care Metro, LLC (“Tender Loving Care”). On April 7, 2014, the Company acquired the assets of Tender Loving Care for $3.0 million. Tender Loving Care is located in Minnesota and provides residential and related services to adults with intellectual and/or developmental disabilities. As a result of this acquisition, the Company recorded $0.5 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $2.4 million of intangible assets which included $2.0 million of agency contracts with a weighted average useful life of 12 years, $0.3 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.
	AmeriServe International of Arizona, Inc. (“AmeriServe”). On June 30, 2014, the Company acquired the assets of AmeriServe for $0.4 million. AmeriServe is located in Arizona and provides group home services, day program services and related services to individuals with developmental disabilities. As a result of this acquisition, the Company recorded $0.1 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $0.3 million of intangible assets which included $0.2 million of agency contracts with a weighted average useful life of 12 years, $39 thousand of licenses and permits with a weighted average useful life of 10 years, and $12 thousand of non-compete/non-solicit agreement with a useful life of 5 years.
	G&D Alternative Living, Inc. (“G&D”). On June 30, 2014, the Company acquired the assets of G&D for $1.5 million. G&D is located in Ohio and provides group home services, day program services and related 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 $1.1 million of intangible assets which included $0.9 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 $6 thousand of non-compete/non-solicit agreement with a useful life of 5 years.
	Life by Design, Inc. (“Life by Design”). On July 23, 2014, the Company acquired the assets of Life by Design for $2.1 million. Life by Design is located in Minnesota and provides supported living and related services to individuals with developmental disabilities. Based on the estimated fair values of the assets acquired at the date of acquisition, the Company recorded $0.4 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $1.7 million of intangible assets which included $1.3 million of agency contracts with a weighted average useful life of 12 years, $0.3 million of licenses and permits with a weighted average useful life of 10 years, and $33 thousand of non-compete/non-solicit agreement with a useful life of 5 years.
	Mass Adult Day Health Alliance (“Adult Day Health”). On September 8, 2014, the Company acquired Adult Day Health for consideration of $37.1 million, including $2.4 million of contingent consideration. Adult Day Health is located in Massachusetts and operates eight adult day health facilities in the Boston area and provides outpatient, center-based services that provide health, therapeutic and social support to elders in a group environment. Based on the estimated fair values of the net assets acquired at the date of acquisition, the Company recorded $18.0 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $18.1 million of intangible assets which included $12.4 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, $3.4 million trade name with an indefinite useful life, and $1.6 million of non-compete/non-solicit agreements with a useful life of 5 years. In addition, the Company acquired total tangible assets of $1.4 million.
	The purchase price allocation for Adult Day Health has been prepared on a preliminary basis and is subject to change as additional information becomes available concerning the fair value of the intangible assets acquired. Any adjustments to the purchase price allocation will be made as soon as practicable but no later than one year from September 8, 2014, the acquisition date.
	Other Acquisitions. During fiscal 2014, the Company acquired the assets of Rose View Group Home, LLC, Multi-Dimensional Services and Supports, Inc. and Residential CRF, Inc. All three of these acquisitions are in the business of providing group home and related services to individuals with developmental disabilities and are included in our Human Services segment. Total cash consideration for these companies was $0.4 million of which $0.1 million was recorded to goodwill and $0.3 million was recorded to intangible assets.
	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 assets		equipment		net assets
	Show-Me Health Care		895		9		904		336
	Occazio		3,863		216		4,079		1,421
	Ann Arbor		3,801		50		3,851		972
	Tender Loving Care		2,396		16		2,412		538
	AmeriServe		288		43		331		69
	G&D		1,086		102		1,188		312
	Life by Design		1,651		16		1,667		433
	Adult Day Health		18,100		1,081		19,181		17,969
	Other Acquisitions		272		106		378		57
	Total	$	32,352	$	1,639	$	33,991	$	22,107
	Pro forma Results of Operations
	The unaudited pro forma results of operations provided below for fiscal 2014 and 2013 are presented as though acquisitions made during fiscal 2014 had occurred at the beginning of the periods 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.
	(in thousands)	Year Ended		Year Ended
		September 30,		September 30,
		2014		2013
	Net revenue	$	1,286,173	$	1,232,279
	Income from operations		66,695		61,077
	Fiscal 2013 Acquisitions
	During the fiscal year ended September 30, 2013, the Company acquired three companies complementary to its business for total fair value consideration of $9.3 million.
	Beyond Abilities. On September 20, 2013, the Company acquired the assets of Beyond Abilities for $4.4 million. Beyond Abilities is located in Wisconsin and provides residential and support services to individuals with cognitive disabilities and challenging behaviors. As a result of this acquisition, the Company recorded $1.3 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $0.1 million of tangible assets and $3.0 million of intangible assets, which included $1.5 million of agency contracts with a weighted average useful life of 12 years, $0.9 million of non-compete/non-solicit agreement with a useful life of 5 years, and $0.6 million of licenses and permits with a weighted average useful life of 10 years.
	Community Links. On August 30, 2013, the Company acquired the assets of Community Links for $4.4 million. Community Links is located in Michigan and provides comprehensive supportive services to adults with traumatic brain injury. As a result of this 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 $3.1 million of intangible assets which primarily included $3.0 million of agency contracts with a weighted average useful life of 12 years. The remaining purchase price was allocated to tangible assets.
	Carolina Autism. On November 1, 2012, the Company acquired the assets of Carolina Autism for $0.5 million. Carolina Autism is located in South Carolina and provides group home services, behavioral services and related services primarily to individuals diagnosed with autism and pervasive development disorders. As a result of this acquisition, the Company recorded $14 thousand of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $0.4 million of intangible assets which included $0.2 million of licenses and permits with a weighted average useful life of 10 years, $0.1 million of non-complete/non-solicit agreement with a useful life of 5 years and $0.1 million of agency contracts with a weighted average useful life of 12 years. The remaining purchase price was allocated to tangible assets.
	The following table summarizes the recognized amounts of identifiable assets acquired and liabilities assumed at the date of the acquisition:
	(in thousands)	Identifiable		Other Assets,		Property and		Total identifiable		Goodwill
		intangible assets		current and long		equipment		net assets
				term
	Beyond Abilities	$	2,984	$	—	$	136	$	3,120	$	1,280
	Community Links		3,078		16		46		3,140		1,260
	Carolina Autism		420		2		39		461		14
	Total	$	6,482	$	18	$	221	$	6,721	$	2,554
	Fiscal 2012 Acquisitions
	During the fiscal year ended September 30, 2012, the Company acquired seven companies complementary to its business for total fair value consideration of $16.5 million.
	Families Together. On November 30, 2011, the Company acquired the assets of Families Together, Inc. (“Families Together”) for $3.0 million. Families Together is located in North Carolina and provides intensive in-home services, day treatment, case management, outpatient therapy and similar periodic services to children and their families. As a result of this acquisition, the Company recorded $0.9 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $2.1 million of intangible assets which included $1.0 million of non-compete agreement with a useful life of five years, $0.8 million of agency contracts with a weighted average useful life of eleven years, and $0.3 million of licenses and permits with a weighted average useful life of ten years.
	SCVP. On March 26, 2012, the Company acquired the assets of SCVP, Inc. (“SCVP”) for $0.4 million. SCVP is located in Oregon and provides day program services and related services to individuals with developmental disabilities. The Company acquired $0.3 million of agency contracts with a weighted average useful life of ten years and $0.1 million of goodwill in the Human Services segment. The goodwill is expected to be deductible for tax purposes.
	Copper Family Community Care. On April 5, 2012, the Company acquired the assets of Copper Family Community Care, Inc. (“Copper Family”) for $2.6 million. Copper Family is located in Wisconsin and provides group home services and related services to individuals with developmental disabilities. As a result of the acquisition, the Company recorded $0.7 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $0.1 million of tangible assets and $1.8 million of intangible assets, which included $1.4 million of agency contracts with a weighted average useful life of eleven years and $0.4 million of licenses and permits with a weighted average useful life of ten years.
	Alpha Group Administrators. On August 31, 2012, the Company acquired the assets of Alpha Group Administrators, Inc. (“Alpha Group”) for $2.3 million. Alpha Group is located in Arizona and provides specialized care through group home services and day treatment services for clients with complex behavioral challenges, as well as intellectual and developmental disabilities. As a result of the acquisition, the Company recorded $0.1 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $0.3 million of tangible assets and $1.9 million of intangible assets, which included $1.6 million of agency contracts with a weighted average useful life of twelve years and $0.3 million of licenses and permits with a weighted average useful life of ten years.
	Radical Rehab Solutions. On August 31, 2012, the Company acquired the assets of Radical Rehab Solutions, LLC (“Radical Rehab”) for $8.0 million. Radical Rehab is located in Kentucky and provides community-based, post-acute rehabilitation programs for clients with acquired brain injury. As a result of the acquisition, the Company recorded $1.6 million of goodwill in the Post-Acute Specialty Rehabilitation Services segment, which is expected to be deductible for tax purposes. The Company acquired $0.1 million of tangible assets and $6.3 million of intangible assets which included $5.4 million of agency contracts with a weighted average useful life of twelve years, $0.7 million of licenses and permits with a weighted average useful life of ten years, and $0.2 million of non-compete/non-solicit with a weighted average useful life of five years.
	Other Acquisitions. Additionally, during the first quarter of 2012, the Company acquired selected assets of Zumbro House, Inc., which provides group home services to individuals with developmental disabilities in the Mankato, Minnesota area and Georgia Rehabilitation Institute d/b/a Walton Rehabilitation Health System, a provider of acquired brain injury services in Georgia, for total cash of $0.2 million, $0.1 million of which was allocated to intangible assets.
	The following table summarizes the recognized amounts of identifiable assets acquired and liabilities assumed at the date of the acquisition:
	(in thousands)	Identifiable		Other Assets,		Property and		Total identifiable		Goodwill
		intangible assets		current and long		equipment		net assets
				term
	Families Together	$	2,102	$	—	$	6	$	2,108	$	892
	SCVP		291		—		5		296		154
	Copper Family		1,836		—		116		1,952		687
	Alpha Group		1,927		—		288		2,215		85
	Radical Rehab		6,340		41		62		6,443		1,557
Other Acquisitions		89		—		20		109		46
Total	$	12,585	$	41	$	497	$	13,123	$	3,421
Pro forma Results of Operations
The unaudited pro forma results of operations provided below for fiscal 2013 and 2012 are presented as though acquisitions made during fiscal 2013 and 2012 had occurred at the beginning of the periods 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.
(in thousands)	Year Ended		Year Ended
	September 30,		September 30,
	2013		2012
Net revenue	$	1,192,664	$	1,128,972
Income from operations		54,401		49,564

Discontinued_Operations

Discontinued Operations	36 Months Ended
	Sep. 30, 2014
Discontinued Operations and Disposal Groups [Abstract]
Discontinued Operations	5. Discontinued Operations
	REM Connecticut
	During the fourth quarter of fiscal 2014, the Company notified the State of Connecticut of its intention to stop providing services under existing contracts due to rate cuts and a change in state policy. The effective transition of the Company’s programs is expected to be completed in the first quarter of fiscal 2015. REM Connecticut was included in the Human Services segment and the results of the operations are presented as discontinued operations in the consolidated statements of operations and the prior periods have been reclassified. Loss from discontinued operations for REM Connecticut for fiscal 2014 included impairment charges of $1.6 million and $0.7 million for intangible assets and owned buildings, respectively, and $0.1 million of expense for severance.
	FAS Virginia
	During fiscal 2013, the Company closed certain Human Services operations in the state of Virginia, Family Advocacy Services, LLC (“FAS Virginia”) and recorded a pre-tax loss of $3.6 million for fiscal 2013. FAS Virginia was included in the Human Services segment and the results of the operations are presented as discontinued operations in the consolidated statements of operations and the prior periods have been reclassified. Loss from discontinued operations for FAS Virginia for fiscal 2013 included a $3.4 million write-off of intangible assets.
	Mentor Rhode Island
	During fiscal 2013, the Company adopted a plan to sell its Human Services operations in the state of Rhode Island (“Mentor Rhode Island”). The Company completed the sale in the third quarter of fiscal 2013 and recorded a pre-tax loss of $0.8 million for fiscal 2013. The operations of Mentor Rhode Island are presented as discontinued operations in the consolidated statements of operations and the prior periods have been reclassified. Loss from discontinued operations for fiscal 2013 included a $0.7 million impairment charge related to the write-off of intangible assets.
	The net revenue and loss before income taxes for the Company’s discontinued operations for the periods presented is as follows (in thousands):
		Year ended September 30,
		2014			2013			2012
	Net revenue	$	13,425		$	18,483		$	22,222
	Income (loss) before income taxes		(2,259	)		(3,244	)		400

Goodwill_and_Intangible_Assets

Goodwill and Intangible Assets	36 Months Ended
	Sep. 30, 2014
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets	6. Goodwill and Intangible Assets
	Goodwill
	The changes in goodwill for the fiscal years ended September 30, 2014 and 2013 are as follows (in thousands):
		Human Services			Post-Acute		Total
					Specialty
					Rehabilitation
					Services
	Balance as of September 30, 2012		169,662			64,699		234,361
	Goodwill acquired through acquisitions		1,294			1,260		2,554
	Goodwill written off related to disposal of businesses		(1,334	)		—		(1,334	)
	Adjustments to goodwill, net		—			42		42
	Balance as of September 30, 2013	$	169,622		$	66,001	$	235,623
	Goodwill acquired through acquisitions		21,134			973		22,107
	Balance as of September 30, 2014	$	190,756		$	66,974	$	257,730
	During fiscal 2013, the Company wrote off goodwill of underperforming programs within the Human Services segment which were closed as of September 30, 2013. The total charge was $1.3 million and is included in general and administrative expense in the consolidated statements of operations. Additionally, the adjustments to goodwill reflect the final purchase price for acquisitions, as determined during the measurement period.
	Annual Goodwill Impairment Testing
	The Company tests goodwill at least annually for possible impairment. Accordingly, the Company completes the annual testing of impairment for goodwill on July 1 of each fiscal year. In addition to its annual test, the Company regularly evaluates whether events or circumstances have occurred that may indicate a potential impairment of these assets.
	The Company has elected to bypass the qualitative assessments and proceed directly to the two-step impairment test. The process of testing goodwill for impairment involves the determination of the fair value of the applicable reporting units. The test consists of a two-step process. The first step is the comparison of the fair value to the carrying value of the reporting unit to determine if the carrying value exceeds the fair value. The second step measures the amount of an impairment loss, and is only performed if the carrying value exceeds the fair value of the reporting unit. The Company performed its annual impairment testing for its reporting units as of July 1, 2014, its annual impairment date, and concluded based on the first step of the process that there was no goodwill impairment.
	The Company has consistently employed the income approach, specifically the discounted cash flow method, to estimate the current fair value when testing for impairment of goodwill. A number of significant assumptions and estimates are involved in the application of the income approach to forecast operating cash flows, including revenue growth, tax rates, capital spending, discount rate and working capital changes.
	Cash flow forecasts are based on business unit operating plans and historical relationships. The income approach is sensitive to changes in long-term terminal growth rates and the discount rate. The long-term terminal growth rates are consistent with the Company’s historical long-term terminal growth rates, as the current economic trends are not expected to affect the long-term terminal growth rates of the Company. The discount rate was selected based on the estimated rate of return as well as time value of money.
	Intangible Assets
	Intangible assets consist of the following as of September 30, 2014 (in thousands):
	Description	Weighted			Gross		Accumulated			Intangible
		Average			Carrying		Amortization			Assets, Net
		Remaining Life			Value
	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
	Intangible assets consist of the following as of September 30, 2013 (in thousands):
	Description	Weighted			Gross		Accumulated			Intangible
		Average			Carrying		Amortization			Assets, Net
		Remaining Life			Value
	Agency contracts		9 years		$	464,480	$	195,737		$	268,743
	Non-compete/non-solicit		3 years			4,929		2,058			2,871
	Relationship with contracted caregivers		3 years			10,963		7,905			3,058
	Trade names		4 years			3,787		2,431			1,356
	Trade names (indefinite life)		—			42,400		—			42,400
	Licenses and permits		4 years			45,760		28,343			17,417
	Intellectual property		3 years			904		558			346
					$	573,223	$	237,032		$	336,191
	For fiscal years ended 2014, 2013 and 2012, the amortization expense for continuing operations was $37.7 million, $38.2 million and $36.2 million, respectively. The amortization expense for discontinued operations was $0.2 million, $0.4 million and $0.6 million for fiscal years ended 2014, 2013 and 2012, respectively.
	Annual Indefinite Life Impairment Testing
	The Company tests indefinite-lived intangible assets at least annually for possible impairment. Accordingly, the Company completes the annual testing of impairment for indefinite-lived intangible assets on July 1 of each fiscal year. In addition to its annual test, the Company regularly evaluates whether events or circumstances have occurred that may indicate a potential impairment of these assets.
	The impairment test consists of a comparison of the fair value of the indefinite-lived intangible asset with its carrying amount. If the carrying amount of an indefinite-lived intangible asset exceeds its fair value, an impairment loss in an amount equal to that excess is recognized. The Company has consistently employed the relief from royalty model to estimate the current fair value when testing for impairment of indefinite-lived intangible assets.
	In addition, the Company evaluates the remaining useful life of its indefinite-lived intangible assets at least annually to determine whether events or circumstances continue to support an indefinite useful life. If events or circumstances indicate that the useful lives of indefinite-lived intangible assets are no longer indefinite, the assets will be tested for impairment.
	The Company has elected to bypass the qualitative assessments and proceeded directly to the quantitative impairment test. The Company performed its annual impairment testing as of July 1, 2014, its annual impairment date, and concluded that there is no impairment to its indefinite lived trade names.
	Long Lived Impairment Testing
	During the fiscal year ended September 30, 2014, the Company determined that certain intangible assets associated with programs that it voluntarily withdrew from within the Human Services segment were impaired. As a result, the Company wrote off $0.5 million of non-compete agreements, $0.6 of agency contracts and $0.2 million of licenses and permits. The total impairment charge associated with these programs of $1.3 million is included in depreciation and amortization expense in the accompanying consolidated statement of operations.
	Additionally, during the fiscal year ended September 30, 2014, the Company notified the state of Connecticut of its intention to stop providing services under existing contracts due to rate cuts and a change in state policy. As a result, the Company wrote off $1.5 million of agency contracts and $0.1 million of license and permits. The total impairment charge of $1.6 million is included in loss from discontinued operations.
	During the assessment of long-lived assets that was performed during fiscal 2013, the Company determined that certain of its intangible assets were impaired related to underperforming programs within the Human Services segment, which consisted primarily of $0.9 million of agency contracts and $0.1 million of licenses and permits. As result, the Company recorded $1.0 million of amortization expense related to the write-off of these intangible assets for the year ended September 30, 2013. This charge was included in depreciation and amortization expense in the accompanying statements of operations.
	The estimated remaining amortization expense related to intangible assets with finite lives for each of the five succeeding years and thereafter is as follows:
	Year Ending September 30,	(In thousands)
	2015	$	38,251
	2016		36,409
	2017		32,358
	2018		31,466
	2019		31,070
	Thereafter		115,772
		$	285,326

Property_and_Equipment

Property and Equipment	36 Months Ended
	Sep. 30, 2014
Property, Plant and Equipment [Abstract]
Property and Equipment	7. Property and Equipment
	Property and equipment consists of the following as of September 30 (in thousands):
		2014			2013
	Buildings and land	$	123,899		$	123,046
	Vehicles		50,454			45,846
	Computer hardware		32,276			29,661
	Leasehold improvements		53,198			38,755
	Furniture and fixtures		14,749			12,931
	Office and telecommunication equipment		6,772			8,115
	Software for internal use		1,488			—
	Construction in progress		1,005			2,246
			283,841			260,600
	Less accumulated depreciation		(124,355	)		(106,965	)
	Property and equipment, net	$	159,486		$	153,635
	For fiscal years ended 2014, 2013 and 2012, depreciation expense for continuing operations was $28.4 million, $25.4 million and $23.8 million, respectively, and depreciation expense for discontinued operations was $293 thousand, $370 thousand and $371 thousand, respectively.

Certain_Balance_Sheet_Accounts

Certain Balance Sheet Accounts	36 Months Ended
	Sep. 30, 2014
Text Block [Abstract]
Certain Balance Sheet Accounts	8. Certain Balance Sheet Accounts
	Prepaid Expenses and Other Current Assets
	Prepaid expenses and other current assets consist of the following as of September 30 (in thousands):
		2014		2013
	Prepaid business expense		2,514	$	2,906
	Prepaid insurance		1,185		1,309
	Anticipated insurance recoveries		6,637		9,966
	Other		4,929		3,590
	Prepaid expenses and other current assets	$	15,265	$	17,771
	Other Accrued Liabilities
	Other accrued liabilities consist of the following as of September 30 (in thousands):
		2014		2013
	Accrued insurance	$	15,464	$	18,756
	Accrued swap valuation liability		—		3,165
	Overpayments		6,746		7,678
	Due to third party payors		3,727		3,569
	Accrued interest		3,465		4,100
	Intercompany payable (Civitas)		2,637		—
	Other		16,924		7,798
	Other accrued liabilities	$	48,963	$	45,066
	Other Long-Term Liabilities
	Other long-term liabilities consist of the following as of September 30 (in thousands):
		2014		2013
	Accrued self-insurance reserves	$	54,037	$	54,781
	Other		15,277		14,155
	Other long-term liabilities	$	69,314	$	68,936

Longterm_Debt

Long-term Debt	36 Months Ended
	Sep. 30, 2014
Debt Disclosure [Abstract]
Long-term Debt	9. Long-term Debt
	The Company’s long-term debt consists of the following as of September 30 (in thousands):
		2014			2013
	Term loan principal and interest due in quarterly installments through January 31, 2021, subject to acceleration to November 15, 2017	$	597,000		$	—
	Prior term loan, principal and interest repaid on January 31, 2014		—			546,525
	Original issue discount on term loan, net of accumulated amortization		(1,235	)		(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%)		212,000			250,000
	Original issue discount and initial purchase discount on senior notes, net of accumulated amortization		(4,570	)		(7,003	)
			803,195			785,119
	Less current portion		168,000			5,600
	Long-term debt	$	635,195		$	779,519
	On January 31, 2014, the Company and NMH Holdings, LLC completed a refinancing transaction by entering into the senior secured credit facilities consisting of a term loan facility and a senior revolver. In connection with the refinancing transaction, the prior senior secured credit facilities were repaid and replaced with the senior secured credit facilities. The Company incurred $11.1 million of expenses related to the refinancing transaction including $7.2 million related to the write-off of deferred financing costs and $3.9 million related to the write-off of original issue discount related to the prior indebtedness. These expenses are recorded on the Company’s consolidated statement of operations as extinguishment of debt.
	On February 26, 2014, the Company redeemed $38.0 million aggregate principal amount of the outstanding senior notes, in accordance with the provisions of the indenture governing the senior notes. In connection with the partial redemption of the senior notes, the Company incurred $3.6 million of expenses including $2.4 million related to redemption premium, $1.0 million related to the write-off of original issue discount and initial purchase discount and $0.2 million related to the write-off of deferred financing costs. These expenses are recorded on the Company’s consolidated statement of operations as extinguishment of debt.
	As of September 30, 2014 and 2013, the Company did not have any borrowings under the senior revolver.
	Senior Secured Credit Facilities
	On January 31, 2014, the Company 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 the 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”). On October 21, 2014, the Company increased the revolving commitment under the senior secured revolving credit facility (the “Senior Revolver”) by $20.0 million, on terms identical to those applicable to the existing Senior Revolver. The aggregate amount of the revolving commitment under the Senior Revolver is now $120.0 million. As of October 21, 2014, the Company had no borrowings under the Senior Revolver. The term loan facility has a seven-year maturity and the senior revolver has a five-year maturity; provided, that if 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 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 obligations under the senior secured credit facilities are guaranteed by NMH Holdings, LLC 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 NMH Holdings, LLC, as parent guarantor, the Company, certain of the Company’s subsidiaries, as subsidiary guarantors and Barclays Bank, PLC, as administrative agent, subject to certain exceptions, the obligations under the senior secured credit facilities are secured by a pledge of 100% of the Company’s capital stock and the capital stock of 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 NMH Holdings, LLC and each Subsidiary Guarantor.
	The senior revolver includes borrowing capacity available for letters of credit and for borrowings on same-day notice, referred to as the “swingline loans.” Any issuance of letters of credit or borrowing on a swingline loan will reduce the amount available under the senior revolver. As of September 30, 2014, the Company had no borrowings under the senior revolver and $44.3 million of letters of credit issued under the institutional letter of credit facility.
	At its option, the Company may add one or more new term loan facilities or increase the commitments under the senior revolver (collectively, the “incremental borrowings”) in an aggregate amount of up to $125.0 million plus any additional amounts so long as certain conditions, including a consolidated first lien leverage ratio (as defined in the senior credit agreement) of not more than 4.50 to 1.00 on a pro forma basis, are satisfied. In addition, the covenants in the indenture governing the senior notes effectively limit the amount of incremental borrowings that it may incur based on a consolidated leverage ratio (as defined in the indenture) of not more than 6.00 to 1.00 on a pro forma basis.
	Borrowings under the senior secured credit facilities bear interest, at our 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 plus 100 basis points, plus 2.75% (provided that the ABR rate applicable to the term loan facility will not be less than 2.00% per annum); or (ii) the Eurodollar rate (provided that the Eurodollar rate applicable to the term loan facility will not be less than 1.00% per annum), plus 3.75%. The applicable margin will decrease by 0.50% per annum if our consolidated leverage ratio is less than or equal to 5.00 to 1.00. This decrease will become effective as of the first business day immediately following the first date on which NMHI delivers a quarterly compliance certificate setting forth such calculation. The Company is also required to pay a commitment fee to the lenders under the 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.
	The senior credit agreement requires the Company to make mandatory prepayments, subject to certain exceptions, with: (i) beginning in fiscal year 2015, 50% (which percentage will be reduced upon its achievement of certain first lien leverage ratios) of the Company’s annual excess cash flow; (ii) 100% of net cash proceeds of all non-ordinary course assets sales or other dispositions of property, subject to certain exceptions and thresholds; and (iii) 100% of the net cash proceeds of any debt incurrence, other than debt permitted under the senior credit agreement. Excess cash flow is defined in the Company’s senior credit agreement as (A) the sum of (i) consolidated net income (as defined in the senior credit agreement), plus (ii) the net decrease in working capital, plus (iii) noncash charges previously deducted from consolidated net income, plus (iv) non-cash losses from assets sales, minus (B) the sum of (i) certain amortization and other mandatory prepayment of indebtedness, plus (ii) unfinanced capital expenditures plus (iii) the cash portion of permitted investments plus (iv) noncash gains previously including in consolidated net income, plus (v) the net increase in working capital, plus (vi) certain cash payments of long-term liabilities, plus (vii) cash restricted payments, plus (viii) cash expenditures not expensed during such period, plus (ix) penalties paid in connection with the repayment of indebtedness, plus (x) certain cash distributions from the SRS business, plus (xi) aggregate unfinanced portion of contract consideration for acquisition or capital expenditures to be consummated, plus (xii) aggregate amount of cash amounts received in such period but excluded from consolidated net income, plus (xiii) certain cash payments in respect of earnout obligations, plus (xiv) certain voluntary prepayments of indebtedness, plus (xv) certain cash payments of non-cash charges added back in a prior period, plus (xvi) all charges or expenses incurred in such period but excluded from consolidated net income. The Company is required to repay the term loan facility portion of the senior secured credit facilities in quarterly principal installments of 0.25% of the principal amount, with the balance payable at maturity. The senior credit agreement permits the Company to offer to its lenders newly issued notes in exchange for their term loans in one or more permitted debt exchange offers, subject to the conditions set forth in the senior credit agreement.
	Senior Notes
	On February 9, 2011, the Company issued $250.0 million in aggregate principal amount of senior notes at a price equal to 97.7% of their face value. The senior notes mature on February 15, 2018 and bear interest at a rate of 12.50% per annum, payable semi-annually on February 15 and August 15 of each year, beginning on August 15, 2011. The senior notes are the Company’s unsecured obligations and are fully and unconditionally guaranteed, jointly and severally, on a senior unsecured basis by certain of its existing subsidiaries.
	On February 26, 2014, the Company redeemed $38.0 million aggregate principal amount of the outstanding principal amount of senior notes, in accordance with the provisions of the indenture governing them. The redemption price of the senior notes was 106.250% of the principal amount redeemed, plus accrued and unpaid interest to, but not including, the redemption date.
	On October 17, 2014, the Company paid $175.6 million to redeem $162.0 million aggregate principal of senior notes. In accordance with the provisions of the indenture governing the senior notes, the amount paid included an associated call premium of $10.1 million and accrued and unpaid interest of $3.5 million. After giving effect to that redemption, $50.0 million in aggregate principal amount of senior notes remain.
	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 Company’s ability 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 September 30, 2014 as the Company’s usage of the senior revolver did not exceed the threshold for the quarter ended September 30, 2014.
	The senior credit agreement also contains a number of covenants that, among other things, restrict, subject to certain exceptions, the 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. 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. The swap expired on September 30, 2014. The Company may enter into a new interest rate swap or other hedging agreement, but the timing and type of instrument, notional amount and duration of any such instrument or arrangement have not yet been determined.
	Prior to the January 31, 2014 refinancing transaction, 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 recorded in current liabilities and was determined based on pricing models and independent formulas using current assumptions. The change in fair market value was recorded in the consolidated statements of comprehensive loss.
	In conjunction with the January 31, 2014 refinancing transaction, the Company de-designated the interest rate swap agreement as a cash flow hedge. Subsequent to the January 31, 2014 refinancing transaction, prospective mark to market adjustments were recognized in earnings and accumulated mark to market adjustments were amortized and recognized in earnings over the term of the interest rate swap agreement which expired on September 30, 2014.
	Annual maturities
	Annual maturities of the Company’s debt for the fiscal year ended September 30 are as follows:
		(In thousands)
	2015 (includes $162,000 of senior notes redeemed on October 17, 2014)	$	168,000
	2016		6,000
	2017		6,000
	2018		56,000
	2019		6,000
	Thereafter		567,000
	Total	$	809,000
	Amounts due at any year end may increase as a result of the provision in the senior credit agreement that requires a prepayment of a portion of the outstanding term loan amounts if the Company generates certain levels of cash flow.

Stockholders_Equity

Stockholder's Equity	36 Months Ended
	Sep. 30, 2014
Equity [Abstract]
Stockholder's Equity	10. 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.
	Dividends to National Mentor Holdings, LLC
	During fiscal 2014, 2013 and 2012, the Company paid dividends to NMH Investment of $110 thousand, $39 thousand and $75 thousand, respectively, to fund the repurchases of equity units from employees upon or after their departures from the Company.

Employee_Savings_and_Retiremen

Employee Savings and Retirement Plans	36 Months Ended
	Sep. 30, 2014
Compensation and Retirement Disclosure [Abstract]
Employee Savings and Retirement Plans	11. Employee Savings and Retirement Plans
	The Company has a multi-company plan (the “Plan”) which covers all of its wholly-owned subsidiaries. Under the Plan, employees may contribute a portion of their earnings, which are invested in mutual funds of their choice. After January 1, the Company makes a matching contribution for the previous calendar year on behalf of all participants employed on the last day of the year. This matching contribution vests immediately. In addition, there is a profit sharing feature of the Plan, whereby, at the discretion of management, an allocation may be made to all of the eligible employees in one or more of its business units. Profit sharing contributions vest ratably over three years with forfeitures available to cover plan costs and employer matches in future years. The Company made contributions of $5.5 million, $4.0 million and $4.2 million, for fiscal years 2014, 2013 and 2012, respectively.
	The Company has the following two deferred compensation plans:
	The National Mentor Holdings, LLC Executive Deferred Compensation Plan
	The National Mentor Holdings, LLC Executive Deferred Compensation Plan is an unfunded, nonqualified deferred compensation arrangement for senior management, in which the Company contributes to the executive’s account a percentage of the executive’s base compensation. This contribution is made at the end of the year for service rendered during the year. The Company contributed $0.5 million, $0.4 million and $0.4 million for fiscal 2014, 2013 and 2012, respectively. The unfunded accrued liability was $2.8 million and $2.6 million as of September 30, 2014 and 2013, respectively, and was included in other long-term liabilities on the Company’s consolidated balance sheets.
	The National Mentor Holdings, LLC Executive Deferral Plan
	The National Mentor Holdings, LLC Executive Deferral Plan, available to highly compensated employees, is a plan in which participants contribute a percentage of salary and/or bonus earned during the year. Employees contributed $0.9 million, $0.9 million and $0.7 million for fiscal 2014, 2013 and 2012 respectively. The accrued liability related to this plan was $7.5 million and $6.7 million as of September 30, 2014 and 2013, respectively, and was included in other long-term liabilities on the Company’s consolidated balance sheets.
	In connection with the National Mentor Holdings, LLC Executive Deferral Plan, the Company has purchased company owned life insurance (“COLI”) policies on certain plan participants. The cash surrender value of the COLI policies is designed to provide a source for funding the accrued liability. The cash surrender value of the COLI policies was $6.2 million and $5.5 million as of September 30, 2014 and 2013, respectively, and was included in other assets on the Company’s consolidated balance sheets.

Related_Party_Transactions

Related Party Transactions	36 Months Ended
	Sep. 30, 2014
Related Party Transactions [Abstract]
Related Party Transactions	12. Related Party Transactions
	Management Agreements
	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.
	On September 22, 2014 the management agreement with Vestar was terminated as a result of the completion of the initial public offering by Civitas Solutions, Inc. The Company paid a one-time transaction advisory fee of $8.0 million to Vestar which was expensed in fiscal 2014 and paid prior to year end.
	The Company recorded $9.5 million, $1.4 million and $1.3 million of management fees and expenses for the years ended September 30, 2014, 2013 and 2012 respectively. The accrued liability related to the management agreement was $0.6 million and $0.5 million at September 30, 2014 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 December 2019. Related party lease expense was $1.1 million, $1.6 million and $1.6 million for the fiscal years ended September 30, 2014, 2013 and 2012, respectively.

Fair_Value_Measurements

Fair Value Measurements

36 Months Ended

Sep. 30, 2014

Fair Value Disclosures [Abstract]

Fair Value Measurements

13. Fair Value Measurements

The following table set 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

)

The following table set forth the Company’s assets and liabilities that were accounted for at fair value on a recurring basis as of September 30, 2013.

(in thousands)

Total

Quoted

Significant Other

Significant

Market Prices

Observable

Unobservable

(Level 1)

Inputs (Level 2)

Inputs

(Level 3)

Liabilities

Interest rate swap agreements

$

(3,165

)

$

—

$

(3,165

)

$

—

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.

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.

The following table presents a summary of changes in fair value of the Company’s Level 3 liabilities measured on a recurring basis for fiscal years 2014 and 2013.

Level 3

Inputs

Liabilities

Balance at September 30, 2012

$

—

Change in fair value of contingent consideration liability

—

Balance at September 30, 2013

—

Change in fair value of contingent consideration liability

2,400

Balance at September 30, 2014

$

2,400

At September 30, 2014 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:

September 30, 2014

September 30, 2013

(in thousands)

Carrying

Fair

Carrying

Fair

Amount

Value

Amount

Value

Senior notes (issued February 9, 2011)

$

207,430

$

225,780

$

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.

Items Measured at Fair Value on a Nonrecurring Basis. The Company’s long-lived assets are measured at fair value on a nonrecurring basis using Level 3 inputs. During the year ended September 30, 2014, certain long-lived assets held and used with a carrying value of $2.9 million were written off because the Company determined the assets had no net realizable value. The asset impairment charge of $2.9 million was recorded in amortization in the accompanying consolidated statement of operations. During the year ended September 30, 2013, certain long-lived assets held and use with a carrying value of $1.0 million were written off as a result because the Company determined the assets had no net realizable value. The asset impairment charge of $1.0 million was recorded in amortization in the accompanying consolidated statement of operations. These adjustments were determined by comparing the estimated proceeds from the sale of assets or the projected future discounted cash flows to be provided from the long-lived assets to the asset’s carrying value. There were no other items measured at fair value on a nonrecurring basis during the year ended September 30, 2014.

Leases

Leases	36 Months Ended
	Sep. 30, 2014
Leases [Abstract]
Leases	14. Leases
	Operating leases
	The Company leases office and client residential facilities, vehicles and certain office equipment in several locations under operating lease arrangements, which expire at various dates through 2027. In addition to base rents presented below, the majority of the leases require payments for additional expenses such as taxes, maintenance and utilities. Certain of the leases contain renewal options at the Company’s option and some have escalation clauses which are recognized as rent expense on a straight line basis. Total rent expense from continuing operations for fiscal 2014, 2013 and 2012 was $57.7 million, $53.8 million and $48.6 million, respectively.
	During fiscal 2012, the Company completed two sale-leaseback transactions under which it sold two properties to unrelated third parties. Net proceeds from these sales were $2.8 million. Concurrent with these sales, the Company entered into agreements to lease the properties back from the purchasers over an initial lease term of seven and ten years, respectively, each with two, five-year renewal options. The Company classified these leases as operating leases, actively uses or plans to actively use the leased properties and considers the lease as normal leaseback for accounting purposes. The Company deferred a $0.1 million gain on these transactions which includes both a current and non-current portion, with the current portion based on the amount that is expected to amortize over the next 12 months. The current and non-current portions are included in Accrued liabilities on the consolidated balance sheets.
	In fiscal 1995, the Company entered into an initial five year operating lease agreement for its corporate office with a total expected minimum lease commitment of $2.4 million. The lease has been extended and amended through eleven amendments, and as of September 30, 2014, the Company had total expected minimum lease commitments of $4.8 million over the lease term. The lease expires in 2017 and the Company has the option to extend the lease term. Total rent expense related to this lease was $1.5 million, $1.5 million and $1.5 million for fiscal years 2014, 2013 and 2012, respectively.
	Future minimum lease payments for non-cancellable operating leases for the fiscal years ending September 30 are as follows (in thousands):
	2015	$	52,748
	2016		42,739
	2017		35,658
	2018		25,820
	2019		17,936
	Thereafter		33,509
		$	208,410
	Capital leases
	The Company leases certain facilities under various non-cancellable capital leases that expire at various dates through fiscal 2025. Assets acquired under capital leases with an original cost of $7.8 million and $7.8 million and related accumulated amortization of $2.2 million and $1.6 million are included in property and equipment, net for fiscal 2014 and 2013, respectively. Amortization expense for fiscal years 2014, 2013 and 2012 was $0.6 million, $0.7 million and $0.7 million, respectively.
	The following is a schedule of the future minimum lease payments under the capital leases for the fiscal years ending September 30 (in thousands):
	2015	$	451
	2016		497
	2017		549
	2018		608
	2019		675
	Thereafter		3,730
	Total minimum lease payments	$	6,510
	Interest expense on capital leases during fiscal years 2014, 2013 and 2012 was $0.7 million, $0.8 million and $0.8 million, respectively.

Accruals_for_SelfInsurance_and

Accruals for Self-Insurance and Other Commitments and Contingencies	36 Months Ended
	Sep. 30, 2014
Commitments and Contingencies Disclosure [Abstract]
Accruals for Self-Insurance and Other Commitments and Contingencies	15. Accruals for Self-Insurance and Other Commitments and Contingencies
	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.
	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	36 Months Ended
	Sep. 30, 2014
Commitments and Contingencies Disclosure [Abstract]
Other Commitments and Contingencies	16. 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.

Income_Taxes

Income Taxes	36 Months Ended
	Sep. 30, 2014
Income Tax Disclosure [Abstract]
Income Taxes	17. Income Taxes
	The benefit for income taxes consists of the following as of September 30 (in thousands):
		2014			2013			2012
	Current:
	Federal	$	—		$	—		$	(5,267	)
	State		1,385			1,009			(11	)
	Total current taxes payable		1,385			1,009			(5,278	)
	Deferred:
	Federal		(10,106	)		(8,452	)		(11,793	)
	State		(2,417	)		(2,499	)		(2,701	)
	Net deferred tax benefit		(12,523	)		(10,951	)		(14,494	)
	Income tax benefit	$	(11,138	)	$	(9,942	)	$	(19,772	)
	The Company paid income taxes, net of any refunds, during fiscal 2014, 2013 and 2012 of $1.1 million, $1.7 million, and $0.4 million, respectively.
	Deferred income taxes reflect the net tax effects of temporary differences between the carrying amount of the assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Significant components of the Company’s deferred tax assets and liabilities consist of the following as of September 30 (in thousands):
		2014			2013
	Gross deferred tax assets:
	Deferred compensation	$	1,229		$	1,155
	Interest rate swap agreements		—			1,253
	Accrued workers’ compensation		12,528			11,195
	Net operating loss carryforwards		17,690			13,767
	Allowance for bad debts		4,078			4,484
	Tax credits		1,596			1,596
	Depreciation		681			—
	Other		2,409			2,245
			40,211			35,695
	Valuation allowance		(9,012	)		(8,013	)
	Deferred tax assets		31,199			27,682
	Deferred tax liabilities:
	Depreciation		—			(2,200	)
	Amortization of goodwill and intangible assets		(81,999	)		(87,953	)
	Other accrued liabilities		(1,865	)		(2,340	)
	Net deferred tax liabilities	$	(52,665	)	$	(64,811	)
	The Company is required to record a valuation allowance to reduce the deferred tax assets if, based on the weight of the evidence, it is more likely than not that some portion or all of the deferred tax assets will not be realized. After consideration of all the evidence, both positive and negative, management determined that valuation allowances at September 30, 2014 and 2013 of $9.0 million and $8.0 million, respectively, were necessary to reduce the deferred tax assets to the amount that will more likely than not be realized. The valuation allowances primarily related to certain state net operating loss carryforwards.
	For federal purposes, the Company had $23.3 million of net operating loss carryforwards as of September 30, 2014, which expire in 2034, and $15.3 million of net operating loss carryforwards as of September 30, 2013, which expire in 2033. For state purposes, the Company had $194.4 million of net operating loss carryforwards for fiscal 2014, which expire from 2015 through 2034, and $170.3 million of net operating loss carryforwards for fiscal 2013, which expire from 2014 through 2033.
	The following is reconciliation between the statutory and effective income tax rates at September 30 (in thousands):
		2014			2013			2012
	Federal income tax at statutory rate		35	%		35	%		35	%
	State income taxes, net of federal tax benefit		1.8	%		3.6	%		5.2	%
	Nondeductible comp		(0.8	)%		(0.3	)%		(0.7	)%
	Other nondeductible expenses		(1.1	)%		(0.2	)%		(1.1	)%
	Unrecognized tax benefit		0	%		0	%		16.3	%
	Other		(0.3	)%		(0.2	)%		2.8	%
	Effective tax rate		34.6	%		37.9	%		57.5	%
	Companies may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such a position should be measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement.
	No unrecognized tax benefit was recognized for the years ended September 30, 2014 and 2013. For 2012, the Company had a $6.1 million favorable impact on its effective tax rate related to unrecognized tax benefit, including interest and penalties. The Company does not expect any significant changes to unrecognized tax benefits within the next twelve months.
	The Company recognizes interest and penalties related to uncertain tax positions as a component of income tax expense which is consistent with the recognition of these items in prior reporting periods. No interest and penalties were accrued as of September 30, 2014 and 2013.
	The Company files a federal consolidated return with NMH Holdings, Inc. and files various state income tax returns and, generally, the Company is no longer subject to income tax examinations by the taxing authorities for years prior to September 30, 2011. The Company believes that it has appropriate support for the income tax positions taken and to be taken on the Company’s income tax returns. In addition, the Company believes its accruals for income tax liabilities are adequate for all open years based on an assessment of many factors including past experience and interpretations of the tax laws as applied to the facts of each matter.

Segment_Information

Segment Information	36 Months Ended
	Sep. 30, 2014
Segment Reporting [Abstract]
Segment Information	18. 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 development 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 based upon geography. The geographical regions, 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 Year Ended September 30,	Human		Post-Acute		Corporate			Consolidated
		Services		Specialty
				Rehabilitation
				Services
	2014
	Net revenue	$	1,025,672	$	230,166	$	—			1,255,838
	Income (loss) from operations		97,916		17,561		(54,474	)		61,003
	Total assets		634,989		222,475		349,519			1,206,983
	Depreciation and amortization		45,576		19,177		2,735			67,488
	Purchases of property and equipment		15,907		16,250		3,138			35,295
	Income (loss) from continuing operations before income taxes		23,024		1,231		(56,413	)		(32,158	)
	2013
	Net revenue	$	974,088	$	208,421	$	—			1,182,509
	Income (loss) from operations		90,477		17,293		(55,636	)		52,134
	Total assets		655,140		207,475		157,757			1,020,372
	Depreciation and amortization		45,239		15,948		2,386			63,573
	Purchases of property and equipment		17,791		10,491		3,619			31,901
	Income (loss) from continuing operations before income taxes		25,369		3,893		(55,516	)		(26,254	)
	2012
	Net revenue	$	921,885	$	185,466	$	—			1,107,351
	Income (loss) from operations		78,738		20,376		(53,071	)		46,043
	Total assets		692,015		216,663		136,305			1,044,983
	Depreciation and amortization		42,821		14,389		2,777			59,987
	Purchases of property and equipment		17,659		10,218		2,118			29,995
	Income (loss) from continuing operations before income taxes		13,637		7,798		(55,832	)		(34,397	)
	Revenue derived from contracts with state and local government 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 fiscal years ended September 30, 2014 and 2013 and 15% of revenue for fiscal year ended September 30, 2012.

StockBased_Compensation

Stock-Based Compensation	36 Months Ended
	Sep. 30, 2014
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Stock-Based Compensation	19. Stock-Based Compensation
	Summary of Stock-Based Compensation Plans
	2006 Unit Plan
	NMH Investment maintains the Amended and Restated 2006 Unit Plan (the “Unit Plan”), and from time to time it has issued units of limited liability company interests pursuant to such plan, consisting of Class B Common Units, Class C Common Units, Class D Common Units, Class E Common Units, Class F Common Units, Class G Common Units and Class H Common Units. The units are limited liability company interests and are available for issuance to the Company’s employees and members of the Board of Directors for incentive purposes. These units derive their value from the value of the Company. Under the Amended and Restated 2006 Unit Plan there are 192,500 Class B Common Units, 202,000 Class C Common Units, 388,881 Class D Common Units, 6,375 Class E Common Units, 5,396,388 Class F Common Units, 130,000 Class G Common Units and 1,200,000 Class H Common Units authorized for issuance under the plan.
	2014 Plan
	Civitas adopted the 2014 Omnibus Incentive Plan (“2014 Plan”) in September 2014. The 2014 Plan authorizes the issuance of stock-based awards, including incentive stock options (“ISOs”), non-qualified stock options (“NSOs”) and restricted stock units (“RSUs”) to purchase up to 3,325,500 shares authorized in the 2014 Plan. Under the terms of the 2014 Plan, stock options may not be granted at less than the fair market value on the date of grant. Options vest annually over three years and expire after 10 years and RSUs vest annually over three years, in each case the awards are subject to a requisite service period equal to the vesting term. Options and RSUs granted under the 2014 Plan immediately vest upon certain events, as described in the 2014 Plan. As of September 30, 2014, approximately 2.2 million shares were available for future grant of awards under the 2014 Plan.
	Units of NMH Investment LLC Interests
	Under its equity-based compensation plan adopted in 2006, NMH Investment previously issued units of limited liability company interests consisting of Class B Common Units, Class C Common Units, Class D Common Units, and Class E Common Units to the Company’s employees and members of the Board of Directors as incentive compensation. In June 2011 the Class B Common Units, Class C Common Units, and Class D Common Units were amended to accelerate vesting of any outstanding unvested units so that they became 100% vested. There have been no issuances of these awards since the amendment to accelerate vesting.
	On June 15, 2011, NMH Investment issued Class F Common Units, a new class of non-voting common equity units of NMH Investment, as incentive compensation. Up to 5,396,388 Class F Common Units may be issued under the 2006 Unit Plan to management of the Company as equity-based compensation.
	The vesting terms of the Class F Common Units are as follows: For participants who have been continuously employed by the Company since December 31, 2008, 75% of the Class F Common Units vested upon grant and 25% of the Class F Common Units vested on December 15, 2012 (or 18 months following the date of grant) assuming continuous employment with the Company on that date. For participants who had not been continuously employed by the Company since December 31, 2008, 50% of the Class F Common Units vested upon grant, 25% of the Class F Common Units vested on December 15, 2012 and 25% of the Class F Common Units vested on June 15, 2014 (or 36 months following the date of grant), in each case, if the participant continues to be employed by the Company on that date. Class F Common Units awarded after the initial issuances in June 2011 vest in three equal tranches on each of the first three anniversaries of their respective issuance date.
	On August 13, 2012, an amendment was made to the Amended and Restated 2006 Unit Plan that authorized the issuance of two new classes of non-voting equity units of NMH Investment of up to 130,000 Class G Common Units and up to 1,200,000 Class H Common Units. The Class G Common Units vest upon the consummation of a sale of the Company or an initial public offering of the Company. The Class H Common Units, which were amended in September 2014, vest upon the earlier to occur of a sale of the Company and the achievement of a certain multiple of investment return threshold by Vestar and its affiliates. On September 22, 2014, the Company’s indirect parent, Civitas Solutions, Inc., completed an initial public offering which triggered the vesting condition for the Class G common units. As a result, the Company recognized $0.6 million of stock-based compensation expense associated with these units. There were no triggering events of the Class H Common Units that were determined to be probable, and therefore, the Company did not recognize any stock-based compensation expense for the Class H Common Units.
	For purposes of determining the fair value of the units granted, management valued the business enterprise using a variety of widely accepted valuation techniques which considered a number of factors such as the financial performance of the Company, the values of comparable companies and the lack of marketability of the Company’s equity. The Company then used the option pricing method to determine the fair value of the units granted.
	The fair value of the units issued during fiscal years 2014, 2013 and 2012 was calculated using the following assumptions:
		FY2014			FY2013		FY2012
	Risk-free interest rate		0.13	%	0.21-0.27%		0.21-0.27%
	Expected term		1 year		1.7-2.4 years		1.7-2.4 years
	Expected volatility		30	%	40.00%		40.00%
	The risk-free interest rate is equal to the U.S. federal treasury bond rate consistent with the term assumption. The expected term is the number of years in which management estimates that units will be realized. Management has estimated volatility for the units granted based on the historical volatility for a group of companies believed to be a representative peer group, selected based on industry and market capitalization, due to lack of sufficient historical publicly traded prices of the Company’s own common stock.
	The estimated fair value of the units, less an assumed forfeiture rate of 9.3%, was recognized as expense in the Company’s consolidated financial statements on a straight-line basis over the requisite service periods of the awards with the exception of the Class G Common Units and Class H Common Units. The assumed forfeiture rate is based on an average of the Company’s historical forfeiture rates, which the Company estimates is indicative of future forfeitures.
	The summary of activity under the plan is presented below:
		Units Outstanding			Weighted Average Grant-
					Date Fair Value
	Nonvested balance at September 30, 2013		1,395,984		$	0.57
	Granted		303,710			1.12
	Forfeited		25,894			2.13
	Vested		249,504			2.68
	Nonvested balance at September 30, 2014		1,424,296		$	0.29
	As of September 30, 2014, there was $0.3 million of total unrecognized compensation expense related to the non-performance based units. These costs are expected to be recognized over a weighted average period of 2.0 years. The unrecognized compensation costs for unvested performance based Class H Common Units of $7.5 million will be recognized when the management determines that it is probable the performance condition will be met.
	Stock Options
	For the year ended September 30, 2014, Civitas issued 559,327 stock options which will vest over three years (one-third each year). The fair value of each option granted was estimated on the grant date using the Black-Scholes valuation model with the following assumptions:
		FY2014
	Risk-free interest rate		1.88	%
	Expected term		6 years
	Expected volatility		45	%
	Expected dividend yield		—
	Risk-free interest rate - The risk-free interest rate is equal to the U.S. federal treasury bond rate consistent with the expected term assumption.
	Expected term - Expected term represents the period that Civitas’ option grants are expected to be outstanding. As Civitas had been operating as a private company, there is not sufficient historical data to calculate the expected term of the options. Therefore, management elected to utilize the “simplified method” to determine the expected term assumption. Under this approach, the weighted average expected life is presumed to be the average of the vesting term and the contractual term of the option.
	Expected volatility - Management has estimated volatility for the units granted based on the historical volatility for a group of companies believed to be a representative peer group, selected based on industry and market capitalization, due to lack of sufficient historical publicly traded prices of our own common stock.
	Expected dividend yield - The expected dividend yield is zero as dividends are not expected to be paid in the foreseeable future.
	Management estimates forfeitures based on historical unit plan data. An assumed forfeiture rate of 9.3% was used during the year ended September 30, 2014.
	The table below summarizes our stock option activity during fiscal year 2014:
		Number of			Weighted-			Weighted-		Aggregate
		Shares			Average			Average		Intrinsic
					Exercise Price			Remaining Life		Value
					per Share			(Years)
	Outstanding at September 30, 2013		—		$	—			—	$	—
	Granted		559,327			17			10		—
	Forfeited		—			—			—		—
	Exercised		—			—			—		—
	Expired		—			—			—		—
	Outstanding at September 30, 2014		559,327		$	17			10	$	—
	Vested or expected to vest as of September 30, 2014		507,310		$	17			10	$	—
	Exercisable at September 30, 2014		—		$	—			—	$	—
	As of September 30, 2014, there was $3.9 million of unrecognized compensation cost related to unvested stock options. This cost is expected to be recognized over a weighted-average period of 3.0 years.
	Restricted Stock Awards
	For the year ended September 30, 2014, Civitas issued 550,481 restricted stock awards to employees and members of the Board of Directors. These awards will vest over three years (one-third each year) for employee grants and one year (100% on the first anniversary of the grant date) for grants to members of the Board of Directors.
	A summary of our issued restricted stock awards is as follows:
		Number of			Weighted Average
		Restricted Shares			Grant-Date Fair Value
	Nonvested shares at September 30, 2013		—		$	—
	Granted		550,481			17
	Forfeited		—			—
	Vested		—			—
	Nonvested shares at September 30, 2014		550,481		$	17
The fair value of the restricted stock awards on the date of grant, less an assumed forfeiture rate of 9.3% for employee grants, will be recognized as expense in the Company’s consolidated financial statements on a straight-line basis over the requisite service periods (vesting term) of the awards. The Company does not have a history with these types of awards, and as such, the historical forfeiture rate of the Unit Plan was used as the basis for determining the assumed forfeiture rate. The Company has not applied a forfeiture rate to the restricted awards granted to the Board of Directors as the awards vest 100% on the first anniversary of the grant date.
As of September 30, 2014, there was $8.4 million of unrecognized compensation expense related to unvested restricted stock. This cost is expected to be recognized over a weighted-average period of 2.9 years.
The Company recorded $0.9 million, $0.3 million and $0.7 million of stock-based compensation expense for fiscal years 2014, 2013 and 2012, respectively. Stock-based compensation expense is included in general and administrative expense in the consolidated statements of operations.

Valuation_and_Qualifying_Accou

Valuation and Qualifying Accounts	36 Months Ended
	Sep. 30, 2014
Valuation and Qualifying Accounts [Abstract]
Valuation and Qualifying Accounts	20. Valuation and Qualifying Accounts
	The following table summarizes information about the allowances for doubtful accounts and sales allowances for the years ended September 30, 2014, 2013 and 2012 (in thousands):
		Balance at		Provision		Write-Offs			Balance at
		Beginning of							end of Period
		Period
	Fiscal year ended September 30, 2014	$	12,494	$	20,392	$	(21,395	)	$	11,491
	Fiscal year ended September 30, 2013	$	9,250	$	18,286	$	(15,042	)	$	12,494
	Fiscal year ended September 30, 2012	$	7,957	$	12,902	$	(11,609	)	$	9,250
	As of September 30, 2014, the Company also had $6.7 million of accounts receivable collateralized by liens, net of allowances for those liens of $1.7 million, recorded as part of other assets within the accompanying consolidated balance sheets.

Quarterly_Financial_Data_unaud

Quarterly Financial Data (unaudited)	36 Months Ended
	Sep. 30, 2014
Quarterly Financial Information Disclosure [Abstract]
Quarterly Financial Data (unaudited)	21. Quarterly Financial Data (unaudited)
	The following table presents consolidated statement of operations data for each of the eight quarters in the period which began December 31, 2012 and ended September 30, 2014. This information is derived from the Company’s unaudited financial statements, which in the opinion of management contain all adjustments necessary for a fair presentation of such financial data. Operating results for these periods are not necessarily indicative of the operating results for a full year. Historical results are not necessarily indicative of the results to be expected in future periods.
			For The Quarters Ended (1)
			(in thousands)
			September 30,			June 30,			March 31,			December 31,			September 30,		June 30,			March 31,			December 31,
			2014			2014			2014			2013			2013		2013			2013			2012
	Net revenue		$	327,291		$	318,189		$	306,366		$	303,992		$	301,057	$	300,266		$	291,642		$	289,545
	Income (loss) from continuing operations, net of tax			(4,698	)		(74	)		(11,565	)		(4,683	)		127		(2,567	)		(5,353	)		(8,519	)
	Income (loss) from discontinued operations, net of tax			(1,449	)		29			45			(7	)		257		96			(2,482	)		145
	Net income (loss)		$	(6,147	)	$	(45	)	$	(11,520	)	$	(4,690	)	$	384	$	(2,471	)	$	(7,835	)	$	(8,374	)
	-1	During fiscal 2014, the Company gave notice of its intention to close all Human Services operations in the state of Connecticut. All fiscal years presented reflect the classification of these businesses as discontinued operations.

Subsequent_Events

Subsequent Events	36 Months Ended
	Sep. 30, 2014
Subsequent Events [Abstract]
Subsequent Events	22. Subsequent Events
	On October 17, 2014, the Company paid $175.6 million to redeem $162.0 million aggregate principal amount of its senior notes. In accordance with the provisions of the indenture governing the senior notes, the amount paid included an associated call premium of $10.1 million and accrued and unpaid interest of $3.5 million. Following this payment, the aggregate principal balance outstanding of the senior notes decreased to $50.0 million.
	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. The aggregate amount of the revolving commitment under the senior revolver is now $120.0 million.
	On October 31, 2014, the Company acquired a company complementary to its Human Services business for aggregate consideration of $4.5 million.

Significant_Accounting_Policie1

Significant Accounting Policies (Policies)	36 Months Ended
	Sep. 30, 2014
Accounting Policies [Abstract]
Principles of Consolidation	Principles of Consolidation
	The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. Intercompany accounts and transactions between the Company and its subsidiaries have been eliminated in consolidation.
Use of Estimates	Use of Estimates
	The preparation of financial statements in conformity with generally accepted accounting principles (“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. On an on-going basis, we evaluate our estimates and judgments and methodologies. Actual results could differ from these estimates under different assumptions or conditions.
	These accounting policies and estimates are periodically reevaluated, and adjustments are made when facts and circumstances dictate a change.
Fair Value Measurements	Fair Value Measurements
	The accounting standard for fair value measurements defines fair value, establishes a framework for measuring fair value in accordance with GAAP, and requires detailed disclosures about fair value measurements. Under this standard, fair value is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. The valuation techniques are based on observable and unobservable inputs. Observable inputs reflect readily obtainable data from independent sources, while unobservable inputs reflect certain market assumptions. This standard classifies these inputs into the following hierarchy:
	Level 1 Inputs - Quoted prices for identical instruments in active markets.
	Level 2 Inputs - Quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations whose inputs are observable or whose significant value drivers are observable.
	Level 3 Inputs - Instruments with primarily unobservable value drivers.
	The fair value hierarchy level is determined by asset class based on the lowest level of significant input. In periods of market inactivity, the observability of prices and inputs may be reduced for certain instruments. This condition could cause an instrument to be reclassified between levels. During the year ended September 30, 2014, there were no transfers between levels.
	The carrying amounts of the Company’s cash and cash equivalents, accounts receivable, net, accounts payable, accrued expenses, self-insurance assets and liabilities and variable rate debt approximate their fair value.
Cash Equivalents	Cash Equivalents
	The Company considers short-term investments with maturity dates of 90 days or less at the date of purchase to be cash equivalents. Cash equivalents primarily consist of money market funds and the carrying value of cash equivalents approximates fair value.
Restricted Cash	Restricted Cash
	Restricted cash consists of a cash collateral account set up to support the issuance of letters of credit under the Company’s institutional letter of credit facility and funds provided from government payors restricted for client use.
Concentrations of Credit and Other Risks	Concentrations of Credit and Other Risks
	Financial instruments that potentially subject the Company to credit risk primarily consist of cash and cash equivalents, self-insurance receivables and accounts receivable. Cash and cash equivalents are deposited with federally insured commercial banks in the United States, which, at times may exceed federally insured limits. The unlimited coverage by the Federal Deposit Insurance Corporation (“FDIC”) expired on December 31, 2012. Accounts are currently guaranteed by the FDIC up to $250 thousand. The Company has not experienced any losses in such accounts. The Company derives approximately 90% of its revenue from state and local government payors. These entities fund a significant portion of their payments to the Company through federal matching funds, which pass through various state and local government agencies.
Revenue Recognition	Revenue Recognition
	Revenue is reported net of allowances for unauthorized sales and estimated sales adjustments. Revenue is also reported net of any state provider taxes or gross receipts taxes levied on services the Company provides. Sales adjustments are estimated based on an analysis of historical sales adjustments and recent developments in payment trends. Revenue is recognized when evidence of an arrangement exists, the service has been provided, the price is fixed or determinable and collectability is reasonably assured.
	The Company recognizes revenue for services performed pursuant to contracts with various state and local government agencies and private health care agencies as follows: cost-reimbursement contract revenue is recognized at the time the service costs are incurred and units-of-service contract revenue is recognized at the time the service is provided. For the Company’s cost-reimbursement contracts, the rate provided by the payor is based on a certain level of service and types of costs incurred in delivering the service. From time to time, the Company receives payments under cost-reimbursement contracts in excess of the allowable costs required to support those payments. In such instances, the Company estimates and records a liability for such excess payments. At the end of the contract period, any balance of excess payments is maintained as a liability until it is reimbursed to the payor. Revenue in the future may be affected by changes in rate-setting structures, methodologies or interpretations that may be enacted in states where the Company operates or by the federal government.
Cost of Revenue	Cost of Revenue
	The Company classifies expenses directly related to providing services as cost of revenue, except for depreciation and amortization related to cost of revenue, which are shown separately in the consolidated statements of operations. Direct costs and expenses principally include salaries and benefits for service provider employees, per diem payments to independently contracted host-home caregivers (“Mentors”), residential occupancy expenses, which are primarily comprised of rent and utilities related to facilities providing direct care, certain client expenses such as food and medicine and transportation costs for clients requiring services, professional and general liability expense, employment practices liability expense and workers’ compensation expense.
Property and Equipment	Property and Equipment
	Property and equipment are recorded at cost and are depreciated when placed into service using a straight-line method, based on their estimated useful lives as follows:
	Asset Description	Estimated Useful Life
		(in years)
	Land		Indefinite
	Building		30
	Leasehold Improvements		Not to exceed 7 years or length of lease
	Vehicles		5
	Computer hardware ad software		3
	Furniture, fixtures and equipment		5-Mar
	Capital lease assets are depreciated over the lesser of the lease term or the useful life of the asset. Expenditures for maintenance and repairs are charged to operating expenses as incurred. When assets are sold or retired, the corresponding cost and accumulated depreciation are removed from the related accounts and any gain or loss is recorded in the period of the sale or retirement.
Internal Use Software Development Costs	Internal Use Software Development Costs
	The Company capitalizes certain costs associated with its internally developed software that are incurred subsequent to the preliminary project stage. Specifically, the Company capitalizes the payroll and payroll-related costs of employees who are directly involved with and who devote time to the Company’s software development project and other applicable third-party costs, and amortizes these costs on a straight-line basis over the estimated useful life of the software of three years. Amortization begins when the internal-use software is ready for its intended use.
	Internal use software development costs of $1.5 million have been capitalized for the year ended September 30, 2014. The capitalized amounts were included as part of construction in progress on the consolidated balance sheets in property and equipment. Because the Company believes that the project is not substantially complete and ready for its intended use, no amortization expense has been recorded to date.
Accounts Receivable	Accounts Receivable
	Accounts receivable primarily consist of amounts due from government agencies, not-for-profit providers and commercial insurance companies. An estimated allowance for doubtful accounts is recorded to the extent it is probable that a portion or all of a particular account will not be collected. In evaluating the collectability of accounts receivable, the Company considers a number of factors, including payment trends in individual states, age of the accounts and the status of ongoing disputes with third party payors. Complex rules and regulations regarding billing and timely filing requirements in various states are also a factor in our assessment of the collectability of accounts receivable. Actual collections of accounts receivable in subsequent periods may require changes in the estimated allowance for doubtful accounts. Changes in these estimates are charged or credited to revenue as a contractual allowance in the consolidated statements of operations in the period of the change in estimate.
Goodwill and Indefinite-lived Intangible Assets	Goodwill and Indefinite-lived Intangible Assets
	The Company reviews costs of purchased businesses in excess of the fair value of net assets acquired (goodwill), and indefinite-lived intangible assets for impairment at least annually, unless significant changes in circumstances indicate a potential impairment may have occurred sooner. The Company conducts its annual impairment test for both goodwill and indefinite-lived intangible assets on July 1st of each year.
	The Company is required to test goodwill on a reporting unit basis, of which there are two for each of the Company’s reporting segments. The Company has the option to first assess qualitative factors to determine whether further impairment testing is necessary. The Company has elected to bypass the qualitative assessments and proceed directly to the two-step impairment test. The first step is to compare the fair value of the reporting unit with its carrying value. If the carrying amount of the reporting unit exceeds its fair value then the second step of the goodwill impairment test is performed. The second step of the goodwill impairment test compares the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill in order to determine the amount of impairment to be recognized. The excess of the carrying value of goodwill above the implied goodwill, if any, would be recognized as an impairment charge. Fair values are established using the discounted cash flow method.
	For its indefinite-lived intangible assets, the Company has the option to first assess qualitative factors to determine whether further impairment testing is necessary. The Company has elected to bypass the qualitative assessments and proceed directly to the quantitative impairment test. The impairment test for indefinite-lived intangible assets requires the determination of the fair value of the intangible asset. If the fair value of the indefinite-lived intangible asset is less than its carrying value, an impairment loss is recognized in an amount equal to the difference. Fair values are established using the relief from royalty method.
	The fair value of a reporting unit is based on discounted estimated future cash flows. The assumptions used to estimate fair value include management’s best estimates of future growth, capital expenditures, discount rates and market conditions over an estimate of the remaining operating period. As such, actual results may differ from these estimates and lead to a revaluation of the Company’s goodwill and indefinite-lived intangible assets.
Impairment of Long-Lived Assets	Impairment of Long-Lived Assets
	The Company reviews long-lived assets for impairment when circumstances indicate the carrying amount of an asset may not be recoverable based on the undiscounted future cash flows of the asset. If the carrying amount of the asset is determined not to be recoverable, a write-down to fair value is recorded.
Income Taxes	Income Taxes
	The Company accounts for income taxes using the asset and liability method. Under this method, deferred tax assets and liabilities are determined by multiplying the differences between the financial reporting and tax reporting bases for assets and liabilities by the enacted tax rates expected to be in effect when such differences are recovered or settled. These deferred tax assets and liabilities are separated into current and long-term amounts based on the classification of the related assets and liabilities for financial reporting purposes and netted by jurisdiction. Valuation allowances on deferred tax assets are estimated based on the Company’s assessment of the realizability of such amounts.
	The Company also recognizes the benefits of tax positions when certain criteria are satisfied. The Company may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such a position should be measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. The Company recognizes interest and penalties related to uncertain tax positions as a component of income tax expense which is consistent with the recognition of these items in prior reporting periods.
Derivative Financial Instruments	Derivative Financial Instruments
	The Company reports derivative financial instruments on the balance sheet at fair value and establishes criteria for designation and effectiveness of hedging relationships. Changes in the fair value of derivatives are recorded each period in current operations or in the consolidated statements of comprehensive income (loss) depending upon whether the derivative is designated as part of a hedge transaction and, if it is, the type of hedge transaction.
	The Company, from time to time, enters into interest rate swap agreements to hedge against variability in cash flows resulting from fluctuations in the benchmark interest rate, which is LIBOR, on the Company’s debt. These agreements involve the exchange of variable interest rates for fixed interest rates over the life of the swap agreement without an exchange of the notional amount upon which the payments are based. On a quarterly basis, the differential to be received or paid as interest rates change is accrued and recognized as an adjustment to interest expense in the accompanying consolidated statement of operations. In addition, on a quarterly basis the mark to market valuation is recorded as an adjustment to gain (loss) on derivative within the consolidated statements of comprehensive income (loss). The related amount receivable from or payable to counterparties is included as an asset or liability, respectively, in the Company’s consolidated balance sheets.
Stock-Based Compensation	Stock-Based Compensation
	NMH Investment adopted an equity-based compensation plan in 2006, and from time to time it has issued units of limited liability company interests pursuant to such plan, consisting of Class B Units, Class C Units, Class D Units, Class E Units, Class F Units, Class G Units and Class H Units. The units are limited liability company interests and are available for issuance to the Company’s employees and members of the Board of Directors for incentive purposes. For purposes of determining the compensation expense associated with these grants, management values the business enterprise using a variety of widely accepted valuation techniques which considered a number of factors such as the Company’s financial performance, the values of comparable companies and the lack of marketability of the Company’s equity. The Company then uses the option pricing method to determine the fair value of these units at the time of grant using valuation assumptions consisting of the expected term in which the units will be realized; a risk-free interest rate equal to the U.S. federal treasury bond rate consistent with the term assumption; expected dividend yield, for which there is none; and expected volatility based on the historical data of equity instruments of comparable companies. For Class B Units, Class C Units, Class D Units, Class E Units and Class F Units, the estimated fair value of the units, less an assumed forfeiture rate, is recognized in expense on a straight-line basis over the requisite service periods of the awards. The Class G Units and Class H Units vest upon a liquidity event and/or upon the occurrence of certain investment return conditions, for which the compensation expense will then be recognized in its entirety when probable.
	In fiscal 2014, Civitas adopted an equity-based compensation plan and issued stock-based awards including non-qualified stock options and restricted stock units. The Company recognizes the fair value of stock-based compensation expense over the requisite service period of the individual grantee, which equals the vesting period. The Company is required to estimate future forfeitures of stock-based awards for recognition of compensation expense. The Company will record additional expense if the actual forfeitures are lower than estimated and will record a recovery of prior recognized expense if the actual forfeitures are higher than estimated. The actual expense recognized over the vesting period will only be for those awards that vest.
Accruals for Self-Insurance	Accruals for Self-Insurance
	The Company maintains employment practices liability, professional and general liability, workers’ compensation, automobile liability and health insurance with policies that include self-insured retentions. 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, employment practices liability and professional and general liability programs are based on analyses performed internally by management and for certain balances, take into account reports by independent third party actuaries. Accruals relating to prior periods are periodically re-evaluated and increased or decreased based on new information.
Self-Insurance Gross versus Net Presentation	Self-Insurance Gross versus Net Presentation
	The Company reports its 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 consolidated balance sheets. Self-insured liabilities are presented in accrued payroll and related costs, other accrued liabilities and other long-term liabilities on the Company’s consolidated balance sheets.
Legal Contingencies	Legal Contingencies
	The Company reserves for costs related to contingencies when a loss is probable and the amount is reasonably estimable or a range of loss can be determined. These accruals represent management’s best estimate of probable loss. Disclosure is also provided when it is reasonably possible that a loss will be incurred or when it is reasonably possible that the amount of loss will exceed the recorded provision. Significant judgment is required in both the determination of probability and the determination as to whether an exposure is reasonably estimable. Because of uncertainties related to these matters, accruals are based only on the best information available at the time. As additional information becomes available, the Company reassesses the potential liability related to pending claims and litigation and may revise its estimates. These revisions in the estimates of the potential liabilities could have a material impact on our consolidated results of operations and financial position.
Discontinued Operations	Discontinued Operations
	The Company analyzes its operations that have been divested or classified as held-for-sale to determine if they qualify for discontinued operations accounting. Only operations that qualify as a component of an entity, as defined by the Accounting Standards Codification (“ASC”), can be classified as a discontinued operation. In addition, only components where the cash flows of the component have been or will be eliminated from ongoing operations by the end of the assessment period and where the Company does not have significant continuing involvement with the divested operations would qualify for discontinued operations accounting.
Subsequent Events	Subsequent Events
	The Company considers events or transactions that have occurred after the balance sheet date of September 30, 2014, but prior to the filing of the financial statements with the Securities and Exchange Commission, or SEC, to provide additional evidence relative to certain estimates or to identify matters that require additional recognition or disclosure. Subsequent events have been evaluated through the filing of the financial statements accompanying this Annual Report on Form 10-K.
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 in the first quarter of the fiscal year ended September 30, 2014. This adoption did not have a material impact on the Company’s consolidated financial statements.
	Technical Corrections and Improvements Related to Glossary Terms – In March 2014, the FASB issued Accounting Standards Update No. 2014-06, Technical Corrections and Improvements Related to Glossary Terms (“ASU 2014-06”). The amendments in this update relate to glossary terms and cover a wide range of Topics in the Codification. The amendments in this update were effective for the Company beginning in the second quarter of the fiscal year ended September 30, 2014. This adoption did not have a material impact on the Company’s consolidated financial statements.
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.

Significant_Accounting_Policie2

Significant Accounting Policies (Tables)	36 Months Ended
	Sep. 30, 2014
Accounting Policies [Abstract]
Schedule of Cost and Depreciation for Property and Equipment	Property and equipment are recorded at cost and are depreciated when placed into service using a straight-line method, based on their estimated useful lives as follows:
	Asset Description	Estimated Useful Life
		(in years)
	Land		Indefinite
	Building		30
	Leasehold Improvements		Not to exceed 7 years or length of lease
	Vehicles		5
	Computer hardware ad software		3
	Furniture, fixtures and equipment		5-Mar

Business_Combinations_Tables

Business Combinations (Tables)	36 Months Ended
	Sep. 30, 2014
Two Thousand Fourteen Acquisition [Member]
Schedule of Recognized Amounts of Identifiable Assets Acquired and Liabilities 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 assets		equipment		net assets
	Show-Me Health Care		895		9		904		336
	Occazio		3,863		216		4,079		1,421
	Ann Arbor		3,801		50		3,851		972
	Tender Loving Care		2,396		16		2,412		538
	AmeriServe		288		43		331		69
	G&D		1,086		102		1,188		312
	Life by Design		1,651		16		1,667		433
	Adult Day Health		18,100		1,081		19,181		17,969
	Other Acquisitions		272		106		378		57
	Total	$	32,352	$	1,639	$	33,991	$	22,107
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.
	(in thousands)	Year Ended		Year Ended
		September 30,		September 30,
		2014		2013
	Net revenue	$	1,286,173	$	1,232,279
	Income from operations		66,695		61,077
Two Thousand Thirteen Acquisitions [Member]
Schedule of Recognized Amounts of Identifiable Assets Acquired and Liabilities Assumed	The following table summarizes the recognized amounts of identifiable assets acquired and liabilities assumed at the date of the acquisition:
	(in thousands)	Identifiable		Other Assets,		Property and		Total identifiable		Goodwill
		intangible assets		current and long		equipment		net assets
				term
	Beyond Abilities	$	2,984	$	—	$	136	$	3,120	$	1,280
	Community Links		3,078		16		46		3,140		1,260
	Carolina Autism		420		2		39		461		14
	Total	$	6,482	$	18	$	221	$	6,721	$	2,554
Two Thousand Twelve Acquisition [Member]
Schedule of Recognized Amounts of Identifiable Assets Acquired and Liabilities Assumed	The following table summarizes the recognized amounts of identifiable assets acquired and liabilities assumed at the date of the acquisition:
	(in thousands)	Identifiable		Other Assets,		Property and		Total identifiable		Goodwill
		intangible assets		current and long		equipment		net assets
				term
	Families Together	$	2,102	$	—	$	6	$	2,108	$	892
	SCVP		291		—		5		296		154
	Copper Family		1,836		—		116		1,952		687
	Alpha Group		1,927		—		288		2,215		85
	Radical Rehab		6,340		41		62		6,443		1,557
	Other Acquisitions		89		—		20		109		46
	Total	$	12,585	$	41	$	497	$	13,123	$	3,421
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.
	(in thousands)	Year Ended		Year Ended
		September 30,		September 30,
		2013		2012
	Net revenue	$	1,192,664	$	1,128,972
	Income from operations		54,401		49,564

Discontinued_Operations_Tables

Discontinued Operations (Tables)	36 Months Ended
	Sep. 30, 2014
Discontinued Operations and Disposal Groups [Abstract]
Net Revenue and Loss Before Income Taxes for Company's Discontinued Operations	The net revenue and loss before income taxes for the Company’s discontinued operations for the periods presented is as follows (in thousands):
		Year ended September 30,
		2014			2013			2012
	Net revenue	$	13,425		$	18,483		$	22,222
	Income (loss) before income taxes		(2,259	)		(3,244	)		400

Goodwill_and_Intangible_Assets1

Goodwill and Intangible Assets (Tables)	36 Months Ended
	Sep. 30, 2014
Goodwill and Intangible Assets Disclosure [Abstract]
Schedule of Changes in Goodwill	The changes in goodwill for the fiscal years ended September 30, 2014 and 2013 are as follows (in thousands):
		Human Services			Post-Acute		Total
					Specialty
					Rehabilitation
					Services
	Balance as of September 30, 2012		169,662			64,699		234,361
	Goodwill acquired through acquisitions		1,294			1,260		2,554
	Goodwill written off related to disposal of businesses		(1,334	)		—		(1,334	)
	Adjustments to goodwill, net		—			42		42
	Balance as of September 30, 2013	$	169,622		$	66,001	$	235,623
	Goodwill acquired through acquisitions		21,134			973		22,107
	Balance as of September 30, 2014	$	190,756		$	66,974	$	257,730
Schedule of Intangible Assets	Intangible assets consist of the following as of September 30, 2014 (in thousands):
	Description	Weighted			Gross		Accumulated			Intangible
		Average			Carrying		Amortization			Assets, Net
		Remaining Life			Value
	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
	Intangible assets consist of the following as of September 30, 2013 (in thousands):
	Description	Weighted			Gross		Accumulated			Intangible
		Average			Carrying		Amortization			Assets, Net
		Remaining Life			Value
	Agency contracts		9 years		$	464,480	$	195,737		$	268,743
	Non-compete/non-solicit		3 years			4,929		2,058			2,871
	Relationship with contracted caregivers		3 years			10,963		7,905			3,058
	Trade names		4 years			3,787		2,431			1,356
	Trade names (indefinite life)		—			42,400		—			42,400
	Licenses and permits		4 years			45,760		28,343			17,417
	Intellectual property		3 years			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 each of the five succeeding years and thereafter is as follows:
	Year Ending September 30,	(In thousands)
	2015	$	38,251
	2016		36,409
	2017		32,358
	2018		31,466
	2019		31,070
	Thereafter		115,772
		$	285,326

Property_and_Equipment_Tables

Property and Equipment (Tables)	36 Months Ended
	Sep. 30, 2014
Property, Plant and Equipment [Abstract]
Schedule of Property and Equipment	Property and equipment consists of the following as of September 30 (in thousands):
		2014			2013
	Buildings and land	$	123,899		$	123,046
	Vehicles		50,454			45,846
	Computer hardware		32,276			29,661
	Leasehold improvements		53,198			38,755
	Furniture and fixtures		14,749			12,931
	Office and telecommunication equipment		6,772			8,115
	Software for internal use		1,488			—
	Construction in progress		1,005			2,246
			283,841			260,600
	Less accumulated depreciation		(124,355	)		(106,965	)
	Property and equipment, net	$	159,486		$	153,635

Certain_Balance_Sheet_Accounts1

Certain Balance Sheet Accounts (Tables)	36 Months Ended
	Sep. 30, 2014
Text Block [Abstract]
Prepaid Expenses and Other Current Assets	Prepaid expenses and other current assets consist of the following as of September 30 (in thousands):
		2014		2013
	Prepaid business expense		2,514	$	2,906
	Prepaid insurance		1,185		1,309
	Anticipated insurance recoveries		6,637		9,966
	Other		4,929		3,590
	Prepaid expenses and other current assets	$	15,265	$	17,771
Other Accrued Liabilities	Other accrued liabilities consist of the following as of September 30 (in thousands):
		2014		2013
	Accrued insurance	$	15,464	$	18,756
	Accrued swap valuation liability		—		3,165
	Overpayments		6,746		7,678
	Due to third party payors		3,727		3,569
	Accrued interest		3,465		4,100
	Intercompany payable (Civitas)		2,637		—
	Other		16,924		7,798
	Other accrued liabilities	$	48,963	$	45,066
Other Long-Term Liabilities	Other long-term liabilities consist of the following as of September 30 (in thousands):
		2014		2013
	Accrued self-insurance reserves	$	54,037	$	54,781
	Other		15,277		14,155
	Other long-term liabilities	$	69,314	$	68,936

Longterm_Debt_Tables

Long-term Debt (Tables)	36 Months Ended
	Sep. 30, 2014
Debt Disclosure [Abstract]
Long-Term Debt	The Company’s long-term debt consists of the following as of September 30 (in thousands):
		2014			2013
	Term loan principal and interest due in quarterly installments through January 31, 2021, subject to acceleration to November 15, 2017	$	597,000		$	—
	Prior term loan, principal and interest repaid on January 31, 2014		—			546,525
	Original issue discount on term loan, net of accumulated amortization		(1,235	)		(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%)		212,000			250,000
	Original issue discount and initial purchase discount on senior notes, net of accumulated amortization		(4,570	)		(7,003	)
			803,195			785,119
	Less current portion		168,000			5,600
	Long-term debt	$	635,195		$	779,519
Schedule of Annual Maturities of Company's Debt	Annual maturities of the Company’s debt for the fiscal year ended September 30 are as follows:
		(In thousands)
	2015 (includes $162,000 of senior notes redeemed on October 17, 2014)	$	168,000
	2016		6,000
	2017		6,000
	2018		56,000
	2019		6,000
	Thereafter		567,000
	Total	$	809,000

Fair_Value_Measurements_Tables

Fair Value Measurements (Tables)	36 Months Ended
	Sep. 30, 2014
Fair Value Disclosures [Abstract]
Fair Value of Assets and Liabilities on a Recurring Basis	The following table set 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	)
	The following table set forth the Company’s assets and liabilities that were accounted for at fair value on a recurring basis as of September 30, 2013.
	(in thousands)	Total			Quoted		Significant Other			Significant
					Market Prices		Observable			Unobservable
					(Level 1)		Inputs (Level 2)			Inputs
										(Level 3)
	Liabilities
	Interest rate swap agreements	$	(3,165	)	$	—	$	(3,165	)	$	—
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 fiscal years 2014 and 2013.
		Level 3
		Inputs
		Liabilities
	Balance at September 30, 2012	$	—
	Change in fair value of contingent consideration liability		—
	Balance at September 30, 2013		—
	Change in fair value of contingent consideration liability		2,400
	Balance at September 30, 2014	$	2,400
Carrying Value and Fair Value of Debt Instruments	At September 30, 2014 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:
		September 30, 2014					September 30, 2013
	(in thousands)	Carrying			Fair		Carrying			Fair
		Amount			Value		Amount			Value
	Senior notes (issued February 9, 2011)	$	207,430		$	225,780	$	242,997		$	268,750

Leases_Tables

Leases (Tables)	36 Months Ended
	Sep. 30, 2014
Leases [Abstract]
Schedule of Future Minimum Lease Payments for Non-cancellable Operating Leases	Future minimum lease payments for non-cancellable operating leases for the fiscal years ending September 30 are as follows (in thousands):
	2015	$	52,748
	2016		42,739
	2017		35,658
	2018		25,820
	2019		17,936
	Thereafter		33,509
		$	208,410
Schedule of Future Minimum Lease Payments under Capital Leases	The following is a schedule of the future minimum lease payments under the capital leases for the fiscal years ending September 30 (in thousands):
	2015	$	451
	2016		497
	2017		549
	2018		608
	2019		675
	Thereafter		3,730
	Total minimum lease payments	$	6,510

Income_Taxes_Tables

Income Taxes (Tables)	36 Months Ended
	Sep. 30, 2014
Income Tax Disclosure [Abstract]
Benefit for Income Taxes	The benefit for income taxes consists of the following as of September 30 (in thousands):
		2014			2013			2012
	Current:
	Federal	$	—		$	—		$	(5,267	)
	State		1,385			1,009			(11	)
	Total current taxes payable		1,385			1,009			(5,278	)
	Deferred:
	Federal		(10,106	)		(8,452	)		(11,793	)
	State		(2,417	)		(2,499	)		(2,701	)
	Net deferred tax benefit		(12,523	)		(10,951	)		(14,494	)
	Income tax benefit	$	(11,138	)	$	(9,942	)	$	(19,772	)
Significant Components of Company's Deferred Tax Assets and Liabilities	Significant components of the Company’s deferred tax assets and liabilities consist of the following as of September 30 (in thousands):
		2014			2013
	Gross deferred tax assets:
	Deferred compensation	$	1,229		$	1,155
	Interest rate swap agreements		—			1,253
	Accrued workers’ compensation		12,528			11,195
	Net operating loss carryforwards		17,690			13,767
	Allowance for bad debts		4,078			4,484
	Tax credits		1,596			1,596
	Depreciation		681			—
	Other		2,409			2,245
			40,211			35,695
	Valuation allowance		(9,012	)		(8,013	)
	Deferred tax assets		31,199			27,682
	Deferred tax liabilities:
	Depreciation		—			(2,200	)
	Amortization of goodwill and intangible assets		(81,999	)		(87,953	)
	Other accrued liabilities		(1,865	)		(2,340	)
	Net deferred tax liabilities	$	(52,665	)	$	(64,811	)
Reconciliation Between Statutory and Effective Income Tax Rates	The following is reconciliation between the statutory and effective income tax rates at September 30 (in thousands):
		2014			2013			2012
	Federal income tax at statutory rate		35	%		35	%		35	%
	State income taxes, net of federal tax benefit		1.8	%		3.6	%		5.2	%
	Nondeductible comp		(0.8	)%		(0.3	)%		(0.7	)%
	Other nondeductible expenses		(1.1	)%		(0.2	)%		(1.1	)%
	Unrecognized tax benefit		0	%		0	%		16.3	%
	Other		(0.3	)%		(0.2	)%		2.8	%
	Effective tax rate		34.6	%		37.9	%		57.5	%

Segment_Information_Tables

Segment Information (Tables)	36 Months Ended
	Sep. 30, 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 Year Ended September 30,	Human		Post-Acute		Corporate			Consolidated
		Services		Specialty
				Rehabilitation
				Services
	2014
	Net revenue	$	1,025,672	$	230,166	$	—			1,255,838
	Income (loss) from operations		97,916		17,561		(54,474	)		61,003
	Total assets		634,989		222,475		349,519			1,206,983
	Depreciation and amortization		45,576		19,177		2,735			67,488
	Purchases of property and equipment		15,907		16,250		3,138			35,295
	Income (loss) from continuing operations before income taxes		23,024		1,231		(56,413	)		(32,158	)
	2013
	Net revenue	$	974,088	$	208,421	$	—			1,182,509
	Income (loss) from operations		90,477		17,293		(55,636	)		52,134
	Total assets		655,140		207,475		157,757			1,020,372
	Depreciation and amortization		45,239		15,948		2,386			63,573
	Purchases of property and equipment		17,791		10,491		3,619			31,901
	Income (loss) from continuing operations before income taxes		25,369		3,893		(55,516	)		(26,254	)
	2012
	Net revenue	$	921,885	$	185,466	$	—			1,107,351
	Income (loss) from operations		78,738		20,376		(53,071	)		46,043
	Total assets		692,015		216,663		136,305			1,044,983
	Depreciation and amortization		42,821		14,389		2,777			59,987
	Purchases of property and equipment		17,659		10,218		2,118			29,995
	Income (loss) from continuing operations before income taxes		13,637		7,798		(55,832	)		(34,397	)

StockBased_Compensation_Tables

Stock-Based Compensation (Tables)	36 Months Ended
	Sep. 30, 2014
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Summary of Fair Value of Units Issued	The fair value of the units issued during fiscal years 2014, 2013 and 2012 was calculated using the following assumptions:
		FY2014			FY2013		FY2012
	Risk-free interest rate		0.13	%	0.21-0.27%		0.21-0.27%
	Expected term		1 year		1.7-2.4 years		1.7-2.4 years
	Expected volatility		30	%	40.00%		40.00%
Summary of Stock-based Compensation Expense	The summary of activity under the plan is presented below:
		Units Outstanding			Weighted Average Grant-
					Date Fair Value
	Nonvested balance at September 30, 2013		1,395,984		$	0.57
	Granted		303,710			1.12
	Forfeited		25,894			2.13
	Vested		249,504			2.68
	Nonvested balance at September 30, 2014		1,424,296		$	0.29
Assumptions in Calculating the Fair Value of Options Granted	The fair value of each option granted was estimated on the grant date using the Black-Scholes valuation model with the following assumptions:
		FY2014
	Risk-free interest rate		1.88	%
	Expected term		6 years
	Expected volatility		45	%
	Expected dividend yield		—
Summary of Stock Option Activity	The table below summarizes our stock option activity during fiscal year 2014:
		Number of			Weighted-			Weighted-		Aggregate
		Shares			Average			Average		Intrinsic
					Exercise Price			Remaining Life		Value
					per Share			(Years)
	Outstanding at September 30, 2013		—		$	—			—	$	—
	Granted		559,327			17			10		—
	Forfeited		—			—			—		—
	Exercised		—			—			—		—
	Expired		—			—			—		—
	Outstanding at September 30, 2014		559,327		$	17			10	$	—
	Vested or expected to vest as of September 30, 2014		507,310		$	17			10	$	—
	Exercisable at September 30, 2014		—		$	—			—	$	—
Summary of Issued Restricted Stock Awards	A summary of our issued restricted stock awards is as follows:
		Number of			Weighted Average
		Restricted Shares			Grant-Date Fair Value
	Nonvested shares at September 30, 2013		—		$	—
	Granted		550,481			17
	Forfeited		—			—
	Vested		—			—
	Nonvested shares at September 30, 2014		550,481		$	17

Valuation_and_Qualifying_Accou1

Valuation and Qualifying Accounts (Tables)	36 Months Ended
	Sep. 30, 2014
Valuation and Qualifying Accounts [Abstract]
Summary Information about Allowances for Doubtful Accounts and Sales Allowances	The following table summarizes information about the allowances for doubtful accounts and sales allowances for the years ended September 30, 2014, 2013 and 2012 (in thousands):
		Balance at		Provision		Write-Offs			Balance at
		Beginning of							end of Period
		Period
	Fiscal year ended September 30, 2014	$	12,494	$	20,392	$	(21,395	)	$	11,491
	Fiscal year ended September 30, 2013	$	9,250	$	18,286	$	(15,042	)	$	12,494
	Fiscal year ended September 30, 2012	$	7,957	$	12,902	$	(11,609	)	$	9,250

Quarterly_Financial_Data_unaud1

Quarterly Financial Data (unaudited) (Tables)	36 Months Ended
	Sep. 30, 2014
Quarterly Financial Information Disclosure [Abstract]
Consolidated Statement of Operations Data for Eight Quarters	The following table presents consolidated statement of operations data for each of the eight quarters in the period which began December 31, 2012 and ended September 30, 2014. This information is derived from the Company’s unaudited financial statements, which in the opinion of management contain all adjustments necessary for a fair presentation of such financial data. Operating results for these periods are not necessarily indicative of the operating results for a full year. Historical results are not necessarily indicative of the results to be expected in future periods.
			For The Quarters Ended (1)
			(in thousands)
			September 30,			June 30,			March 31,			December 31,			September 30,		June 30,			March 31,			December 31,
			2014			2014			2014			2013			2013		2013			2013			2012
	Net revenue		$	327,291		$	318,189		$	306,366		$	303,992		$	301,057	$	300,266		$	291,642		$	289,545
	Income (loss) from continuing operations, net of tax			(4,698	)		(74	)		(11,565	)		(4,683	)		127		(2,567	)		(5,353	)		(8,519	)
	Income (loss) from discontinued operations, net of tax			(1,449	)		29			45			(7	)		257		96			(2,482	)		145
	Net income (loss)		$	(6,147	)	$	(45	)	$	(11,520	)	$	(4,690	)	$	384	$	(2,471	)	$	(7,835	)	$	(8,374	)
	-1	During fiscal 2014, the Company gave notice of its intention to close all Human Services operations in the state of Connecticut. All fiscal years presented reflect the classification of these businesses as discontinued operations.

Basis_of_Presentation_Addition

Basis of Presentation - Additional Information (Detail)	Sep. 30, 2014
	State
Product Information [Line Items]
Area of operations, number of states	36
Minimum [Member]
Product Information [Line Items]
Number of residential clients	12,600
Number of periodic clients	16,500

Significant_Accounting_Policie3

Significant Accounting Policies - Additional Information (Detail) (USD $)	12 Months Ended
	Sep. 30, 2014
	Segment
Significant Accounting Policies [Line Items]
Cash And Cash equivalent insured by FDIC	$250,000
Amortized capitalized software development cost	3 years
Capitalized costs related to software development	$1,500,000
Number of reporting units	2
Sales Revenue, Net [Member] | Government Contracts Concentration Risk [Member]
Significant Accounting Policies [Line Items]
Percentage of revenue from state and local government	90.00%
Maximum [Member] | Cash Equivalents [Member]
Significant Accounting Policies [Line Items]
Maturity of short-term investments	90 days

Significant_Accounting_Policie4

Significant Accounting Policies - Schedule of Cost and Depreciation for Property and Equipment (Detail)	12 Months Ended
	Sep. 30, 2014
Building [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, useful life	30 years
Vehicles [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, useful life	5 years
Computer Hardware and Software [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, useful life	3 years
Minimum [Member] | Furniture, Fixtures and Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, useful life	3 years
Maximum [Member] | Leasehold Improvements [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, useful life	7 years
Maximum [Member] | Furniture, Fixtures and Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, useful life	5 years

Business_Combinations_Addition

Business Combinations - Additional Information (Detail) (USD $)

0 Months Ended

1 Months Ended

12 Months Ended

0 Months Ended

3 Months Ended

0 Months Ended

Jul. 23, 2014

Aug. 30, 2013

Nov. 01, 2012

Apr. 05, 2012

Mar. 26, 2012

Aug. 31, 2012

Nov. 30, 2011

Sep. 30, 2014

Sep. 30, 2013

Sep. 30, 2012

Feb. 07, 2014

Jun. 30, 2014

Dec. 31, 2011

Sep. 20, 2013

Nov. 29, 2013

Jan. 02, 2014

Apr. 07, 2014

Sep. 08, 2014

Company

Company

Company

Business Acquisition [Line Items]

Number of companies acquired

11

3

7

Fair value consideration of acquired companies

$56,100,000

$9,300,000

$16,500,000

Cost of acquisition

2,100,000

4,400,000

500,000

3,000,000

Fair value of goodwill

1,300,000

14,000

22,107,000

2,554,000

3,421,000

Recognized identifiable intangible assets acquired

1,700,000

3,100,000

400,000

Goodwill

257,730,000

235,623,000

234,361,000

Acquisition date

30-Aug-13

1-Nov-12

5-Apr-12

26-Mar-12

31-Aug-12

30-Nov-11

Tangible assets acquired

1,639,000

221,000

497,000

Human Services [Member]

Business Acquisition [Line Items]

Fair value of goodwill

400,000

Goodwill

190,756,000

169,622,000

169,662,000

Post-Acute Specialty Rehabilitation Services [Member]

Business Acquisition [Line Items]

Goodwill

66,974,000

66,001,000

64,699,000

Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

1,300,000

3,000,000

100,000

Tenure of agency contract

12 years

12 years

12 years

11 years

Non-Compete Agreements [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

33,000

100,000

Tenure of agency contract

5 years

5 years

5 years

Licenses and Permits [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

300,000

200,000

Tenure of agency contract

10 years

10 years

10 years

Ann Arbor [Member]

Business Acquisition [Line Items]

Cost of acquisition

4,800,000

Fair value of goodwill

972,000

1,000,000

Recognized identifiable intangible assets acquired

3,800,000

Tangible assets acquired

50,000

Ann Arbor [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

3,700,000

Tenure of agency contract

12 years

Ann Arbor [Member] | Trade Names [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

100,000

Tenure of agency contract

5 years

Ann Arbor [Member] | Non-Compete Agreements [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

33,000

Tenure of agency contract

5 years

G&D [Member]

Business Acquisition [Line Items]

Cost of acquisition

1,500,000

Fair value of goodwill

312,000

Recognized identifiable intangible assets acquired

1,100,000

Tangible assets acquired

102,000

G&D [Member] | Human Services [Member]

Business Acquisition [Line Items]

Fair value of goodwill

300,000

G&D [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

900,000

Tenure of agency contract

12 years

G&D [Member] | Non-Compete Agreements [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

6,000

Tenure of agency contract

5 years

G&D [Member] | Licenses and Permits [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

200,000

Tenure of agency contract

10 years

AmeriServe [Member]

Business Acquisition [Line Items]

Cost of acquisition

400,000

Fair value of goodwill

69,000

Recognized identifiable intangible assets acquired

300,000

Tangible assets acquired

43,000

AmeriServe [Member] | Human Services [Member]

Business Acquisition [Line Items]

Fair value of goodwill

100,000

AmeriServe [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

200,000

Tenure of agency contract

12 years

AmeriServe [Member] | Non-Compete Agreements [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

12,000

Tenure of agency contract

5 years

AmeriServe [Member] | Licenses and Permits [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

39,000

Tenure of agency contract

10 years

Other Acquisitions [Member]

Business Acquisition [Line Items]

Number of companies acquired

3

Cost of acquisition

400,000

200,000

Fair value of goodwill

46,000

Recognized identifiable intangible assets acquired

300,000

100,000

Goodwill

100,000

Tangible assets acquired

20,000

Beyond Abilities [Member]

Business Acquisition [Line Items]

Cost of acquisition

4,400,000

Fair value of goodwill

1,280,000

1,300,000

Recognized identifiable intangible assets acquired

3,000,000

Acquisition date

20-Sep-13

Acquired Tangible Assets

100,000

Tangible assets acquired

136,000

Beyond Abilities [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

1,500,000

Tenure of agency contract

12 years

Beyond Abilities [Member] | Non-Compete Agreements [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

900,000

Tenure of agency contract

5 years

Beyond Abilities [Member] | Licenses and Permits [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

600,000

Tenure of agency contract

10 years

Show Me Health Care [Member]

Business Acquisition [Line Items]

Cost of acquisition

1,200,000

Fair value of goodwill

336,000

300,000

Recognized identifiable intangible assets acquired

900,000

Tangible assets acquired

9,000

Show Me Health Care [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

700,000

Tenure of agency contract

12 years

Show Me Health Care [Member] | Non-Compete Agreements [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

14,000

Tenure of agency contract

5 years

Show Me Health Care [Member] | Licenses and Permits [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

200,000

Tenure of agency contract

10 years

Occazio [Member]

Business Acquisition [Line Items]

Cost of acquisition

5,500,000

Fair value of goodwill

1,421,000

1,400,000

Recognized identifiable intangible assets acquired

3,900,000

Tangible assets

200,000

Tangible assets acquired

216,000

Occazio [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

2,900,000

Tenure of agency contract

12 years

Occazio [Member] | Trade Names [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

200,000

Tenure of agency contract

5 years

Occazio [Member] | Non-Compete Agreements [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

24,000

Tenure of agency contract

5 years

Occazio [Member] | Licenses and Permits [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

700,000

Tenure of agency contract

10 years

Tender Loving Care [Member]

Business Acquisition [Line Items]

Cost of acquisition

3,000,000

Fair value of goodwill

538,000

500,000

Recognized identifiable intangible assets acquired

2,400,000

Tangible assets acquired

16,000

Tender Loving Care [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

2,000,000

Tenure of agency contract

12 years

Tender Loving Care [Member] | Non-Compete Agreements [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

100,000

Tenure of agency contract

5 years

Tender Loving Care [Member] | Licenses and Permits [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

300,000

Tenure of agency contract

10 years

Minnesota Life by Design [Member]

Business Acquisition [Line Items]

Cost of acquisition

37,100,000

Recognized identifiable intangible assets acquired

18,100,000

Tangible assets

1,400,000

Contingent consideration

2,400,000

Number of health facility

8

Minnesota Life by Design [Member] | Human Services [Member]

Business Acquisition [Line Items]

Fair value of goodwill

18,000,000

Minnesota Life by Design [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

12,400,000

Tenure of agency contract

12 years

Minnesota Life by Design [Member] | Trade Names [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

3,400,000

Tenure of agency contract

5 years

Minnesota Life by Design [Member] | Non-Compete Agreements [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

1,600,000

Minnesota Life by Design [Member] | Licenses and Permits [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

700,000

Tenure of agency contract

10 years

Families Together [Member]

Business Acquisition [Line Items]

Fair value of goodwill

892,000

Recognized identifiable intangible assets acquired

2,100,000

Tangible assets acquired

6,000

Families Together [Member] | Human Services [Member]

Business Acquisition [Line Items]

Fair value of goodwill

900,000

Families Together [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

800,000

Families Together [Member] | Non-Compete Agreements [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

1,000,000

Families Together [Member] | Licenses and Permits [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

300,000

SCVP [Member]

Business Acquisition [Line Items]

Cost of acquisition

400,000

Fair value of goodwill

154,000

Tangible assets acquired

5,000

SCVP [Member] | Human Services [Member]

Business Acquisition [Line Items]

Fair value of goodwill

100,000

SCVP [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

300,000

Tenure of agency contract

10 years

Copper Family [Member]

Business Acquisition [Line Items]

Cost of acquisition

2,600,000

Fair value of goodwill

687,000

Recognized identifiable intangible assets acquired

1,800,000

Tangible assets acquired

100,000

116,000

Copper Family [Member] | Human Services [Member]

Business Acquisition [Line Items]

Fair value of goodwill

700,000

Copper Family [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

1,400,000

Tenure of agency contract

11 years

Copper Family [Member] | Licenses and Permits [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

400,000

Tenure of agency contract

10 years

Alpha Group [Member]

Business Acquisition [Line Items]

Cost of acquisition

2,300,000

Fair value of goodwill

85,000

Recognized identifiable intangible assets acquired

1,900,000

Tangible assets acquired

300,000

288,000

Alpha Group [Member] | Human Services [Member]

Business Acquisition [Line Items]

Fair value of goodwill

100,000

Alpha Group [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

1,600,000

Tenure of agency contract

12 years

Alpha Group [Member] | Licenses and Permits [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

300,000

Tenure of agency contract

10 years

Radical Rehab [Member]

Business Acquisition [Line Items]

Cost of acquisition

8,000,000

Fair value of goodwill

1,557,000

Recognized identifiable intangible assets acquired

6,300,000

Acquisition date

31-Aug-13

Tangible assets acquired

100,000

62,000

Radical Rehab [Member] | Post-Acute Specialty Rehabilitation Services [Member]

Business Acquisition [Line Items]

Fair value of goodwill

1,600,000

Radical Rehab [Member] | Agency Contracts [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

5,400,000

Tenure of agency contract

12 years

Radical Rehab [Member] | Non-Compete Agreements [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

200,000

Tenure of agency contract

5 years

Radical Rehab [Member] | Licenses and Permits [Member]

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

700,000

Tenure of agency contract

10 years

Business_Combinations_Schedule

Business Combinations - Schedule of Recognized Amounts of Identifiable Assets Acquired (Detail) (USD $)	Sep. 30, 2014	Sep. 30, 2013	Aug. 30, 2013	Nov. 01, 2012	Sep. 30, 2012	Nov. 29, 2013	Jan. 02, 2014	Feb. 07, 2014	Apr. 07, 2014	Sep. 20, 2013
In Thousands, unless otherwise specified
Business Acquisition [Line Items]
Identifiable intangible assets	$32,352	$6,482			$12,585
Other Assets, current and long term		18			41
Property and equipment	1,639	221			497
Total identifiable net assets	33,991	6,721			13,123
Goodwill	22,107	2,554	1,300	14	3,421
Show Me Health Care [Member]
Business Acquisition [Line Items]
Identifiable intangible assets	895
Property and equipment	9
Total identifiable net assets	904
Goodwill	336					300
Occazio [Member]
Business Acquisition [Line Items]
Identifiable intangible assets	3,863
Property and equipment	216
Total identifiable net assets	4,079
Goodwill	1,421						1,400
Ann Arbor [Member]
Business Acquisition [Line Items]
Identifiable intangible assets	3,801
Property and equipment	50
Total identifiable net assets	3,851
Goodwill	972							1,000
Tender Loving Care [Member]
Business Acquisition [Line Items]
Identifiable intangible assets	2,396
Property and equipment	16
Total identifiable net assets	2,412
Goodwill	538								500
AmeriServe [Member]
Business Acquisition [Line Items]
Identifiable intangible assets	288
Property and equipment	43
Total identifiable net assets	331
Goodwill	69
G&D [Member]
Business Acquisition [Line Items]
Identifiable intangible assets	1,086
Property and equipment	102
Total identifiable net assets	1,188
Goodwill	312
Life by Design [Member]
Business Acquisition [Line Items]
Identifiable intangible assets	1,651
Property and equipment	16
Total identifiable net assets	1,667
Goodwill	433
Massachusetts Adult Day Health Alliance [Member]
Business Acquisition [Line Items]
Identifiable intangible assets	18,100
Property and equipment	1,081
Total identifiable net assets	19,181
Goodwill	17,969
Other Acquisitions [Member]
Business Acquisition [Line Items]
Identifiable intangible assets	272
Property and equipment	106
Total identifiable net assets	378
Goodwill	57
Beyond Abilities [Member]
Business Acquisition [Line Items]
Identifiable intangible assets		2,984
Other Assets, current and long term
Property and equipment		136
Total identifiable net assets		3,120
Goodwill		1,280								1,300
Community Links [Member]
Business Acquisition [Line Items]
Identifiable intangible assets		3,078
Other Assets, current and long term		16
Property and equipment		46
Total identifiable net assets		3,140
Goodwill		1,260
Carolina Autism [Member]
Business Acquisition [Line Items]
Identifiable intangible assets		420
Other Assets, current and long term		2
Property and equipment		39
Total identifiable net assets		461
Goodwill		$14

Business_Combinations_Pro_Form

Business Combinations - Pro Forma Results of Operations (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2014
Two Thousand Twelve Acquisition [Member]
Business Acquisition [Line Items]
Net revenue	$1,192,664	$1,128,972
Income from operations	54,401	49,564
Two Thousand Fourteen Acquisition [Member]
Business Acquisition [Line Items]
Net revenue	1,232,279		1,286,173
Income from operations	$61,077		$66,695

Business_Combinations_Schedule1

Business Combinations - Schedule of Recognized Amounts of Identifiable Assets Acquired and Liabilities Assumed (Detail) (USD $)	Sep. 30, 2014	Sep. 30, 2013	Aug. 30, 2013	Nov. 01, 2012	Sep. 30, 2012	Apr. 05, 2012	Aug. 31, 2012
In Thousands, unless otherwise specified
Loans At Acquisition Date [Line Items]
Identifiable intangible assets	$32,352	$6,482			$12,585
Other Assets, current and long term		18			41
Property and equipment	1,639	221			497
Total identifiable net assets	33,991	6,721			13,123
Goodwill	22,107	2,554	1,300	14	3,421
Families Together [Member]
Loans At Acquisition Date [Line Items]
Identifiable intangible assets					2,102
Other Assets, current and long term
Property and equipment					6
Total identifiable net assets					2,108
Goodwill					892
SCVP [Member]
Loans At Acquisition Date [Line Items]
Identifiable intangible assets					291
Other Assets, current and long term
Property and equipment					5
Total identifiable net assets					296
Goodwill					154
Copper Family [Member]
Loans At Acquisition Date [Line Items]
Identifiable intangible assets					1,836
Other Assets, current and long term
Property and equipment					116	100
Total identifiable net assets					1,952
Goodwill					687
Alpha Group [Member]
Loans At Acquisition Date [Line Items]
Identifiable intangible assets					1,927
Other Assets, current and long term
Property and equipment					288		300
Total identifiable net assets					2,215
Goodwill					85
Radical Rehab [Member]
Loans At Acquisition Date [Line Items]
Identifiable intangible assets					6,340
Other Assets, current and long term					41
Property and equipment					62		100
Total identifiable net assets					6,443
Goodwill					1,557
Other Acquisitions [Member]
Loans At Acquisition Date [Line Items]
Identifiable intangible assets					89
Other Assets, current and long term
Property and equipment					20
Total identifiable net assets					109
Goodwill					$46

Discontinued_Operations_Additi

Discontinued Operations - Additional Information (Detail) (USD $)	12 Months Ended			3 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2014
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Pre-tax loss	$2,259,000	$3,244,000	($400,000)
REM Connecticut [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Loss from discontinued operations, impairment charges of intangible assets				1,600,000
Loss from discontinued operations, impairment charges of owned buildings	700,000			700,000
Severance expense from discontinued operations				100,000
FAS Virginia [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Loss from discontinued operations, impairment charges of intangible assets		3,400,000
Pre-tax loss		3,600,000
Mentor Rhode Island [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Pre-tax loss		800,000
Pre-tax impairment charge		$700,000

Discontinued_Operations_Net_Re

Discontinued Operations - Net Revenue and (Income) Loss Before Taxes for Company's Discontinued Operations (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Discontinued Operations and Disposal Groups [Abstract]
Net revenue	$13,425	$18,483	$22,222
Income (loss) before income taxes	($2,259)	($3,244)	$400

Goodwill_and_Intangible_Assets2

Goodwill and Intangible Assets - Schedule of Changes in Goodwill (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013
Goodwill [Line Items]
Beginning Balance	$235,623	$234,361
Goodwill acquired through acquisitions	22,107	2,554
Goodwill written off related to disposal of businesses		-1,334
Adjustments to goodwill, net		42
Ending Balance	257,730	235,623
Human Services [Member]
Goodwill [Line Items]
Beginning Balance	169,622	169,662
Goodwill acquired through acquisitions	21,134	1,294
Goodwill written off related to disposal of businesses		-1,334
Adjustments to goodwill, net
Ending Balance	190,756	169,622
Post-Acute Specialty Rehabilitation Services [Member]
Goodwill [Line Items]
Beginning Balance	66,001	64,699
Goodwill acquired through acquisitions	973	1,260
Goodwill written off related to disposal of businesses
Adjustments to goodwill, net		42
Ending Balance	$66,974	$66,001

Goodwill_and_Intangible_Assets3

Goodwill and Intangible Assets - Additional Information (Detail) (USD $)	12 Months Ended			3 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2014
Goodwill And Intangible Assets Disclosure [Line Items]
Amortization expense	$37,953,000	$37,600,000	$36,885,000
REM Connecticut [Member]
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge				1,600,000
Human Services [Member]
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge	1,300,000	1,000,000
Human Services [Member] | Non-Compete Agreements [Member]
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge	500,000
Human Services [Member] | Agency Contracts [Member]
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge	600,000	900,000
Human Services [Member] | Licenses and Permits [Member]
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge	200,000	100,000
Human Services [Member] | REM Connecticut [Member]
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge	1,600,000
Human Services [Member] | REM Connecticut [Member] | Agency Contracts [Member]
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge	1,500,000
Human Services [Member] | REM Connecticut [Member] | Licenses and Permits [Member]
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge	100,000
General and Administrative Expense [Member] | Human Services [Member]
Goodwill And Intangible Assets Disclosure [Line Items]
Goodwill written off		1,300,000
Continuing Operations [Member]
Goodwill And Intangible Assets Disclosure [Line Items]
Amortization expense	37,700,000	38,200,000	36,200,000
Discontinued Operations [Member]
Goodwill And Intangible Assets Disclosure [Line Items]
Amortization expense	$200,000	$400,000	$600,000

Goodwill_and_Intangible_Assets4

Goodwill and Intangible Assets - Schedule of Intangible Assets (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life	3 years
Gross Carrying Value	$600,073	$573,223
Accumulated Amortization	272,347	237,032
Intangible Assets, Net	327,726	336,191
Trade Names [Member]
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life	4 years	4 years
Gross Carrying Value	7,467	3,787
Accumulated Amortization	2,907	2,431
Intangible Assets, Net	4,560	1,356
Agency Contracts [Member]
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life	8 years	9 years
Gross Carrying Value	484,994	464,480
Accumulated Amortization	224,566	195,737
Intangible Assets, Net	260,428	268,743
Non-Compete/Non-Solicit [Member]
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life	3 years	3 years
Gross Carrying Value	5,716	4,929
Accumulated Amortization	2,448	2,058
Intangible Assets, Net	3,268	2,871
Relationship with Contracted Caregivers [Member]
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life	2 years	3 years
Gross Carrying Value	10,963	10,963
Accumulated Amortization	9,013	7,905
Intangible Assets, Net	1,950	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]
Weighted Average Remaining Life	3 years	4 years
Gross Carrying Value	47,629	45,760
Accumulated Amortization	32,724	28,343
Intangible Assets, Net	14,905	17,417
Intellectual Property [Member]
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life	2 years	3 years
Gross Carrying Value	904	904
Accumulated Amortization	689	558
Intangible Assets, Net	$215	$346

Goodwill_and_Intangible_Assets5

Goodwill and Intangible Assets - Schedule of Amortization Expense Related to Intangible Assets (Detail) (USD $)	Sep. 30, 2014
In Thousands, unless otherwise specified
Goodwill and Intangible Assets Disclosure [Abstract]
2015	$38,251
2016	36,409
2017	32,358
2018	31,466
2019	31,070
Thereafter	115,772
Amortization expense related to intangible assets	$285,326

Property_and_Equipment_Schedul

Property and Equipment - Schedule of Property and Equipment (Detail) (USD $)	Sep. 30, 2014	Sep. 30, 2013
In Thousands, unless otherwise specified
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$283,841	$260,600
Less accumulated depreciation	-124,355	-106,965
Property and equipment, net	159,486	153,635
Buildings and Land [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	123,899	123,046
Vehicles [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	50,454	45,846
Computer Hardware [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	32,276	29,661
Leasehold Improvements [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	53,198	38,755
Furniture and Fixtures [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	14,749	12,931
Office and Telecommunication Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	6,772	8,115
Software for Internal Use [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	1,488
Construction in Progress [Member]
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$1,005	$2,246

Property_Plant_and_Equipment_A

Property Plant and Equipment - Additional Information (Detail) (USD $)	12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Property Plant And Equipment Capitalized Interest Costs [Abstract]
Depreciation expense for continuing operations	$28,400,000	$25,400,000	$23,800,000
Depreciation expense for discontinued operations	$293,000	$370,000	$371,000

Certain_Balance_Sheet_Accounts2

Certain Balance Sheet Accounts - Prepaid Expenses and Other Current Assets (Detail) (USD $)	Sep. 30, 2014	Sep. 30, 2013
In Thousands, unless otherwise specified
Payables and Accruals [Abstract]
Prepaid business expense	$2,514	$2,906
Prepaid insurance	1,185	1,309
Anticipated insurance recoveries	6,637	9,966
Other	4,929	3,590
Prepaid expenses and other current assets	$15,265	$17,771

Certain_Balance_Sheet_Accounts3

Certain Balance Sheet Accounts - Other Accrued Liabilities (Detail) (USD $)	Sep. 30, 2014	Sep. 30, 2013
In Thousands, unless otherwise specified
Payables and Accruals [Abstract]
Accrued insurance	$15,464	$18,756
Accrued swap valuation liability		3,165
Overpayments	6,746	7,678
Due to third party payors	3,727	3,569
Accrued interest	3,465	4,100
Intercompany payable (Civitas)	2,637
Other	16,924	7,798
Other accrued liabilities	$48,963	$45,066

Certain_Balance_Sheet_Accounts4

Certain Balance Sheet Accounts - Other Long-Term Liabilities (Detail) (USD $)	Sep. 30, 2014	Sep. 30, 2013
In Thousands, unless otherwise specified
Payables and Accruals [Abstract]
Accrued self-insurance reserves	$54,037	$54,781
Other	15,277	14,155
Other long-term liabilities	$69,314	$68,936

LongTerm_Debt_LongTerm_Debt_De

Long-Term Debt - Long-Term Debt (Detail) (USD $)	Sep. 30, 2014	Sep. 30, 2013
In Thousands, unless otherwise specified
Debt Instrument [Line Items]
Long-term debt	$803,195	$785,119
Long-term debt	803,195	785,119
Less current portion	168,000	5,600
Long-term debt	635,195	779,519
Term Loan Principal and Interest Due in Quarterly Installments Through January 31, 2021 [Member]
Debt Instrument [Line Items]
Long-term debt	597,000
Long-term debt	597,000
Term Loan Facility Due in Two Thousand and Fourteen [Member]
Debt Instrument [Line Items]
Long-term debt		546,525
Long-term debt		546,525
Original Issue Discount on Term Loan, Net of Accumulated Amortization [Member]
Debt Instrument [Line Items]
Long-term debt	-1,235	-4,403
Senior Notes [Member]
Debt Instrument [Line Items]
Long-term debt	212,000	250,000
Long-term debt	212,000	250,000
Original Issue Discount and Initial Purchase Discount on Senior Notes, Net of Accumulated Amortization [Member]
Debt Instrument [Line Items]
Long-term debt	($4,570)	($7,003)

LongTerm_Debt_LongTerm_Debt_Pa

Long-Term Debt - Long-Term Debt (Parenthetical) (Detail)	12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Feb. 09, 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%
Term Loan [Member]
Debt Instrument [Line Items]
Debt instrument, maturity date	31-Jan-21	31-Jan-21

LongTerm_Debt_Additional_Infor

Long-Term Debt - Additional Information (Detail) (USD $)	0 Months Ended
	Jan. 31, 2014	Feb. 26, 2014	Sep. 30, 2014	Sep. 30, 2013
Debt Instrument [Line Items]
Borrowing under old senior revolving credit facility			$803,195,000	$785,119,000
Senior Notes [Member]
Debt Instrument [Line Items]
Redemption of aggregate principal of debt		38,000,000
Borrowing under old senior revolving credit facility			212,000,000	250,000,000
Senior Notes [Member] | Revolving Credit Facility [Member]
Debt Instrument [Line Items]
Borrowing under old senior revolving credit facility			0
Secured Debt [Member]
Debt Instrument [Line Items]
Debt expenses	11,100,000
Deferred financing costs	7,200,000
Write-off of original issue discount related to prior indebtedness	3,900,000
Secured Debt [Member] | Partial Redemption [Member]
Debt Instrument [Line Items]
Debt expenses		3,600,000
Deferred financing costs		200,000
Expense of redemption premium		2,400,000
Debt original issue discount		$1,000,000

LongTerm_Debt_Senior_Secured_C

Long-Term Debt - Senior Secured Credit Facilities - Additional Information (Detail) (USD $)	12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012	Jan. 31, 2014	Feb. 09, 2011	Oct. 21, 2014
Debt Instrument [Line Items]
Amount deposited in cash collateral account in support of issuance of letters of credit	$50,000,000
Percentage of capital stock of certain domestic subsidiaries owned by company and other domestic subsidiary guarantor	100.00%
Percentage of capital stock of any first tier foreign subsidiaries	65.00%
Letter of credit borrowing amount	44,300,000
Line of credit facility additional borrowings	9,300,000	469,400,000	679,200,000
Consolidated first lien leverage ratio for senior credit agreement, amount	5
Revolver basis spread on variable rate, federal funds	1.00%
Eurodollar rate for interest period	1.00%
Commitment fee unutilized percentage	0.50%
Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Long-term Debt, Description	The term loan facility has a seven-year maturity and the senior revolver has a five-year maturity; provided, that if the senior notes are not refinanced in full on or prior to the date that is three months prior to February 15, 2018
Variable interest rate on senior secured credit facilities	Borrowings under the senior secured credit facilities bear interest, at our 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 plus 100 basis points, plus 2.75% (provided that the ABR rate applicable to the term loan facility will not be less than 2.00% per annum); or (ii) the Eurodollar rate (provided that the Eurodollar rate applicable to the term loan facility will not be less than 1.00% per annum), plus 3.75%. The applicable margin will decrease by 0.50% per annum if our consolidated leverage ratio is less than or equal to 5.00 to 1.00. This decrease will become effective as of the first business day immediately following the first date on which NMHI delivers a quarterly compliance certificate setting forth such calculation. The Company is also required to pay a commitment fee to the lenders under the 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.
Letters of Credit [Member]
Debt Instrument [Line Items]
Amount deposited in cash collateral account in support of issuance of letters of credit				50,000,000
Interest Rate Swap [Member]
Debt Instrument [Line Items]
Revolver basis spread on variable rate, federal funds	2.75%
Line of credit, floor rate	2.00%
Eurodollar Future [Member]
Debt Instrument [Line Items]
Revolver basis spread on variable rate, federal funds	3.75%
Line of credit, floor rate	1.00%
Senior Secured Credit Facilities [Member]
Debt Instrument [Line Items]
Debt instrument maturity term	5 years
Term Loan [Member]
Debt Instrument [Line Items]
Debt instrument, face amount				600,000,000
Debt instrument maturity term	7 years
Percentage of annual excess cash flow	50.00%
Percentage of net cash proceeds of non-ordinary course assets sales or other dispositions of property	100.00%
Net cash proceeds of debt incurrence	100.00%
Repayment of principal installment	0.25%
Senior Revolver [Member]
Debt Instrument [Line Items]
Line of credit, maximum borrowing capacity				100,000,000
Senior revolver borrowing amount	0
Line of credit facility additional borrowings	125,000,000
Debt instrument initial rate of commitments	0.50%
Senior Credit Agreement [Member]
Debt Instrument [Line Items]
Consolidated first lien leverage ratio for senior credit agreement, amount	4.5
Senior Notes [Member]
Debt Instrument [Line Items]
Debt instrument, face amount					250,000,000
Consolidated first lien leverage ratio for senior credit agreement, amount	6
Senior Notes [Member] | Subsequent Events [Member]
Debt Instrument [Line Items]
Senior revolver borrowing amount						0
Senior Notes [Member] | Subsequent Events [Member] | Scenario, Adjustment [Member]
Debt Instrument [Line Items]
Line of credit, maximum borrowing capacity						20,000,000
Senior Notes [Member] | Subsequent Events [Member] | Scenario, Actual [Member]
Debt Instrument [Line Items]
Line of credit, maximum borrowing capacity						$120,000,000

LongTerm_Debt_Senior_Notes_and

Long-Term Debt - Senior Notes and Covenants - Additional Information (Detail) (USD $)	0 Months Ended	12 Months Ended	0 Months Ended
	Feb. 26, 2014	Sep. 30, 2014	Feb. 09, 2011	Oct. 17, 2014	Sep. 30, 2013
Debt Instrument [Line Items]
Aggregate principal amount redeemed	$38,000,000
Aggregate principal amount of senior notes		803,195,000			785,119,000
Agreement contains a springing financial covenant		The senior credit agreement contains a springing financial covenant. If, at the end of any fiscal quarter, the Companybs 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%
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 June 30, 2014 [Member]
Debt Instrument [Line Items]
Consolidated first lien leverage ratio, maximum		5.5
Quarter Ended March 31, 2017 [Member]
Debt Instrument [Line Items]
Consolidated first lien leverage ratio, maximum		5
Senior Notes [Member]
Debt Instrument [Line Items]
Debt instrument, face amount			250,000,000
Debt instrument, interest rate		12.50%	12.50%		12.50%
Rate of price of face value			97.70%
Redemption price percentage of principal amount redeemed		106.25%
Redemption of aggregate principal of debt	38,000,000
Aggregate principal amount of senior notes		212,000,000			250,000,000
Senior Notes [Member] | Subsequent Events [Member]
Debt Instrument [Line Items]
Amount paid to redeem aggregate principal of debt				175,600,000
Redemption of aggregate principal of debt				162,000,000
Expense of redemption premium				10,100,000
Accrued and unpaid interest				3,500,000
Aggregate principal amount of senior notes				$50,000,000

LongTerm_Debt_Derivatives_and_

Long-Term Debt - Derivatives and Annual Maturities - Additional Information (Detail) (Derivatives [Member], Interest Rate Swap [Member], USD $)	12 Months Ended
In Millions, unless otherwise specified	Sep. 30, 2014
Derivatives [Member] | Interest Rate Swap [Member]
Debt Instrument [Line Items]
Interest rate swap in a notional amount	$400
Quarterly payment received from counter party	Equal to the greater of 3-month LIBOR and 1.75% per annum
Margin on base rate (as a percent) for interest rate swap	1.75%
Payments on fixed rate	2.55%
Expiration date of derivative instrument	30-Sep-14

Longterm_Debt_Schedule_of_Annu

Long-term Debt - Schedule of Annual Maturities of Company's Debt (Detail) (USD $)	Sep. 30, 2014
In Thousands, unless otherwise specified
Equity Method Investments And Cost Method Investments [Abstract]
2015 (includes $162,000 of senior notes redeemed on October 17, 2014)	$168,000
2016	6,000
2017	6,000
2018	56,000
2019	6,000
Thereafter	567,000
Total	$809,000

Longterm_Debt_Schedule_of_Annu1

Long-term Debt - Schedule of Annual Maturities of Company's Debt (Parenthetical) (Detail) (Senior Notes [Member], USD $)	Feb. 26, 2014	Oct. 17, 2014
In Millions, unless otherwise specified
Schedule Of Maturities Of Long Term Debt [Line Items]
Redemption of aggregate principal of debt	$38
Subsequent Events [Member]
Schedule Of Maturities Of Long Term Debt [Line Items]
Redemption of aggregate principal of debt		$162

Stockholders_Equity_Additional

Stockholder's Equity - Additional Information (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Equity [Line Items]
Common stock vote per share	One vote per share
Majority Shareholder [Member] | NMH Investment [Member]
Equity [Line Items]
Dividend paid	$110	$39	$75

Employee_Savings_and_Retiremen1

Employee Savings and Retirement Plans - Additional Information (Detail) (USD $)	12 Months Ended
In Millions, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Employee Retirement Plans [Line Items]
Employer contribution to retirement plans	$5.50	$4	$4.20
Employer contribution to deferred compensation plan	0.5	0.4	0.4
Unfunded accrued liability	2.8	2.6
Employer contribution to deferral plan	0.9	0.9	0.7
Accrued liability	7.5	6.7
Company Owned Life Insurance Plan [Member]
Employee Retirement Plans [Line Items]
Cash surrender value	$6.20	$5.50

Related_Party_Transactions_Add

Related Party Transactions - Additional Information (Detail) (USD $)	0 Months Ended		12 Months Ended
	Sep. 22, 2014	Feb. 09, 2011	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Related Party Transaction [Line Items]
Management fees and expenses			$9,488,000	$1,359,000	$1,325,000
Vestar [Member]
Related Party Transaction [Line Items]
Management fee percentage of consolidated earnings before interest, taxes, depreciation, amortization and management fee		1.00%
One-time transaction advisory fees	8,000,000
Management fees and expenses			9,500,000	1,400,000	1,300,000
Accrued liability related to management agreement			600,000	500,000
Vestar [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			$1,100,000	$1,600,000	$1,600,000

Fair_Value_Measurements_Fair_V

Fair Value Measurements - Fair Value of Assets and Liabilities on a Recurring Basis (Detail) (USD $)	Sep. 30, 2014	Sep. 30, 2013
In Thousands, unless otherwise specified
Money Market Funds [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value asset	$130,000
Contingent Consideration [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value liabilities	-2,400
Interest Rate Swap Agreements [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value liabilities		-3,165
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 Other Observable Inputs (Level 2) [Member] | Interest Rate Swap Agreements [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value liabilities		-3,165
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)

Fair_Value_Measurements_Summar

Fair Value Measurements - Summary of Changes in Fair Value of Company's Level 3 Liabilities Measured on Recurring Basis (Detail) (Significant Unobservable Inputs (Level 3) [Member], USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Fair Value Assets Measured On Recurring and Nonrecurring Basis [Line Items]
Fair value of liabilities beginning balance
Fair value of liabilities ending balance	2,400
Contingent Consideration [Member]
Fair Value Assets Measured On Recurring and Nonrecurring Basis [Line Items]
Change in fair value of contingent consideration liability	$2,400

Fair_Value_Measurements_Carryi

Fair Value Measurements - Carrying Amount of Debt Instrument (Detail) (USD $)	Sep. 30, 2014	Sep. 30, 2013
In Thousands, unless otherwise specified
Carrying Amount [Member]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Senior notes (issued February 9, 2011)	$207,430	$242,997
Fair Value [Member]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Senior notes (issued February 9, 2011)	$225,780	$268,750

Fair_Value_Measurements_Additi

Fair Value Measurements - Additional Information (Detail) (USD $)	12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Fair Value Of Assets And Liabilities Measured On Non Recurring Basis [Line Items]
Asset impairment charge	$3,605,000	$6,344,000	$955,000
Significant Unobservable Inputs (Level 3) [Member] | Measured at Fair Value on a Nonrecurring Basis [Member]
Fair Value Of Assets And Liabilities Measured On Non Recurring Basis [Line Items]
Carrying value of long lived assets written off	2,900,000	1,000,000
Net assets realizable value	0	0
Significant Unobservable Inputs (Level 3) [Member] | Amortization Expense [Member] | Measured at Fair Value on a Nonrecurring Basis [Member]
Fair Value Of Assets And Liabilities Measured On Non Recurring Basis [Line Items]
Asset impairment charge	$2,900,000	$1,000,000

Leases_Additional_Information_

Leases - Additional Information (Detail) (USD $)	12 Months Ended
In Millions, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 1995
Leases [Line Items]
Operating lease expiry, year	2027
Total rent expense	$57.70	$53.80	$48.60
Number of sale-leaseback transactions completed			2
Number of properties sold under sale-leaseback transactions			2
Net proceeds from two sale-leaseback transactions			2.8
Sale-leaseback transactions lease term	Seven and ten years, respectively, each with two, five-year renewal options
Deferred gain on sale-leaseback transactions completed			0.1
Sale-leaseback transactions amortization period expected			12 months
Capital leases expiry, year	2025
Assets acquired under capital leases	7.8	7.8
Accumulated amortization on capital leases	2.2	1.6
Amortization expense	0.6	0.7	0.7
Interest expense on capital leases	0.7	0.8	0.8
Office Building [Member]
Leases [Line Items]
Operating lease expiry, year	2017
Total expected minimum lease commitment	4.8			2.4
Operating lease agreement term				5 years
Corporate office lease rent expense	$1.50	$1.50	$1.50

Leases_Schedule_of_Future_Mini

Leases - Schedule of Future Minimum Lease Payment for Noncancellable Operating Leases (Detail) (USD $)	Sep. 30, 2014
In Thousands, unless otherwise specified
Leases [Abstract]
2015	$52,748
2016	42,739
2017	35,658
2018	25,820
2019	17,936
Thereafter	33,509
Total operating lease payment	$208,410

Leases_Schedule_of_Future_Mini1

Leases - Schedule of Future Minimum Lease Payments under Capital Leases (Detail) (USD $)	Sep. 30, 2014
In Thousands, unless otherwise specified
Leases [Abstract]
2015	$451
2016	497
2017	549
2018	608
2019	675
Thereafter	3,730
Total minimum lease payments	$6,510

Accruals_for_SelfInsurance_and1

Accruals for Self-Insurance and Other Commitments and Contigencies - Additional Information (Detail) (USD $)	0 Months Ended	12 Months Ended	24 Months Ended
	Oct. 01, 2013	Sep. 30, 2014	Sep. 30, 2013
Commitments and Contingencies Disclosure [Abstract]
Aggregate self-insurance for professional and general liability	$28,000,000		$0
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

Income_Taxes_Benefit_for_Incom

Income Taxes - Benefit for Income Taxes (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Current:
Federal			($5,267)
State	1,385	1,009	-11
Total current taxes payable	1,385	1,009	-5,278
Federal	-10,106	-8,452	-11,793
State	-2,417	-2,499	-2,701
Net deferred tax benefit	-12,523	-10,951	-14,494
Income tax benefit	($11,138)	($9,942)	($19,772)

Income_Taxes_Additional_Inform

Income Taxes - Additional Information (Detail) (USD $)	12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Income Tax [Line Items]
Income tax paid	$1,100,000	$1,700,000	$400,000
Valuation allowance	9,012,000	8,013,000
Unrecognized tax benefits	0	0
Interest and penalties	0	0
Unrecognized tax benefits that would impact favorably on effective tax rate			6,100,000
Federal Income Tax [Member]
Income Tax [Line Items]
Net operating loss carryforwards for state purposes	23,300,000	15,300,000
Net operating loss carryforwards	2034	2033
State Income Tax [Member]
Income Tax [Line Items]
Net operating loss carryforwards for state purposes	$194,400,000	$170,300,000
Net operating loss carryforwards expiration Period	From 2015 through 2034	From 2014 through 2033

Income_Taxes_Significant_Compo

Income Taxes - Significant Components of Company's Deferred Tax Assets and Liabilities (Detail) (USD $)	Sep. 30, 2014	Sep. 30, 2013
In Thousands, unless otherwise specified
Gross deferred tax assets:
Deferred compensation	$1,229	$1,155
Interest rate swap agreements		1,253
Accrued workers' compensation	12,528	11,195
Net operating loss carryforwards	17,690	13,767
Allowance for bad debts	4,078	4,484
Tax credits	1,596	1,596
Depreciation	681
Other	2,409	2,245
Deferred tax assets, Gross	40,211	35,695
Valuation allowance	-9,012	-8,013
Deferred tax assets	31,199	27,682
Deferred tax liabilities:
Depreciation		-2,200
Amortization of goodwill and intangible assets	-81,999	-87,953
Other accrued liabilities	-1,865	-2,340
Net deferred tax liabilities	($52,665)	($64,811)

Income_Taxes_Reconciliation_Be

Income Taxes - Reconciliation Between Statutory and Effective Income Tax Rates (Detail)	12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Income Tax Disclosure [Abstract]
Federal income tax at statutory rate	35.00%	35.00%	35.00%
State income taxes, net of federal tax benefit	1.80%	3.60%	5.20%
Nondeductible comp	-0.80%	-0.30%	-0.70%
Other nondeductible expenses	-1.10%	-0.20%	-1.10%
Unrecognized tax benefit	0.00%	0.00%	16.30%
Other	-0.30%	-0.20%	2.80%
Effective tax rate	34.60%	37.90%	57.50%

Segment_Information_Additional

Segment Information - Additional Information (Detail)	12 Months Ended			36 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2014
	Segment
Segment Reporting Information [Line Items]
Number of reportable segments	2
Post-Acute Specialty Rehabilitation Services [Member]
Segment Reporting Information [Line Items]
Number of operating segments	2
Human Services [Member]
Segment Reporting Information [Line Items]
Number of operating segments	3
MINNESOTA | Geographic Concentration Risk [Member] | Human Services [Member]
Segment Reporting Information [Line Items]
Percent of revenue		14.00%	15.00%	14.00%

Segment_Information_Performanc

Segment Information - Performance of Operating Segments (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Segment Reporting Information [Line Items]
Net revenue	$1,255,838	$1,182,509	$1,107,351
Income (loss) from operations	61,003	52,134	46,043
Total assets	1,206,983	1,020,372	1,044,983
Depreciation and amortization	67,488	63,573	59,987
Purchases of property and equipment	35,295	31,901	29,995
Income (loss) from continuing operations before income taxes	-32,158	-26,254	-34,397
Operating Segments [Member] | Human Services [Member]
Segment Reporting Information [Line Items]
Net revenue	1,025,672	974,088	921,885
Income (loss) from operations	97,916	90,477	78,738
Total assets	634,989	655,140	692,015
Depreciation and amortization	45,576	45,239	42,821
Purchases of property and equipment	15,907	17,791	17,659
Income (loss) from continuing operations before income taxes	23,024	25,369	13,637
Operating Segments [Member] | Post-Acute Specialty Rehabilitation Services [Member]
Segment Reporting Information [Line Items]
Net revenue	230,166	208,421	185,466
Income (loss) from operations	17,561	17,293	20,376
Total assets	222,475	207,475	216,663
Depreciation and amortization	19,177	15,948	14,389
Purchases of property and equipment	16,250	10,491	10,218
Income (loss) from continuing operations before income taxes	1,231	3,893	7,798
Corporate [Member]
Segment Reporting Information [Line Items]
Income (loss) from operations	-54,474	-55,636	-53,071
Total assets	349,519	157,757	136,305
Depreciation and amortization	2,735	2,386	2,777
Purchases of property and equipment	3,138	3,619	2,118
Income (loss) from continuing operations before income taxes	($56,413)	($55,516)	($55,832)

StockBased_Compensation_Additi

Stock-Based Compensation - Additional Information (Detail) (USD $)	12 Months Ended			0 Months Ended	1 Months Ended
In Millions, except Share data, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012	Sep. 22, 2014	Dec. 31, 2008	Jun. 30, 2011	Aug. 13, 2012
Equity [Line Items]
Common Units vesting period	3 years
Stock based compensation expense	$0.90	$0.30	$0.70
Weighted average period	3 years
Stock option issued	559,327
Stock based compensation expense	3.9
Stock Option [Member]
Equity [Line Items]
Forfeiture rate	9.30%
Expected dividend yield	0.00%
Employees [Member]
Equity [Line Items]
Common Units vesting period	3 years
Director [Member]
Equity [Line Items]
Common Units vesting period	1 year
Restricted Stock [Member]
Equity [Line Items]
Common Units vested upon grant	100.00%
Forfeiture rate	9.30%
Unrecognized compensation expense	8.4
Weighted average period	2 years 10 months 24 days
Shares issued	550,481
2006 Unit Plan [Member] | Common Stock [Member]
Equity [Line Items]
Forfeiture rate	9.30%
2006 Unit Plan [Member] | Common Class G [Member]
Equity [Line Items]
Stock based compensation expense				0.6
2006 Unit Plan [Member] | Stock Compensation Plan [Member]
Equity [Line Items]
Unrecognized compensation expense	0.3
Weighted average period	2 years
2006 Unit Plan [Member] | Performance Shares [Member] | Class H Common Units [Member]
Equity [Line Items]
Unrecognized compensation expense	$7.50
2014 Omnibus Incentive Plan [Member]
Equity [Line Items]
Number of units authorized	3,325,500
Option expiration period	10 years
Shares available for future grant	2,200,000
2014 Omnibus Incentive Plan [Member] | Stock Option [Member]
Equity [Line Items]
Vesting terms	Annually over three years
2014 Omnibus Incentive Plan [Member] | Restricted Stock Units (RSUs) [Member]
Equity [Line Items]
Vesting terms	Annually over three years
Majority Shareholder [Member] | NMH Investment [Member]
Equity [Line Items]
Shares issued	303,710
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member]
Equity [Line Items]
Number of units authorized						5,396,388
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Class F Common Units Vested [Member]
Equity [Line Items]
Number of units authorized	5,396,388
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Class F Common Units Vested [Member] | Share-based Compensation Award, Tranche One [Member]
Equity [Line Items]
Common Units vested upon grant					75.00%
Common Units vesting period					18 months
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Class F Common Units Vested [Member] | Share-based Compensation Award, Tranche Two [Member]
Equity [Line Items]
Common Units vested upon grant					50.00%
Common Units vest on period after grant date					36 months
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Common Class B [Member]
Equity [Line Items]
Number of units authorized	192,500
Common Units vested upon grant						100.00%
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Common Class C [Member]
Equity [Line Items]
Number of units authorized	202,000
Common Units vested upon grant						100.00%
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Common Class D [Member]
Equity [Line Items]
Number of units authorized	388,881
Common Units vested upon grant						100.00%
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Common Class E [Member]
Equity [Line Items]
Number of units authorized	6,375
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Common Class G [Member]
Equity [Line Items]
Number of units authorized	130,000
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Class H Common Units [Member]
Equity [Line Items]
Number of units authorized	1,200,000
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Expected to Vest on Date 18 Months Following Grant Date [Member] | Class F Common Units Vested [Member] | Share-based Compensation Award, Tranche One [Member]
Equity [Line Items]
Common Units vested upon grant					25.00%
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Expected to Vest on Date 18 Months Following Grant Date [Member] | Class F Common Units Vested [Member] | Share-based Compensation Award, Tranche Two [Member]
Equity [Line Items]
Common Units vested upon grant					25.00%
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Expected to Vest on Date 36 Months Following Grant Date [Member] | Class F Common Units Vested [Member] | Share-based Compensation Award, Tranche Two [Member]
Equity [Line Items]
Common Units vested upon grant					25.00%
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Common Class G [Member]
Equity [Line Items]
Number of units authorized							130,000
Majority Shareholder [Member] | NMH Investment [Member] | 2006 Unit Plan [Member] | Class H Common Units [Member]
Equity [Line Items]
Number of units authorized							1,200,000

StockBased_Compensation_Summar

Stock-Based Compensation - Summary of Fair Value of Units Issued (Detail)	12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Risk-free interest rate	0.13%
Expected term	1 year
Expected volatility	30.00%	40.00%	40.00%
Risk-free interest rate , minimum		0.21%	0.21%
Risk-free interest rate , maximum		0.27%	0.27%
Minimum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected term		1 year 8 months 12 days	1 year 8 months 12 days
Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected term		2 years 4 months 24 days	2 years 4 months 24 days

StockBased_Compensation_Summar1

Stock-Based Compensation - Summary of Stock-based Compensation Expense (Detail) (Majority Shareholder [Member], NMH Investment [Member], USD $)	12 Months Ended
	Sep. 30, 2014
Majority Shareholder [Member] | NMH Investment [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Nonvested shares beginning balance	1,395,984
Granted	303,710
Forfeited	25,894
Vested	249,504
Nonvested shares ending balance	1,424,296
Nonvested balance at beginning of the year	$0.57
Granted	$1.12
Forfeited	$2.13
Vested	$2.68
Nonvested balance at ending of the year	$0.29

StockBased_Compensation_Assump

Stock-Based Compensation - Assumptions in Calculating the Fair Value of Options Granted (Detail)	12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Risk-free interest rate	0.13%
Expected term	1 year
Expected volatility	30.00%	40.00%	40.00%
Stock Option [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Risk-free interest rate	1.88%
Expected term	6 years
Expected volatility	45.00%
Expected dividend yield	0.00%

StockBased_Compensation_Summar2

Stock-Based Compensation - Summary of Stock Option Activity (Detail) (USD $)	12 Months Ended
	Sep. 30, 2014
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Granted, Number of Shares	559,327
Forfeited, Number of Shares	0
Exercised, Number of Shares	0
Expired, Number of Shares	0
Outstanding at end of year, Number of Shares	559,327
Vested or expected to vest at end of year, Number of Shares	507,310
Exercisable at end of year, Number of Shares	0
Granted, Weighted-Average Exercise Price per Share	$17
Forfeited, Weighted-Average Exercise Price per Share	$0
Exercised, Weighted-Average Exercise Price per Share	$0
Expired, Weighted-Average Exercise Price per Share	$0
Outstanding at end of year, Weighted-Average Exercise Price per Share	$17
Vested or expected to vest at end of year, Weighted-Average Exercise Price per Share	$17
Exercisable at end of year, Weighted-Average Exercise Price per Share	$0
Granted, Weighted-Average Remaining Life	10 years
Outstanding at end of year, Weighted-Average Remaining Life	10 years
Vested or expected to vest at end of year, Weighted-Average Remaining Life	10 years
Outstanding at beginning of year, Aggregate Intrinsic Value	$0
Granted, Aggregate Intrinsic Value	$0
Forfeited, Aggregate Intrinsic Value	0
Exercised, Aggregate Intrinsic Value	0
Expired, Aggregate Intrinsic Value	0
Outstanding at end of year, Aggregate Intrinsic Value	0
Vested or expected to vest at end of year, Aggregate Intrinsic Value	0
Exercisable at end of year, Aggregate Intrinsic Value	$0

StockBased_Compensation_Summar3

Stock-Based Compensation - Summary of Issued Restricted Stock Awards (Detail) (Restricted Stock [Member], USD $)	12 Months Ended
	Sep. 30, 2014
Restricted Stock [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Granted, shares	550,481
Forfeited, shares	0
Vested, shares	0
Nonvested shares ending balance	550,481
Weighted Average Grant Date Fair Value, granted	$17
Weighted Average Grant Date Fair Value, forfeited	$0
Weighted Average Grant Date Fair Value, Vested	$0
Weighted Average Grant Date Fair Value, ending balance	$17

Valuation_and_Qualifying_Accou2

Valuation and Qualifying Accounts - Summary Information about Allowances for Doubtful Accounts and Sales Allowances (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Valuation and Qualifying Accounts [Abstract]
Balance at Beginning of Period	$12,494	$9,250	$7,957
Provision	20,392	18,286	12,902
Write-Offs	-21,395	-15,042	-11,609
Balance at End of Period	$11,491	$12,494	$9,250

Valuation_and_Qualifying_Accou3

Valuation and Qualifying Accounts - Additional Information (Detail) (Allowance for Doubtful Accounts [Member], USD $)	Sep. 30, 2014
In Millions, unless otherwise specified
Allowance for Doubtful Accounts [Member]
Valuation and Qualifying Accounts Disclosure [Line Items]
Account Receivable Liens, net	$6.70
Allowances for Account Receivable Liens	$1.70

Quarterly_Financial_Data_unaud2

Quarterly Financial Data (unaudited) - Consolidated Statement of Operations Data for Eight Quarters (Detail) (USD $)	3 Months Ended								12 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Jun. 30, 2014	Mar. 31, 2014	Dec. 31, 2013	Sep. 30, 2013	Jun. 30, 2013	Mar. 31, 2013	Dec. 31, 2012	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012
Condensed Financial Information of Parent Company Only Disclosure [Abstract]
Net revenue	$327,291	$318,189	$306,366	$303,992	$301,057	$300,266	$291,642	$289,545
Income (loss) from continuing operations, net of tax	-4,698	-74	-11,565	-4,683	127	-2,567	-5,353	-8,519	-21,020	-16,312	-14,625
Income (loss) from discontinued operations, net of tax	-1,449	29	45	-7	257	96	-2,482	145	-1,382	-1,984	245
Net income (loss)	($6,147)	($45)	($11,520)	($4,690)	$384	($2,471)	($7,835)	($8,374)	($22,402)	($18,296)	($14,380)

Subsequent_Events_Additional_I

Subsequent Events - Additional Information (Detail) (USD $)	12 Months Ended			1 Months Ended	0 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2012	Oct. 31, 2014	Oct. 17, 2014	Feb. 26, 2014	Oct. 21, 2014
Subsequent Event [Line Items]
Aggregate principal amount of senior notes	$803,195,000	$785,119,000
Aggregate consideration for the acquisition	56,100,000	9,300,000	16,500,000
Senior Notes [Member]
Subsequent Event [Line Items]
Redemption of aggregate principal of debt						38,000,000
Aggregate principal amount of senior notes	212,000,000	250,000,000
Subsequent Events [Member] | Human Services [Member]
Subsequent Event [Line Items]
Aggregate consideration for the acquisition				4,500,000
Subsequent Events [Member] | Senior Notes [Member]
Subsequent Event [Line Items]
Aggregate principal amount redeemed					175,600,000
Redemption of aggregate principal of debt					162,000,000
Senior notes amount paid					10,100,000
Accrued and unpaid interest of redemption of senior notes					3,500,000
Aggregate principal amount of senior notes					50,000,000
Subsequent Events [Member] | Senior Notes [Member] | Scenario, Adjustment [Member]
Subsequent Event [Line Items]
Line of credit, maximum borrowing capacity							20,000,000
Subsequent Events [Member] | Senior Notes [Member] | Scenario, Actual [Member]
Subsequent Event [Line Items]
Line of credit, maximum borrowing capacity							$120,000,000