Addus HomeCare (ADUS) 10-K 17 Mar 14 2013 FY Annual report Financial data

Document_And_Entity_Informatio

Document And Entity Information (USD $)	12 Months Ended
	Dec. 31, 2013	Mar. 10, 2014	Jun. 28, 2013
Document And Entity Information [Abstract]	'	'	'
Document Type	'10-K	'	'
Amendment Flag	'false	'	'
Document Period End Date	31-Dec-13	'	'
Document Fiscal Period Focus	'FY	'	'
Document Fiscal Year Focus	'2013	'	'
Entity Registrant Name	'Addus HomeCare Corp	'	'
Entity Central Index Key	'0001468328	'	'
Current Fiscal Year End Date	'--12-31	'	'
Entity Filer Category	'Accelerated Filer	'	'
Entity Common Stock, Shares Outstanding	'	10,912,973	'
Entity Well-known Seasoned Issuer	'No	'	'
Entity Public Float	'	'	$112,336,629
Entity Current Reporting Status	'Yes	'	'
Entity Voluntary Filers	'No	'	'

Consolidated_Balance_Sheets

Consolidated Balance Sheets (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Assets	'	'
Cash	$15,565	$1,737
Accounts receivable, net of allowances of $4,140 and $4,466 at December 31, 2013 and 2012, respectively	61,354	71,303
Prepaid expenses and other current assets	6,235	7,293
Assets held for sale, net	'	245
Deferred tax assets	8,326	7,258
Total current assets	91,480	87,836
Property and equipment, net of accumulated depreciation and amortization	2,634	2,489
Other assets	'	'
Goodwill	60,026	50,536
Intangibles, net of accumulated amortization	8,762	6,370
Investment in joint ventures	900	'
Deferred tax assets	'	2,328
Other assets	132	298
Total other assets	69,820	59,532
Total assets	163,934	149,857
Current Liabilities	'	'
Accounts payable	4,633	4,117
Accrued expenses	41,945	32,717
Current maturities of long-term debt	'	208
Deferred revenue	59	2,148
Total current liabilities	46,637	39,190
Deferred tax liabilities	3,441	'
Long-term debt, less current maturities	'	16,250
Total liabilities	50,078	55,440
Commitments, contingencies and other matters	'	'
Stockholders' equity	'	'
Common stock-$.001 par value; 40,000 authorized and 10,913 and 10,823 shares issued and outstanding as of December 31, 2013 and 2012, respectively	11	11
Additional paid-in capital	83,072	82,778
Retained earnings	30,773	11,628
Total stockholders' equity	113,856	94,417
Total liabilities and stockholders' equity	$163,934	$149,857

Consolidated_Balance_Sheets_Pa

Consolidated Balance Sheets (Parenthetical) (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, except Share data, unless otherwise specified
Consolidated Balance Sheets [Abstract]	'	'
Accounts receivable, allowance for doubtful accounts	$4,140	$4,466
Common stock, par value	$0.00	$0.00
Common stock, shares authorized	40,000,000	40,000,000
Common stock, shares issued	10,913,000	10,823,000
Common stock, shares outstanding	10,913,000	10,823,000

Consolidated_Statements_Of_Inc

Consolidated Statements Of Income (USD $)	12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Consolidated Statements Of Income [Abstract]	'	'	'
Net service revenues	$265,941	$244,315	$230,105
Cost of service revenues	198,202	180,264	168,632
Gross profit	67,739	64,051	61,473
General and administrative expenses	50,118	46,362	45,858
Revaluation of contingent consideration	'	'	-469
Gain on sale of agency	'	-495	'
Depreciation and amortization	2,160	2,521	3,167
Total operating expenses	52,278	48,388	48,556
Operating income from continuing operations	15,461	15,663	12,917
Interest income	-188	-155	-2,263
Interest expense	674	1,723	2,524
Total interest expense, net	486	1,568	261
Income from continuing operations before income taxes	14,975	14,095	12,656
Income tax expense	3,812	4,807	4,244
Net income from continuing operations	11,163	9,288	8,412
Discontinued operations	'	'	'
Net (loss) from home health business	-980	-1,653	-10,393
Gain on sale of home health business, net of tax	8,962	'	'
Earnings (losses) from discontinued operations	7,982	-1,653	-10,393
Net income (loss)	$19,145	$7,635	($1,981)
Basic income (loss) per share	'	'	'
Continuing operations	$1.03	$0.86	$0.78
Discontinued operations	$0.74	($0.15)	($0.96)
Basic income (loss) per share	$1.77	$0.71	($0.18)
Diluted income (loss) per share	'	'	'
Continuing operations	$1.01	$0.86	$0.78
Discontinued operations	$0.72	($0.15)	($0.96)
Diluted income (loss) per share	$1.73	$0.71	($0.18)
Weighted average number of common shares and potential common shares outstanding:	'	'	'
Basic	10,826	10,764	10,752
Diluted	11,075	10,784	10,752

Consolidated_Statements_Of_Sto

Consolidated Statements Of Stockholders' Equity (USD $)	Common Stock [Member]	Additional Paid-In Capital [Member]	Retained Earnings [Member]	Total
In Thousands
Balance at Dec. 31, 2010	$11	$82,106	$5,974	$88,091
Balance, shares at Dec. 31, 2010	10,751	'	'	'
Issuance of shares of common stock under restricted stock, Shares	24	'	'	'
Stock-based compensation	'	331	'	331
Net income	'	'	-1,981	-1,981
Balance at Dec. 31, 2011	11	82,437	3,993	86,441
Balance, shares at Dec. 31, 2011	10,775	'	'	'
Issuance of shares of common stock under restricted stock, Shares	43	'	'	'
Stock-based compensation	'	341	'	341
Shares issued, shares	5	'	'	'
Net income	'	'	7,635	7,635
Balance at Dec. 31, 2012	11	82,778	11,628	94,417
Balance, shares at Dec. 31, 2012	10,823	'	'	'
Issuance of shares of common stock under restricted stock, Shares	63	'	'	'
Stock-based compensation	'	515	'	515
Shares issued, shares	94	'	'	'
Common shares withheld for withholding taxes on exercise of options	-67	-221	'	-221
Net income	'	'	19,145	19,145
Balance at Dec. 31, 2013	$11	$83,072	$30,773	$113,856
Balance, shares at Dec. 31, 2013	10,913	'	'	'

Consolidated_Statements_Of_Cas

Consolidated Statements Of Cash Flows (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Cash flows from operating activities	'	'	'
Net income (loss)	$19,145	$7,635	($1,981)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:	'	'	'
Depreciation and amortization	2,160	2,544	3,554
Deferred income taxes	4,701	839	-4,663
Stock-based compensation	515	341	331
Amortization of debt issuance costs	166	215	224
Provision for doubtful accounts	3,019	2,877	4,275
Goodwill and intangible assets impairment charge	'	'	15,989
Revaluation of contingent consideration	'	'	-469
(Gain) on sale of home health business	-15,284	'	'
(Gain) loss on sale of agency	'	-495	43
Changes in operating assets and liabilities:	'	'	'
Accounts receivable	7,818	-1,812	-5,689
Prepaid expenses and other current assets	1,061	-18	1,433
Other Assets	'	'	'
Accounts payable	435	-1,149	1,962
Accrued expenses	3,758	4,425	934
Deferred revenue	-101	3	4
Net cash provided by operating activities	27,393	15,405	15,947
Cash flows from investing activities	'	'	'
Acquisitions of businesses	-12,325	'	-500
Net proceeds from sale of home health business	16,105	'	'
Net proceeds from sale of agency	'	495	'
Purchases of property and equipment	-887	-1,114	-551
Net cash provided by (used in) investing activities	2,893	-619	-1,051
Cash flows from financing activities	'	'	'
Net borrowings (repayments) on term loan	-208	-2,500	-2,292
Net (payments) borrowings on revolving credit loan	-16,250	-8,500	-8,500
Payments on subordinated dividend notes	'	-4,069	-2,500
Debt issuance costs	'	'	-34
Net borrowings (repayments) on other notes payable	'	'	-366
Net cash used in financing activities	-16,458	-15,069	-13,692
Net change in cash	13,828	-283	1,204
Cash, at beginning of period	1,737	2,020	816
Cash, at end of period	15,565	1,737	2,020
Supplemental disclosures of cash flow information	'	'	'
Cash paid for interest	725	1,557	2,337
Cash paid for income taxes	5,689	1,758	2,005
Supplemental disclosures of non-cash investing and financing activities	'	'	'
Contingent and deferred consideration accrued for acquisitions	1,100	'	'
Tax benefit related to the amortization of tax goodwill in excess of book basis	$160	$159	$159

Significant_Accounting_Policie

Significant Accounting Policies	12 Months Ended
	Dec. 31, 2013
Significant Accounting Policies [Abstract]	'
Significant Accounting Policies	'
	1. Significant Accounting Policies
	Basis of Presentation and Description of Business
	The consolidated financial statements include the accounts of Addus HomeCare Corporation ("Holdings") and its subsidiaries (together with Holdings, the "Company" or "we"). The Company provides home and community based services through a network of locations throughout the United States. These services are primarily performed in the homes of the consumers. The Company's home and community based services include assistance to the elderly, chronically ill and disabled with bathing, grooming, dressing, personal hygiene and medication reminders, and other activities of daily living. Home and community based services are primarily performed under agreements with state and local governmental agencies.
	Discontinued Operations
	On February 7, 2013, subsidiaries of Holdings entered into an Asset Purchase Agreement with LHC Group, Inc. and certain of its subsidiaries (the "Home Health Purchase Agreement"). Pursuant to the Home Health Purchase Agreement, effective March 1, 2013, the purchasers agreed to acquire substantially all the assets of the Company's home health business in Arkansas, Nevada and South Carolina and 90% of its home health business in California and Illinois, with the Company retaining 10% ownership in such locations, for cash consideration of $20,000.
	The Company's home health services were operated through licensed and Medicare certified offices that provided physical, occupational and speech therapy, as well as skilled nursing services to pediatric, adult infirm and elderly patients. Home health services were reimbursed from Medicare, Medicaid and Medicaid-waiver programs, commercial insurance and private payors (see note 2 of the Company's Annual Report on Form 10-K).
	Principles of Consolidation
	All intercompany balances and transactions have been eliminated in consolidation. The Company's investment in entities with less than 20% ownership or in which the Company does not have the ability to influence the operations of the investee are being accounted for using the cost method and are included in investments in joint ventures.
	Revenue Recognition
	The Company generates net service revenues by providing services directly to consumers. The Company receives payments for providing services from federal, state and local governmental agencies, commercial insurers and private individuals. The Company's continuing operations, as defined in the Business Section in the Company's Annual Report on Form 10-K, are principally provided based on authorized hours, determined by the relevant agency, at an hourly rate specified in agreements or fixed by legislation and recognized as revenues at the time services are rendered. Home and community based service revenues are reimbursed by state, local and other governmental programs which are partially funded by Medicaid or Medicaid waiver programs, with the remainder reimbursed through private duty and insurance programs.
	Laws and regulations governing the Medicaid and Medicare programs are complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates may change in the near term. The Company believes that it is in compliance in all material respects with all applicable laws and regulations.
	Allowance for Doubtful Accounts
	The Company establishes its allowance for doubtful accounts to the extent it is probable that a portion or all of a particular account will not be collected. The Company estimates its provision for doubtful accounts primarily by aging receivables utilizing eight aging categories, and applying its historical collection rates to each aging category, taking into consideration factors that might impact the use of historical collection rates or payor groups, with certain large payors analyzed separately from other payor groups. In the Company's evaluation of these estimates, it also considers delays in payment trends in individual states due to budget or funding issues, billing conversions related to acquisitions or internal systems, resubmission of bills with required documentation and disputes with specific payors. An allowance for doubtful accounts is maintained at a level management believes is sufficient to cover potential losses. However, actual collections could differ from estimates.
	Property and Equipment
	Property and equipment are recorded at cost and depreciated over the estimated useful lives of the related assets by use of the straight-line method except for internally developed software which is amortized by the sum-of-years digits method. Maintenance and repairs are charged to expense as incurred. The estimated useful lives of the property and equipment are as follows:
	Computer equipment	3 – 5 years
	Furniture and equipment	5 – 7 years
	Transportation equipment	5 years
	Computer software	5 – 10 years
	Leasehold improvements	Lesser of useful life or lease term, unless probability of lease renewal is likely
	Goodwill
	The Company's carrying value of goodwill is the residual of the purchase price over the fair value of the net assets acquired from various acquisitions including the acquisition of Addus HealthCare, Inc. ("Addus HealthCare"). In accordance with Accounting Standards Codification ("ASC") Topic 350, "Goodwill and Other Intangible Assets ," goodwill and intangible assets with indefinite useful lives are not amortized. The Company tests goodwill for impairment at the reporting unit level on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that an impairment may have occurred. Goodwill and indefinite lived intangible assets are required to be tested for impairment at least annually. The Company may use a qualitative test, known as "Step 0" or a two-step quantitative method to determine whether impairment has occurred. In Step 0, the Company can elect to perform an optional qualitative analysis and based on the results skip the two step analysis. In 2013 and 2012, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis.
	In 2011, the Company elected to evaluate the goodwill via the two step methodology. The first step in the evaluation of goodwill impairment involves comparing the current fair value of each reporting unit to the recorded value, including goodwill. The Company used the combination of a discounted cash flow model ("DCF model") and the market multiple analysis method to determine the current fair value of each reporting unit. The DCF model was prepared using revenue and expense projections based on the Company's current operating plan. As such, a number of significant assumptions and estimates were involved in the application of the DCF model to forecast revenue growth, price changes, gross profits, operating expenses and operating cash flows. In 2011, the cash flows were discounted using a weighted average cost of capital of 14.5%, which was management's best estimate based on the capital structure of the Company and external industry data. As part of the second step of this evaluation, if the carrying value of goodwill exceeds its fair value, an impairment loss would be recognized. The Company recorded a $15,989 goodwill and intangible asset charge during the third quarter of 2011 (see Note 6) for its discontinued operations (see Note 2).
	Intangible Assets
	The Company's identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two to 25 years.
	Intangible assets with finite lives are amortized using the estimated economic benefit method over the useful life and assessed for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. The Company recognizes an impairment loss when the estimated fair value of the intangible asset is less than the carrying value. The Company estimates the fair value of these intangible assets using the income approach. No impairment charge was recorded for the years ended December 31, 2013 or 2012.
	The income approach, which the Company uses to estimate the fair value of its reporting units and intangible assets (other than goodwill), is dependent on a number of factors including estimates of future market growth and trends, forecasted revenue and costs, expected periods the assets will be utilized, appropriate discount rates and other variables. The Company bases its fair value estimates on assumptions the Company believes to be reasonable but which are unpredictable and inherently uncertain. Actual future results may differ from those estimates. In addition, the Company makes certain judgments about the selection of comparable companies used in the market approach in determining its valuation.
	We also have indefinite-lived intangible assets that are not subject to amortization expense such as certificates of need and licenses to conduct specific operations within geographic markets. Our management has concluded that certificates of need and licenses have indefinite lives, as management has determined that there are no legal, regulatory, contractual, economic or other factors that would limit the useful life of these intangible assets and we intend to renew and operate the certificates of need and licenses indefinitely. The certificates of need and licenses are tested annually for impairment. No impairment was recorded in 2013 or 2012. Based on our 2011 assessment of fair value discussed above, we determined that all of the $0.6 million allocated to discontinued operations certificates of need and licenses were impaired and recorded an impairment loss for 2011.
	Debt Issuance Costs
	The Company amortizes debt issuance costs on a straight-line method over the term of the related debt. This method approximates the effective interest method.
	Workers' Compensation Program
	The Company's workers' compensation program has a $350 deductible component. The Company recognizes its obligations associated with this program in the period the claim is incurred. The cost of both the claims reported and claims incurred but not reported, up to the deductible, have been accrued based on historical claims experience, industry statistics and an actuarial analysis performed by an independent third party. The future claims payments related to the workers' compensation program are secured by letters of credit.
	Interest Income
	Legislation enacted in Illinois entitles designated service program providers to receive a prompt payment interest penalty based on qualifying services approved for payment that remain unpaid after a designated period of time. As the amount and timing of the receipt of these payments are not certain, the interest income is recognized when received and reported in the statement of operations, interest income. The Company received $185, $155 and $2,263 in prompt payment interest in 2013, 2012 and 2011, respectively. While the Company may be owed additional prompt payment interest, the amount and timing of receipt of such payments remains uncertain and the Company has determined that it will continue to recognize prompt payment interest income when received.
	Interest Expense
	The Company's interest expense consists of interest costs on its credit facility and other debt instruments.
	Income Tax Expenses
	The Company accounts for income taxes under the provisions of ASC Topic 740, "Income Taxes". The objective of accounting for income taxes is to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in its financial statements or tax returns. Deferred taxes, resulting from differences between the financial and tax basis of the Company's assets and liabilities, are also adjusted for changes in tax rates and tax laws when changes are enacted. ASC Topic 740 also requires that deferred tax assets be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized. ASC Topic 740, also prescribes a recognition threshold and measurement process for recording in the financial statements uncertain tax positions taken or expected to be taken in a tax return. In addition, ASC Topic 740 provides guidance on derecognition, classification, accounting in interim periods and disclosure requirements for uncertain tax positions.
	Stock-based Compensation
	The Company has two stock incentive plans, the 2006 Stock Incentive Plan (the "2006 Plan") and the 2009 Stock Incentive Plan (the "2009 Plan") that provide for stock-based employee compensation. The Company accounts for stock-based compensation in accordance with ASC Topic 718, "Stock Compensation." Compensation expense is recognized on a graded method under the 2006 Plan and on a straight-line basis under the 2009 Plan over the vesting period of the awards based on the fair value of the options. Under the 2006 Plan, the Company historically used the Black-Scholes option pricing model to estimate the fair value of its stock based payment awards, but beginning October 28, 2009 under its 2009 Plan it began using an enhanced Hull-White Trinomial model. The determination of the fair value of stock-based payments utilizing the Black-Scholes model and the Enhanced Hull-White Trinomial model is affected by Holdings' stock price and a number of assumptions, including expected volatility, risk-free interest rate, expected term, expected dividends yield, expected forfeiture rate, expected turn-over rate, and the expected exercise multiple.
	Net Income (Loss) Per Common Share
	Net income (loss) per common share, calculated on the treasury stock method, is based on the weighted average number of shares outstanding during the period. The Company's outstanding securities that may potentially dilute the common stock are stock options and restricted stock awards.
	Included in the Company's calculation for the year ended December 31, 2013 were 647 stock options of which none were out-of-the money and 96 restricted stock awards with 44 included in the weighted diluted shares outstanding for 2013.
	Included in the Company's calculation for the year ended December 31, 2012 were 596 stock options of which 501 were out-of-the money and therefore anti-dilutive and 57 restricted stock awards with 12 included in the weighted diluted shares outstanding for 2012.
	For the year ended December 31, 2011 the Company had 10 dilutive shares but it reported a net loss and any potentially dilutive securities would be anti-dilutive, therefore, no additional shares were considered in the calculation of diluted earnings per share.
	Estimates
	The financial statements are prepared by management in conformity with GAAP and include estimated amounts and certain disclosures based on assumptions about future events. Accordingly, actual results could differ from those estimates.
	Fair Value of Financial Instruments
	The Company's financial instruments consist of cash, accounts receivable, payables and debt. The carrying amounts reported in the consolidated balance sheets for cash, accounts receivable, accounts payable and accrued expenses approximate fair value because of the short-term nature of these instruments. The carrying value of the Company's long-term debt with variable interest rates approximates fair value based on instruments with similar terms.
	The Company applies fair value techniques on a non-recurring basis associated with valuing potential impairment losses related to goodwill and indefinite-lived intangible assets and also when determining the fair value of contingent considerations. To determine the fair value in these situations, the Company uses Level 3 inputs such as discounted cash flows or if available, what a market participant would pay on the measurement date.
	The Company utilizes the income approach to estimate the fair value of its intangible assets derived from acquisitions. In addition, discounted cash flows are used to estimate the fair value of the Company's investment in joint ventures.
	New Accounting Pronouncements
	The Company does not believe any recently issued, but not yet effective, accounting standards will have a material effect on the Company's consolidated financial position, results of operations, or cash flows.

Discontinued_Operations

Discontinued Operations	12 Months Ended
	Dec. 31, 2013
Discontinued Operations [Abstract]	'
Discontinued Operations	'
	2. Discontinued Operations
	During December 2012, in anticipation of the sale of substantially all of the assets used in its home health business (the "Home Health Business"), the Company reported the operating results of the Home Health Business as discontinued operations in accordance with ASC 360-10-45, "Impairment or Disposal of Long-Lived Assets." On February 7, 2013, the Company entered into the Home Health Purchase Agreement, pursuant to which subsidiaries of LHC Group, Inc. agreed to acquire substantially all the assets of the Home Health Business in Arkansas, Nevada and South Carolina and 90% of the Home Health Business in California and Illinois, with the Company retaining 10% ownership in such locations, for cash consideration of $20,000. The transaction was consummated effective March 1, 2013. In addition, the results of operations for an agency in Pennsylvania that was sold on December 30, 2013 and an agency in Idaho that was closed on November 30, 2012 are included in discontinued operations.
	The Company has included the financial results of the Home Health Business in discontinued operations for all periods presented. Assets sold to the purchasers are presented as assets held for sale, net, on the accompanying consolidated balance sheet as of December 31, 2012. In connection with the discontinued operations presentation, certain financial statement footnotes have also been updated to reflect the impact of discontinued operations.
	The following table presents the net service revenues and earnings attributable to discontinued operations, which include the financial results for the years ended December 31, 2013, 2012 and 2011:
			2013			2012			2011
	Net service revenues	$	6,462		$	38,822		$	42,995
	Loss before income taxes		(1,672	)		(2,752	)		(17,122	)
	Income tax benefit		(692	)		(1,099	)		(6,729	)
	Net (loss) from discontinued operations	$	(980	)	$	(1,653	)	$	(10,393	)
	The following table presents the net gain on the sale of the Home Health Business:
	Gain before income taxes	$	15,284
	Income tax expense		(6,322	)
	Gain on sale of Home Health Business, net of tax		8,962
	The only class of assets for discontinued operations reflected as assets held for sale, net, as of December 31, 2013 and 2012 were as follows:
			2013		2012
	Property and equipment, net of accumulated depreciation and amortization	$	—	$	245
	Pursuant to the Home Health Purchase Agreement, the Company has retained $625 and $7,123 of accounts receivable, net as of December 31, 2013 and 2012. In addition, the Company retained the related accrued expenses and accounts payable associated with the Home Health Business as of December 31, 2013 and 2012.

Sale_Of_Agency

Sale Of Agency	12 Months Ended
	Dec. 31, 2013
Sale Of Agency [Abstract]	'
Sale Of Agency	'
	3. Sale of Agency
	During February 2012, the Company completed its sale of a home health agency located in Portland, Oregon for approximately $525 with net proceeds of approximately $495 after the payment of closing related expenses. The Company recorded a $495 pre-tax gain on the sale of the agency as part of continuing operations.

Acquisitions

Acquisitions	12 Months Ended
	Dec. 31, 2013
Acquisitions [Abstract]	'
Acquisitions	'
	4. Acquisitions
	The Company entered into two definitive acquisition agreements to acquire home and community based businesses during 2013 to further its presence in both existing states and to expand into new states. On October 17, 2013 the Company entered into an asset purchase agreement to acquire the entire home and community based business of Medi Home Private Care Division of Medical Services of America, Inc.. The acquisition included two agencies located in South Carolina which were closed effective November 1, 2013; four agencies located in Tennessee and two agencies located in Ohio which closed in January 2014. The Company also entered into an asset purchase agreement to acquire the assets of Coordinated Home Health Care, LLC a personal care business located in New Mexico on November 7, 2013. The combined purchase price for these two acquisitions was $12.3 million at the close and a maximum of $2.3 million in future cash based on certain performance. The purchase included sixteen offices located in Southern New Mexico. The transaction closed effective December 1, 2013. The related acquisitions costs were $660 for the Medi Home Private Care Division of Medical Services of America, Inc. and Coordinated Home Health Care, LLC deals, and were expensed as incurred. The results of operations from these acquired entities are included in our statement of operations from the dates of the respective acquisitions.
	The Company's acquisition of the assets of Coordinated Home Health Care, LLC has been accounted for in accordance with ASC Top 805, "Business Combinations" and the resultant goodwill and other intangible assets will be accounted for under ASC Topic 350 "Goodwill and Other Intangible Assets". Assets acquired and liabilities assumed were recorded at their fair values as of December 1, 2013. The total purchase price is $12,825 and is comprised of:
			Total
	Cash	$	11,725
	Contingent earn-out obligation (net of discount of $1,125)		1,100
	Total purchase price	$	12,825
	The contingent earn-out obligation has been recorded at its fair value of $1,100, which is the present value of the Company's obligation to up to $2,250 based on probability-weighted estimates of the achievement of certain performance targets, as defined.
	Under business combination accounting, the total purchase price will be allocated to Coordinated Home Health Care, LLC's net tangible and identifiable intangible assets based on their estimated fair values. Based upon our management's valuation, the total purchase price has been allocated as follows:
			Total
	Goodwill	$	9,488
	Identifiable intangible assets		3,300
	Accounts receivable		888
	Prepaid expenses		35
	Furniture, fixtures and equipment		58
	Deposits		15
	Accounts payable		(81	)
	Accrued liabilities		(864	)
	Other liabilities		(14	)
	Total purchase price allocation	$	12,825
	Identifiable intangible assets acquired consist of trade names and trademarks, customer relationships and non-compete agreements. The estimated fair value of identifiable intangible assets was determined by our management. It is anticipated that the net intangible and identifiable intangible assets are deductible for tax purposes.
	Acquisitions completed in 2013 accounted for $1,692 of net service revenues from continuing operations for the year ended December 31, 2013.

Property_And_Equipment

Property And Equipment	12 Months Ended
	Dec. 31, 2013
Property And Equipment [Abstract]	'
Property And Equipment	'
	5. Property and Equipment
	Property and equipment consisted of the following:
			December 31,
			2013			2012
	Computer equipment	$	2,110		$	1,705
	Furniture and equipment		1,099			918
	Transportation equipment		588			508
	Leasehold improvements		1,628			1,496
	Computer software		3,749			3,179
			9,174			7,806
	Less accumulated depreciation and amortization		(6,540	)		(5,317	)
		$	2,634		$	2,489
	Computer software includes $1,500 of internally developed software that was recognized in conjunction with the acquisition of Addus HealthCare. Depreciation and amortization expense predominantly related to computer equipment and software is reflected in general and administrative expenses and totaled $814, $870 and $941 for the years ended December 31, 2013, 2012 and 2011, respectively.

Goodwill_And_Intangible_Assets

Goodwill And Intangible Assets	12 Months Ended
	Dec. 31, 2013
Goodwill And Intangible Assets [Abstract]	'
Goodwill And Intangible Assets	'
	6. Goodwill and Intangible Assets
	The Company's carrying value of goodwill is the residual of the purchase price over the fair value of the net assets acquired from various acquisitions including the acquisition of Addus HealthCare. In accordance with ASC Topic 350, "Goodwill and Other Intangible Assets," goodwill and intangible assets with indefinite useful lives are not amortized. The Company tests goodwill for impairment at the reporting unit level on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that an impairment may have occurred.
	Goodwill is required to be tested for impairment at least annually. The Company can elect to perform Step-0 an optional qualitative analysis and based on the results skip the remaining two steps. In 2013 and 2012, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis. In performing its goodwill assessment for 2013 and 2012, the Company evaluated the following factors that affect future business performance: macroeconomic conditions, industry and market considerations, cost factors, overall financial performance, entity-specific events, reporting unit factors and company stock price. As a result of the assessment of these qualitative factors, the Company has concluded that it is more likely than not that the fair values of the reporting unit goodwill as of December 31, 2013 and 2012 exceed the carrying values of the unit. Accordingly, the first and second steps of the goodwill impairment test as described in FASB ASC 350-20-35, which includes estimating the fair values of the Company, are not considered necessary for the Company.
	In 2011, the Company elected to evaluate the goodwill via the two step methodology. The first step in the evaluation of goodwill impairment involves comparing the current fair value of each reporting unit to the recorded value, including goodwill. We used the combination of a discounted cash flow model ("DCF model") and the market multiple analysis method to determine the current fair value of each reporting unit. The DCF model was prepared using revenue and expense projections based on our current operating plan. As such, a number of significant assumptions and estimates are involved in the application of the DCF model to forecast revenue growth, price changes, gross profits, operating expenses and operating cash flows. The cash flows were discounted using a weighted average cost of capital of 14.5%, which was management's best estimate based on our capital structure and external industry data. As part of the second step of this evaluation, if the carrying value of goodwill exceeds its fair value, an impairment loss would be recognized.
	In light of the then Federal and state economic and reimbursement environments and state budgetary pressures to decrease or eliminate services provided by us, we completed a preliminary assessment of the fair value of our two reporting units, home & community (continuing operations) and home health (discontinued operations), and the potential for goodwill impairment as of June 30, 2011. Our total stockholders' equity as of September 30, 2011 was significantly greater than our market capitalization, which was approximately $43.6 million based on 10,774,886 shares of common stock outstanding as of September 30, 2011. While the market capitalization of approximately $43.6 million was below our stockholders' equity, the market capitalization metric is only one indicator of fair value. In our opinion, the market capitalization approach, by itself, is not a reliable indicator of the value for our company.
	During 2011, based on the above and updates to the Company's business projections and forecasts, and other factors, the Company determined that the estimated fair value of its discontinued operations was less than the net book value indicating that its allocated goodwill was impaired. The preliminary assessment for the continuing operations indicated that its fair value was greater than its net book value with no initial indication of goodwill impairment.
	As permitted by ASC Topic 350, when an impairment indicator arises toward the end of an interim reporting period, the Company may recognize its best estimate of that impairment loss. Based on the Company's preliminary analysis prepared as of June 30, 2011, the Company determined that all of the $13,076 allocated to goodwill for the discontinued operations as of September 30, 2011 was impaired and recorded a goodwill impairment loss in the third quarter of 2011.
	The goodwill for the Company's continuing operations was $60,026 and $50,536 as of December 31, 2013 and 2012.
	Summary of goodwill and related adjustments provided below:
			Continuing			Discontinued
			operations			operations		Total
	Goodwill, at December 31, 2011	$	50,695		$	—	$	50,695
	Adjustments to previously recorded goodwill		(159	)		—		(159	)
	Goodwill, at December 31, 2012	$	50,536		$	—	$	50,536
	Additions for Acquisitions		9,650			—		9,650
	Adjustments to previously recorded goodwill		(160	)		—		(160	)
	Goodwill, at December 31, 2013	$	60,026		$	—	$	60,026
	Adjustments to the previously recorded goodwill are primarily credits related to amortization of tax goodwill in excess of book basis.
	The Company's identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two to 25 years.
	The Company also has indefinite-lived intangible assets that are not subject to amortization expense such as certificates of need and licenses to conduct specific operations within geographic markets. The Company has concluded that certificates of need and licenses have indefinite lives, as management has determined that there are no legal, regulatory, contractual, economic or other factors that would limit the useful life of these intangible assets and the Company intends to renew and operate the certificates of need and licenses indefinitely. The certificates of need and licenses are tested annually for impairment using the cost approach. Under this method assumptions are made about the cost to replace the certificates of need. No impairment charges were recorded in the years ended December 31, 2013, 2012 or 2011.
	The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following for continuing and discontinued operations at December 31, 2013 and 2012:
			Customer and			Trade names
			referral			and			State		Non-competition
			relationships			trademarks			Licenses		agreements			Total
	Gross balance at December 31, 2012	$	24,908		$	4,081		$	150	$	408		$	29,547
	Accumulated amortization		(20,041	)		(2,778	)		—		(358	)		(23,117	)
	Net Balance at December 31, 2012		4,867			1,303			150		50			6,370
	Additions for acquisitions		1,438			1,200			—		1,100			3,738
	Gross balance at December 31, 2013		26,346			5,281			150		1,508			33,285
	Accumulated amortization		(21,138	)		(2,995	)		—		(390	)		(24,523	)
	Net Balance at December 31, 2013	$	5,208		$	2,286		$	150	$	1,118		$	8,762
	Amortization expense for continuing and discontinued operations related to the identifiable intangible assets amounted to $1,346, $1,674, and $2,613 for the years ended December 31, 2013, 2012 and 2011, respectively. Goodwill and state licenses are not amortized pursuant to ASC Topic 350.
	The estimated future intangible amortization expense is as follows:
	For the year ended December 31,
	2014	$	1,988
	2015		1,781
	2016		1,611
	2017		1,122
	2018		999
	Thereafter		1,111
	Total	$	8,612

Details_Of_Certain_Balance_She

Details Of Certain Balance Sheet Accounts	12 Months Ended
	Dec. 31, 2013
Details Of Certain Balance Sheet Accounts [Abstract]	'
Details Of Certain Balance Sheet Accounts	'
	7. Details of Certain Balance Sheet Accounts
	Prepaid expenses and other current assets consist of the following:
			December 31,
			2013		2012
	Prepaid health insurance	$	3,192	$	4,062
	Prepaid workers' compensation and liability insurance		1,173		1,056
	Prepaid rent		455		181
	Workers' compensation insurance receivable		821		953
	Other		594		1,041
		$	6,235	$	7,293
	Accrued expenses consisted of the following:
			December 31,
			2013		2012
	Accrued payroll	$	12,932	$	11,539
	Accrued workers' compensation insurance		13,347		12,452
	Accrued health insurance		3,731		3,469
	Indemnification reserve (1)		3,224		—
	Accrued payroll taxes		1,755		1,481
	Accrued professional fees		1,319		477
	Amounts due to LHCG (2)		2,196		—
	Accrued taxes		113		1,223
	Accrued interest		—		51
	Current portion of contingent earn-out obligation (3) (4)		1,100		689
	Other		2,228		1,813
		$	41,945	$	32,717
	(1) As a condition of the sale of the Home Health Business to LHC Group, Inc ("LHCG") the Company is responsible for any adjustments to Medicare and Medicaid billings during our ownership. In connection with an internal evaluation of the Company's billing processes, it discovered documentation errors in a number of claims that it had submitted to Medicare. The Company, using its best judgment, has estimated a total of $3,244 for billing adjustments. Consistent with applicable law, the Company voluntarily remitted approximately $1,800 to the government in March 2014.
	(2) Amounts due to LHCG pursuant to a billing services arrangement between the Company and LHCG.
	(3) The Company acquired certain assets of Advantage Health Systems, Inc. ("Advantage") in July 2010. The purchase agreement for the acquisition of Advantage contained a provision for earn-out payments contingent upon the achievement of certain performance targets. The sellers of Advantage disagreed with the Company's calculation of the earn-out payment and the parties agreed to have an arbitrator determine the amount of the second earn out payment. Based upon the arbitrator's ruling the final earn out payment of $534 was made in October 2013.
	(4) The Company acquired certain assets of Coordinated Home Health Care on December 1, 2013. The purchase agreement for the acquisition contained a provision for earn-out payments. The contingent earn-out obligation has been recorded at its fair value of $1,100, which is the present value of the Company's obligation to up to $2,250 based on probability- weighted estimates of the achievement of certain performance targets.
	The Company provides health insurance coverage to qualified union employees providing home and community based services in Illinois through a Taft-Hartley multi-employer health and welfare plan under Section 302(c)(5) of the Labor Management Relations Act of 1947. The Company's insurance contributions equal the amount reimbursed by the State of Illinois. Contributions are due within five business days from the date the funds are received from the State. Amounts due of $3,163 and $3,405 for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance at December 31, 2013 and 2012, respectively.
	The Company's workers' compensation program has a $350 deductible component. The Company recognizes its obligations associated with this program in the period the claim is incurred. The cost of both the claims reported and claims incurred but not reported, up to the deductible, have been accrued based on historical claims experience, industry statistics and an actuarial analysis performed by an independent third party. The future claims payments related to the workers' compensation program are secured by letters of credit. These letters of credit totaled $12,411 and $7,710 at December 31, 2013 and 2012.
	As part of the terms of the acquisition of Addus HealthCare in 2006, all 2005 and prior workers' compensation claims are the obligation of the former stockholders of Addus HealthCare. Approximately $1,039 in cash escrows and deposits were set-aside from the purchase price of Addus HealthCare as collateral for these 2005 and prior claims as of December 31, 2013. The outstanding loss reserves associated with the 2005 and prior workers' compensation policies approximated $604 at December 31, 2013.

LongTerm_Debt

Long-Term Debt	12 Months Ended
	Dec. 31, 2013
Long-Term Debt [Abstract]	'
Long-Term Debt	'
	8. Long-Term Debt
	Long-term debt consisted of the following:
			December 31,
			2013		2012
	Revolving credit loan	$	—	$	16,250
	Term loan		—		208
	Total		—		16,458
	Less current maturities		—		(208	)
	Long-term debt	$	—	$	16,250
	Senior Secured Credit Facility
	The Company's credit facility provides a $55,000 revolving line of credit expiring November 2, 2014 and includes a $15,000 sublimit for the issuance of letters of credit and previously included a $5,000 term loan that matured and was paid on January 5, 2013. Substantially all of the subsidiaries of Holdings are co-borrowers, and Holdings has guaranteed the borrowers' obligations under the credit facility. The credit facility is secured by a first priority security interest in all of Holdings' and the borrowers' current and future tangible and intangible assets, including the shares of stock of the borrowers.
	The availability of funds under the revolving credit portion of the credit facility, as amended, is based on the lesser of (i) the product of adjusted EBITDA, as defined, for the most recent 12-month period for which financial statements have been delivered under the credit facility agreement multiplied by the specified advance multiple, up to 3.25, less the outstanding senior indebtedness and letters of credit, and (ii) $55,000 less the outstanding revolving loans and letters of credit. Interest on the revolving line of credit and term loan amounts outstanding under the credit facility is payable either at a floating rate equal to the 30-day LIBOR, plus an applicable margin of 4.6% or the LIBOR rate for term periods of one, two, three or six months plus a margin of 4.6%. Interest on the credit facility is paid monthly on or at the end of the relevant interest period, as determined in accordance with the credit facility agreement. The Company pays a fee equal to 0.5% per annum of the unused portion of the revolving portion of the credit facility. Issued stand-by letters of credit are charged at a rate of 2.0% per annum payable monthly. The Company did not have any amounts outstanding on the credit facility as of December 31, 2013 and the total availability under the revolving credit loan facility was $42,600.
	The credit facility contains customary affirmative covenants regarding, among other things, the maintenance of records, compliance with laws, maintenance of permits, maintenance of insurance and property and payment of taxes. The credit facility also contains certain customary financial covenants and negative covenants that, among other things, include a requirement to maintain a minimum fixed charge coverage ratio, a requirement to stay below a maximum senior leverage ratio and a requirement to stay below a maximum permitted amount of capital expenditures, as well as restrictions on guarantees, indebtedness, liens, dividends, distributions, investments and loans, subject to customary carve outs, restrictions on the Company's ability to enter into transactions other than in the ordinary course of business, a restriction on the ability to consummate more than three acquisitions in any calendar year, or for the purchase price of any one acquisition to exceed $500, in each case without the consent of the lenders, restrictions on mergers, transfers of assets, acquisitions, equipment, subsidiaries and affiliate transactions, subject to customary carve outs, and restrictions on fundamental changes and lines of business. The Company was in compliance with all of its credit facility covenants at December 31, 2013.
	During the second quarter of 2012, the lenders under the credit facility agreed to a modified interpretation of the credit facility as it relates to the calculation of the fixed charge ratio, which provides the Company with increased flexibility in meeting this covenant. In order to obtain consent from the lender for the sale of the Home Health Business the Company agreed to work in good faith to negotiate and enter into an amendment to the credit to amend certain provisions including a reduction in the maximum revolving loan limit and revolving loan commitment.
	The Company has received a commitment letter to renew the credit facility for a period of five years on essentially the same terms as the expiring facility. If executed the term of the new facility will expire in November 2, 2019.
	Subordinated Dividend Notes
	On November 2, 2009, in conjunction with the IPO, all outstanding shares of Holdings' series A preferred stock were converted into an aggregate 4,077 shares of common stock at a ratio of 1:108. Total accrued and unpaid dividends on the series A preferred stock were $13,109 as of November 2, 2009, at which time a dividend payment of $173 was made and the remaining $12,936 in unpaid preferred dividends were converted into dividend notes. The dividend notes are subordinated and junior to all obligations under the Company's credit facility. On November 2, 2009, the Company made a mandatory payment of $4,000 on the dividend notes. Interest on the outstanding dividend notes accrues at a rate of 10% per annum, compounded annually. The outstanding principal amount of the dividend notes was originally payable in eight equal consecutive quarterly installments which commenced on December 31, 2009 and each March 31, June 30, September 30 and December 31 of each year thereafter until paid in full. Interest on the unpaid principal balance of the dividend notes is due and payable quarterly in arrears together with each payment of principal.
	On March 18, 2010, the Company amended its subordinated dividend notes. A balance of $7,819 was outstanding on the dividend notes as of December 31, 2009. Pursuant to the amendments, the dividend notes were amended to (i) extend the maturity date of the dividend notes from September 30, 2011 to December 31, 2012, (ii) modify the amortization schedule of the dividend notes to reduce the annual principal payment amounts from $4,468 to $1,250 in 2010; from $3,351 to $2,500 in 2011; and amended total payments in 2012 to $4,069, and (iii) permit, based on the Company's leverage ratio, the prepayment of all or a portion of the principal amount of the dividend notes, together with interest on the principal amount. The Company repaid the subordinated dividend notes in the fourth quarter of 2012.

Income_Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2013
Income Taxes [Abstract]	'
Income Taxes	'
	9. Income Taxes
	The current and deferred federal and state income tax provision (benefit), for continuing operations are comprised of the following:
					December 31,
			2013		2012		2011
	Current
	Federal	$	2,926	$	3,745	$	2,863
	State		435		792		319
	Deferred
	Federal		393		196		688
	State		58		74		374
	Provision (benefit) for income taxes	$	3,812	$	4,807	$	4,244
	The tax effects of certain temporary differences between the Company's book and tax bases of assets and liabilities give rise to significant portions of the deferred income tax assets at December 31, 2013 and 2012. The deferred tax assets consisted of the following:
			December 31,
			2013			2012
	Deferred tax assets
	Current
	Accounts receivable allowances	$	1,664		$	1,784
	Accrued compensation		849			1,133
	Accrued workers' compensation		5,365			4,593
	Other		923			395
	Total current deferred tax assets		8,801			7,905
	Deferred tax liabilities
	Current
	Prepaid insurance		(475	)		(647	)
	Net deferred tax assets—current		8,326			7,258
	Deferred tax assets
	Long-term
	Goodwill and intangible assets		—			1,577
	Property and equipment		52			96
	Reserves		1,295			—
	Stock-based compensation		861			655
	Total long-term deferred tax assets		2,208			2,328
	Deferred tax liability
	Long-term
	Goodwill and intangible assets		(5,649	)		—
	Total long-term deferred tax liabilities		(3,441	)		—
	Total net deferred tax assets	$	4,885		$	9,586
	Management considers whether it is more likely than not that some portion or all of the deferred tax assets will not be realized. The ultimate realization of deferred tax assets is dependent upon the generation of future taxable income during the periods in which those temporary differences become deductible. Management considers projected future taxable income and tax-planning strategies in making this assessment. Based on this assessment, management believes it is more likely than not that the Company will realize its deferred income tax assets as of December 31, 2013.
	A reconciliation of the statutory federal tax rate of 35.0% to the effective income tax rate, for continuing operations, for the years ended December 31, 2013, 2012, and 2011 is summarized as follows:
		For the Year Ended
		December 31,
		2013		2012		2011
	Federal income tax at statutory rate	35	%	34	%	34	%
	State and local taxes, net of federal benefit	5.2		5.9		5.3
	Jobs tax credits, net (1)	(6.8	)	(7.5	)	(8.2	)
	Nondeductible meals and entertainment	0.4		(0.8	)	0.7
	Other	(8.3	)	2.5		1.7
	Effective income tax rate	25.5	%	34.1	%	33.5	%
	(1) Included in the jobs tax credit for the year ended December 31, 2012 was a one-time benefit of a 2.4% reduction from the Company's statutory tax rate for the jobs tax credits earned in 2012 but not recorded until 2013. The Federal employment opportunity tax credits were reinstated in 2013 and were not an allowable decuction in 2012.
	The Company is subject to taxation in the jurisdictions in which it operates. The Company continues to remain subject to examination by U.S. federal authorities for the years 2009 through 2013 and for various state authorities for the years 2009 through 2013. As part of the acquisition of Addus HealthCare in 2006, the selling stockholders agreed to assume and indemnify the successor for any federal or state tax liabilities prior to the acquisition date.
	The total amount of unrecognized tax benefits under ASC Topic 740 at December 31, 2013 was $115. If recognized, the entire amount would favorably impact the effective tax rate in future periods. Interest and penalties related to income tax liabilities are recognized in interest expense and general and administrative expenses, respectively. The Company does not anticipate a material change in its liabilities for uncertain tax positions during the next 12 months.
	A summary of the activities associated with the Company's reserve for unrecognized tax benefits is as follows:
			Unrecognized
			Tax Benefits
	Balance at December 31, 2011	$	115
	Increases related to current year tax positions		—
	Balance at December 31, 2012	$	115
	Increases related to current year tax positions		—
	Balance at December 31, 2013	$	115

Stock_Options_And_Restricted_S

Stock Options And Restricted Stock Awards	12 Months Ended
	Dec. 31, 2013
Stock Options And Restricted Stock Awards [Abstract]	'
Stock Options And Restricted Stock Awards	'
	10. Stock Options and Restricted Stock Awards
	Stock Options
	The 2006 Plan provides for the grant of non-qualified stock options to directors and eligible employees, as defined in the 2006 Plan. A total of 899 of Holdings' shares of common stock were reserved for issuance under the 2006 Plan. The number of options to be granted and the terms thereof were approved by Holdings' board of directors. The option price for each share of common stock subject to an option may be greater than or equal to the fair market value of the stock at the date of grant. The stock options generally vest ratably over a five year period and expire 10 years from the date of grant, if not previously exercised.
	In September 2009, the Company's board of directors and stockholders adopted and approved the 2009 Plan. The 2009 Plan provides for the grant of 750 incentive stock options, nonqualified stock options, stock appreciation rights, restricted stock, deferred stock units, restricted stock units, other stock units and performance shares.
	A summary of stock option activity and weighted average exercise price is as follows:
		For The Year Ended December 31,
		2013				2012				2011
					Weighted				Weighted				Weighted
					Average				Average				Average
					Exercise				Exercise				Exercise
		Options			Price	Options			Price	Options			Price
	Outstanding, beginning of period	596		$	8.11	775		$	7.69	588		$	8.63
	Granted	177			10.93	36			4.49	229			5.33
	Exercised	(94	)		9.09	(5	)		4.53	—
	Forfeited/Cancelled	(32	)		7.89	(209	)		6.02	(42	)		7.93
	Outstanding, end of period	647		$	8.8	596		$	8.11	775		$	7.69
	The following table summarizes stock options outstanding and exercisable at December 31, 2013:
		Outstanding				Exercisable
			Weighted				Weighted
			Average				Average
			Remaining		Weighted		Remaining		Weighted
			Contractual		Average		Contractual		Average
			Life in		Exercise		Life in		Exercise
	Exercise Price	Options	Years		Price	Options	Years		Price
	$4.06 – $5.93	143	7.4	$	4.59	74	7.2	$	4.64
	$9.26 – $23.22	504	5.4		9.93	324	3.3		9.36
		647	5.8	$	8.8	398	4.1	$	8.48
	The Company historically used the Black-Scholes option pricing model to estimate the fair value of its stock based payment awards under its 2006 Plan, but beginning October 28, 2009 under its 2009 Plan it began using an enhanced Hull-White Trinomial model. The determination of the fair value of stock-based payments utilizing the Black-Scholes model and the Enhanced Hull-White Trinomial model is affected by Holdings' stock price and a number of assumptions, including expected volatility, risk-free interest rate, expected term, expected dividends yield, expected forfeiture rate, expected turn-over rate, and the expected exercise multiple. Holdings did not have a history of market prices of its common stock as it was not a public company prior to the IPO, and as such management estimates volatility based on the volatilities of a peer group of publicly traded companies. The expected term of options is based on the Company's estimate of when options will be exercised in the future. The risk-free interest rate assumption is based on observed interest rates appropriate for the terms of the Company's awards. The dividend assumption is based on the Company's history and expectation of not paying dividends. The expected turn-over rate represents the expected forfeitures due to employee turnover and is based on historical rates experienced by the Company. The expected exercise multiple represents the mean ratio of the stock price to the exercise price at which employees are expected to exercise their options.
	The weighted-average estimated fair value of employee stock options granted as calculated using the Black-Scholes model and the Enhanced Hull-White Trinomial model and the related assumptions follow:
			For the Year Ended December 31,
			2013		2012		2011
			Grants		Grants		Grants
	Weighted average fair value	$	5.14	$	2.09	$	2.54
	Risk-free discount rate		2.07% – 2.96%		1.59% – 1.95%		3.17%
	Expected life		6.0 – 6.25 years		6.0 – 6.5 years		6.0 – 6.5 years
	Dividend yield		—		—		—
	Volatility		47%		42% – 51%		42% – 51%
	Expected turn-over rate		5%		5%		5%
	Expected exercise multiple		2.2		2.2		2.2
	Stock option compensation expense, for continuing and discontinued operations, totaled $276, $181 and $254 for the three years ended December 31, 2013, 2012 and 2011, respectively. As of December 31, 2013, there was $885 of total unrecognized compensation cost that is expected to be recognized over a period of five years.
	The intrinsic value of vested and outstanding stock options was $5,570 and $6,936, respectively as of December 31, 2013. The intrinsic value of stock options exercised during the year ended December 31, 2013 was $288. There were 94 stock options exercised of which 67 were issued as part of a cashless exchange and 15 stock options exercised of which 5 were issued as part of a cashless exchange in 2013 and 2012, respectively.
	Restricted Stock Awards
	In 2013, management awarded 63 shares of restricted stock awards under the 2009 Plan with a weighted average grant date fair value of $9.61 per share. As of December 31, 2013, $472 of unearned compensation related to unvested awards of restricted stock will be recognized over the remaining vesting terms of the awards.
	The following table summarizes the status of unvested restricted stock awards outstanding at December 31, 2013, 2012 and 2011:
		For The Year Ended December 31,
		2013				2012				2011
					Weighted				Weighted				Weighted
		Restricted			Average	Restricted			Average	Restricted			Average
		Stock			Grant Date	Stock			Grant Date	Stock			Grant Date
		Awards			Fair Value	Awards			Fair Value	Awards			Fair Value
	Unvested restricted stock awards	42		$	4.8	21		$	5.95	6		$	6.85
	Awarded	63			9.61	44			4.48	24			5.63
	Vested	(32	)		4.65	(20	)		5.14	(8	)		5.64
	Forfeited	(3	)		5.32	(3	)		5.93	(1	)		5.93
	Unvested restricted stock awards at
	December 31,	70		$	9.13	42		$	4.8	21		$	5.95
	The fair market value of restricted stock awards that vested during the year ended December 31, 2013 was $573.
	Restricted stock award compensation expense, for continuing and discontinued operations, totaled $239, $160 and $77 for the three years ended December 31, 2013, 2012 and 2011, respectively.
	Shares available under the 2006 Plan and the 2009 Plan were 546 and 853, respectively, as of December 31, 2013. The Company does not plan on issuing any further grants under the 2006 Plan.

Operating_Leases_And_Related_P

Operating Leases And Related Party Transactions	12 Months Ended
	Dec. 31, 2013
Operating Leases And Related Party Transactions [Abstract]	'
Operating Leases And Related Party Transactions	'
	11. Operating Leases and Related Party Transactions
	The Company leases its branch office space under various operating leases that expire at various dates through 2019. In addition to rent, the Company is typically responsible for taxes, maintenance, insurance and common area costs. A number of the office leases also contain escalation and renewal option clauses. Total rent expense on these office leases was $2,925, $3,380 and $3,495 for continuing and discontinued operations for the years ended December 31, 2013, 2012, and 2011, respectively. In connection with the sale of the Home Health Business, the Company entered into subleases for all or a portion of 13 of the Company's leased properties and assigned nine leases to the purchasers. Assigned leases are not included in the schedule below.
	The Company leases its corporate office space from a former member of its board of directors, who is also a stockholder of the Company, under the terms of an operating lease that expired in June 2013; this lease agreement is being operated on a month to month basis. Rental expense relating to this lease amounted to $483, $486 and $409 for the years ended December 31, 2013, 2012 and 2011, respectively.
	During 2011, the Company entered into a lease for its telecom system under a five year operating lease that expires in May 2016. Total expense on the telecom lease for continuing and discontinued operations was $379, $285 and $62 for the years ended December 31, 2013, 2012 and 2011, respectively. The Company has entered into a lease for a new corporate headquarters with a third party and it expects to occupy the new space in or around May of 2014.
	The following is a schedule of the future minimum payments, exclusive of taxes and other operating expenses, required under the Company's operating leases. The payments owed with respect to the subleased properties have not been excluded from the table below because the Company remains liable for payments in the event that the sublessee does not make the required payment to the landlord.
			Rent Amount
	2014	$	2,964
	2015		2,656
	2016		2,306
	2017		1,680
	2018		1,395
	Thereafter		5,928
	Total	$	16,929

Stockholders_Equity

Stockholder's Equity	12 Months Ended
	Dec. 31, 2013
Stockholders' Equity [Abstract]	'
Stockholder's Equity	'
	12. Stockholder's Equity
	2009 Stock Incentive Plan
	In September 2009, the Company's board of directors and stockholders adopted and approved the 2009 Plan. The 2009 Plan when established provided for the grant of 750 incentive stock options, nonqualified stock options, stock appreciation rights, restricted stock, deferred stock units, restricted stock units, other stock units and performance shares. In May 2013, the Company's Board of Directors and stockholders approved an increase in the number of incentive stock options to 1,500 which was approved by the stockholders at the 2013 annual meeting.

Segment_Data

Segment Data	12 Months Ended
	Dec. 31, 2013
Segment Data [Abstract]	'
Segment Data	'
	13. Segment Data
	The Company has historically segregated its results into two distinct reporting segments: the home & community segment and the home health segment. As a result of the sale of the Home Health Business, the Company has reported the operating results for the Home Health Business as discontinued operations. Therefore, all of the Company's operations are reported as one operating segment.

Employee_Benefit_Plans

Employee Benefit Plans	12 Months Ended
	Dec. 31, 2013
Employee Benefit Plans [Abstract]	'
Employee Benefit Plans	'
	14. Employee Benefit Plans
	The Company's 401(k) Retirement Plan covers all non-union employees. The 401(k) plan is a defined contribution plan that provides for matching contributions by the Company. Matching contributions are discretionary and subject to change by management. Under the provisions of the 401(k) plan, employees can contribute up to the maximum percentage and limits allowable under the Internal Revenue Code of 1986. The Company provided a matching contribution, equal to 6.0% of the employees' contributions, totaling $46, $44, and $49 for continuing and discontinued operations for the year ended December 31, 2013, 2012, and 2011, respectively.

Commitments_And_Contingencies

Commitments And Contingencies	12 Months Ended
	Dec. 31, 2013
Commitments And Contingencies [Abstract]	'
Commitments And Contingencies	'
	15. Commitments and Contingencies
	Legal Proceedings
	The Company is a party to legal and/or administrative proceedings arising in the ordinary course of its business. It is the opinion of management that the outcome of such proceedings will not have a material effect on the Company's financial position and results of operations.
	Employment Agreements
	The Company has entered into employment agreements with certain members of senior management. The terms of these agreements are up to four years and include non-compete and nondisclosure provisions, as well as provide for defined severance payments in the event of termination.

Significant_Payors

Significant Payors	12 Months Ended
	Dec. 31, 2013
Significant Payors [Abstract]	'
Significant Payors	'
	16. Significant Payors
	A substantial portion of the Company's net service revenues and accounts receivables are derived from services performed for federal, state and local governmental agencies. One state governmental agency represented 59%, 57% and 51% of the Company's net service revenues for 2013, 2012, and 2011, respectively.
	The related receivables due from Medicare and the state agency represented 1% and 66% of the Company's accounts receivable at December 31, 2013, respectively, and 7% and 69% of the Company's accounts receivable at December 31, 2012, respectively.

Concentration_Of_Cash

Concentration Of Cash	12 Months Ended
	Dec. 31, 2013
Concentration Of Cash [Abstract]	'
Concentration Of Cash	'
	17. Concentration of Cash
	Financial instruments that potentially subject the Company to significant concentrations of credit risk consist principally of cash. The Company maintains cash with financial institutions which, at times, may exceed federally insured limits. The Company believes it is not exposed to any significant credit risk on cash.

Summarized_Quarterly_Financial

Summarized Quarterly Financial Information	12 Months Ended
	Dec. 31, 2013
Summarized Quarterly Financial Information [Abstract]	'
Summarized Quarterly Financial Information	'
	18. Unaudited Summarized Quarterly Financial Information
	The following is a summary of the Company's unaudited quarterly results of operations (amounts and shares in thousands, except per share data):
		Year Ended December 31, 2013											Year Ended December 31, 2012
			Dec. 31			Sept. 30			Jun. 30			Mar. 31		Dec. 31		Sept. 30			Jun. 30			Mar. 31
	Net service revenues	$	69,882		$	67,306		$	65,755		$	62,998	$	63,775	$	61,211		$	60,440		$	58,889
	Gross profit		18,102			17,226			16,613			15,798		17,537		15,683			15,807			15,024
	Operating income from
	continuing operations		3,476			4,263			3,980			3,742		5,261		3,867			3,217			3,318
	Net income from continuing
	operations		3,124			2,770			2,582			2,687		3,503		2,204			1,835			1,746
	Earnings (loss) from discontinued
	operations		(2,239	)		(203	)		(150	)		10,574		242		(407	)		(371	)		(1,117	)
	Net income (loss)	$	885		$	2,567		$	2,432		$	13,261	$	3,745	$	1,797		$	1,464		$	629
	Average shares outstanding:
	Basic		10,826			10,787			10,785			10,778		10,772		10,761			10,761			10,756
	Diluted		11,075			11,071			11,016			10,845		10,807		10,773			10,785			10,760
	Income (loss) per common share:
	Basic net income per share
	Continuing operations	$	0.29		$	0.26		$	0.24		$	0.25	$	0.33	$	0.2		$	0.17		$	0.16
	Discontinued operations		(0.21	)		(0.02	)		(0.01	)		0.98		0.02		(0.03	)		(0.03	)		(0.10	)
	Basic net income per share	$	0.08		$	0.24		$	0.23		$	1.23	$	0.35	$	0.17		$	0.14		$	0.06
	Diluted net income per share
	Continuing operations	$	0.28		$	0.25		$	0.23		$	0.25	$	0.33	$	0.2		$	0.17		$	0.16
	Discontinued operations		(0.20	)		(0.02	)		(0.01	)		0.98		0.02		(0.03	)		(0.03	)		(0.10	)
	Diluted net income per share	$	0.08		$	0.23		$	0.22		$	1.23	$	0.35	$	0.17		$	0.14		$	0.06

Valuation_And_Qualifying_Accou

Valuation And Qualifying Accounts	12 Months Ended
	Dec. 31, 2013
Valuation and Qualifying Accounts [Abstract]	'
Valuation And Qualifying Accounts	'
	ADDUS HOMECARE CORPORATION AND SUBSIDIARIES
	VALUATION AND QUALIFYING ACCOUNTS SCHEDULE II
	(in thousands)
			Balance at				Balance at
			beginning	Additions/			end of
	Allowance for doubtful accounts		of period	charges	Deductions*		period
	Year ended December 31, 2013
	Allowance for doubtful accounts	$	4,466	3,020	3,346	$	4,140
	Year ended December 31, 2012
	Allowance for doubtful accounts	$	7,189	2,877	5,600	$	4,466
	Year ended December 31, 2011
	Allowance for doubtful accounts	$	6,723	4,275	3,809	$	7,189
	* Write-offs, net of recoveries

Significant_Accounting_Policie1

Significant Accounting Policies (Policy)	12 Months Ended
	Dec. 31, 2013
Significant Accounting Policies [Abstract]	'
Basis Of Presentation And Description Of Business	'
	Basis of Presentation and Description of Business
	The consolidated financial statements include the accounts of Addus HomeCare Corporation ("Holdings") and its subsidiaries (together with Holdings, the "Company" or "we"). The Company provides home and community based services through a network of locations throughout the United States. These services are primarily performed in the homes of the consumers. The Company's home and community based services include assistance to the elderly, chronically ill and disabled with bathing, grooming, dressing, personal hygiene and medication reminders, and other activities of daily living. Home and community based services are primarily performed under agreements with state and local governmental agencies.
Discontinued Operations	'
	Discontinued Operations
	On February 7, 2013, subsidiaries of Holdings entered into an Asset Purchase Agreement with LHC Group, Inc. and certain of its subsidiaries (the "Home Health Purchase Agreement"). Pursuant to the Home Health Purchase Agreement, effective March 1, 2013, the purchasers agreed to acquire substantially all the assets of the Company's home health business in Arkansas, Nevada and South Carolina and 90% of its home health business in California and Illinois, with the Company retaining 10% ownership in such locations, for cash consideration of $20,000.
	The Company's home health services were operated through licensed and Medicare certified offices that provided physical, occupational and speech therapy, as well as skilled nursing services to pediatric, adult infirm and elderly patients. Home health services were reimbursed from Medicare, Medicaid and Medicaid-waiver programs, commercial insurance and private payors (see note 2 of the Company's Annual Report on Form 10-K).
Principles Of Consolidation	'
	Principles of Consolidation
	All intercompany balances and transactions have been eliminated in consolidation. The Company's investment in entities with less than 20% ownership or in which the Company does not have the ability to influence the operations of the investee are being accounted for using the cost method and are included in investments in joint ventures.
Revenue Recognition	'
	Revenue Recognition
	The Company generates net service revenues by providing services directly to consumers. The Company receives payments for providing services from federal, state and local governmental agencies, commercial insurers and private individuals. The Company's continuing operations, as defined in the Business Section in the Company's Annual Report on Form 10-K, are principally provided based on authorized hours, determined by the relevant agency, at an hourly rate specified in agreements or fixed by legislation and recognized as revenues at the time services are rendered. Home and community based service revenues are reimbursed by state, local and other governmental programs which are partially funded by Medicaid or Medicaid waiver programs, with the remainder reimbursed through private duty and insurance programs.
	Laws and regulations governing the Medicaid and Medicare programs are complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates may change in the near term. The Company believes that it is in compliance in all material respects with all applicable laws and regulations.
Allowance For Doubtful Accounts	'
	Allowance for Doubtful Accounts
	The Company establishes its allowance for doubtful accounts to the extent it is probable that a portion or all of a particular account will not be collected. The Company estimates its provision for doubtful accounts primarily by aging receivables utilizing eight aging categories, and applying its historical collection rates to each aging category, taking into consideration factors that might impact the use of historical collection rates or payor groups, with certain large payors analyzed separately from other payor groups. In the Company's evaluation of these estimates, it also considers delays in payment trends in individual states due to budget or funding issues, billing conversions related to acquisitions or internal systems, resubmission of bills with required documentation and disputes with specific payors. An allowance for doubtful accounts is maintained at a level management believes is sufficient to cover potential losses. However, actual collections could differ from estimates.
Property And Equipment	'
	Property and Equipment
	Property and equipment are recorded at cost and depreciated over the estimated useful lives of the related assets by use of the straight-line method except for internally developed software which is amortized by the sum-of-years digits method. Maintenance and repairs are charged to expense as incurred. The estimated useful lives of the property and equipment are as follows:
	Computer equipment	3 – 5 years
	Furniture and equipment	5 – 7 years
	Transportation equipment	5 years
	Computer software	5 – 10 years
	Leasehold improvements	Lesser of useful life or lease term, unless probability of lease renewal is likely
Goodwill	'
	Goodwill
	The Company's carrying value of goodwill is the residual of the purchase price over the fair value of the net assets acquired from various acquisitions including the acquisition of Addus HealthCare, Inc. ("Addus HealthCare"). In accordance with Accounting Standards Codification ("ASC") Topic 350, "Goodwill and Other Intangible Assets ," goodwill and intangible assets with indefinite useful lives are not amortized. The Company tests goodwill for impairment at the reporting unit level on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that an impairment may have occurred. Goodwill and indefinite lived intangible assets are required to be tested for impairment at least annually. The Company may use a qualitative test, known as "Step 0" or a two-step quantitative method to determine whether impairment has occurred. In Step 0, the Company can elect to perform an optional qualitative analysis and based on the results skip the two step analysis. In 2013 and 2012, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis.
	In 2011, the Company elected to evaluate the goodwill via the two step methodology. The first step in the evaluation of goodwill impairment involves comparing the current fair value of each reporting unit to the recorded value, including goodwill. The Company used the combination of a discounted cash flow model ("DCF model") and the market multiple analysis method to determine the current fair value of each reporting unit. The DCF model was prepared using revenue and expense projections based on the Company's current operating plan. As such, a number of significant assumptions and estimates were involved in the application of the DCF model to forecast revenue growth, price changes, gross profits, operating expenses and operating cash flows. In 2011, the cash flows were discounted using a weighted average cost of capital of 14.5%, which was management's best estimate based on the capital structure of the Company and external industry data. As part of the second step of this evaluation, if the carrying value of goodwill exceeds its fair value, an impairment loss would be recognized. The Company recorded a $15,989 goodwill and intangible asset charge during the third quarter of 2011 (see Note 6) for its discontinued operations (see Note 2).
Intangible Assets	'
	Intangible Assets
	The Company's identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two to 25 years.
	Intangible assets with finite lives are amortized using the estimated economic benefit method over the useful life and assessed for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. The Company recognizes an impairment loss when the estimated fair value of the intangible asset is less than the carrying value. The Company estimates the fair value of these intangible assets using the income approach. No impairment charge was recorded for the years ended December 31, 2013 or 2012.
	The income approach, which the Company uses to estimate the fair value of its reporting units and intangible assets (other than goodwill), is dependent on a number of factors including estimates of future market growth and trends, forecasted revenue and costs, expected periods the assets will be utilized, appropriate discount rates and other variables. The Company bases its fair value estimates on assumptions the Company believes to be reasonable but which are unpredictable and inherently uncertain. Actual future results may differ from those estimates. In addition, the Company makes certain judgments about the selection of comparable companies used in the market approach in determining its valuation.
	We also have indefinite-lived intangible assets that are not subject to amortization expense such as certificates of need and licenses to conduct specific operations within geographic markets. Our management has concluded that certificates of need and licenses have indefinite lives, as management has determined that there are no legal, regulatory, contractual, economic or other factors that would limit the useful life of these intangible assets and we intend to renew and operate the certificates of need and licenses indefinitely. The certificates of need and licenses are tested annually for impairment. No impairment was recorded in 2013 or 2012. Based on our 2011 assessment of fair value discussed above, we determined that all of the $0.6 million allocated to discontinued operations certificates of need and licenses were impaired and recorded an impairment loss for 2011.
Debt Issuance Costs	'
	Debt Issuance Costs
	The Company amortizes debt issuance costs on a straight-line method over the term of the related debt. This method approximates the effective interest method.
Workers' Compensation Program	'
	Workers' Compensation Program
	The Company's workers' compensation program has a $350 deductible component. The Company recognizes its obligations associated with this program in the period the claim is incurred. The cost of both the claims reported and claims incurred but not reported, up to the deductible, have been accrued based on historical claims experience, industry statistics and an actuarial analysis performed by an independent third party. The future claims payments related to the workers' compensation program are secured by letters of credit.
Interest Income	'
	Interest Income
	Legislation enacted in Illinois entitles designated service program providers to receive a prompt payment interest penalty based on qualifying services approved for payment that remain unpaid after a designated period of time. As the amount and timing of the receipt of these payments are not certain, the interest income is recognized when received and reported in the statement of operations, interest income. The Company received $185, $155 and $2,263 in prompt payment interest in 2013, 2012 and 2011, respectively. While the Company may be owed additional prompt payment interest, the amount and timing of receipt of such payments remains uncertain and the Company has determined that it will continue to recognize prompt payment interest income when received.
Interest Expense	'
	Interest Expense
	The Company's interest expense consists of interest costs on its credit facility and other debt instruments.
Income Taxes	'
	Income Tax Expenses
	The Company accounts for income taxes under the provisions of ASC Topic 740, "Income Taxes". The objective of accounting for income taxes is to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in its financial statements or tax returns. Deferred taxes, resulting from differences between the financial and tax basis of the Company's assets and liabilities, are also adjusted for changes in tax rates and tax laws when changes are enacted. ASC Topic 740 also requires that deferred tax assets be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized. ASC Topic 740, also prescribes a recognition threshold and measurement process for recording in the financial statements uncertain tax positions taken or expected to be taken in a tax return. In addition, ASC Topic 740 provides guidance on derecognition, classification, accounting in interim periods and disclosure requirements for uncertain tax positions.
Stock-Based Compensation	'
	Stock-based Compensation
	The Company has two stock incentive plans, the 2006 Stock Incentive Plan (the "2006 Plan") and the 2009 Stock Incentive Plan (the "2009 Plan") that provide for stock-based employee compensation. The Company accounts for stock-based compensation in accordance with ASC Topic 718, "Stock Compensation." Compensation expense is recognized on a graded method under the 2006 Plan and on a straight-line basis under the 2009 Plan over the vesting period of the awards based on the fair value of the options. Under the 2006 Plan, the Company historically used the Black-Scholes option pricing model to estimate the fair value of its stock based payment awards, but beginning October 28, 2009 under its 2009 Plan it began using an enhanced Hull-White Trinomial model. The determination of the fair value of stock-based payments utilizing the Black-Scholes model and the Enhanced Hull-White Trinomial model is affected by Holdings' stock price and a number of assumptions, including expected volatility, risk-free interest rate, expected term, expected dividends yield, expected forfeiture rate, expected turn-over rate, and the expected exercise multiple.
Net Income Per Common Share	'
	Net Income (Loss) Per Common Share
	Net income (loss) per common share, calculated on the treasury stock method, is based on the weighted average number of shares outstanding during the period. The Company's outstanding securities that may potentially dilute the common stock are stock options and restricted stock awards.
	Included in the Company's calculation for the year ended December 31, 2013 were 647 stock options of which none were out-of-the money and 96 restricted stock awards with 44 included in the weighted diluted shares outstanding for 2013.
	Included in the Company's calculation for the year ended December 31, 2012 were 596 stock options of which 501 were out-of-the money and therefore anti-dilutive and 57 restricted stock awards with 12 included in the weighted diluted shares outstanding for 2012.
	For the year ended December 31, 2011 the Company had 10 dilutive shares but it reported a net loss and any potentially dilutive securities would be anti-dilutive, therefore, no additional shares were considered in the calculation of diluted earnings per share.
Estimates	'
	Estimates
	The financial statements are prepared by management in conformity with GAAP and include estimated amounts and certain disclosures based on assumptions about future events. Accordingly, actual results could differ from those estimates.
Fair Value Of Financial Instruments	'
	Fair Value of Financial Instruments
	The Company's financial instruments consist of cash, accounts receivable, payables and debt. The carrying amounts reported in the consolidated balance sheets for cash, accounts receivable, accounts payable and accrued expenses approximate fair value because of the short-term nature of these instruments. The carrying value of the Company's long-term debt with variable interest rates approximates fair value based on instruments with similar terms.
	The Company applies fair value techniques on a non-recurring basis associated with valuing potential impairment losses related to goodwill and indefinite-lived intangible assets and also when determining the fair value of contingent considerations. To determine the fair value in these situations, the Company uses Level 3 inputs such as discounted cash flows or if available, what a market participant would pay on the measurement date.
	The Company utilizes the income approach to estimate the fair value of its intangible assets derived from acquisitions. In addition, discounted cash flows are used to estimate the fair value of the Company's investment in joint ventures.
New Accounting Pronouncements	'
	New Accounting Pronouncements
	The Company does not believe any recently issued, but not yet effective, accounting standards will have a material effect on the Company's consolidated financial position, results of operations, or cash flows.

Discontinued_Operations_Tables

Discontinued Operations (Tables)	12 Months Ended
	Dec. 31, 2013
Discontinued Operations [Abstract]	'
Schedule Of Income Loss From Discontinued Operations	'
			2013			2012			2011
	Net service revenues	$	6,462		$	38,822		$	42,995
	Loss before income taxes		(1,672	)		(2,752	)		(17,122	)
	Income tax benefit		(692	)		(1,099	)		(6,729	)
	Net (loss) from discontinued operations	$	(980	)	$	(1,653	)	$	(10,393	)
Schedule Of Gain On Sale Of Discontinued Operation	'
	Gain before income taxes	$	15,284
	Income tax expense		(6,322	)
	Gain on sale of Home Health Business, net of tax		8,962
Schedule Of Disposal Group, Classes Of Assets	'
			2013		2012
	Property and equipment, net of accumulated depreciation and amortization	$	—	$	245

Acquisitions_Tables

Acquisitions (Tables)	12 Months Ended
	Dec. 31, 2013
Acquisitions [Abstract]	'
Schedule Of Purchase Price Components	'
			Total
	Cash	$	11,725
	Contingent earn-out obligation (net of discount of $1,125)		1,100
	Total purchase price	$	12,825
Schedule Of Purchase Price Allocation	'
			Total
	Goodwill	$	9,488
	Identifiable intangible assets		3,300
	Accounts receivable		888
	Prepaid expenses		35
	Furniture, fixtures and equipment		58
	Deposits		15
	Accounts payable		(81	)
	Accrued liabilities		(864	)
	Other liabilities		(14	)
	Total purchase price allocation	$	12,825

Property_And_Equipment_Tables

Property And Equipment (Tables)	12 Months Ended
	Dec. 31, 2013
Property And Equipment [Abstract]	'
Schedule Of Property And Equipment	'
			December 31,
			2013			2012
	Computer equipment	$	2,110		$	1,705
	Furniture and equipment		1,099			918
	Transportation equipment		588			508
	Leasehold improvements		1,628			1,496
	Computer software		3,749			3,179
			9,174			7,806
	Less accumulated depreciation and amortization		(6,540	)		(5,317	)
		$	2,634		$	2,489

Goodwill_And_Intangible_Assets1

Goodwill And Intangible Assets (Tables)	12 Months Ended
	Dec. 31, 2013
Goodwill And Intangible Assets [Abstract]	'
Changes In Goodwill By Segment	'
			Continuing			Discontinued
			operations			operations		Total
	Goodwill, at December 31, 2011	$	50,695		$	—	$	50,695
	Adjustments to previously recorded goodwill		(159	)		—		(159	)
	Goodwill, at December 31, 2012	$	50,536		$	—	$	50,536
	Additions for Acquisitions		9,650			—		9,650
	Adjustments to previously recorded goodwill		(160	)		—		(160	)
	Goodwill, at December 31, 2013	$	60,026		$	—	$	60,026
Schedule Of Carrying Amount And Accumulated Amortization Of Intangible Asset	'
			Customer and			Trade names
			referral			and			State		Non-competition
			relationships			trademarks			Licenses		agreements			Total
	Gross balance at December 31, 2012	$	24,908		$	4,081		$	150	$	408		$	29,547
	Accumulated amortization		(20,041	)		(2,778	)		—		(358	)		(23,117	)
	Net Balance at December 31, 2012		4,867			1,303			150		50			6,370
	Additions for acquisitions		1,438			1,200			—		1,100			3,738
	Gross balance at December 31, 2013		26,346			5,281			150		1,508			33,285
	Accumulated amortization		(21,138	)		(2,995	)		—		(390	)		(24,523	)
	Net Balance at December 31, 2013	$	5,208		$	2,286		$	150	$	1,118		$	8,762
Schedule Of Future Amortization Of Intangible Assets	'
	For the year ended December 31,
	2014	$	1,988
	2015		1,781
	2016		1,611
	2017		1,122
	2018		999
	Thereafter		1,111
	Total	$	8,612

Details_Of_Certain_Balance_She1

Details Of Certain Balance Sheet Accounts (Tables)	12 Months Ended
	Dec. 31, 2013
Details Of Certain Balance Sheet Accounts [Abstract]	'
Schedule Of Prepaid Expenses And Other Current Assets	'
			December 31,
			2013		2012
	Prepaid health insurance	$	3,192	$	4,062
	Prepaid workers' compensation and liability insurance		1,173		1,056
	Prepaid rent		455		181
	Workers' compensation insurance receivable		821		953
	Other		594		1,041
		$	6,235	$	7,293
Schedule Of Accrued Expenses	'
			December 31,
			2013		2012
	Accrued payroll	$	12,932	$	11,539
	Accrued workers' compensation insurance		13,347		12,452
	Accrued health insurance		3,731		3,469
	Indemnification reserve (1)		3,224		—
	Accrued payroll taxes		1,755		1,481
	Accrued professional fees		1,319		477
	Amounts due to LHCG (2)		2,196		—
	Accrued taxes		113		1,223
	Accrued interest		—		51
	Current portion of contingent earn-out obligation (3) (4)		1,100		689
	Other		2,228		1,813
		$	41,945	$	32,717
	(1) As a condition of the sale of the Home Health Business to LHC Group, Inc ("LHCG") the Company is responsible for any adjustments to Medicare and Medicaid billings during our ownership. In connection with an internal evaluation of the Company's billing processes, it discovered documentation errors in a number of claims that it had submitted to Medicare. The Company, using its best judgment, has estimated a total of $3,244 for billing adjustments. Consistent with applicable law, the Company voluntarily remitted approximately $1,800 to the government in March 2014.
	(2) Amounts due to LHCG pursuant to a billing services arrangement between the Company and LHCG.
	(3) The Company acquired certain assets of Advantage Health Systems, Inc. ("Advantage") in July 2010. The purchase agreement for the acquisition of Advantage contained a provision for earn-out payments contingent upon the achievement of certain performance targets. The sellers of Advantage disagreed with the Company's calculation of the earn-out payment and the parties agreed to have an arbitrator determine the amount of the second earn out payment. Based upon the arbitrator's ruling the final earn out payment of $534 was made in October 2013.
	(4) The Company acquired certain assets of Coordinated Home Health Care on December 1, 2013. The purchase agreement for the acquisition contained a provision for earn-out payments. The contingent earn-out obligation has been recorded at its fair value of $1,100, which is the present value of the Company's obligation to up to $2,250 based on probability- weighted estimates of the achievement of certain performance targets.

LongTerm_Debt_Tables

Long-Term Debt (Tables)	12 Months Ended
	Dec. 31, 2013
Long-Term Debt [Abstract]	'
Schedule Of Long-Term Debt	'
			December 31,
			2013		2012
	Revolving credit loan	$	—	$	16,250
	Term loan		—		208
	Total		—		16,458
	Less current maturities		—		(208	)
	Long-term debt	$	—	$	16,250

Income_Taxes_Tables

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2013
Income Taxes [Abstract]	'
Tax Expense By Jurisdiction	'
					December 31,
			2013		2012		2011
	Current
	Federal	$	2,926	$	3,745	$	2,863
	State		435		792		319
	Deferred
	Federal		393		196		688
	State		58		74		374
	Provision (benefit) for income taxes	$	3,812	$	4,807	$	4,244
Deferred Tax Assets And Liabilities	'
			December 31,
			2013			2012
	Deferred tax assets
	Current
	Accounts receivable allowances	$	1,664		$	1,784
	Accrued compensation		849			1,133
	Accrued workers' compensation		5,365			4,593
	Other		923			395
	Total current deferred tax assets		8,801			7,905
	Deferred tax liabilities
	Current
	Prepaid insurance		(475	)		(647	)
	Net deferred tax assets—current		8,326			7,258
	Deferred tax assets
	Long-term
	Goodwill and intangible assets		—			1,577
	Property and equipment		52			96
	Reserves		1,295			—
	Stock-based compensation		861			655
	Total long-term deferred tax assets		2,208			2,328
	Deferred tax liability
	Long-term
	Goodwill and intangible assets		(5,649	)		—
	Total long-term deferred tax liabilities		(3,441	)		—
	Total net deferred tax assets	$	4,885		$	9,586
Reconciliation Of Effective Tax Rate	'
		For the Year Ended
		December 31,
		2013		2012		2011
	Federal income tax at statutory rate	35	%	34	%	34	%
	State and local taxes, net of federal benefit	5.2		5.9		5.3
	Jobs tax credits, net (1)	(6.8	)	(7.5	)	(8.2	)
	Nondeductible meals and entertainment	0.4		(0.8	)	0.7
	Other	(8.3	)	2.5		1.7
	Effective income tax rate	25.5	%	34.1	%	33.5	%
	(1) Included in the jobs tax credit for the year ended December 31, 2012 was a one-time benefit of a 2.4% reduction from the Company's statutory tax rate for the jobs tax credits earned in 2012 but not recorded until 2013. The Federal employment opportunity tax credits were reinstated in 2013 and were not an allowable decuction in 2012.
Changes In Unrecognized Tax Benefits	'
			Unrecognized
			Tax Benefits
	Balance at December 31, 2011	$	115
	Increases related to current year tax positions		—
	Balance at December 31, 2012	$	115
	Increases related to current year tax positions		—
	Balance at December 31, 2013	$	115

Stock_Options_And_Restricted_S1

Stock Options And Restricted Stock Awards (Tables)	12 Months Ended
	Dec. 31, 2013
Stock Options And Restricted Stock Awards [Abstract]	'
Summary Of Stock Option Activity	'
		For The Year Ended December 31,
		2013				2012				2011
					Weighted				Weighted				Weighted
					Average				Average				Average
					Exercise				Exercise				Exercise
		Options			Price	Options			Price	Options			Price
	Outstanding, beginning of period	596		$	8.11	775		$	7.69	588		$	8.63
	Granted	177			10.93	36			4.49	229			5.33
	Exercised	(94	)		9.09	(5	)		4.53	—
	Forfeited/Cancelled	(32	)		7.89	(209	)		6.02	(42	)		7.93
	Outstanding, end of period	647		$	8.8	596		$	8.11	775		$	7.69
Stock Option Awards	'
		Outstanding				Exercisable
			Weighted				Weighted
			Average				Average
			Remaining		Weighted		Remaining		Weighted
			Contractual		Average		Contractual		Average
			Life in		Exercise		Life in		Exercise
	Exercise Price	Options	Years		Price	Options	Years		Price
	$4.06 – $5.93	143	7.4	$	4.59	74	7.2	$	4.64
	$9.26 – $23.22	504	5.4		9.93	324	3.3		9.36
		647	5.8	$	8.8	398	4.1	$	8.48
Option Pricing Assumptions	'
			For the Year Ended December 31,
			2013		2012		2011
			Grants		Grants		Grants
	Weighted average fair value	$	5.14	$	2.09	$	2.54
	Risk-free discount rate		2.07% – 2.96%		1.59% – 1.95%		3.17%
	Expected life		6.0 – 6.25 years		6.0 – 6.5 years		6.0 – 6.5 years
	Dividend yield		—		—		—
	Volatility		47%		42% – 51%		42% – 51%
	Expected turn-over rate		5%		5%		5%
	Expected exercise multiple		2.2		2.2		2.2
Summary Of Vested And Unvested RSU	'
		For The Year Ended December 31,
		2013				2012				2011
					Weighted				Weighted				Weighted
		Restricted			Average	Restricted			Average	Restricted			Average
		Stock			Grant Date	Stock			Grant Date	Stock			Grant Date
		Awards			Fair Value	Awards			Fair Value	Awards			Fair Value
	Unvested restricted stock awards	42		$	4.8	21		$	5.95	6		$	6.85
	Awarded	63			9.61	44			4.48	24			5.63
	Vested	(32	)		4.65	(20	)		5.14	(8	)		5.64
	Forfeited	(3	)		5.32	(3	)		5.93	(1	)		5.93
	Unvested restricted stock awards at
	December 31,	70		$	9.13	42		$	4.8	21		$	5.95

Operating_Leases_And_Related_P1

Operating Leases And Related Party Transactions (Tables)	12 Months Ended
	Dec. 31, 2013
Operating Leases And Related Party Transactions [Abstract]	'
Schedule Of Future Minimum Payments	'
			Rent Amount
	2014	$	2,964
	2015		2,656
	2016		2,306
	2017		1,680
	2018		1,395
	Thereafter		5,928
	Total	$	16,929

Summarized_Quarterly_Financial1

Summarized Quarterly Financial Information (Tables)	12 Months Ended
	Dec. 31, 2013
Summarized Quarterly Financial Information [Abstract]	'
Schedule Of Quarterly Results Of Operations	'
		Year Ended December 31, 2013											Year Ended December 31, 2012
			Dec. 31			Sept. 30			Jun. 30			Mar. 31		Dec. 31		Sept. 30			Jun. 30			Mar. 31
	Net service revenues	$	69,882		$	67,306		$	65,755		$	62,998	$	63,775	$	61,211		$	60,440		$	58,889
	Gross profit		18,102			17,226			16,613			15,798		17,537		15,683			15,807			15,024
	Operating income from
	continuing operations		3,476			4,263			3,980			3,742		5,261		3,867			3,217			3,318
	Net income from continuing
	operations		3,124			2,770			2,582			2,687		3,503		2,204			1,835			1,746
	Earnings (loss) from discontinued
	operations		(2,239	)		(203	)		(150	)		10,574		242		(407	)		(371	)		(1,117	)
	Net income (loss)	$	885		$	2,567		$	2,432		$	13,261	$	3,745	$	1,797		$	1,464		$	629
	Average shares outstanding:
	Basic		10,826			10,787			10,785			10,778		10,772		10,761			10,761			10,756
	Diluted		11,075			11,071			11,016			10,845		10,807		10,773			10,785			10,760
	Income (loss) per common share:
	Basic net income per share
	Continuing operations	$	0.29		$	0.26		$	0.24		$	0.25	$	0.33	$	0.2		$	0.17		$	0.16
	Discontinued operations		(0.21	)		(0.02	)		(0.01	)		0.98		0.02		(0.03	)		(0.03	)		(0.10	)
	Basic net income per share	$	0.08		$	0.24		$	0.23		$	1.23	$	0.35	$	0.17		$	0.14		$	0.06
	Diluted net income per share
	Continuing operations	$	0.28		$	0.25		$	0.23		$	0.25	$	0.33	$	0.2		$	0.17		$	0.16
	Discontinued operations		(0.20	)		(0.02	)		(0.01	)		0.98		0.02		(0.03	)		(0.03	)		(0.10	)
	Diluted net income per share	$	0.08		$	0.23		$	0.22		$	1.23	$	0.35	$	0.17		$	0.14		$	0.06

Significant_Accounting_Policie2

Significant Accounting Policies (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011	Feb. 07, 2013	Sep. 30, 2011
		item
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'
Percentage of segment acquired	'	'	'	10.00%	'
Percentage of segment sold	'	'	'	90.00%	'
Business acquisition, cash paid	$12,300	'	'	$20,000	'
Maximum length of care	'	'60 days	'	'	'
Allowances for doubtful accounts, number of aging categories	'	8	'	'	'
Recorded goodwill and intangible asset	'	'	'	'	15,989
Weighted average cost of capital, percentage	'	'	14.50%	'	'
Impairment charges	0	0	600	'	'
Deductible component of workers' compensation	350	'	'	'	'
Interest income received	$185	$155	$2,263	'	'
Number of stock options included in calculation	647	596	'	'	'
Anti-dilutive shares	'	501	'	'	'
Shares of restricted stock awards	96	57	'	'	'
Number of dilutive shares of outstanding stock options and restricted stock awards	44	12	10	'	'
Number of stock incentive plans	'	2	'	'	'
Transportation Equipment [Member]	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'
Property and equipment useful life	'	'5 years	'	'	'
Minimum [Member]	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'
Intangible assets, estimated useful lives	'2 years	'	'	'	'
Minimum [Member] | Computer Equipment [Member]	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'
Property and equipment useful life	'	'3 years	'	'	'
Minimum [Member] | Furniture And Equipment [Member]	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'
Property and equipment useful life	'	'5 years	'	'	'
Minimum [Member] | Computer Software [Member]	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'
Property and equipment useful life	'	'5 years	'	'	'
Maximum [Member]	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'
Intangible assets, estimated useful lives	'25 years	'	'	'	'
Maximum [Member] | Computer Equipment [Member]	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'
Property and equipment useful life	'	'5 years	'	'	'
Maximum [Member] | Furniture And Equipment [Member]	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'
Property and equipment useful life	'	'7 years	'	'	'
Maximum [Member] | Computer Software [Member]	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'
Property and equipment useful life	'	'10 years	'	'	'

Discontinued_Operations_Narrat

Discontinued Operations (Narrative) (Details) (USD $)	Dec. 31, 2013	Feb. 07, 2013	Dec. 31, 2013	Dec. 31, 2012	Feb. 07, 2013
In Thousands, unless otherwise specified			Home Health Segment [Member]	Home Health Segment [Member]	Home Health Segment [Member]
					LHC Group, Inc. [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]	'	'	'	'	'
Percentage of segment sold	'	90.00%	'	'	90.00%
Ownership percentage	'	'	'	'	10.00%
Business acquisition, cash paid	$12,300	$20,000	'	'	'
Cash consideration for sale of asset by agreement	'	'	'	'	20,000
Accounts receivable, net	'	'	$625	$7,123	'

Discontinued_Operations_Schedu

Discontinued Operations (Schedule Of Income Loss From Discontinued Operations) (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]	'	'	'
Net loss from discontinued operations	($980)	($1,653)	($10,393)
Home Health Segment [Member]	'	'	'
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]	'	'	'
Net service revenues	6,462	38,822	42,995
Loss before income taxes	-1,672	-2,752	-17,122
Income tax benefit	-692	-1,099	-6,729
Net loss from discontinued operations	($980)	($1,653)	($10,393)

Discontinued_Operations_Schedu1

Discontinued Operations (Schedule Of Gain On Sale Of Discontinued Operation) (Details) (USD $)	3 Months Ended								12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Sep. 30, 2013	Jun. 30, 2013	Mar. 31, 2013	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2013
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]	'	'	'	'	'	'	'	'	'
Net income (loss) from discontinued operations	($2,239)	($203)	($150)	$10,574	$242	($407)	($371)	($1,117)	$8,962
Home Health Segment [Member]	'	'	'	'	'	'	'	'	'
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]	'	'	'	'	'	'	'	'	'
Gain before income taxes	'	'	'	'	'	'	'	'	15,284
Income tax expenses	'	'	'	'	'	'	'	'	-6,322
Net income (loss) from discontinued operations	'	'	'	'	'	'	'	'	$8,962

Discontinued_Operations_Schedu2

Discontinued Operations (Schedule Of Disposal Group, Classes Of Assets) (Details) (Home Health Segment [Member], USD $)	Dec. 31, 2012
In Thousands, unless otherwise specified
Home Health Segment [Member]	'
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]	'
Property and equipment, net of accumulated depreciation and amortization	$245

Sale_Of_Agency_Details

Sale Of Agency (Details) (USD $)	1 Months Ended	12 Months Ended
In Thousands, unless otherwise specified	Feb. 29, 2012	Dec. 31, 2012
Sale Of Agency [Abstract]	'	'
Gross proceeds from sale of agency	$525	'
Net proceeds from sale of agency	495	495
Pre-tax gain on sale of agency	$495	$495

Acquisitions_Narrative_Details

Acquisitions (Narrative) (Details) (USD $)	Dec. 31, 2013	Feb. 07, 2013	Dec. 31, 2013	Dec. 31, 2013	Dec. 31, 2013	Dec. 31, 2013	Dec. 31, 2013	Dec. 31, 2013
			Maximum [Member]	Coordinated Home Health Care, LLC [Member]	Coordinated Home Health Care, LLC [Member]	South Carolina [Member]	Tennessee [Member]	Ohio [Member]
				item	Maximum [Member]	Medical Services of America, Inc. [Member]	Medical Services of America, Inc. [Member]	Medical Services of America, Inc. [Member]
						item	item	item
Business Acquisition [Line Items]	'	'	'	'	'	'	'	'
Business acquisition, cash paid	$12,300,000	$20,000,000	'	$11,725,000	'	'	'	'
Business acquisition, contingent earn-out obligation	'	'	'	1,100,000	2,250,000	'	'	'
Total purchase price for business acquisition	'	'	'	12,825,000	'	'	'	'
Business Acquisition, Contingent Consideration, Potential Cash Payment	'	'	2,300,000	'	'	'	'	'
Number of Agencies Acquired	'	'	'	'	'	2	4	2
Number of Offices	'	'	'	16	'	'	'	'
Acquisition costs	$660,000	'	'	'	'	'	'	'

Acquisitions_Schedule_Of_Purch

Acquisitions (Schedule Of Purchase Price Components) (Details) (USD $)	Dec. 31, 2013	Feb. 07, 2013
In Thousands, unless otherwise specified
Business Acquisition [Line Items]	'	'
Cash	$12,300	$20,000
Coordinated Home Health Care, LLC [Member]	'	'
Business Acquisition [Line Items]	'	'
Cash	11,725	'
Contingent earn-out obligation (net of discount of $1,125)	1,100	'
Total purchase price	12,825	'
Net discount of contingent earn out obligation	$1,125	'

Acquisitions_Schedule_Of_Purch1

Acquisitions (Schedule Of Purchase Price Allocation) (Details) (USD $)	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
In Thousands, unless otherwise specified
Business Acquisition [Line Items]	'	'	'
Goodwill	$60,026	$50,536	$50,695
Coordinated Home Health Care, LLC [Member]	'	'	'
Business Acquisition [Line Items]	'	'	'
Goodwill	9,488	'	'
Identifiable intangible assets	3,300	'	'
Accounts receivable	888	'	'
Prepaid expenses	35	'	'
Furniture, fixtures and equipment	58	'	'
Deposits	15	'	'
Accounts payable	-81	'	'
Accrued liabilities	-864	'	'
Other liabilities	-14	'	'
Total purchase price allocation	$12,825	'	'

Property_And_Equipment_Narrati

Property And Equipment (Narrative) (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Property, Plant and Equipment [Line Items]	'	'	'
Property and equipment	$9,174	$7,806	'
Internally Developed Software [Member]	'	'	'
Property, Plant and Equipment [Line Items]	'	'	'
Property and equipment	1,500	'	'
Computer Equipment And Software [Member]	'	'	'
Property, Plant and Equipment [Line Items]	'	'	'
Depreciation and amortization	$814	$870	$941

Property_And_Equipment_Schedul

Property And Equipment (Schedule Of Property And Equipment) (Details) (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Property, Plant and Equipment [Line Items]	'	'
Property and equipment, gross	$9,174	$7,806
Less accumulated depreciation and amortization	-6,540	-5,317
Property and equipment, total	2,634	2,489
Computer Equipment [Member]	'	'
Property, Plant and Equipment [Line Items]	'	'
Property and equipment, gross	2,110	1,705
Furniture And Equipment [Member]	'	'
Property, Plant and Equipment [Line Items]	'	'
Property and equipment, gross	1,099	918
Transportation Equipment [Member]	'	'
Property, Plant and Equipment [Line Items]	'	'
Property and equipment, gross	588	508
Leasehold Improvements [Member]	'	'
Property, Plant and Equipment [Line Items]	'	'
Property and equipment, gross	1,628	1,496
Computer Software [Member]	'	'
Property, Plant and Equipment [Line Items]	'	'
Property and equipment, gross	$3,749	$3,179

Goodwill_And_Intangible_Assets2

Goodwill And Intangible Assets (Narrative) (Details) (USD $)	12 Months Ended				6 Months Ended	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Dec. 31, 2013	Dec. 31, 2013	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
					Home Health Segment [Member]	Minimum [Member]	Maximum [Member]	Continuing Operations [Member]	Continuing Operations [Member]	Continuing Operations [Member]
Goodwill [Line Items]	'	'	'	'	'	'	'	'	'	'
Weighted average cost of capital used for discounted cash flow	14.50%	'	'	'	'	'	'	'	'	'
Intangible assets, estimated useful lives	'	'	'	'	'	'2 years	'25 years	'	'	'
Amortization expense	$1,346,000	$1,674,000	$2,613,000	'	'	'	'	'	'	'
Impairment charge	'	'	'	'	13,076,000	'	'	'	'	'
Goodwill	60,026,000	50,536,000	50,695,000	'	'	'	'	60,026,000	50,536,000	50,695,000
Common stock shares outstanding	10,913,000	10,823,000	'	10,774,886	'	'	'	'	'	'
Market capitalization	'	'	'	$43,600,000	'	'	'	'	'	'

Goodwill_And_Intangible_Assets3

Goodwill And Intangible Assets (Changes In Goodwill By Segment) (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2011
Goodwill [Line Items]	'	'
Goodwill, at Beginning of Period	$50,536	'
Additions for Acquisitions	9,650	'
Adjustments to previously recorded goodwill	-160	-159
Goodwill, at End of Period	60,026	50,695
Continuing Operations [Member]	'	'
Goodwill [Line Items]	'	'
Goodwill, at Beginning of Period	50,536	'
Additions for Acquisitions	9,650	'
Adjustments to previously recorded goodwill	-160	-159
Goodwill, at End of Period	$60,026	$50,695

Goodwill_And_Intangible_Assets4

Goodwill And Intangible Assets (Schedule Of Carrying Amount And Accumulated Amortization Of Intangible Asset) (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012
Finite-Lived Intangible Assets [Line Items]	'	'
Gross balance, beginning	$29,547	'
Additions for Acquisitions	3,738	'
Gross balance, ending	33,285	'
Accumulated amortization	-24,523	-23,117
Net Balance	8,762	6,370
Customer And Referral Relationships [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross balance, beginning	24,908	'
Additions for Acquisitions	1,438	'
Gross balance, ending	26,346	'
Accumulated amortization	-21,138	-20,041
Net Balance	5,208	4,867
Trade Names And Trademarks [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross balance, beginning	4,081	'
Additions for Acquisitions	1,200	'
Gross balance, ending	5,281	'
Accumulated amortization	-2,995	-2,778
Net Balance	2,286	1,303
State Licenses [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross balance, beginning	'	150
Gross balance, ending	150	150
Net Balance	150	150
Non-competition Agreements [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross balance, beginning	408	'
Additions for Acquisitions	1,100	'
Gross balance, ending	1,508	'
Accumulated amortization	-390	-358
Net Balance	$1,118	$50

Goodwill_And_Intangible_Assets5

Goodwill And Intangible Assets (Schedule Of Future Amortization Of Intangible Assets) (Details) (USD $)	Dec. 31, 2013
In Thousands, unless otherwise specified
Impairment of Intangible Assets (Excluding Goodwill) [Abstract]	'
2014	$1,988
2015	1,781
2016	1,611
2017	1,122
2018	999
Thereafter	1,111
Total	$8,612

Details_Of_Certain_Balance_She2

Details Of Certain Balance Sheet Accounts (Narrative) (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Details Of Certain Balance Sheet Accounts [Abstract]	'	'	'
Contributions due after fund received, period	'	'5 days	'
Health insurance reimbursement and contribution due	$3,163	$3,405	'
Deductible component of workers compensation program	350	'	'
Letters of credit secure compensation program	12,411	7,710	7,410
Cash escrow and deposit	'	1,039	'
Loss reserve associated with compensation policies	'	$604	'

Details_Of_Certain_Balance_She3

Details Of Certain Balance Sheet Accounts (Schedule Of Prepaid Expenses And Other Current Assets) (Details) (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Details Of Certain Balance Sheet Accounts [Abstract]	'	'
Prepaid health insurance	$3,192	$4,062
Prepaid workers' compensation and liability insurance	1,173	1,056
Prepaid rent	455	181
Workers' compensation insurance receivable	821	953
Other	594	1,041
Prepaid expenses and other current assets	$6,235	$7,293

Details_Of_Certain_Balance_She4

Details Of Certain Balance Sheet Accounts (Schedule Of Accrued Expenses) (Details) (USD $)	1 Months Ended					1 Months Ended
In Thousands, unless otherwise specified	Oct. 31, 2013	Dec. 31, 2013		Dec. 31, 2012		Mar. 31, 2014
						Subsequent Event [Member]
Subsequent Event [Line Items]	'	'		'		'
Accrued payroll	'	$12,932		$11,539		'
Accrued workers' compensation insurance	'	13,347		12,452		'
Accrued health insurance	'	3,731		3,469		'
Accrued payroll taxes	'	1,755		1,481		'
Indemnification reserve	'	3,224	[1]	'		'
Accrued professional fees	'	1,319		477		'
Amounts due to LHCG	'	2,196	[2]	'		'
Accrued taxes	'	113		1,223		'
Accrued interest	'	'		51		'
Current portion of contingent earn-out obligation	'	1,100	[3],[4]	689	[3],[4]	'
Other	'	2,228		1,813		'
Accrued expenses	'	41,945		32,717		'
Maximum exposure to liability	'	3,244		'		'
Remittance payment	'	'		'		1,800
Final earn out payment	$534	'		'		'
[1]	As a condition of the sale of the Home Health Business to LHC Group, Inc ("LHCG") the Company is responsible for any adjustments to Medicare and Medicaid billings during our ownership. In connection with an internal evaluation of the Company's billing processes, it discovered documentation errors in a number of claims that it had submitted to Medicare. The Company, using its best judgment, has estimated a total of $3,244 for billing adjustments. Consistent with applicable law, the Company voluntarily remitted approximately $1,800 to the government in March 2014.
[2]	Amounts due to LHCG pursuant to a billing services arrangement between the Company and LHCG.
[3]	The Company acquired certain assets of Advantage Health Systems, Inc. ("Advantage") in July 2010. The purchase agreement for the acquisition of Advantage contained a provision for earn-out payments contingent upon the achievement of certain performance targets. The sellers of Advantage disagreed with the Company's calculation of the earn-out payment and the parties agreed to have an arbitrator determine the amount of the second earn out payment. Based upon the arbitrator's ruling the final earn out payment of $534 was made in October 2013.
[4]	The Company acquired certain assets of Coordinated Home Health Care on December 1, 2013. The purchase agreement for the acquisition contained a provision for earn-out payments. The contingent earn-out obligation has been recorded at its fair value of $1,100, which is the present value of the Company's obligation to up to $2,250 based on probability- weighted estimates of the achievement of certain performance targets.

LongTerm_Debt_Narrative_Detail

Long-Term Debt (Narrative) (Details) (USD $)

12 Months Ended

12 Months Ended

0 Months Ended

12 Months Ended

12 Months Ended

In Thousands, unless otherwise specified

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2013

Dec. 31, 2013

Nov. 02, 2009

Nov. 02, 2009

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2010

Dec. 31, 2013

item

Revolving Credit Loan [Member]

Subordinated Dividend Notes [Member]

Subordinated Dividend Notes [Member]

Subordinated Dividend Notes [Member]

Before Amendment [Member]

Before Amendment [Member]

Before Amendment [Member]

After Amendment [Member]

After Amendment [Member]

After Amendment [Member]

Letters of Credit [Member]

Senior Secured Credit Facility [Member]

item

Series A Preferred Stock [Member]

Subordinated Dividend Notes [Member]

Subordinated Dividend Notes [Member]

Subordinated Dividend Notes [Member]

Subordinated Dividend Notes [Member]

Subordinated Dividend Notes [Member]

Subordinated Dividend Notes [Member]

Senior Secured Credit Facility [Member]

item

Debt Instrument [Line Items]

'

'

'

'

'

'

'

'

'

'

'

'

'

Maximum aggregate amount of revolving loans available

$55,000

'

$55,000

'

'

'

'

'

'

'

'

'

'

Sublimit for issuance of letters of credit

15,000

'

'

'

'

'

'

'

'

'

'

'

'

Term loan available under revolving loans

5,000

'

'

'

'

'

'

'

'

'

'

'

'

Specified advance multiple used to determine funds availability under credit facility

'

'

3.25

'

'

'

'

'

'

'

'

'

'

Debt instrument, maturity date

'

'

'

'

'

'

30-Sep-11

'

'

31-Dec-12

'

'

'

Interest rate margin over LIBOR

'

'

4.60%

'

'

'

'

'

'

'

'

'

'

Maximum number of acquisitions in a year

3

'

'

'

'

'

'

'

'

'

'

'

'

Maximum single acquisition price

500

'

'

'

'

'

'

'

'

'

'

'

'

Fee charged on unused portion of revolving credit facility

'

'

0.50%

'

'

'

'

'

'

'

'

'

'

Interest rate

'

'

'

10.00%

'

'

'

'

'

'

'

'

2.00%

Total availability under the revolving credit loan facility

'

'

42,600

'

'

'

'

'

'

'

'

'

'

Annual principal payments

'

'

'

'

'

'

'

3,351

4,468

4,069

2,500

1,250

'

Common stock shares issued for conversion

'

'

'

'

'

4,077

'

'

'

'

'

'

'

Stock conversion ratio

'

'

'

'

'

108

'

'

'

'

'

'

'

Dividends payable

'

7,819

'

'

'

13,109

'

'

'

'

'

'

'

Payments of dividends

'

'

'

'

'

173

'

'

'

'

'

'

'

Unpaid dividends

'

'

'

'

'

12,936

'

'

'

'

'

'

'

Mandatory payment of dividend note

'

'

'

'

$4,000

'

'

'

'

'

'

'

'

Number of consecutive quarterly installments to pay dividends

'

'

'

8

'

'

'

'

'

'

'

'

'

LongTerm_Debt_Schedule_Of_Long

Long-Term Debt (Schedule Of Long-Term Debt) (Details) (USD $)	Dec. 31, 2012
In Thousands, unless otherwise specified
Debt Instrument [Line Items]	'
Total	$16,458
Less current maturities	-208
Long-term debt	16,250
Revolving Credit Loan [Member]	'
Debt Instrument [Line Items]	'
Total	16,250
Term Loan [Member]	'
Debt Instrument [Line Items]	'
Total	$208

Income_Taxes_Narrative_Details

Income Taxes (Narrative) (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013		Dec. 31, 2012		Dec. 31, 2011
Income Taxes [Abstract]	'		'		'
Statutory federal tax rate	35.00%	[1]	34.00%	[1]	34.00%	[1]
Unrecognized tax benefit	$115		$115		$115
[1]	Included in the jobs tax credit for the year ended December 31, 2012 was a one-time benefit of a 2.4% reduction from the Company's statutory tax rate for the jobs tax credits earned in 2012 but not recorded until 2013. The Federal employment opportunity tax credits were reinstated in 2013 and were not an allowable decuction in 2012.

Income_Taxes_Tax_Expense_By_Ju

Income Taxes (Tax Expense By Jurisdiction) (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]	'	'	'
Current federal tax expense (benefit)	$2,926	$3,745	$2,863
Current state tax expense (benefit)	435	792	319
Deferred federal income tax expense (benefit)	393	196	688
Deferred state income tax expense (benefit)	58	74	374
Provision (benefit) for income taxes	$3,812	$4,807	$4,244

Income_Taxes_Deferred_Tax_Asse

Income Taxes (Deferred Tax Assets And Liabilities) (Details) (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Income Tax Expense (Benefit), Continuing Operations, Income Tax Reconciliation [Abstract]	'	'
Deferred Tax Assets, Current, Accounts receivable allowances	$1,664	$1,784
Deferred Tax Assets, Current, Accrued compensation	849	1,133
Deferred Tax Assets, Current, Accrued workers' compensation	5,365	4,593
Deferred Tax Assets, Other	923	395
Deferred Tax Assets, Total current deferred tax assets	8,801	7,905
Deferred Tax Liabilities, Current, Prepaid insurance	-475	-647
Net deferred tax assets-current	8,326	7,258
Deferred Tax Assets, Long-term, Goodwill and intangible assets	'	1,577
Deferred Tax Assets, Long-term, Property and equipment	52	96
Deferred Tax Assets, Long-term, Reserves	1,295	'
Deferred Tax Assets, Long-term, Stock-based compensation	861	655
Deferred Tax Assets, Total long-term deferred tax assets	2,208	2,328
Deferred Tax Liabilities, Long-term, Goodwill and intangible assets	-5,649	'
Deferred Tax Liabilities, Total long-term deferred tax	-3,441	'
Total net deferred tax assets	$4,885	$9,586

Income_Taxes_Reconciliation_Of

Income Taxes (Reconciliation Of Effective Tax Rate, Percentage) (Details)	12 Months Ended
	Dec. 31, 2013		Dec. 31, 2012		Dec. 31, 2011
Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]	'		'		'
Federal income tax at statutory rate	35.00%	[1]	34.00%	[1]	34.00%	[1]
State and local taxes, net of federal benefit	5.20%		5.90%		5.30%
Jobs tax credits, net	-6.80%	[1]	-7.50%	[1]	-8.20%	[1]
Nondeductible meals and entertainment	0.40%		-0.80%		0.70%
Other	-8.30%		2.50%		1.70%
Effective income tax rate	25.50%		34.10%		33.50%
One time jobs tax benefit	2.40%		'		'
[1]	Included in the jobs tax credit for the year ended December 31, 2012 was a one-time benefit of a 2.4% reduction from the Company's statutory tax rate for the jobs tax credits earned in 2012 but not recorded until 2013. The Federal employment opportunity tax credits were reinstated in 2013 and were not an allowable decuction in 2012.

Income_Taxes_Changes_In_Unreco

Income Taxes (Changes In Unrecognized Tax Benefits) (Details) (USD $)	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
In Thousands, unless otherwise specified
Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]	'	'	'
Unrecognized Tax Benefits, Beginning Balance	$115	$115	$115
Unrecognized Tax Benefits, Ending Balance	$115	$115	$115

Stock_Options_And_Restricted_S2

Stock Options And Restricted Stock Awards (Narrative) (Details) (USD $)	12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Stock option compensation expense	$276	$181	$254
Unrecognized compensation cost	885	'	'
Recognization period for unrecognized compensation cost	'5 years	'	'
Intrinsic value on vested stock options	5,570	'	'
Intrinsic value on outstanding stock options	6,936	'	'
Number of stock options exercised	94	5	'
Stock options forfeited shares	32	209	42
Restricted stock awards shares	63	44	24
Restricted stock weighted average fair value per share	$9.61	$4.48	$5.63
Restricted stock awards, vested fair value	573	'	'
2006 Stock Incentive Plan [Member]	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Common stock shares reserved for issuance	546	'	'
2006 Stock Incentive Plan [Member] | Holdings [Member]	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Common stock shares reserved for issuance	899	'	'
2009 Stock Incentive Plan [Member]	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Common stock shares reserved for issuance	853	'	'
Stock options shares granted	750	'	'
Unrecognized compensation cost	472	'	'
Restricted stock awards shares	63	'	'
Restricted stock weighted average fair value per share	$9.61	'	'
Minimum [Member] | 2006 Stock Incentive Plan [Member]	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Stock option vest period	'5 years	'	'
Maximum [Member] | 2006 Stock Incentive Plan [Member]	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Stock option vest period	'10 years	'	'
Stock Options [Member]	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Number of stock options exercised	94	15	'
Number of non-cash stock options exercised	67	5	'
Restricted Stock [Member]	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Stock option compensation expense	$239	$160	$77

Stock_Options_And_Restricted_S3

Stock Options And Restricted Stock Awards (Summary Of Stock Option Activity) (Details) (USD $)	12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Stock Options And Restricted Stock Awards [Abstract]	'	'	'
Options, Outstanding, beginning of period shares	596	775	588
Options, Granted shares	177	36	229
Options, Exercised shares	-94	-5	'
Options, Forfeited/Cancelled shares	-32	-209	-42
Options, Outstanding, end of period shares	647	596	775
Weighted Average Exercise Price, Outstanding, beginning of period	$8.11	$7.69	$8.63
Weighted Average Exercise Price, Granted	$10.93	$4.49	$5.33
Weighted Average Exercise Price, Exercised	$9.09	$4.53	'
Weighted Average Exercise Price, Forfeited/Cancelled	$7.89	$6.02	$7.93
Weighted Average Exercise Price, Outstanding, end of period	$8.80	$8.11	$7.69

Stock_Options_And_Restricted_S4

Stock Options And Restricted Stock Awards (Stock Option Awards) (Details) (USD $)	12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2013
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Options Outstanding, Number	647
Options Outstanding, Weighted Average Remaining Contractual Life In Years	'5 years 9 months 18 days
Options Outstanding, Weighted Average Exercise Price	$8.80
Options Exercisable, Number	398
Options Esercisable, Weighted Average Remaining Contractual Life In Years	'4 years 1 month 6 days
Options Exercisable, Weighted Average Exercise Price	$8.48
Range One [Member]	'
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Stock Option, Exercise Price, Lower Range Limit	$4.06
Stock Option, Exercise Price, Upper Range Limit	$5.93
Options Outstanding, Number	143
Options Outstanding, Weighted Average Remaining Contractual Life In Years	'7 years 4 months 24 days
Options Outstanding, Weighted Average Exercise Price	$4.59
Options Exercisable, Number	74
Options Esercisable, Weighted Average Remaining Contractual Life In Years	'7 years 2 months 12 days
Options Exercisable, Weighted Average Exercise Price	$4.64
Range Two [Member]	'
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Stock Option, Exercise Price, Lower Range Limit	$9.26
Stock Option, Exercise Price, Upper Range Limit	$23.22
Options Outstanding, Number	504
Options Outstanding, Weighted Average Remaining Contractual Life In Years	'5 years 4 months 24 days
Options Outstanding, Weighted Average Exercise Price	$9.93
Options Exercisable, Number	324
Options Esercisable, Weighted Average Remaining Contractual Life In Years	'3 years 3 months 18 days
Options Exercisable, Weighted Average Exercise Price	$9.36

Stock_Options_And_Restricted_S5

Stock Options And Restricted Stock Awards (Option Pricing Assumptions) (Details) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Weighted average fair value	$5.14	$2.09	$2.54
Risk-free discount rate, minimum	2.07%	1.59%	'
Risk-free discount rate	'	'	3.17%
Risk-free discount rate, maximum	2.96%	1.95%	'
Volatility, minimum	'	42.00%	42.00%
Volatility	47.00%	'	'
Volatility, maximum	'	51.00%	51.00%
Expected turn-over rate	5.00%	5.00%	5.00%
Expected exercise multiple	$2.20	$2.20	$2.20
Minimum [Member]	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Expected life	'6 years	'6 years	'6 years
Maximum [Member]	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Expected life	'6 years 3 months	'6 years 6 months	'6 years 6 months

Stock_Options_And_Restricted_S6

Stock Options And Restricted Stock Awards (Summary Of Vested And Unvested RSU) (Details) (USD $)	12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Stock Options And Restricted Stock Awards [Abstract]	'	'	'
Restricted Stock Awards, Unvested restricted stock awards at beginning of period	42	21	6
Restricted Stock Awards, Awarded	63	44	24
Restricted Stock Awards, Vested	-32	-20	-8
Restricted Stock Awards, Forfeited	-3	-3	-1
Restricted Stock Awards, Unvested restricted stock awards at end of period	70	42	21
Restricted Stock Awards, Weighted Average Grant Date Fair Value beginning of period	$4.80	$5.95	$6.85
Restricted Stock Awards, Weighted Average Grant Date Fair Value, Awarded	$9.61	$4.48	$5.63
Restricted Stock Awards, Weighted Average Grant Date Fair Value, Vested	$4.65	$5.14	$5.64
Restricted Stock Awards, Weighted Average Grant Date Fair Value, Forfeited	$5.32	$5.93	$5.93
Restricted Stock Awards, Weighted Average Grant Date Fair Value end of period	$9.13	$4.80	$5.95

Operating_Leases_And_Related_P2

Operating Leases And Related Party Transactions (Narrative) (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Operating Leased Assets [Line Items]	'	'	'
Rent expense	$2,925	$3,380	$3,495
Office Space [Member]	'	'	'
Operating Leased Assets [Line Items]	'	'	'
Rent expense	483	486	409
Telecom System [Member]	'	'	'
Operating Leased Assets [Line Items]	'	'	'
Rent expense	$379	$285	$62
Operating lease term	'5 years	'	'
LHC Group, Inc. [Member]	'	'	'
Operating Leased Assets [Line Items]	'	'	'
Number of properties under subleases	13	'	'
Number of leases assigned	9	'	'

Operating_Leases_And_Related_P3

Operating Leases And Related Party Transactions (Operating Leases And Related Party Transactions) (Details) (USD $)	Dec. 31, 2013
In Thousands, unless otherwise specified
Operating Leases And Related Party Transactions [Abstract]	'
2014	$2,964
2015	2,656
2016	2,306
2017	1,680
2018	1,395
Thereafter	5,928
Total	$16,929

Stockholders_Equity_Details

Stockholder's Equity (Details) (2009 Stock Incentive Plan [Member])	31-May-13	Sep. 30, 2009
In Thousands, unless otherwise specified
2009 Stock Incentive Plan [Member]	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'
Shares of incentive stock options provided for grant	1,500	750

Segment_Data_Details

Segment Data (Details)	12 Months Ended
	Dec. 31, 2013
	segment
Segment Data [Abstract]	'
Number of reporting units	2
Number of operating segments	1

Employee_Benefit_Plans_Details

Employee Benefit Plans (Details) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Employee Benefit Plans [Abstract]	'	'	'
Matching percentage for Retirement Plan	6.00%	6.00%	6.00%
Company matching contribution amount	$46	$44	$49

Commitments_And_Contingencies_

Commitments And Contingencies (Details) (USD $)	12 Months Ended
In Millions, unless otherwise specified	Dec. 31, 2013
Maximum term of employment agreements	'4 years
Maximum [Member]	'
Potential earn out payments	2.3

Significant_Payors_Details

Significant Payors (Details)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
	item	item	item
State Governmental Agency [Member]	'	'	'
Concentration Risk [Line Items]	'	'	'
Number of state government agency	1	1	1
Service Revenues, Net [Member] | State Governmental Agency [Member]	'	'	'
Concentration Risk [Line Items]	'	'	'
Concentration risk, percentage	59.00%	57.00%	51.00%
Accounts Receivable [Member] | Medicare [Member]	'	'	'
Concentration Risk [Line Items]	'	'	'
Concentration risk, percentage	1.00%	7.00%	'
Accounts Receivable [Member] | State Governmental Agency [Member]	'	'	'
Concentration Risk [Line Items]	'	'	'
Concentration risk, percentage	66.00%	69.00%	'

Summarized_Quarterly_Financial2

Summarized Quarterly Financial Information (Details) (USD $)	3 Months Ended								12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2013	Sep. 30, 2013	Jun. 30, 2013	Mar. 31, 2013	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Summarized Quarterly Financial Information [Abstract]	'	'	'	'	'	'	'	'	'	'	'
Net service revenues	$69,882	$67,306	$65,755	$62,998	$63,775	$61,211	$60,440	$58,889	$265,941	$244,315	$230,105
Gross profit	18,102	17,226	16,613	15,798	17,537	15,683	15,807	15,024	67,739	64,051	61,473
Operating income from continuing operations	3,476	4,263	3,980	3,742	5,261	3,867	3,217	3,318	15,461	15,663	12,917
Net income from continuing operations	3,124	2,770	2,582	2,687	3,503	2,204	1,835	1,746	19,145	7,635	-1,981
Earnings (loss) from discontinued operations	-2,239	-203	-150	10,574	242	-407	-371	-1,117	8,962	'	'
Net income (loss)	$885	$2,567	$2,432	$13,261	$3,745	$1,797	$1,464	$629	'	'	'
Average shares outstanding: Basic	10,826	10,787	10,785	10,778	10,772	10,761	10,761	10,756	10,826	10,764	10,752
Average shares outstanding: Diluted	11,075	11,071	11,016	10,845	10,807	10,773	10,785	10,760	11,075	10,784	10,752
Continuing operations - Basic	$0.29	$0.26	$0.24	$0.25	$0.33	$0.20	$0.17	$0.16	$1.03	$0.86	$0.78
Discontinued operations - Basic	($0.21)	($0.02)	($0.01)	$0.98	$0.02	($0.03)	($0.03)	($0.10)	$0.74	($0.15)	($0.96)
Basic net income per share	$0.08	$0.24	$0.23	$1.23	$0.35	$0.17	$0.14	$0.06	$1.77	$0.71	($0.18)
Continuing operations - Diluted	$0.28	$0.25	$0.23	$0.25	$0.33	$0.20	$0.17	$0.16	$1.01	$0.86	$0.78
Discontinued operations - Diluted	($0.20)	($0.02)	($0.01)	$0.98	$0.02	($0.03)	($0.03)	($0.10)	$0.72	($0.15)	($0.96)
Diluted net income per share	$0.08	$0.23	$0.22	$1.23	$0.35	$0.17	$0.14	$0.06	$1.73	$0.71	($0.18)

Valuation_And_Qualifying_Accou1

Valuation And Qualifying Accounts (Details) (Allowance For Doubtful Accounts [Member], USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013		Dec. 31, 2012		Dec. 31, 2011
Allowance For Doubtful Accounts [Member]	'		'		'
Valuation and Qualifying Accounts Disclosure [Line Items]	'		'		'
Balance at beginning of periood	$4,466		$7,189		$6,723
Additions/charges	3,020		2,877		4,275
Deductions	3,346	[1]	5,600	[1]	3,809	[1]
Balance at end of period	$4,140		$4,466		$7,189
[1]	Write-offs, net of recoveries