Addus HomeCare (ADUS) 10-Q7 Nov 142014 Q3 Quarterly reportFinancial data

Company Profile

Document_And_Entity_Informatio

Document And Entity Information	9 Months Ended
Document And Entity Information	Sep. 30, 2014	Oct. 27, 2014
Document And Entity Information [Abstract]	'	'
Document Type	'10-Q	'
Amendment Flag	'false	'
Document Period End Date	30-Sep-14	'
Document Fiscal Period Focus	'Q3	'
Document Fiscal Year Focus	'2014	'
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	'	10,989,879

Condensed_Consolidated_Balance

Condensed Consolidated Balance Sheets (USD $)	Sep. 30, 2014	Dec. 31, 2013
In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Current assets	'	'
Cash	$14,124	$15,565
Accounts receivable, net of allowances of $4,171 and $4,140 at September 30, 2014 and December 31, 2013, respectively	62,121	61,354
Prepaid expenses and other current assets	6,937	6,235
Deferred tax assets	8,326	8,326
Total current assets	91,508	91,480
Property and equipment, net of accumulated depreciation and amortization	7,646	2,634
Other assets	'	'
Goodwill	64,237	60,026
Intangibles, net of accumulated amortization	11,043	8,762
Investments in joint ventures	900	900
Other assets	13	132
Total other assets	76,193	69,820
Total assets	175,347	163,934
Current Liabilities	'	'
Accounts payable	3,613	4,633
Current portion of capital lease obligations	978	'
Accrued expenses	41,434	41,945
Deferred revenue	3	59
Total current liabilities	46,028	46,637
Capital lease obligations, less current portion	2,926	'
Deferred tax liabilities	3,441	3,441
Total liabilities	52,395	50,078
Stockholders' equity	'	'
Common stock-$.001 par value; 40,000 authorized and 10,990 and 10,913 shares issued and outstanding as of September 30, 2014 and December 31, 2013, respectively	11	11
Additional paid-in capital	83,848	83,072
Retained earnings	39,093	30,773
Total stockholders' equity	122,952	113,856
Total liabilities and stockholders' equity	$175,347	$163,934

Condensed_Consolidated_Balance1

Condensed Consolidated Balance Sheets (Parenthetical) (USD $)	Sep. 30, 2014	Dec. 31, 2013
In Thousands, except Share data, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Condensed Consolidated Balance Sheets [Abstract]	'	'
Accounts receivable, allowance for doubtful accounts	$4,171	$4,140
Common stock, par value	$0.00	$0.00
Common stock, shares authorized	40,000,000	40,000,000
Common stock, shares issued	10,990,000	10,913,000
Common stock, shares outstanding	10,990,000	10,913,000

Condensed_Consolidated_Stateme

Condensed Consolidated Statements Of Income (USD $)	3 Months Ended		9 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Condensed Consolidated Statements Of Income [Abstract]	'	'	'	'
Net service revenues	$81,658	$67,306	$230,306	$196,059
Cost of service revenues	59,818	50,080	169,218	146,422
Gross profit	21,840	17,226	61,088	49,637
General and administrative expenses	15,773	12,424	45,576	36,026
Depreciation and amortization	1,106	539	2,684	1,626
Total operating expenses	16,879	12,963	48,260	37,652
Operating income from continuing operations	4,961	4,263	12,828	11,985
Interest income	-8	-183	-16	-183
Interest expense	188	159	500	509
Total interest expense, net	180	-24	484	326
Income from continuing operations before income taxes	4,781	4,287	12,344	11,659
Income tax expense	1,544	1,517	4,024	3,620
Net income from continuing operations	3,237	2,770	8,320	8,039
Discontinued operations:	'	'	'	'
(Loss) from home health business, net of tax	'	-203	'	-890
Gain on sale of home health business, net of tax	'	'	'	11,111
Earnings from discontinued operations	'	-203	'	10,221
Net income	$3,237	$2,567	$8,320	$18,260
Basic income per share	'	'	'	'
Continuing operations	$0.30	$0.26	$0.76	$0.75
Discontinued operations	'	($0.02)	'	$0.95
Basic income per share	$0.30	$0.24	$0.76	$1.70
Diluted income per share	'	'	'	'
Continuing operations	$0.29	$0.25	$0.75	$0.73
Discontinued operations	'	($0.02)	'	$0.93
Diluted income per share	$0.29	$0.23	$0.75	$1.66
Weighted average number of common shares and potential common shares outstanding:	'	'	'	'
Basic	10,927	10,787	10,985	10,783
Diluted	11,154	11,071	11,122	11,006

Condensed_Consolidated_Stateme1

Condensed Consolidated Statements Of Stockholders' Equity (USD $)	Common Stock [Member]	Additional Paid-In Capital [Member]	Retained Earnings [Member]	Total
In Thousands	Common Stock [Member]	Additional Paid-In Capital [Member]	Retained Earnings [Member]	Total
Balance at Dec. 31, 2013	$11	$83,072	$30,773	$113,856
Balance, shares at Dec. 31, 2013	10,913	'	'	'
Stock-based compensation	'	562	'	562
Shares issued	0	214	'	214
Shares issued, shares	77	'	'	'
Net income	'	'	8,320	8,320
Balance at Sep. 30, 2014	$11	$83,848	$39,093	$122,952
Balance, shares at Sep. 30, 2014	10,990	'	'	'

Condensed_Consolidated_Stateme2

Condensed Consolidated Statements Of Cash Flows (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Sep. 30, 2013
Cash flows from operating activities:	'	'
Net income	$8,320	$18,260
Adjustments to reconcile net income to net cash provided by operating activities:	'	'
Depreciation and amortization	2,684	1,627
Deferred income taxes	'	5,425
Stock-based compensation	562	365
Amortization of debt issuance costs	119	125
Provision for doubtful accounts	2,832	2,102
Gain on sale of home health business	'	-18,838
Changes in operating assets and liabilities, net of acquired businesses:	'	'
Accounts receivable	-3,077	14,685
Prepaid expenses and other current assets	-642	997
Accounts payable	-1,188	262
Accrued expenses	-1,964	234
Deferred revenue	-56	-141
Net cash provided by operating activities	7,590	25,103
Cash flows from investing activities:	'	'
Acquisitions of businesses	-7,186	'
Acquisition of customer list	-50	'
Net proceeds from sale of Home Health Business	'	19,659
Purchases of property and equipment, excluding capital lease obligations	-5,913	-577
Net cash (used in) provided by investing activities	-13,149	19,082
Cash flows from financing activities:	'	'
Net repayments on term loan	'	-208
Borrowings on capital lease obligations	4,033	'
Payments on capital lease obligations	-129	'
Cash received from exercise of stock options	214	'
Net payments on revolving credit loan	'	-16,250
Net cash provided by (used in) financing activities	4,118	-16,458
Net change in cash	-1,441	27,727
Cash, at beginning of period	15,565	1,737
Cash, at end of period	14,124	29,464
Supplemental disclosures of cash flow information:	'	'
Cash paid for interest	500	437
Cash paid for income taxes	3,883	4,936
Supplemental disclosures of non-cash investing and financing activities	'	'
Tax benefit related to the amortization of tax goodwill in excess of book basis	120	120
Contingent and deferred consideration accrued for acquisitions	$1,020	'

Summary_Of_Significant_Account

Summary Of Significant Accounting Policies	9 Months Ended
	Sep. 30, 2014
Summary Of Significant Accounting Policies [Abstract]	'
Summary Of Significant Accounting Policies	'

	1. Summary of Significant Accounting Policies

	Basis of Presentation and Description of Business

	The condensed consolidated financial statements include the accounts of Addus HomeCare Corporation (Holdings) and its subsidiaries (together with Holdings, the Company or we). The Company is a comprehensive provider of home and community based services to over 32,000 consumers through a network of 132 locations in 22 states. These services are primarily performed in the homes of the consumers and 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 and, increasingly, managed care organizations.

	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 acquired substantially all the assets of the Companys 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 $20,000,000.

	The Companys 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).

	Principles of Consolidation

	All intercompany balances and transactions have been eliminated in consolidation. Our 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 consumers. Our continuing operations, which include the results of operations previously included in our home and community segment and agencies in three states previously included in our home health segment, 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 Companys 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 the Companys 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 Companys 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. 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, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis. The results of the Companys Step 0 assessment indicated that it was more likely than not that the fair value of its reporting unit exceeded its carrying value and therefore the Company concluded that there were no impairments for the year ended December 31, 2013. No impairment charges were recorded for the three or nine months ended September 30, 2014 or 2013.

	Intangible Assets

	The Companys 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 would recognize an impairment loss when the estimated future non-discounted cash flows associated with the intangible asset is less than the carrying value. An impairment change would then be recorded for the excess of the carrying value over the fair value. The Company estimates the fair value of these intangible assets using the income approach. No impairment charge was recorded for the three and nine months ended September 30, 2014 or 2013.

	The income approach, which the Company uses to estimate the fair value of its 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 valuation.

	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 Companys 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 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. No impairment was recorded for the three and nine months ended September 30, 2014 or 2013.

	Workers Compensation Program

	The Companys workers compensation program has a $350,000 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 as interest income. For the three and nine months ended September 30, 2014, the Company did not receive any prompt payment interest. For the three and nine months ended September 30, 2013, the Company received $183,000 in prompt payment interest.

	Interest Expense

The Companys interest expense consists of interest costs on its credit facility and other debt instruments.

Income Tax Expense

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 Companys 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 and restricted stock awards. 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 per common share, calculated on the treasury stock method, is based on the weighted average number of shares outstanding during the period. The Companys outstanding securities that may potentially dilute the common stock are stock options and restricted stock awards.

Included in the Companys calculation for the three and nine months ended September 30, 2014 were 646,000 stock options outstanding, of which 208,000 and 216,000, respectively, were dilutive. In addition, there were 60,000 restricted stock awards outstanding, 19,000 and 12,000 of which were dilutive for the three and nine months ended September 30, 2014, respectively.

Included in the Companys calculation for the three and nine months ended September 30, 2013 were 641,000 stock options outstanding, of which 242,000 and 183,000, respectively, were dilutive. In addition, there were 96,000 restricted stock awards outstanding, 42,000 and 40,000 of which were dilutive for the three and nine months ended September 30, 2013, respectively.

Estimates

The financial statements are prepared by management in conformity with U.S. Generally Accepted Accounting Principles (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 Companys 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 Companys 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 were used to estimate the fair value of the Companys investment in joint ventures.

Recent Accounting Pronouncements

In May 2014, the FASB issued Accounting Standards Update No. 2014-09, Revenue from Contracts with Customers (ASU 2014-09), which supersedes nearly all existing revenue recognition guidance under GAAP. The core principle of ASU 2014-09 is to recognize revenues when promised goods or services are transferred to customers in an amount that reflects the consideration to which an entity expects to be entitled for those goods or services. ASU 2014-09 defines a five step process to achieve this core principle and, in doing so, more judgment and estimates may be required within the revenue recognition process than are required under existing GAAP. The standard is effective for annual periods beginning after December 15, 2016, and interim periods therein, using either of the following transition methods: (i) a full retrospective approach reflecting the application of the standard in each prior reporting period with the option to elect certain practical expedients, or (ii) a retrospective approach with the cumulative effect of initially adopting ASU 2014-09 recognized at the date of adoption (which includes additional footnote disclosures). The Company is currently evaluating the impact of its pending adoption of ASU 2014-09 on its consolidated financial statements and has not yet determined the method by which it will adopt the standard in 2017.

Discontinued_Operations

Discontinued Operations	9 Months Ended
Discontinued Operations	Sep. 30, 2014
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 $20,000,000. 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. 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 three and nine months ended September 30, 2014 and 2013:


			For the Three Months Ended September 30,					For the Nine Months Ended September 30,
			(Amounts in Thousands)					(Amounts in Thousands)
			2014		2013			2014		2013
	Net service revenues	$		$			$		$	6,475
	Loss before income taxes				(344	)				(1,509	)
	Income tax benefit				(141	)				(619	)
	Net loss from discontinued operations	$		$	(203	)	$		$	(890	)

	The following table presents the net gain on the sale of the Home Health Business, which was recorded March 1, 2013.


			Gain
			(Amounts in
			Thousands)
	Gain before income taxes	$	18,838
	Income tax benefit		(7,727	)
	Net income from discontinued operations		11,111

	Pursuant to the Home Health Purchase Agreement, the Company retained $625,000 of accounts receivable, net as of December 31, 2013. In addition, the Company retained the related accrued expenses and accounts payable associated with the Home Health Business as of December 31, 2013.

Acquisitions

Acquisitions	9 Months Ended
Acquisitions	Sep. 30, 2014
Acquisitions [Abstract]	'
Acquisitions	'

	3. Acquisitions

	Effective June 1, 2014, the Company acquired Cura Partners, LLC, which conducts business under the name Aid & Assist at Home, LLC (Aid & Assist), in order to further expand the Companys presence in the State of Tennessee. The total consideration for the transaction was $8,206,000, comprised of $7,186,000 in cash and $1,020,000, which has not yet been paid, representing the estimated fair value, subject to the achievement of certain performance targets set forth in an earn-out agreement. The related acquisition costs were $543,000 and were expensed as incurred. The results of operations from this acquired entity are included in the Companys statement of operations from the date of the acquisition.

	The Companys acquisition of Aid & Assist 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. The acquisition was recorded at its fair value as of June 1, 2014. The total purchase price is $8,206,000 and is comprised of:


			Total
			(Amounts in
			Thousands)
	Cash	$	7,186
	Contingent earn-out obligation (net of $148 discount)		1,020
	Total purchase price	$	8,206

	The contingent earn-out obligation has been recorded at its fair value of $1,020,000, which is the present value of the Companys obligation to pay up to $1,168,000 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 Aid & Assists net tangible and identifiable intangible assets based on their estimated fair values. Based upon managements preliminary valuation, the total purchase price has been allocated as follows:


			Total
			(Amounts in
			Thousands)
	Goodwill	$	4,331
	Identifiable intangible assets		3,950
	Accounts receivable (net)		521
	Furniture, fixtures and equipment		65
	Other current assets		60
	Accrued liabilities		(553	)
	Accounts payable		(168	)
	Total purchase price allocation	$	8,206

	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 the Companys management. It is anticipated that the net intangible and identifiable intangible assets are deductible for tax purposes. These estimates are provisional and are subject to change.

	The Aid & Assist acquisition accounted for $3,295,000 and $4,358,000 of net service revenues from continuing operations for the three and nine months ended September 30, 2014, respectively.

	The Company acquired two home and community based businesses during 2013 and the first quarter of 2014 to further its presence in both existing states and to expand into new states. On November 1, 2013, the Company acquired two agencies located in South Carolina from the Medi Home Private Care Division of Medical Services of America, Inc. On January 24, 2014, the Company acquired an additional four agencies located in Tennessee and two agencies located in Ohio from the Medi Home Private Care Division of Medical Services of America, Inc. On December 1, 2013, the Company acquired the assets of Coordinated Home Health Care, LLC, a personal care business located in New Mexico (CHHC), which included sixteen offices located in southern New Mexico. The combined purchase price for the foregoing acquisitions was $12,325,000 paid at closing and a maximum of $2,250,000 in future cash consideration based on certain performance criteria. The related acquisition costs totaled $660,000 and were expensed as incurred. The results of operations from these acquired entities are included in the Companys Statements of Income from the dates of the respective acquisitions.

	The Companys acquisition of the assets of CHHC 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 was $12,825,000 and is comprised of:


			Total
			(Amounts in
			Thousands)
	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 was recorded at its fair value of $1,100,000, which is the present value of the Companys obligation to up to $2,250,000 based on probability-weighted estimates of the achievement of certain performance targets, as defined in the earn-out agreement between the parties.

	Under business combination accounting, the total purchase price was allocated to CHHCs net tangible and identifiable intangible assets based on their estimated fair values. Based upon managements valuation, the total purchase price was allocated as follows:


			Total
			(Amounts in
			Thousands)
	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 management. It is anticipated that the net intangible and identifiable intangible assets are deductible for tax purposes.

Acquisitions completed during the fourth quarter 2013 accounted for $5,821,000 and $16,004,000 of net service revenues from continuing operations for the three and nine months ended September 30, 2014, respectively.

Goodwill_And_Intangible_Assets

Goodwill And Intangible Assets	9 Months Ended
Goodwill And Intangible Assets	Sep. 30, 2014
Goodwill And Intangible Assets [Abstract]	'
Goodwill And Intangible Assets	'

	4. Goodwill and Intangible Assets

	The Companys 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 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 impairment may have occurred.

	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 assessments of these qualitative factors, the Company concluded that it was more likely than not that the fair values of the reporting unit goodwill as of December 31, 2013 exceed the carrying values of the unit. Accordingly, the first and second steps of the goodwill impairment test as described in ASC 350-20-35, which includes estimating the fair values of the Company, were not considered necessary.

	The Company did not record any impairment charges for the three and nine months ended September 30, 2014 or 2013. The Company will perform its annual impairment test for fiscal 2014 during the fourth quarter of 2014.

	The following is a summary of the goodwill activity for the nine months ended September 30, 2014:


			Goodwill
			(Amounts in
			Thousands)
	Goodwill, at December 31, 2013	$	60,026
	Additions for acquisitions		4,331
	Adjustments to previously recorded goodwill		(120	)
	Goodwill, at September 30, 2014	$	64,237

	Adjustments to the previously recorded goodwill are primarily credits related to amortization of tax goodwill in excess of book basis.

	The Companys 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 twenty five years.

	The Company also has indefinite-lived 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 three and nine months ended September 30, 2014 or 2013.

	The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following for continuing operations at September 30, 2014 and December 31, 2013:


			Customer and								Non-
			referral			Trade names and					competition
			relationships			trade marks			State Licenses		agreements			Total
			(Amounts in Thousands)
	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

	Gross balance at January 1, 2014		26,346			5,281			150		1,508			33,285
	Additions		50											50
	Additions for acquisitions		1,500			1,900					550			3,950
	Accumulated amortization		(22,123	)		(3,415	)				(704	)		(26,242	)
	Net Balance at September 30, 2014	$	5,773		$	3,766		$	150	$	1,354		$	11,043

	Amortization expense for continuing operations related to the identifiable intangible assets amounted to $710,000 and $1,719,000 for the three and nine months ended September 30, 2014, respectively. Amortization expense for continuing and discontinued operations related to the identifiable intangible assets amounted to $339,000 and $1,017,000 for the three and nine months ended September 30, 2013, respectively. Goodwill and state licenses are not amortized pursuant to ASC Topic 350.

Details_Of_Certain_Balance_She

Details Of Certain Balance Sheet Accounts	9 Months Ended
Details Of Certain Balance Sheet Accounts	Sep. 30, 2014
Details Of Certain Balance Sheet Accounts [Abstract]	'
Details Of Certain Balance Sheet Accounts	'

	5. Details of Certain Balance Sheet Accounts

	Prepaid expenses and other current assets consisted of the following:


			September 30,		December 31,
			2014		2013
			(Amounts in		(Amounts in
			Thousands)		Thousands)
	Prepaid health insurance	$	2,876	$	3,192
	Prepaid workers compensation and liability
	insurance		1,623		1,173
	Prepaid rent		507		455
	Workers compensation insurance receivable		940		821
	Other		991		594
		$	6,937	$	6,235

	Accrued expenses consisted of the following:


			September 30,		December 31,
			2014		2013
			(Amounts in		(Amounts in
			Thousands)		Thousands)
	Accrued payroll	$	15,163	$	12,932
	Accrued workers compensation insurance		13,527		13,347
	Accrued health insurance		3,217		3,731
	Indemnification reserve (1)		1,476		3,224
	Accrued payroll taxes		2,029		1,755
	Accrued professional fees		1,263		1,319
	Amounts due to LHCG (2)		17		2,196
	Current portion of contingent earn-out
	obligation (3)		2,120		1,100
	Other		2,622		2,341
		$	41,434	$	41,945
	-1	As a condition of the sale of the Home Health Business to subsidiaries of LHC Group. Inc. (LHCG) the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing. In connection with an internal evaluation of the Companys billing processes, it discovered documentation errors in a number of claims that it had submitted to Medicare. Consistent with applicable law, the Company voluntarily remitted $1,840,000 to the government in March 2014. The Company, using its best judgment, has estimated a total of $1,476,000 for billing adjustments remaining.
	-2	Amounts due to LHCG pursuant to a billing services arrangement between the Company and LHCG.
	-3	The Company acquired certain assets of CHHC on December 1, 2013 and acquired Aid & Assist on June 1, 2014. The purchase agreements for the acquisitions contained provisions for earn-out payments. The contingent earn-out obligations have been recorded at their fair values of $1,100,000 and $1,020,000, respectively, which is the present value of the Companys obligations of up to $2,250,000 and $1,168,000 for CHHC and Aid & Assist, respectively, 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 Companys 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 $2,836,000 and $3,163,000 for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance at September 30, 2014 and December 31, 2013, respectively.

LongTerm_Debt

Long-Term Debt	9 Months Ended
Long-Term Debt	Sep. 30, 2014
Long-Term Debt [Abstract]	'
Long-Term Debt	'

	6. Long-Term Debt

	Capital Leases

	On July 12, 2014 and September 11, 2014, the Company executed two 48-month capital lease agreements for $2,650,000 and $1,428,000, respectively, with First American Commercial Bancorp, Inc. The capital leases were entered into to finance property and equipment at the Companys new corporate headquarters in Downers Grove, IL. The underlying assets are included in Property and equipment, net of accumulated depreciation and amortization in the accompanying Unaudited Condensed Consolidated Balance Sheets. These capital lease obligations require monthly payments through September 2018 and have implicit interest rates that range from 3.0% to 3.3%. At the end of the term, the Company has the option to purchase the assets for $1 per lease agreement.

	The following is an analysis of the leased property under capital leases by major classes.


			Asset Balances at
			30-Sep-14
	Classes of Property		(Amounts in Thousands)
	Leasehold Improvements	$	2,974
	Furniture & Equipment		526
	Computer Equipment		431
	Computer Software		147
	Less: Accumulated Depreciation		(190	)
		$	3,888

	The future minimum payments for capital leases as of September 30, 2014 are as follows:


			Capital Lease
			(Amounts In Thousands)
	2014	$	275
	2015		1,105
	2016		1,105
	2017		1,105
	2018		629
	Total minimum lease payments		4,219
	Less: amount representing estimated
	executory costs (such as taxes,
	maintenance and insurance), including
	profit thereon, included in total
	minimum lease payments		(73	)
	Net minimum lease payments		4,146
	Less: amount representing interest (a)		(242	)
	Present value of net minimum lease
	payments (b)	$	3,904
	(a)	Amount necessary to reduce net minimum lease payments to present value calculated at the Companys incremental borrowing rate at lease inception.
	(b)	Reflected in the balance sheet as current and noncurrent obligations under capital leases of $978,000 and $2,926,000 respectively.

	Senior Secured Credit Facility

	On August 11, 2014, the Company renewed its credit facility. The Companys credit facility provides a $55,000,000 revolving line of credit expiring November 2, 2019 and includes a $27,500,000 sublimit for the issuance of letters of credit. On November 6, 2014, the Company amended its credit facility, with retroactive effect to September 30, 2014. The credit facility was amended to (i) reduce the floating interest rate from one-month LIBOR, plus a margin of 4.6% to one-month LIBOR, plus a margin of 3.5%, (ii) reduce the interest rate for loans based on term periods of one, two or three months from the LIBOR rate, plus a margin of 4.6% to the LIBOR rate, plus a margin of 3.5% and (iii) increase the allowed capital expenditures for the fiscal year ending 2014 from $5,000,000 to $7,000,000. 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 in the credit agreement, for the most recent 12-month period for which financial statements have been delivered under the credit agreement multiplied by the specified advance multiple, up to 3.25, less the outstanding senior indebtedness and letters of credit, and (ii) $55,000,000 less the outstanding revolving loans and letters of credit. Interest on the revolving line of credit may be payable at (i) a floating rate equal to the one-month LIBOR, plus a margin of 3.5%, (ii) the LIBOR rate for term periods of one, two or three months, plus a margin of 3.5% or (iii) the base rate, plus a margin of 1.6%, where the base rate is equal to the greatest of (a) the rate of interest last quoted by The Wall Street Journal as the prime rate, (b) the sum of the federal funds rate, plus a margin of 0.5% and (c) the sum of the adjusted LIBOR that would be applicable to a loan with a one month interest period advanced on such day, plus a margin of 3%. 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 September 30, 2014, and the total availability under the revolving credit loan facility was $40,304,000 and $42,279,000, as of September 30, 2014 and December 31, 2013, respectively.

	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 Companys 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 $2,000,000, 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.

Income_Taxes

Income Taxes	9 Months Ended
Income Taxes	Sep. 30, 2014
Income Taxes [Abstract]	'
Income Taxes	'

	7. Income Taxes

	A reconciliation of the continuing operations statutory federal tax rate of 35.0% for the three and nine months ended September 30, 2014 and 2013 is summarized as follows:


		Three Months Ended
		September 30,
		2014		2013
	Federal income tax at statutory rate	35	%	35	%
	State and local taxes, net of federal benefit	5.9		6
	Jobs tax credits, net	(9.7	)	(6.6	)
	Nondeductible meals and entertainment	1.1		1
	Effective income tax rate	32.3	%	35.4	%

		Nine Months Ended
		September 30,
		2014		2013
	Federal income tax at statutory rate	35	%	35	%
	State and local taxes, net of federal benefit	5.9		6
	Jobs tax credits, net ⁽¹⁾	(8.9	)	(10.8	)
	Nondeductible meals and entertainment	0.6		0.8
	Effective income tax rate	32.6	%	31	%
	-1	Included in the jobs tax credit for the nine months ended September 30, 2013 was a one-time benefit of a 7.2% reduction from the Companys 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 deduction in 2012.

Segment_Data

Segment Data	9 Months Ended
	Sep. 30, 2014
Segment Data [Abstract]	'
Segment Data	'
	8	Segment Data

	The Company 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 in discontinued operations. Therefore, all of the Companys operations are reported as one operating segment.

Commitments_And_Contingencies

Commitments And Contingencies	9 Months Ended
Commitments And Contingencies	Sep. 30, 2014
Commitments And Contingencies [Abstract]	'
Commitments And Contingencies	'

	9. 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 Companys 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	9 Months Ended
Significant Payors	Sep. 30, 2014
Significant Payors [Abstract]	'
Significant Payors	'

	10. Significant Payors

	A substantial portion of the Companys net service revenues and accounts receivables are derived from services performed for federal, state and local governmental agencies. The Illinois Department on Aging accounted for 52.1% and 58.9% of the Companys net service revenues for the three months ended September 30, 2014 and 2013, respectively and 53.7% and 59.1% of the Companys net service revenues for the nine months ended September 30, 2014 and 2013, respectively.

	The related receivables due from the state agency represented 59.1% of the Companys accounts receivable at September 30, 2014 and 65.6% of the Companys accounts receivable at December 31, 2013.

Concentration_Of_Cash

Concentration Of Cash	9 Months Ended
Concentration Of Cash	Sep. 30, 2014
Concentration Of Cash [Abstract]	'
Concentration Of Cash	'

	11. 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.

Summary_Of_Significant_Account1

Summary Of Significant Accounting Policies (Policy)	9 Months Ended
	Sep. 30, 2014
Summary Of Significant Accounting Policies [Abstract]	'
Basis Of Presentation And Description Of Business	'

	Basis of Presentation and Description of Business

	The condensed consolidated financial statements include the accounts of Addus HomeCare Corporation (Holdings) and its subsidiaries (together with Holdings, the Company or we). The Company is a comprehensive provider of home and community based services to over 32,000 consumers through a network of 132 locations in 22 states. These services are primarily performed in the homes of the consumers and 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 and, increasingly, managed care organizations.

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 acquired substantially all the assets of the Companys 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 $20,000,000.

	The Companys 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).

Principles Of Consolidation	'

	Principles of Consolidation

	All intercompany balances and transactions have been eliminated in consolidation. Our 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 consumers. Our continuing operations, which include the results of operations previously included in our home and community segment and agencies in three states previously included in our home health segment, 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 Companys 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 the Companys 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 Companys 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. 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, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis. The results of the Companys Step 0 assessment indicated that it was more likely than not that the fair value of its reporting unit exceeded its carrying value and therefore the Company concluded that there were no impairments for the year ended December 31, 2013. No impairment charges were recorded for the three or nine months ended September 30, 2014 or 2013.

Intangible Assets	'

	Intangible Assets

	The Companys 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 would recognize an impairment loss when the estimated future non-discounted cash flows associated with the intangible asset is less than the carrying value. An impairment change would then be recorded for the excess of the carrying value over the fair value. The Company estimates the fair value of these intangible assets using the income approach. No impairment charge was recorded for the three and nine months ended September 30, 2014 or 2013.

	The income approach, which the Company uses to estimate the fair value of its 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 valuation.

	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 Companys 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 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. No impairment was recorded for the three and nine months ended September 30, 2014 or 2013.

Workers' Compensation Program	'

	Workers Compensation Program

	The Companys workers compensation program has a $350,000 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 as interest income. For the three and nine months ended September 30, 2014, the Company did not receive any prompt payment interest. For the three and nine months ended September 30, 2013, the Company received $183,000 in prompt payment interest.

Interest Expense	'

	Interest Expense

	The Companys interest expense consists of interest costs on its credit facility and other debt instruments.

Income Tax Expense	'

	Income Tax Expense

	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 Companys 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 and restricted stock awards. 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 Per Common Share

	Net income per common share, calculated on the treasury stock method, is based on the weighted average number of shares outstanding during the period. The Companys outstanding securities that may potentially dilute the common stock are stock options and restricted stock awards.

	Included in the Companys calculation for the three and nine months ended September 30, 2014 were 646,000 stock options outstanding, of which 208,000 and 216,000, respectively, were dilutive. In addition, there were 60,000 restricted stock awards outstanding, 19,000 and 12,000 of which were dilutive for the three and nine months ended September 30, 2014, respectively.

	Included in the Companys calculation for the three and nine months ended September 30, 2013 were 641,000 stock options outstanding, of which 242,000 and 183,000, respectively, were dilutive. In addition, there were 96,000 restricted stock awards outstanding, 42,000 and 40,000 of which were dilutive for the three and nine months ended September 30, 2013, respectively.

Estimates	'

	Estimates

	The financial statements are prepared by management in conformity with U.S. Generally Accepted Accounting Principles (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 Companys 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 Companys 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 were used to estimate the fair value of the Companys investment in joint ventures.

Recent Accounting Pronouncements	'

	Recent Accounting Pronouncements

	In May 2014, the FASB issued Accounting Standards Update No. 2014-09, Revenue from Contracts with Customers (ASU 2014-09), which supersedes nearly all existing revenue recognition guidance under GAAP. The core principle of ASU 2014-09 is to recognize revenues when promised goods or services are transferred to customers in an amount that reflects the consideration to which an entity expects to be entitled for those goods or services. ASU 2014-09 defines a five step process to achieve this core principle and, in doing so, more judgment and estimates may be required within the revenue recognition process than are required under existing GAAP. The standard is effective for annual periods beginning after December 15, 2016, and interim periods therein, using either of the following transition methods: (i) a full retrospective approach reflecting the application of the standard in each prior reporting period with the option to elect certain practical expedients, or (ii) a retrospective approach with the cumulative effect of initially adopting ASU 2014-09 recognized at the date of adoption (which includes additional footnote disclosures). The Company is currently evaluating the impact of its pending adoption of ASU 2014-09 on its consolidated financial statements and has not yet determined the method by which it will adopt the standard in 2017.

Significant_Accounting_Policie

Significant Accounting Policies (Tables)	9 Months Ended
Significant Accounting Policies (Tables)	Sep. 30, 2014
Summary Of Significant Accounting Policies [Abstract]	'
Schedule Of Property, Plant And Equipment Useful Life	'

	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

Discontinued_Operations_Tables

Discontinued Operations (Tables)	9 Months Ended
Discontinued Operations (Tables)	Sep. 30, 2014
Discontinued Operations [Abstract]	'
Schedule Of Income Loss From Discontinued Operations	'

			For the Three Months Ended September 30,					For the Nine Months Ended September 30,
			(Amounts in Thousands)					(Amounts in Thousands)
			2014		2013			2014		2013
	Net service revenues	$		$			$		$	6,475
	Loss before income taxes				(344	)				(1,509	)
	Income tax benefit				(141	)				(619	)
	Net loss from discontinued operations	$		$	(203	)	$		$	(890	)
Schedule Of Gain On Sale Of Discontinued Operation	'

			Gain
			(Amounts in
			Thousands)
	Gain before income taxes	$	18,838
	Income tax benefit		(7,727	)
	Net income from discontinued operations		11,111

Acquisitions_Tables

Acquisitions (Tables)	9 Months Ended
Acquisitions (Tables)	Sep. 30, 2014
Coordinated Home Health Care, LLC [Member]	'
Business Acquisition [Line Items]	'
Schedule Of Purchase Price Components	'

			Total
			(Amounts in
			Thousands)
	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
			(Amounts in
			Thousands)
	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
Cura Partners, LLC [Member]	'
Business Acquisition [Line Items]	'
Schedule Of Purchase Price Components	'

			Total
			(Amounts in
			Thousands)
	Cash	$	7,186
	Contingent earn-out obligation (net of $148 discount)		1,020
	Total purchase price	$	8,206
Schedule Of Purchase Price Allocation	'

			Total
			(Amounts in
			Thousands)
	Goodwill	$	4,331
	Identifiable intangible assets		3,950
	Accounts receivable (net)		521
	Furniture, fixtures and equipment		65
	Other current assets		60
	Accrued liabilities		(553	)
	Accounts payable		(168	)
	Total purchase price allocation	$	8,206

Goodwill_And_Intangible_Assets1

Goodwill And Intangible Assets (Tables)	9 Months Ended
Goodwill And Intangible Assets (Tables)	Sep. 30, 2014
Goodwill And Intangible Assets [Abstract]	'
Changes In Goodwill By Segment	'

			Goodwill
			(Amounts in
			Thousands)
	Goodwill, at December 31, 2013	$	60,026
	Additions for acquisitions		4,331
	Adjustments to previously recorded goodwill		(120	)
	Goodwill, at September 30, 2014	$	64,237
Schedule Of Carrying Amount And Accumulated Amortization Of Intangible Asset	'

			Customer and								Non-
			referral			Trade names and					competition
			relationships			trade marks			State Licenses		agreements			Total
			(Amounts in Thousands)
	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

	Gross balance at January 1, 2014		26,346			5,281			150		1,508			33,285
	Additions		50											50
	Additions for acquisitions		1,500			1,900					550			3,950
	Accumulated amortization		(22,123	)		(3,415	)				(704	)		(26,242	)
	Net Balance at September 30, 2014	$	5,773		$	3,766		$	150	$	1,354		$	11,043

Details_Of_Certain_Balance_She1

Details Of Certain Balance Sheet Accounts (Tables)	9 Months Ended
Details Of Certain Balance Sheet Accounts (Tables)	Sep. 30, 2014
Details Of Certain Balance Sheet Accounts [Abstract]	'
Schedule Of Prepaid Expenses And Other Current Assets	'

			September 30,		December 31,
			2014		2013
			(Amounts in		(Amounts in
			Thousands)		Thousands)
	Prepaid health insurance	$	2,876	$	3,192
	Prepaid workers compensation and liability
	insurance		1,623		1,173
	Prepaid rent		507		455
	Workers compensation insurance receivable		940		821
	Other		991		594
		$	6,937	$	6,235
Schedule Of Accrued Expenses	'

			September 30,		December 31,
			2014		2013
			(Amounts in		(Amounts in
			Thousands)		Thousands)
	Accrued payroll	$	15,163	$	12,932
	Accrued workers compensation insurance		13,527		13,347
	Accrued health insurance		3,217		3,731
	Indemnification reserve (1)		1,476		3,224
	Accrued payroll taxes		2,029		1,755
	Accrued professional fees		1,263		1,319
	Amounts due to LHCG (2)		17		2,196
	Current portion of contingent earn-out
	obligation (3)		2,120		1,100
	Other		2,622		2,341
		$	41,434	$	41,945
	-1	As a condition of the sale of the Home Health Business to subsidiaries of LHC Group. Inc. (LHCG) the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing. In connection with an internal evaluation of the Companys billing processes, it discovered documentation errors in a number of claims that it had submitted to Medicare. Consistent with applicable law, the Company voluntarily remitted $1,840,000 to the government in March 2014. The Company, using its best judgment, has estimated a total of $1,476,000 for billing adjustments remaining.
	-2	Amounts due to LHCG pursuant to a billing services arrangement between the Company and LHCG.
	-3	The Company acquired certain assets of CHHC on December 1, 2013 and acquired Aid & Assist on June 1, 2014. The purchase agreements for the acquisitions contained provisions for earn-out payments. The contingent earn-out obligations have been recorded at their fair values of $1,100,000 and $1,020,000, respectively, which is the present value of the Companys obligations of up to $2,250,000 and $1,168,000 for CHHC and Aid & Assist, respectively, based on probability- weighted estimates of the achievement of certain performance targets.

LongTerm_Debt_Tables

Long-Term Debt (Tables)	9 Months Ended
Long-Term Debt (Tables)	Sep. 30, 2014
Long-Term Debt [Abstract]	'
Schedule Of Property Under Capital Leases	'

			Asset Balances at
			30-Sep-14
	Classes of Property		(Amounts in Thousands)
	Leasehold Improvements	$	2,974
	Furniture & Equipment		526
	Computer Equipment		431
	Computer Software		147
	Less: Accumulated Depreciation		(190	)
		$	3,888
Schedule Of Future Minimum Payments For Capital Leases	'

			Capital Lease
			(Amounts In Thousands)
	2014	$	275
	2015		1,105
	2016		1,105
	2017		1,105
	2018		629
	Total minimum lease payments		4,219
	Less: amount representing estimated
	executory costs (such as taxes,
	maintenance and insurance), including
	profit thereon, included in total
	minimum lease payments		(73	)
	Net minimum lease payments		4,146
	Less: amount representing interest (a)		(242	)
	Present value of net minimum lease
	payments (b)	$	3,904
	(a)	Amount necessary to reduce net minimum lease payments to present value calculated at the Companys incremental borrowing rate at lease inception.
	(b)	Reflected in the balance sheet as current and noncurrent obligations under capital leases of $978,000 and $2,926,000 respectively.

Income_Taxes_Tables

Income Taxes (Tables)	9 Months Ended
Income Taxes (Tables)	Sep. 30, 2014
Income Taxes [Abstract]	'
Reconciliation Of Effective Tax Rate	'

		Three Months Ended
		September 30,
		2014		2013
	Federal income tax at statutory rate	35	%	35	%
	State and local taxes, net of federal benefit	5.9		6
	Jobs tax credits, net	(9.7	)	(6.6	)
	Nondeductible meals and entertainment	1.1		1
	Effective income tax rate	32.3	%	35.4	%

		Nine Months Ended
		September 30,
		2014		2013
	Federal income tax at statutory rate	35	%	35	%
	State and local taxes, net of federal benefit	5.9		6
	Jobs tax credits, net ⁽¹⁾	(8.9	)	(10.8	)
	Nondeductible meals and entertainment	0.6		0.8
	Effective income tax rate	32.6	%	31	%
	-1	Included in the jobs tax credit for the nine months ended September 30, 2013 was a one-time benefit of a 7.2% reduction from the Companys 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 deduction in 2012.

Significant_Accounting_Policie1

Significant Accounting Policies (Narrative) (Details) (USD $)	0 Months Ended	3 Months Ended		9 Months Ended		12 Months Ended
Share data in Thousands, unless otherwise specified	Feb. 07, 2013	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Dec. 31, 2013
		state		item
				state
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'	'
Percentage of segment sold	90.00%	'	'	'	'	'
Ownership percentage	10.00%	'	'	'	'	'
Acquisitions of businesses	$20,000,000	'	'	$7,186,000	'	'
Number of states in which the company operates	'	22	'	22	'	'
Number of consumers	'	'	'	32,000	'	'
Number of locations	'	'	'	132	'	'
Allowances for doubtful accounts, number of aging categories	'	'	'	8	'	'
Goodwill impairment	'	0	0	0	0	0
Impairment of intangible assets excluding goodwill	'	0	0	0	0	'
Deductible component of workers' compensation	'	'	'	350,000	'	'
Interest income received	'	'	$183,000	$0	$183,000	'
Number of stock options included in calculation	'	646	641	646	641	'
Shares of restricted stock awards	'	60	96	60	96	'
Number of dilutive shares of outstanding stock options and restricted stock awards	'	208	242	216	183	'
Number of stock incentive plans	'	'	'	2	'	'
Home & Community [Member]	'	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'	'
Number of states in which the company operates	'	3	'	3	'	'
Restricted Stock [Member]	'	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'	'
Number of dilutive shares of outstanding stock options and restricted stock awards	'	19	42	12	40	'
Minimum [Member]	'	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'	'
Intangible assets, estimated useful lives	'	'	'	'2 years	'	'
Maximum [Member]	'	'	'	'	'	'
Summary Of Significant Accounting Policies [Line Items]	'	'	'	'	'	'
Intangible assets, estimated useful lives	'	'	'	'25 years	'	'

Significant_Accounting_Policie2

Significant Accounting Policies (Schedule Of Property, Plant And Equipment Useful Life) (Details)	9 Months Ended
	Sep. 30, 2014
Transportation Equipment [Member]	'
Property, Plant and Equipment [Line Items]	'
Property and equipment useful life	'5 years
Minimum [Member] \| Computer Equipment [Member]	'
Property, Plant and Equipment [Line Items]	'
Property and equipment useful life	'3 years
Minimum [Member] \| Furniture And Equipment [Member]	'
Property, Plant and Equipment [Line Items]	'
Property and equipment useful life	'5 years
Minimum [Member] \| Computer Software [Member]	'
Property, Plant and Equipment [Line Items]	'
Property and equipment useful life	'5 years
Maximum [Member] \| Computer Equipment [Member]	'
Property, Plant and Equipment [Line Items]	'
Property and equipment useful life	'5 years
Maximum [Member] \| Furniture And Equipment [Member]	'
Property, Plant and Equipment [Line Items]	'
Property and equipment useful life	'7 years
Maximum [Member] \| Computer Software [Member]	'
Property, Plant and Equipment [Line Items]	'
Property and equipment useful life	'10 years

Discontinued_Operations_Narrat

Discontinued Operations (Narrative) (Details) (USD $)	0 Months Ended	9 Months Ended
In Thousands, unless otherwise specified	Feb. 07, 2013	Sep. 30, 2014	Dec. 31, 2013
Discontinued Operations [Abstract]	'	'	'
Percentage of segment sold	90.00%	'	'
Ownership percentage	10.00%	'	'
Acquisitions of businesses	$20,000	$7,186	'
Accounts receivable, net	'	'	$625

Discontinued_Operations_Schedu

Discontinued Operations (Schedule Of Income Loss From Discontinued Operations) (Details) (USD $)	3 Months Ended	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2013
Discontinued Operations [Abstract]	'	'
Net service revenues	'	$6,475
Loss before income taxes	-344	-1,509
Income tax benefit	-141	-619
Net loss from discontinued operations	($203)	($890)

Discontinued_Operations_Schedu1

Discontinued Operations (Schedule Of Gain On Sale Of Discontinued Operation) (Details) (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013
Discontinued Operations [Abstract]	'
Gain before income taxes	$18,838
Income tax benefit	-7,727
Net income from discontinued operations	$11,111

Acquisitions_Narrative_Details

Acquisitions (Narrative) (Details) (USD $)

0 Months Ended

3 Months Ended

9 Months Ended

12 Months Ended

9 Months Ended

0 Months Ended

3 Months Ended

9 Months Ended

3 Months Ended

9 Months Ended

Feb. 07, 2013

Sep. 30, 2014

Sep. 30, 2013

Sep. 30, 2014

Sep. 30, 2013

Dec. 31, 2013

Sep. 30, 2014

Jun. 01, 2014

Sep. 30, 2014

Jun. 01, 2014

Sep. 30, 2014

Medical Services of America, Inc. and Coordinated Home and Health Care, LLC [Member]

Cura Partners, LLC [Member]

Coordinated Home Health Care, LLC [Member]

South Carolina [Member]

Tennessee [Member]

Ohio [Member]

New Mexico [Member]

Medical Services of America, Inc. [Member]

Coordinated Home Health Care, LLC [Member]

item

Business Acquisition [Line Items]

Acquisitions of businesses

$20,000,000

$7,186,000

$12,325,000

$7,186,000

$11,725,000

Business acquisition, contingent earn-out obligation

1,020,000

1,100,000

Business acquisition, contingent earn-out obligation, present value

1,168,000

2,250,000

Potential future consideration

2,250,000

Total purchase price for business acquisition

8,206,000

12,825,000

Goodwill impairment

Number of Agencies Acquired

Number of Offices

Acquisition costs

543,000

660,000

Net service revenues

$81,658,000

$67,306,000

$230,306,000

$196,059,000

$3,295,000

$4,358,000

$5,821,000

$16,004,000

Acquisitions_Schedule_Of_Purch

Acquisitions (Schedule Of Purchase Price Components) (Details) (USD $)	0 Months Ended	9 Months Ended		0 Months Ended	9 Months Ended
In Thousands, unless otherwise specified	Feb. 07, 2013	Sep. 30, 2014	Sep. 30, 2014	Jun. 01, 2014	Sep. 30, 2014
	Feb. 07, 2013	Sep. 30, 2014	Coordinated Home Health Care, LLC [Member]	Cura Partners, LLC [Member]	Cura Partners, LLC [Member]
Business Acquisition [Line Items]	'	'	'	'	'
Cash	$20,000	$7,186	$11,725	$7,186	'
Contingent earn-out obligation (net of discount)	'	'	1,100	1,020	1,020
Total purchase price	'	'	12,825	8,206	'
Net discount of contingent earn out obligation	'	'	$1,125	$148	'

Acquisitions_Schedule_Of_Purch1

Acquisitions (Schedule Of Purchase Price Allocation) (Details) (USD $)	Sep. 30, 2014	Dec. 31, 2013	Jun. 01, 2014	Sep. 30, 2014
In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013	Cura Partners, LLC [Member]	Coordinated Home Health Care, LLC [Member]
Business Acquisition [Line Items]	'	'	'	'
Goodwill	$64,237	$60,026	$4,331	$9,488
Identifiable intangible assets	'	'	3,950	3,300
Accounts receivable (net)	'	'	521	888
Prepaid expenses	'	'	'	35
Furniture, fixtures and equipment	'	'	65	58
Other current assets	'	'	60	'
Deposits	'	'	'	15
Accrued liabilities	'	'	-553	-864
Accounts payable	'	'	-168	-81
Other liabilities	'	'	'	-14
Total purchase price allocation	'	'	$8,206	$12,825

Goodwill_And_Intangible_Assets2

Goodwill And Intangible Assets (Narrative) (Details) (USD $)	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Dec. 31, 2013
Goodwill [Line Items]	'	'	'	'	'
Impairment of intangible assets excluding goodwill	$0	$0	$0	$0	'
Amortization expense	710,000	339,000	1,719,000	1,017,000	'
Impairment charge	$0	$0	$0	$0	$0
Minimum [Member]	'	'	'	'	'
Goodwill [Line Items]	'	'	'	'	'
Intangible assets, estimated useful lives	'	'	'2 years	'	'
Maximum [Member]	'	'	'	'	'
Goodwill [Line Items]	'	'	'	'	'
Intangible assets, estimated useful lives	'	'	'25 years	'	'

Goodwill_And_Intangible_Assets3

Goodwill And Intangible Assets (Changes In Goodwill By Segment) (Details) (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014
Goodwill And Intangible Assets [Abstract]	'
Goodwill, at Beginning of Period	$60,026
Additions for Acquisitions	4,331
Adjustments to previously recorded goodwill	-120
Goodwill, at End of Period	$64,237

Goodwill_And_Intangible_Assets4

Goodwill And Intangible Assets (Schedule Of Carrying Amount And Accumulated Amortization Of Intangible Asset) (Details) (USD $)	Sep. 30, 2014	Dec. 31, 2013
In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Finite-Lived Intangible Assets [Line Items]	'	'
Gross balance	$33,285	$33,285
Additions	50	'
Additions for acquisitions	3,950	'
Accumulated amortization	-26,242	-24,523
Net Balance	11,043	8,762
Customer And Referral Relationships [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross balance	26,346	26,346
Additions	50	'
Additions for acquisitions	1,500	'
Accumulated amortization	-22,123	-21,138
Net Balance	5,773	5,208
Trade Names And Trademarks [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross balance	5,281	5,281
Additions for acquisitions	1,900	'
Accumulated amortization	-3,415	-2,995
Net Balance	3,766	2,286
State Licenses [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross balance	150	150
Net Balance	150	150
Non-competition Agreements [Member]	'	'
Finite-Lived Intangible Assets [Line Items]	'	'
Gross balance	1,508	1,508
Additions for acquisitions	550	'
Accumulated amortization	-704	-390
Net Balance	$1,354	$1,118

Details_Of_Certain_Balance_She2

Details Of Certain Balance Sheet Accounts (Narrative) (Details) (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Details Of Certain Balance Sheet Accounts [Abstract]	'	'
Contributions due after fund received, period	'5 days	'
Health insurance reimbursement and contribution due	$2,836	$3,163

Details_Of_Certain_Balance_She3

Details Of Certain Balance Sheet Accounts (Schedule Of Prepaid Expenses And Other Current Assets) (Details) (USD $)	Sep. 30, 2014	Dec. 31, 2013
In Thousands, unless otherwise specified	Sep. 30, 2014	Dec. 31, 2013
Details Of Certain Balance Sheet Accounts [Abstract]	'	'
Prepaid health insurance	$2,876	$3,192
Prepaid workers' compensation and liability insurance	1,623	1,173
Prepaid rent	507	455
Workers' compensation insurance receivable	940	821
Other	991	594
Prepaid expenses and other current assets	$6,937	$6,235

Details_Of_Certain_Balance_She4

Details Of Certain Balance Sheet Accounts (Schedule Of Accrued Expenses) (Details) (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2014		Dec. 31, 2013
Details Of Certain Balance Sheet Accounts [Abstract]	'		'
Accrued payroll	$15,163		$12,932
Accrued workers' compensation insurance	13,527		13,347
Accrued health insurance	3,217		3,731
Indemnification reserve	1,476	[1]	3,224	[1]
Accrued payroll taxes	2,029		1,755
Accrued professional fees	1,263		1,319
Amounts due to LHCG	17	[2]	2,196	[2]
Current portion of contingent earn-out obligation	2,120	[3]	1,100	[3]
Other	2,622		2,341
Accrued expenses	41,434		41,945
Remittance payment	1,840		'
Estimated remaining remittance payment	1,476		'
Contingent earn-out obligation maximum	$2,250		'

[1]	As a condition of the sale of the Home Health Business to subsidiaries of LHC Group. Inc. (LHCG) the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing. In connection with an internal evaluation of the Companys billing processes, it discovered documentation errors in a number of claims that it had submitted to Medicare. Consistent with applicable law, the Company voluntarily remitted $1,840,000 to the government in March 2014. The Company, using its best judgment, has estimated a total of $1,476,000 for billing adjustments remaining.
[2]	Amounts due to LHCG pursuant to a billing services arrangement between the Company and LHCG.
[3]	The Company acquired certain assets of CHHC on December 1, 2013 and acquired Aid & Assist on June 1, 2014. The purchase agreements for the acquisitions contained provisions for earn-out payments. The contingent earn-out obligations have been recorded at their fair values of $1,100,000 and $1,020,000, respectively, which is the present value of the Companys obligations of up to $2,250,000 and $1,168,000 for CHHC and Aid & Assist, respectively, based on probability- weighted estimates of the achievement of certain performance targets.

LongTerm_Debt_Narrative_Detail

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

0 Months Ended

9 Months Ended

0 Months Ended

Aug. 11, 2014

Jul. 12, 2014

Aug. 11, 2014

Jul. 12, 2014

Sep. 30, 2014

Dec. 31, 2013

Sep. 30, 2014

Nov. 06, 2014

Revolving Credit Loan [Member]

Minimum [Member]

Maximum [Member]

Letters of Credit [Member]

London Interbank Offered Rate (LIBOR) [Member]

Base Rate [Member]

Federal Funds Rate [Member]

Subsequent Event [Member]

Senior Secured Credit Facility [Member]

Revolving Credit Loan [Member]

London Interbank Offered Rate (LIBOR) [Member]

item

Senior Secured Credit Facility [Member]

Amended Senior Secured Credit Facility [Member]

Revolving Credit Loan [Member]

Senior Secured Credit Facility [Member]

Amended Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Capital lease term

'48 months

Capital lease agreement

$1,428,000

$2,650,000

Maximum aggregate amount of revolving loans available

55,000,000

Sublimit for issuance of letters of credit

27,500,000

Specified advance multiple used to determine funds availability under credit facility

3.25

Interest rate margin

3.50%

1.60%

4.60%

3.50%

Maximum number of acquisitions in a year

Maximum single acquisition price

2,000,000

Allowed capital expenditures

5,000,000

7,000,000

Fee charged on unused portion of revolving credit facility

0.50%

Interest rate

3.00%

3.30%

2.00%

Total availability under the revolving credit loan facility

$40,304,000

$42,279,000

Interest rate margin over base rate

3.00%

0.50%

LongTerm_Debt_Schedule_Of_Prop

Long-Term Debt (Schedule Of Property Under Capital Leases) (Details) (USD $)	Sep. 30, 2014
In Thousands, unless otherwise specified	Sep. 30, 2014
Capital Leased Assets [Line Items]	'
Less: Accumulated Depreciation	($190)
Capital leased assets, net	3,888
Leasehold Improvements [Member]	'
Capital Leased Assets [Line Items]	'
Capital leased assets	2,974
Furniture And Equipment [Member]	'
Capital Leased Assets [Line Items]	'
Capital leased assets	526
Computer Equipment [Member]	'
Capital Leased Assets [Line Items]	'
Capital leased assets	431
Computer Software [Member]	'
Capital Leased Assets [Line Items]	'
Capital leased assets	$147

LongTerm_Debt_Schedule_Of_Futu

Long-Term Debt (Schedule Of Future Minimum Payments For Capital Leases) (Details) (USD $)	Sep. 30, 2014
In Thousands, unless otherwise specified	Sep. 30, 2014
Long-Term Debt [Abstract]	'
2014	$275
2015	1,105
2016	1,105
2017	1,105
2018	629
Total minimum lease payments	4,219
Less: amount representing estimated executory costs (such as taxes, maintenance and insurance), including profit thereon, included in total minimum lease payments	-73
Net minimum lease payments	4,146
Less: amount representing interest	-242	[1]
Present value of net minimum lease payments	3,904	[2]
Current obligations under capital leases	978
Noncurrent obligations under capital leases	$2,926

[1]	Amount necessary to reduce net minimum lease payments to present value calculated at the Companys incremental borrowing rate at lease inception.
[2]	Reflected in the balance sheet as current and noncurrent obligations under capital leases of $978,000 and $2,926,000 respectively.

Income_Taxes_Narrative_Details

Income Taxes (Narrative) (Details)	3 Months Ended		9 Months Ended
Income Taxes (Narrative) (Details)	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013
Income Taxes [Abstract]	'	'	'	'
Statutory federal tax rate	35.00%	35.00%	35.00%	35.00%

Income_Taxes_Reconciliation_Of

Income Taxes (Reconciliation Of Effective Tax Rate) (Details)	3 Months Ended		9 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014		Sep. 30, 2013
Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]	'	'	'		'
Federal income tax at statutory rate	35.00%	35.00%	35.00%		35.00%
State and local taxes, net of federal benefit	5.90%	6.00%	5.90%		6.00%
Jobs tax credits, net	-9.70%	-6.60%	-8.90%	[1]	-10.80%	[1]
Nondeductible meals and entertainment	1.10%	1.00%	0.60%		0.80%
Effective income tax rate	32.30%	35.40%	32.60%		31.00%
One time jobs tax benefit	'	'	'		7.20%

[1]	Included in the jobs tax credit for the nine months ended September 30, 2013 was a one-time benefit of a 7.2% reduction from the Companys 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 deduction in 2012.

Segment_Data_Details

Segment Data (Details)	9 Months Ended
	Sep. 30, 2014
	segment
Segment Data [Abstract]	'
Number of reporting units	2
Number of operating segments	1

Commitments_And_Contingencies_

Commitments And Contingencies (Details)	9 Months Ended
Commitments And Contingencies (Details)	Sep. 30, 2014
Commitments And Contingencies [Abstract]	'
Maximum term of employment agreements	'4 years

Significant_Payors_Details

Significant Payors (Details) (State Governmental Agency [Member])	3 Months Ended		9 Months Ended			12 Months Ended
	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Dec. 31, 2013
	Service Revenues, Net [Member]	Service Revenues, Net [Member]	Service Revenues, Net [Member]	Service Revenues, Net [Member]	Accounts Receivable [Member]	Accounts Receivable [Member]
Concentration Risk [Line Items]	'	'	'	'	'	'
Concentration risk, percentage	52.10%	58.90%	53.70%	59.10%	59.10%	65.60%