Addus HomeCare (ADUS) 10-Q 8 Aug 17 2017 Q2 Quarterly report Financial data

Document And Entity Information

Document And Entity Information - shares	6 Months Ended
	Jun. 30, 2017	Jul. 31, 2017
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2017
Document Fiscal Period Focus	Q2
Document Fiscal Year Focus	2,017
Entity Registrant Name	Addus HomeCare Corp
Entity Central Index Key	1,468,328
Current Fiscal Year End Date	--12-31
Entity Filer Category	Accelerated Filer
Entity Common Stock, Shares Outstanding		11,624,536

Condensed Consolidated Balance

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Jun. 30, 2017	Dec. 31, 2016
Current assets
Cash	$ 15,873	$ 8,013
Accounts receivable, net of allowances of $9,085 and $7,363 at June 30, 2017 and December 31, 2016, respectively	137,967	116,999
Prepaid expenses and other current assets	3,884	5,998
Total current assets	157,724	131,010
Property and equipment, net of accumulated depreciation and amortization	7,191	6,648
Other assets
Goodwill	73,906	73,906
Intangibles, net of accumulated amortization	13,320	15,413
Non-current deferred tax asset, net	3,153	3,153
Investment in joint venture	900	900
Total other assets	91,279	93,372
Total assets	256,194	231,030
Current Liabilities
Accounts payable	3,430	4,486
Current portion of long-term debt, net of debt issuance costs	3,052	2,531
Accrued expenses	40,590	42,603
Total current liabilities	47,072	49,620
Long-term liabilities
Long-term debt, less current portion, net of debt issuance costs	40,986	22,482
Total liabilities	88,058	72,102
Stockholders' equity
Common stock-$.001 par value; 40,000 authorized and 11,625 and 11,527 shares issued and outstanding as of June 30, 2017 and December 31, 2016, respectively	12	12
Additional paid-in capital	94,502	92,253
Retained earnings	73,622	66,663
Total stockholders' equity	168,136	158,928
Total liabilities and stockholders' equity	$ 256,194	$ 231,030

Condensed Consolidated Balance3

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Jun. 30, 2017	Dec. 31, 2016
Condensed Consolidated Balance Sheets [Abstract]
Accounts receivable, allowance for doubtful accounts	$ 9,085	$ 7,363
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	40,000,000	40,000,000
Common stock, shares issued	11,625,000	11,527,000
Common stock, shares outstanding	11,625,000	11,527,000

Condensed Consolidated Statemen

Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Condensed Consolidated Statements of Income [Abstract]
Net service revenues	$ 103,559	$ 100,927	$ 205,165	$ 193,529
Cost of service revenues	75,048	75,232	149,337	143,515
Gross margin	28,511	25,695	55,828	50,014
General and administrative expenses	19,006	17,744	37,879	38,565
Gain on sale of adult day services centers			(2,065)
Depreciation and amortization	1,514	1,744	3,030	3,222
Provision for doubtful accounts	2,070	1,813	4,102	3,181
Total operating expenses	22,590	21,301	42,946	44,968
Operating income	5,921	4,394	12,882	5,046
Interest income	(13)	(23)	(20)	(30)
Interest expense	2,108	686	2,759	1,112
Total interest expense, net	2,095	663	2,739	1,082
Other income	44		101
Income before income taxes	3,870	3,731	10,244	3,964
Income tax expense	1,170	1,131	3,285	1,207
Net income	$ 2,700	$ 2,600	$ 6,959	$ 2,757
Net income per common share
Basic income per share	$ 0.24	$ 0.23	$ 0.61	$ 0.25
Diluted income per share	$ 0.23	$ 0.23	$ 0.60	$ 0.25
Weighted average number of common shares and potential common shares outstanding:
Basic	11,470	11,361	11,452	11,192
Diluted	11,622	11,385	11,604	11,217

Condensed Consolidated Stateme5

Condensed Consolidated Statement of Stockholders' Equity - 6 months ended Jun. 30, 2017 - USD ($) shares in Thousands, $ in Thousands	Common Stock [Member]	Additional Paid-In Capital [Member]	Retained Earnings [Member]	Total
Balance at Dec. 31, 2016	$ 12	$ 92,253	$ 66,663	$ 158,928
Balance, shares at Dec. 31, 2016	11,527
Issuance of shares of common stock under restricted stock award agreements, Shares	80
Forfeiture of shares of common stock under restricted stock award agreements, shares	(10)
Stock-based compensation		1,091		1,091
Shares issued		1,158		1,158
Shares issued, shares	28
Net income			6,959	6,959
Balance at Jun. 30, 2017	$ 12	$ 94,502	$ 73,622	$ 168,136
Balance, shares at Jun. 30, 2017	11,625

Condensed Consolidated Stateme6

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016
Cash flows from operating activities:
Net income	$ 6,959	$ 2,757
Adjustments to reconcile net income to net cash used in operating activities:
Depreciation and amortization	3,030	3,223
Non-cash restructuring		894
Stock-based compensation	1,091	819
Amortization and write-off of debt issuance costs under the terminated credit facility	1,484	165
Amortization of debt issuance costs under the new credit facility	93
Provision for doubtful accounts	4,102	3,181
Gain on sale of adult day services centers	(2,065)
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	(25,070)	(33,222)
Prepaid expenses and other current assets	2,080	1,101
Accounts payable	(1,056)	(255)
Accrued expenses	(2,023)	3,072
Net cash used in operating activities	(11,375)	(18,265)
Cash flows from investing activities:
Proceeds from the sale of adult day services centers	2,400
Acquisitions of businesses		(20,449)
Purchases of property and equipment	(1,771)	(711)
Net cash provided by (used in) investing activities	629	(21,160)
Cash flows from financing activities:
Cash received from exercise of stock options	1,158	3,016
Borrowings on term loan - new credit facility	45,000
Borrowings on revolver - terminated credit facility	20,000	17,000
Borrowings on term loan - terminated credit facility		25,000
Payments on revolver - terminated credit facility	(20,000)
Payments on term loan - terminated credit facility	(24,063)	(313)
Payments for debt issuance costs under the new credit facility	(2,781)
Payments for debt issuance costs under the terminated credit facility		(492)
Payments on capital lease obligations	(708)	(550)
Payments on contingent earn-out obligation		(100)
Net cash provided by financing activities	18,606	43,561
Net change in cash	7,860	4,136
Cash, at beginning of period	8,013	4,104
Cash, at end of period	15,873	8,240
Supplemental disclosures of cash flow information:
Cash paid for interest	938	1,015
Cash paid for income taxes	$ 2,977	1,748
Supplemental disclosures of non-cash investing and financing activities
Tax benefit related to the amortization of tax goodwill in excess of book basis		$ 80

Summary of Significant Accounti

Summary of Significant Accounting Policies	6 Months Ended
	Jun. 30, 2017
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," "we," "us," or "our"). The Company operates as one 34,000 110 24 Principles of Consolidation All intercompany balances and transactions have been eliminated in consolidation. The Company's investment in entities with less than 20% ownership or in which the Company does not have the ability to influence the operations of the investee are 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, managed care organizations, commercial insurers and private consumers. The Company's operations 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. Personal care 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 insurance programs and private pay. 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 establishes its provision for doubtful accounts primarily by analyzing historical trends and the aging of receivables. In its evaluation, the Company considers other factors including: 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 that the Company's management believes is sufficient to cover potential losses. However, actual collections could differ from the Company's 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. Maintenance and repairs are charged to expense as incurred. The estimated useful lives of the property and equipment are as follows: Computer equipment 3 – 5 years Furniture and equipment 5 – 7 years Transportation equipment 5 years Computer software 5 – 10 years Leasehold improvements Lesser of useful life or lease term, unless probability of lease renewal is likely Goodwill The Company's carrying value of goodwill is the excess 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 no No Intangible Assets The Company's identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two twenty-five 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 charge 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 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. The Company also has indefinite-lived intangible assets that are not subject to amortization expense such as certificates of need and licenses to conduct specific operations within geographic markets. The Company's 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, or whenever potential impairment triggers occur. No Debt Issuance Costs The Company amortizes debt issuance costs on a straight-line method over the term of the related debt. This method approximates the effective interest method. The Company has classified the debt issuance costs as current portion of long-term debt or long-term debt, less current portion as of June 30, 2017 and December 31, 2016. Workers' Compensation Program The Company's workers' compensation insurance program has a $ 0.4 "Presentation of Insurance Claims and Related Insurance Recoveries" ("ASU 2010-24"), which clarifies that companies should not net insurance recoveries against a related claim liability. Additionally, under ASU 2010-24, the amount of the claim liability should be determined without consideration of insurance recoveries. As of June 30, 2017 and December 31, 2016, the Company recorded $ 0.5 $ 0.7 Interest Income Illinois law 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 income as interest income. For the three and six months ended June 30, 2017 and 2016 no Interest Expense The Company's interest expense consists of interest and unused credit line fees on its credit facilities, interest on its capital lease obligations, and amortization and write-off of debt issuance costs, which is reported in the statement of income when incurred. Other Income Other income consists of income distributions received from the investment in joint venture. The Company accounts for this income in accordance with ASC Topic 325, "Investments—Other." The Company recognizes the net accumulated earnings only to the extent distributed by the joint venture on the date received. 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 Company's assets and liabilities, are also adjusted for changes in tax rates and tax laws when changes are enacted. ASC Topic 740 also requires that deferred tax assets be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized. ASC Topic 740 also prescribes a recognition threshold and measurement process for recording in the financial statements uncertain tax positions taken or expected to be taken in a tax return. In addition, ASC Topic 740 provides guidance on derecognition, classification, accounting in interim periods and disclosure requirements for uncertain tax positions. In March 2016, the FASB issued Accounting Standards Update ("ASU") 2016-09, "Compensation-Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting." ASU 2016-09 allows for simplification of several aspects of the accounting for share-based payment transactions including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. Under ASU 2016-09, all excess tax benefits and tax deficiencies (including tax benefits of dividends on share-based payment awards) should be recognized as income tax expense or benefit in the income statement. ASU 2016-09 also requires recognition of excess tax benefits regardless of whether the benefit reduces taxes payable in the current period. ASU 2016-09 further permits the withholding of an amount up to employees' maximum individual tax rate in the relevant jurisdiction without resulting in a liability classification. ASU 2016-09 also requires any excess tax benefits be classified along with other income tax cash flows as an operating activity and cash paid by an employer when directly withholding shares for tax-withholding purposes to be classified as a financing activity. The Company adopted this standard on January 1, 2017 on a prospective basis. As a result, for the three and six months ended June 30, 2017, the Company recorded an excess tax benefit of $ 92.0 118.0 Stock-based Compensation The Company currently has two free interest rate, expected term, expected dividends yield, expected forfeiture rate, expected turn-over rate and the expected exercise multiple. Diluted Net Income Per Common Share Diluted 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 Company's outstanding securities that may potentially dilute the common stock are stock options and restricted stock awards. Included in the Company's calculation of diluted earnings per share for the three and six months ended June 30, 2017 were approximately 461,000 105,000 101,000 139,000 47,000 51,000 Included in the Company's calculation of diluted earnings per share for the three and six months ended June 30, 2016 were approximately 469,000 24,000 25,000 98,000 no 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. The Company's critical accounting estimates include the following areas: the allowance for doubtful accounts, reserve for self-insurance claims, accounting for stock-based compensation, accounting for income taxes and when required, the quantitative assessment of goodwill. Accordingly, actual results could differ from those estimates. Fair Value Measurements The Company's financial instruments consist primarily of cash, accounts receivable, payables and debt. The carrying amounts reported on the Company's Unaudited Condensed Consolidated Balance Sheets for cash, accounts receivable, accounts payable and accrued expenses approximate fair value because of the short-term nature of these instruments. The carrying value of the Company's long-term debt with variable interest rates approximates fair value based on instruments with similar terms. The Company applies fair value techniques on a non-recurring basis associated with valuing potential impairment losses related to goodwill, if required, 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, defined as unobservable inputs in which little or no market data exists; therefore requiring an entity to develop its own assumptions, 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, in performing the impairment assessment of its investment in joint ventures, the Company uses discounted cash flows to estimate the fair value of its investment. Going Concern In connection with the preparation of the financial statements for the three and six months ended June 30, 2017, the Company conducted an evaluation as to whether there were conditions and events, considered in the aggregate, which raised substantial doubt as to the entity's ability to continue as a going concern within one year after the date of the issuance, or the date of availability, of the financial statements to be issued. The evaluation concluded that there did not appear to be evidence of substantial doubt of the entity's ability to continue as a going concern. New Accounting Pronouncements In May 2014, the FASB issued ASU 2014-09, "Revenue from Contracts with Customers (Topic 606)," which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. ASU 2014-09 will replace most existing revenue recognition guidance in GAAP and will be effective for the Company as of January 1, 2018. The standard permits the use of either the retrospective or modified retrospective (cumulative effect) transition method and the Company has selected the modified retrospective approach. The Company's evaluation of ASU 2014-09 is not complete. The FASB has issued and may issue in the future, interpretative guidance, which may cause the Company's evaluation to change. The Company has completed the initial review to determine the impact ASU 2014-09 and its subsequent updates will have on its Consolidated Financial Statements or financial statement disclosures upon adoption. Based on the Company's continued review, it believes that the timing and measurement of revenue for its customers will be similar to its current revenue recognition model due to the structure of payor contracts which consists of a fixed reimbursement rate that is deemed earned upon completion of a defined service. In addition, the Company has made ongoing progress around process changes and system enhancements to ensure adherence to the new standard. The Company will complete its assessment of the impact and finalize implementation of system enhancements during the remainder of 2017. In February 2016, the FASB issued ASU No. 2016-02, "Leases," which replaces existing leasing rules with a comprehensive lease measurement and recognition standard and expanded disclosure requirements. ASU 2016-02 will require lessees to recognize most leases on their balance sheets as liabilities, with corresponding "right-of-use" assets and is effective for annual reporting periods beginning after December 15, 2018, subject to early adoption. For income statement recognition purposes, leases will be classified as either a finance or an operating lease. The Company will be required to recognize and measure leases at the beginning of the earliest period presented using a modified retrospective approach. Upon initial evaluation, the Company believes that the new standard will have a material impact on its Consolidated Balance Sheets but it will not affect its liquidity. It has been determined that the Company will need to secure new software to account for the change in accounting for leases and is currently reviewing the software options available. In June 2016, the FASB issued ASU No. 2016-13, "Financial Instruments (Topic 326) Credit Losses." ASU 2016-13 changes the impairment model for most financial assets and certain other instruments. Under the new standard, entities holding financial assets and net investment in leases that are not accounted for at fair value through net income are to be presented at the net amount expected to be collected. An allowance for credit losses will be a valuation account that will be deducted from the amortized cost basis of the financial asset to present the net carrying value at the amount expected to be collected on the financial asset. ASU 2016-13 is effective as of January 1, 2020. Early adoption is permitted. The Company is currently evaluating the impact of ASU 2016-13. In August 2016, the FASB issued ASU 2016-15, "Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments." This standard amends and adjusts how cash receipts and cash payments are presented and classified in the statement of cash flows. ASU 2016-15 is effective for fiscal years beginning after December 15, 2017, and interim periods within those fiscal years, and will require adoption on a retrospective basis unless impracticable. If impracticable the Company would be required to apply the amendments prospectively as of the earliest date possible. The Company is currently evaluating the impact that ASU 2016-15 will have on its statement of cash flows. In January 2017, the FASB issued ASU 2017-04, "Simplifying the Test for Goodwill Impairment." The new guidance eliminates the requirement to calculate the implied fair value of goodwill (i.e., Step 2 of the current goodwill impairment test) to measure a goodwill impairment charge. Instead, entities will record an impairment charge based on the excess of a reporting unit's carrying amount over its fair value (i.e., measure the charge based on the current Step 1). ASU 2017-04 is effective for annual and any interim impairment tests for periods beginning after December 15, 2019. The Company is currently evaluating the provisions of ASU 2017-04 to determine how its goodwill impairment testing will be impacted and whether it may elect to adopt ASU 2017-04 prior to the stated effective date. In May 2017, the FASB issued ASU 2017-09, " Compensation—Stock Compensation: Scope of Modification Accounting." ASU 2017-19 clarifies when to account for a change to the terms or conditions of a share-based payment award as a modification. Under the new guidance, modification accounting is required only if the fair value, the vesting conditions, or the classification of the award (as equity or liability) changes as a result of the change in terms or conditions. This pronouncement is effective for annual periods, and for interim periods within those annual periods, beginning after December 15, 2017, with early adoption permitted, and is applied prospectively to changes in terms or conditions of awards occurring on or after the adoption date. The Company is evaluating the impact of the adoption of this guidance on its financial statements but does not expect it to have a material impact. Reclassification of Prior Period Balances Certain reclassifications have been made to prior period amounts to conform to the current-year presentation including the reporting of provision for doubtful accounts as a separate line item on the Unaudited Condensed Consolidated Statements of Income, as well as the reclassification of non-cash restructuring costs from the depreciation and amortization expenses on the Unaudited Condensed Consolidated Statements of Cash Flows in 2016. These reclassifications have no effect on the reported net income for three and six months ended June 30, 2017 and 2016.

Sale of Adult Day Services Cent

Sale of Adult Day Services Centers	6 Months Ended
	Jun. 30, 2017
Sale of Adult Day Services Centers [Abstract]
Sale of Adult Day Services Centers	2. Sale of Adult Day Services Centers In order to focus on providing services to consumers in their homes, effective March 1, 2017, the Company ceased the adult day services business and completed its sale of substantially all of the assets used in three $2.4 $2.1 three

Goodwill and Intangible Assets

Goodwill and Intangible Assets	6 Months Ended
	Jun. 30, 2017
Goodwill and Intangible Assets [Abstract]
Goodwill and Intangible Assets	3. Goodwill and Intangible Assets A summary of the goodwill activity for the six months ended June 30, 2017 is provided below: Goodwill (Amounts in Thousands) Goodwill, at December 31, 2016 $ 73,906 Additions for acquisitions — Adjustments to previously recorded goodwill — Goodwill, at June 30, 2017 $ 73,906 The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following as of June 30, 2017 and December 31, 2016: Customer Trade Non and referral names and State competition relationships trademarks licenses agreements Total (Amounts in Thousands) Gross balance at December 31, 2016 $ 34,672 $ 13,261 $ 150 $ 2,155 $ 50,238 Accumulated amortization (26,766 ) (6,296 ) — (1,763 ) (34,825 ) Net Balance at December 31, 2016 7,906 6,965 150 392 15,413 Gross balance at June 30, 2017 34,672 13,261 150 2,155 50,238 Accumulated amortization (27,918 ) (7,182 ) — (1,818 ) (36,918 ) Net Balance at June 30, 2017 $ 6,754 $ 6,079 $ 150 $ 337 $ 13,320 Amortization expense related to the identifiable intangible assets amounted to $ 1.0 $2.1 1.3 2.4

Details of Certain Balance Shee

Details of Certain Balance Sheet Accounts	6 Months Ended
	Jun. 30, 2017
Details of Certain Balance Sheet Accounts [Abstract]
Details of Certain Balance Sheet Accounts	4. Details of Certain Balance Sheet Accounts Prepaid expenses and other current assets consisted of the following: June 30, 2017 December 31, 2016 (Amounts in Thousands) Prepaid health insurance (1) $ 1,363 $ 2,238 Prepaid workers' compensation and liability insurance 311 1,190 Prepaid rent 474 568 Workers' compensation insurance receivable 520 747 Other 1,216 1,255 $ 3,884 $ 5,998 Accrued expenses consisted of the following: June 30, 2017 December 31, 2016 (Amounts in Thousands) Accrued payroll $ 15,283 $ 17,509 Accrued workers' compensation insurance 12,517 12,823 Accrued health insurance (1) 4,288 4,092 Indemnification reserve (2) 419 419 Accrued payroll taxes 1,293 1,747 Accrued professional fees 2,398 1,485 Accrued severance (3) 1,104 1,326 Accrued restructuring (4) 1,470 1,786 Other 1,818 1,416 $ 40,590 $ 42,603 (1) The Company provides health insurance coverage to qualified union employees providing personal care services in Illinois through a Taft-Hartley multi-employer health and welfare plan under Section 302(c)(5) of the Labor Management Relations Act of 1947. The Company's insurance contributions equal the amount reimbursed by the State of Illinois. Contributions are due within five Amounts due of $ 0.9 2.2 . (2) As a condition of the sale of substantially all of the assets used in the Company's home health business to subsidiaries of LHC Group, Inc. ("LHCG") in February 2013, the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing. In connection with an internal evaluation of the Company's billing processes, the Company discovered documentation errors in a number of claims that it had submitted to Medicare. Consistent with applicable law, the Company voluntarily remitted $ 1.8 0.4 (3) Accrued severance represents amounts payable to terminated employees with employment and/or separation agreements with the Company. (4) Accrued restructuring includes reserves for lease commitments related to the closure of three

Long-Term Debt

Long-Term Debt	6 Months Ended
	Jun. 30, 2017
Long-Term Debt [Abstract]
Long-Term Debt	5. Long-Term Debt Long-term debt consisted of the following: June 30, 2017 December 31, 2016 (Amounts in Thousands) Term loan under the new credit facility $ 45,000 — Term loan under the terminated credit facility — 24,063 Capital leases 1,726 2,433 Less unamortized issuance costs (2,688 ) (1,483 ) Total $ 44,038 $ 25,013 Less current maturities (3,052 ) (2,531 ) Long-term debt $ 40,986 $ 22,482 In accordance with ASU 2015-03, "Simplifying the Presentation of Debt Issuance Costs," the Company has classified the debt issuance costs as current portion of long-term debt or long-term debt, less current portion as of June 30, 2017 and December 31, 2016. Capital Leases On July 12, 2014, September 11, 2014 and April 13, 2015, the Company executed three 48 2.7 1.4 0.4 3.0 3.6 1 Effective October 1, 2016, the Company entered into a 25 $0.6 11.1% The following is an analysis of the leased property under capital leases by major classes. Asset Balances at June 30, 2017 Classes of Property (Amounts in Thousands) Leasehold Improvements $ 1,485 Furniture & Equipment 868 Computer Equipment 635 Computer Software 303 Total 3,291 Less: Accumulated Depreciation and Amortization (1,074 ) Net Leased Property Under Capital Leases $ 2,217 The future minimum payments for capital leases as of June 30, 2017 are as follows: Capital Lease (Amounts In Thousands) 2017 $ 780 2018 1,026 2019 30 Total minimum lease payments 1,836 Less: amount representing estimated executory costs (such as taxes, maintenance and insurance), including profit thereon, included in total minimum lease payments (50 ) Net minimum lease payments 1,786 Less: amount representing interest (1) (60 ) Present value of net minimum lease payments (2) $ 1,726 (1) Amount necessary to reduce net minimum lease payments to present value calculated at the Company's incremental borrowing rate at lease inception. (2) Included in the balance sheet as $ 1.5 0.2 Senior Secured Credit Facility On May 8, 2017, the Company entered into a credit agreement (the "Credit Agreement") to obtain a new credit facility with certain lenders and Capital One, N.A., as a lender and swing lender and as agent for all lenders. This credit facility totals $250.0 $125.0 $125.0 $45.0 $80.0 five $100.0 4.25 $2.8 Addus HealthCare is the borrower, with the Company and substantially all of the subsidiaries of the Company as guarantors under the new credit facility. The new credit facility is secured by a first priority security interest in all of the Company's and the other credit parties' current and future tangible and intangible assets, including the shares of stock of the borrower and subsidiaries. Interest on the Company's new credit facility may be payable at (x) the sum of (i) an applicable margin ranging from 1.50 2.25 1.50% 0.50 0.00 1.00% 2.50 3.25 2.50% The Company pays a fee ranging from 0.25 0.50 For the period May 8, 2017 through June 30, 2017, the Company did no $45.0 $86.5 The Credit Agreement 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 Agreement 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, investments and loans, subject to customary carve outs, a restriction on dividends (provided that Addus HealthCare may make distributions to the Company in an amount that does not exceed $5.0 $60.0 $80.0 Terminated Senior Secured Credit Facility Prior to May 8, 2017, the Company was a party to the Terminated Senior Secured Credit Facility with certain lenders and Fifth Third Bank, as agent and letters of credit issuer. The Terminated Senior Secured Credit Facility provided a $100.0 $ 25.0 $50.0 November 10, 2020 $35.0 3.25 3.75 3.50 4.00 1.00. Except as modified by the May 24, 2016 amendment, the Terminated Senior Secured Credit Facility contained the same material terms as the previous agreement dated November 10, 2015. Substantially all of the subsidiaries of Holdings were co-borrowers, and Holdings had guaranteed the borrowers' obligations under the Terminated Senior Secured Credit Facility. The Terminated Senior Secured Credit Facility was 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 Company's Terminated Senior Secured Credit Facility was based on the lesser of (i) the product of adjusted EBITDA, as defined in the terminated credit agreement, for the most recent 12-month period for which financial statements had been delivered under the credit agreement multiplied by the specified advance multiple, up to 3.75 100.0 2.00 2.50 0.50 3.00 3.00 3.50 3.00 3.50 0.25 0.50 On May 8, 2017, the Company repaid the outstanding debt balance of $ 23.8 $0.1 $1.3 For the period January 1, 2017 through May 7, 2017, the Company drew and subsequently repaid $20.0 $24.1 $79.7 The Terminated Senior Secured Credit Facility contained 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 Terminated Senior Secured Credit Facility also contained certain customary financial covenants and negative covenants that, among other things, included 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, distributions, investments and loans, subject to customary carve outs, a restriction on dividends (unless no default then exists or would occur as a result thereof, the Company was in pro forma compliance with the financial covenants contained in the Terminated Senior Secured Credit Facility after giving effect thereto, the Company had an excess availability of at least 40% 5.0 three 25.0 40.0

Income Taxes

Income Taxes	6 Months Ended
	Jun. 30, 2017
Income Taxes [Abstract]
Income Taxes	6. Income Taxes A reconciliation of the statutory federal tax rate of 35.0% for the three and six months ended June 30, 2017 and 34.9% for the three and six months ended June 30, 2016 is summarized as follows: Three Months Ended June 30, 2017 2016 Federal income tax at statutory rate 35.0 % 34.9 % State and local taxes, net of federal benefit 5.2 5.2 Jobs tax credits, net (8.1 ) (10.8 ) Nondeductible permanent items 0.5 1.0 Other (2.4 ) 0.0 Effective income tax rate 30.2 % 30.3 % Six Months Ended June 30, 2017 2016 Federal income tax at statutory rate 35.0 % 34.9 % State and local taxes, net of federal benefit 5.2 5.2 Jobs tax credits, net (7.4 ) (11.8 ) Nondeductible permanent items 0.5 2.1 Other (1.2 ) 0.0 Effective income tax rate 32.1 % 30.4 %

Commitments and Contingencies

Commitments and Contingencies	6 Months Ended
	Jun. 30, 2017
Commitments and Contingencies [Abstract]
Commitments and Contingencies	7. Commitments and Contingencies Legal Proceedings From time to time, the Company is subject to legal and/or administrative proceedings incidental to its business. It is the opinion of management that the outcome of pending legal and/or administrative proceedings will not have a material effect on the Company's financial position and results of operations. On January 20, 2016, the Company was served with a lawsuit filed in the United States District Court for the Northern District of Illinois against the Company and Cigna Corporation by Stop Illinois Marketing Fraud, LLC, a qui tam relator formed for the purpose of bringing this action. In the action, the plaintiff alleges, inter alia, violations of the federal False Claims Act relating primarily to allegations of violations of the federal Anti-Kickback Statute and allegedly improper referrals of patients from the Company's home care division to the Company's home health business, substantially all of which was sold in 2013. The plaintiff seeks to recover damages, fees and costs under the federal False Claims Act including treble damages, civil penalties and its attorneys' fees. The U.S. government has declined to intervene at this time. Plaintiff amended its complaint on April 4, 2016 to include additional allegations in support of its False Claims Act claims, including alleged violations of the federal Anti-Kickback Statute. The Company and Cigna Corporation filed a motion to dismiss the amended complaint on June 6, 2016. On February 3, 2017, the Court granted Cigna Corporation's motion to dismiss in full, and granted the Company's motion to dismiss in part allowing Plaintiff another chance to amend its complaint. Plaintiff timely filed a second amended complaint on March 10, 2017, withdrawing its conspiracy claim under the Federal False Claims Act and adding an explicit claim under the Illinois False Claims Act for the same underlying kickback allegations. On April 7, 2017, the Company filed a partial motion to dismiss the Second Amended Complaint, which has not yet been ruled on by the court. On May 24, 2017, the State of Illinois filed notice that it was declining to intervene in the plaintiff's claim under the Illinois False Claims Act. The Company intends to defend the litigation vigorously and believes the case will not have a material adverse effect on its business, financial condition or results of operations. On May 4, 2016, the Company, together with 59 other social service and healthcare providers in the State of Illinois, filed an action in the Circuit Court of Cook County, Illinois against certain individuals in their official capacities as agents of the Illinois Department of Human Services, the Illinois Department on Aging, the Illinois Department of Public Health, the Illinois Department of HealthCare and Family Services, the Illinois Criminal Justice Information Authority, the Illinois Department of Corrections and the Illinois Department of Central Management Services, including the Governor of Illinois. On July 20, 2016, a third amended complaint was filed by the plaintiffs, who now comprise 97 similarly situated providers and provider organizations. In the action, the plaintiffs, including the Company, allege to have entered into contracts with the various defendants based in part on the Governor's proposed budget, which provided for funding for the services to be provided by plaintiffs thereunder. The Governor subsequently vetoed all of the relevant appropriations bills on June 25, 2015 and again vetoed an appropriations bill that included funding for the contracts on June 10, 2016. While the defendant officer and agency heads have continued to enforce such contracts, since August 1, 2016, the Company received an aggregate of approximately $ 65.4 Employment Agreements The Company has entered into employment agreements with certain members of senior management. The terms of these agreements are up to four A substantial percentage of the Company's workforce is represented by the Service Employees International Union ("SEIU"). The Company has a national agreement with the SEIU which is currently under negotiation, as well as numerous agreements with local SEIU affiliates which are renegotiated from time to time. These negotiations are often initiated when the Company receives increases in hourly rates from various state agencies. Upon expiration of these collective bargaining agreements, the Company may not be able to negotiate labor agreements on satisfactory terms with these labor unions.

Severance and Restructuring

Severance and Restructuring	6 Months Ended
	Jun. 30, 2017
Severance and Restructuring [Abstract]
Severance and Restructuring	8. Severance and Restructuring In 2016, the Company initiated steps to streamline its operations. The Company incurred total expenses related to these initiatives of approximately $50 0.9 0.8 4.3 The following provides the components of and changes in our severance and restructuring accruals: Employee Termination Restructuring Costs and Other (Amounts in Thousands) Balance at December 31, 2016 $ 1,326 $ 1,786 Provision 894 44 Utilization (1,116 ) (360 ) Balance at June 30, 2017 $ 1,104 $ 1,470 Employee termination costs represent accrued severance payable to terminated employees with employment and/or separation agreements with the Company. The terminations resulted mainly from changes made to the executive leadership team made during the six months ended June 30, 2017 and 2016. Restructuring and other costs comprised of fees for the termination of professional services relationships for the six months ended June 30, 2017 and fees for the termination of an employee incentive program and various contracts with outside vendors for the six months ended June 30, 2016. The aforementioned accruals are included in Accrued Expenses on the Unaudited Condensed Consolidated Balance Sheets and the aforementioned expenses are included in General and Administrative Expenses on the Unaudited Condensed Consolidated Statements of Income.

Significant Payors

Significant Payors	6 Months Ended
	Jun. 30, 2017
Significant Payors [Abstract]
Significant Payors	9. Significant Payors A substantial portion of the Company's net service revenues and accounts receivable are derived from services performed for federal, state and local governmental agencies. The Illinois Department on Aging accounted for 36.7 43.5 36.6 44.1 The related receivables due from the Illinois Department on Aging represented 56.4 55.4 The State of Illinois's payments have been delayed in the past and may continue to be delayed in the future due to a budget impasse that began in 2015. The State of Illinois did not adopt a comprehensive budget for fiscal year 2016, which ended on June 30, 2016, or a comprehensive budget for fiscal year 2017, which ended on June 30, 2017. On July 6, 2017, the State of Illinois passed a balanced state budget for fiscal year 2018, which began on July 1, 2017. With this budget, the State of Illinois is authorized to pay for the Non-Medicaid consumers the Company serves for prior fiscal years. Accounts receivable attributable to delayed payments from the Illinois Department on Aging totaled $73.8 Subsequent to the State of Illinois's passing of the fiscal 2018 budget, in July 2017, the Company began receiving delayed payments from the Illinois Department on Aging. Through August 4, 2017, the Company has received an aggregate of $69.4

Concentration of Cash

Concentration of Cash	6 Months Ended
	Jun. 30, 2017
Concentration of Cash [Abstract]
Concentration of Cash	10. 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.

Subsequent Events Not Disclosed

Subsequent Events Not Disclosed Elsewhere	6 Months Ended
	Jun. 30, 2017
Subsequent Events Not Disclosed Elsewhere [Abstract]
Subsequent Events Not Disclosed Elsewhere	11. Subsequent Events Not Disclosed Elsewhere On April 24, 2017, the Company entered into a definitive securities purchase agreement with HB Management Group, Inc. to purchase Options Services, Inc. d/b/a Options Home Care ("Options Home Care"). On August 1, 2017, the Company completed its acquisition of all the outstanding securities of Options Homecare for a total purchase price of $ 23.2

Summary of Significant Accoun18

Summary of Significant Accounting Policies (Policy)	6 Months Ended
	Jun. 30, 2017
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," "we," "us," or "our"). The Company operates as one 34,000 110 24
Principles of Consolidation	Principles of Consolidation All intercompany balances and transactions have been eliminated in consolidation. The Company's investment in entities with less than 20% ownership or in which the Company does not have the ability to influence the operations of the investee are 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, managed care organizations, commercial insurers and private consumers. The Company's operations 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. Personal care 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 insurance programs and private pay.
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 establishes its provision for doubtful accounts primarily by analyzing historical trends and the aging of receivables. In its evaluation, the Company considers other factors including: 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 that the Company's management believes is sufficient to cover potential losses. However, actual collections could differ from the Company's 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. Maintenance and repairs are charged to expense as incurred. The estimated useful lives of the property and equipment are as follows: Computer equipment 3 – 5 years Furniture and equipment 5 – 7 years Transportation equipment 5 years Computer software 5 – 10 years Leasehold improvements Lesser of useful life or lease term, unless probability of lease renewal is likely
Goodwill	Goodwill The Company's carrying value of goodwill is the excess 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 no No
Intangible Assets	Intangible Assets The Company's identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two twenty-five 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 charge 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 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. The Company also has indefinite-lived intangible assets that are not subject to amortization expense such as certificates of need and licenses to conduct specific operations within geographic markets. The Company's 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, or whenever potential impairment triggers occur. No
Debt Issuance Costs	Debt Issuance Costs The Company amortizes debt issuance costs on a straight-line method over the term of the related debt. This method approximates the effective interest method. The Company has classified the debt issuance costs as current portion of long-term debt or long-term debt, less current portion as of June 30, 2017 and December 31, 2016.
Workers' Compensation Program	Workers' Compensation Program The Company's workers' compensation insurance program has a $ 0.4 "Presentation of Insurance Claims and Related Insurance Recoveries" ("ASU 2010-24"), which clarifies that companies should not net insurance recoveries against a related claim liability. Additionally, under ASU 2010-24, the amount of the claim liability should be determined without consideration of insurance recoveries. As of June 30, 2017 and December 31, 2016, the Company recorded $ 0.5 $ 0.7
Interest Income	Interest Income Illinois law 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 income as interest income. For the three and six months ended June 30, 2017 and 2016 no
Interest Expense	Interest Expense The Company's interest expense consists of interest and unused credit line fees on its credit facilities, interest on its capital lease obligations, and amortization and write-off of debt issuance costs, which is reported in the statement of income when incurred.
Other Income	Other Income Other income consists of income distributions received from the investment in joint venture. The Company accounts for this income in accordance with ASC Topic 325, "Investments—Other." The Company recognizes the net accumulated earnings only to the extent distributed by the joint venture on the date received.
Income Tax Expenses	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 Company's assets and liabilities, are also adjusted for changes in tax rates and tax laws when changes are enacted. ASC Topic 740 also requires that deferred tax assets be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized. ASC Topic 740 also prescribes a recognition threshold and measurement process for recording in the financial statements uncertain tax positions taken or expected to be taken in a tax return. In addition, ASC Topic 740 provides guidance on derecognition, classification, accounting in interim periods and disclosure requirements for uncertain tax positions. In March 2016, the FASB issued Accounting Standards Update ("ASU") 2016-09, "Compensation-Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting." ASU 2016-09 allows for simplification of several aspects of the accounting for share-based payment transactions including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. Under ASU 2016-09, all excess tax benefits and tax deficiencies (including tax benefits of dividends on share-based payment awards) should be recognized as income tax expense or benefit in the income statement. ASU 2016-09 also requires recognition of excess tax benefits regardless of whether the benefit reduces taxes payable in the current period. ASU 2016-09 further permits the withholding of an amount up to employees' maximum individual tax rate in the relevant jurisdiction without resulting in a liability classification. ASU 2016-09 also requires any excess tax benefits be classified along with other income tax cash flows as an operating activity and cash paid by an employer when directly withholding shares for tax-withholding purposes to be classified as a financing activity. The Company adopted this standard on January 1, 2017 on a prospective basis. As a result, for the three and six months ended June 30, 2017, the Company recorded an excess tax benefit of $ 92.0 118.0
Stock-Based Compensation	Stock-based Compensation The Company currently has two free interest rate, expected term, expected dividends yield, expected forfeiture rate, expected turn-over rate and the expected exercise multiple.
Diluted Net Income Per Common Share	Diluted Net Income Per Common Share Diluted 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 Company's outstanding securities that may potentially dilute the common stock are stock options and restricted stock awards. Included in the Company's calculation of diluted earnings per share for the three and six months ended June 30, 2017 were approximately 461,000 105,000 101,000 139,000 47,000 51,000 Included in the Company's calculation of diluted earnings per share for the three and six months ended June 30, 2016 were approximately 469,000 24,000 25,000 98,000 no
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. The Company's critical accounting estimates include the following areas: the allowance for doubtful accounts, reserve for self-insurance claims, accounting for stock-based compensation, accounting for income taxes and when required, the quantitative assessment of goodwill. Accordingly, actual results could differ from those estimates.
Fair Value Measurements	Fair Value Measurements The Company's financial instruments consist primarily of cash, accounts receivable, payables and debt. The carrying amounts reported on the Company's Unaudited Condensed Consolidated Balance Sheets for cash, accounts receivable, accounts payable and accrued expenses approximate fair value because of the short-term nature of these instruments. The carrying value of the Company's long-term debt with variable interest rates approximates fair value based on instruments with similar terms. The Company applies fair value techniques on a non-recurring basis associated with valuing potential impairment losses related to goodwill, if required, 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, defined as unobservable inputs in which little or no market data exists; therefore requiring an entity to develop its own assumptions, 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, in performing the impairment assessment of its investment in joint ventures, the Company uses discounted cash flows to estimate the fair value of its investment.
Going Concern	Going Concern In connection with the preparation of the financial statements for the three and six months ended June 30, 2017, the Company conducted an evaluation as to whether there were conditions and events, considered in the aggregate, which raised substantial doubt as to the entity's ability to continue as a going concern within one year after the date of the issuance, or the date of availability, of the financial statements to be issued. The evaluation concluded that there did not appear to be evidence of substantial doubt of the entity's ability to continue as a going concern.
New Accounting Pronouncements	New Accounting Pronouncements In May 2014, the FASB issued ASU 2014-09, "Revenue from Contracts with Customers (Topic 606)," which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. ASU 2014-09 will replace most existing revenue recognition guidance in GAAP and will be effective for the Company as of January 1, 2018. The standard permits the use of either the retrospective or modified retrospective (cumulative effect) transition method and the Company has selected the modified retrospective approach. The Company's evaluation of ASU 2014-09 is not complete. The FASB has issued and may issue in the future, interpretative guidance, which may cause the Company's evaluation to change. The Company has completed the initial review to determine the impact ASU 2014-09 and its subsequent updates will have on its Consolidated Financial Statements or financial statement disclosures upon adoption. Based on the Company's continued review, it believes that the timing and measurement of revenue for its customers will be similar to its current revenue recognition model due to the structure of payor contracts which consists of a fixed reimbursement rate that is deemed earned upon completion of a defined service. In addition, the Company has made ongoing progress around process changes and system enhancements to ensure adherence to the new standard. The Company will complete its assessment of the impact and finalize implementation of system enhancements during the remainder of 2017. In February 2016, the FASB issued ASU No. 2016-02, "Leases," which replaces existing leasing rules with a comprehensive lease measurement and recognition standard and expanded disclosure requirements. ASU 2016-02 will require lessees to recognize most leases on their balance sheets as liabilities, with corresponding "right-of-use" assets and is effective for annual reporting periods beginning after December 15, 2018, subject to early adoption. For income statement recognition purposes, leases will be classified as either a finance or an operating lease. The Company will be required to recognize and measure leases at the beginning of the earliest period presented using a modified retrospective approach. Upon initial evaluation, the Company believes that the new standard will have a material impact on its Consolidated Balance Sheets but it will not affect its liquidity. It has been determined that the Company will need to secure new software to account for the change in accounting for leases and is currently reviewing the software options available. In June 2016, the FASB issued ASU No. 2016-13, "Financial Instruments (Topic 326) Credit Losses." ASU 2016-13 changes the impairment model for most financial assets and certain other instruments. Under the new standard, entities holding financial assets and net investment in leases that are not accounted for at fair value through net income are to be presented at the net amount expected to be collected. An allowance for credit losses will be a valuation account that will be deducted from the amortized cost basis of the financial asset to present the net carrying value at the amount expected to be collected on the financial asset. ASU 2016-13 is effective as of January 1, 2020. Early adoption is permitted. The Company is currently evaluating the impact of ASU 2016-13. In August 2016, the FASB issued ASU 2016-15, "Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments." This standard amends and adjusts how cash receipts and cash payments are presented and classified in the statement of cash flows. ASU 2016-15 is effective for fiscal years beginning after December 15, 2017, and interim periods within those fiscal years, and will require adoption on a retrospective basis unless impracticable. If impracticable the Company would be required to apply the amendments prospectively as of the earliest date possible. The Company is currently evaluating the impact that ASU 2016-15 will have on its statement of cash flows. In January 2017, the FASB issued ASU 2017-04, "Simplifying the Test for Goodwill Impairment." The new guidance eliminates the requirement to calculate the implied fair value of goodwill (i.e., Step 2 of the current goodwill impairment test) to measure a goodwill impairment charge. Instead, entities will record an impairment charge based on the excess of a reporting unit's carrying amount over its fair value (i.e., measure the charge based on the current Step 1). ASU 2017-04 is effective for annual and any interim impairment tests for periods beginning after December 15, 2019. The Company is currently evaluating the provisions of ASU 2017-04 to determine how its goodwill impairment testing will be impacted and whether it may elect to adopt ASU 2017-04 prior to the stated effective date. In May 2017, the FASB issued ASU 2017-09, " Compensation—Stock Compensation: Scope of Modification Accounting." ASU 2017-19 clarifies when to account for a change to the terms or conditions of a share-based payment award as a modification. Under the new guidance, modification accounting is required only if the fair value, the vesting conditions, or the classification of the award (as equity or liability) changes as a result of the change in terms or conditions. This pronouncement is effective for annual periods, and for interim periods within those annual periods, beginning after December 15, 2017, with early adoption permitted, and is applied prospectively to changes in terms or conditions of awards occurring on or after the adoption date. The Company is evaluating the impact of the adoption of this guidance on its financial statements but does not expect it to have a material impact.
Reclassification of Prior Period Balances	Reclassification of Prior Period Balances Certain reclassifications have been made to prior period amounts to conform to the current-year presentation including the reporting of provision for doubtful accounts as a separate line item on the Unaudited Condensed Consolidated Statements of Income, as well as the reclassification of non-cash restructuring costs from the depreciation and amortization expenses on the Unaudited Condensed Consolidated Statements of Cash Flows in 2016. These reclassifications have no effect on the reported net income for three and six months ended June 30, 2017 and 2016.

Summary of Significant Accoun19

Summary of Significant Accounting Policies (Tables)	6 Months Ended
	Jun. 30, 2017
Summary of Significant Accounting Policies [Abstract]
Estimated Useful Lives of Property and Equipment	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 and Intangible Assets

Goodwill and Intangible Assets (Tables)	6 Months Ended
	Jun. 30, 2017
Goodwill and Intangible Assets [Abstract]
Summary of Goodwill Activity	Goodwill (Amounts in Thousands) Goodwill, at December 31, 2016 $ 73,906 Additions for acquisitions — Adjustments to previously recorded goodwill — Goodwill, at June 30, 2017 $ 73,906
Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset	Customer Trade Non and referral names and State competition relationships trademarks licenses agreements Total (Amounts in Thousands) Gross balance at December 31, 2016 $ 34,672 $ 13,261 $ 150 $ 2,155 $ 50,238 Accumulated amortization (26,766 ) (6,296 ) — (1,763 ) (34,825 ) Net Balance at December 31, 2016 7,906 6,965 150 392 15,413 Gross balance at June 30, 2017 34,672 13,261 150 2,155 50,238 Accumulated amortization (27,918 ) (7,182 ) — (1,818 ) (36,918 ) Net Balance at June 30, 2017 $ 6,754 $ 6,079 $ 150 $ 337 $ 13,320

Details of Certain Balance Sh21

Details of Certain Balance Sheet Accounts (Tables)	6 Months Ended
	Jun. 30, 2017
Details of Certain Balance Sheet Accounts [Abstract]
Schedule of Prepaid Expenses and Other Current Assets	June 30, 2017 December 31, 2016 (Amounts in Thousands) Prepaid health insurance (1) $ 1,363 $ 2,238 Prepaid workers' compensation and liability insurance 311 1,190 Prepaid rent 474 568 Workers' compensation insurance receivable 520 747 Other 1,216 1,255 $ 3,884 $ 5,998
Schedule of Accrued Expenses	June 30, 2017 December 31, 2016 (Amounts in Thousands) Accrued payroll $ 15,283 $ 17,509 Accrued workers' compensation insurance 12,517 12,823 Accrued health insurance (1) 4,288 4,092 Indemnification reserve (2) 419 419 Accrued payroll taxes 1,293 1,747 Accrued professional fees 2,398 1,485 Accrued severance (3) 1,104 1,326 Accrued restructuring (4) 1,470 1,786 Other 1,818 1,416 $ 40,590 $ 42,603 (1) The Company provides health insurance coverage to qualified union employees providing personal care services in Illinois through a Taft-Hartley multi-employer health and welfare plan under Section 302(c)(5) of the Labor Management Relations Act of 1947. The Company's insurance contributions equal the amount reimbursed by the State of Illinois. Contributions are due within five business days from the date the funds are received from the State of Illinois. Amounts due of $0.9 million and $2.2 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance as of June 30, 2017 and December 31, 2016, respectively. (2) As a condition of the sale of substantially all of the assets used in the Company's home health business to subsidiaries of LHC Group, Inc. ("LHCG") in February 2013, the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing. In connection with an internal evaluation of the Company's billing processes, the Company discovered documentation errors in a number of claims that it had submitted to Medicare. Consistent with applicable law, the Company voluntarily remitted $1.8 million to the U.S. government in March 2014. As of June 30, 2017, the Company, using its best judgment, has estimated a total of $0.4 million for billing adjustments for 2013, 2012 and 2011 services which may be subject to Medicare audits. (3) Accrued severance represents amounts payable to terminated employees with employment and/or separation agreements with the Company. (4) Accrued restructuring includes reserves for lease commitments related to the closure of three adult day services centers in Illinois during the third quarter of 2016, unused contact center office space and fees related to termination of professional services relationships.

Long-Term Debt (Tables)

Long-Term Debt (Tables)	6 Months Ended
	Jun. 30, 2017
Long-Term Debt [Abstract]
Schedule of Long-Term Debt	June 30, 2017 December 31, 2016 (Amounts in Thousands) Term loan under the new credit facility $ 45,000 — Term loan under the terminated credit facility — 24,063 Capital leases 1,726 2,433 Less unamortized issuance costs (2,688 ) (1,483 ) Total $ 44,038 $ 25,013 Less current maturities (3,052 ) (2,531 ) Long-term debt $ 40,986 $ 22,482
Schedule of Leased Property Under Capital Leases	Asset Balances at June 30, 2017 Classes of Property (Amounts in Thousands) Leasehold Improvements $ 1,485 Furniture & Equipment 868 Computer Equipment 635 Computer Software 303 Total 3,291 Less: Accumulated Depreciation and Amortization (1,074 ) Net Leased Property Under Capital Leases $ 2,217
Schedule of Future Minimum Payments for Capital Leases	Capital Lease (Amounts In Thousands) 2017 $ 780 2018 1,026 2019 30 Total minimum lease payments 1,836 Less: amount representing estimated executory costs (such as taxes, maintenance and insurance), including profit thereon, included in total minimum lease payments (50 ) Net minimum lease payments 1,786 Less: amount representing interest (1) (60 ) Present value of net minimum lease payments (2) $ 1,726 (1) Amount necessary to reduce net minimum lease payments to present value calculated at the Company's incremental borrowing rate at lease inception. (2) Included in the balance sheet as $1.5 million of the current portion of long-term debt, net of debt issuance costs and $0.2 million of the long-term debt, less current portion, net of debt issuance costs.

Income Taxes (Tables)

Income Taxes (Tables)	6 Months Ended
	Jun. 30, 2017
Income Taxes [Abstract]
Reconciliation of Statutory Federal Tax Rate	Three Months Ended June 30, 2017 2016 Federal income tax at statutory rate 35.0 % 34.9 % State and local taxes, net of federal benefit 5.2 5.2 Jobs tax credits, net (8.1 ) (10.8 ) Nondeductible permanent items 0.5 1.0 Other (2.4 ) 0.0 Effective income tax rate 30.2 % 30.3 % Six Months Ended June 30, 2017 2016 Federal income tax at statutory rate 35.0 % 34.9 % State and local taxes, net of federal benefit 5.2 5.2 Jobs tax credits, net (7.4 ) (11.8 ) Nondeductible permanent items 0.5 2.1 Other (1.2 ) 0.0 Effective income tax rate 32.1 % 30.4 %

Severance and Restructuring (Ta

Severance and Restructuring (Tables)	6 Months Ended
	Jun. 30, 2017
Severance and Restructuring [Abstract]
Components of and Changes in Severance and Restructuring Accruals	Employee Termination Restructuring Costs and Other (Amounts in Thousands) Balance at December 31, 2016 $ 1,326 $ 1,786 Provision 894 44 Utilization (1,116 ) (360 ) Balance at June 30, 2017 $ 1,104 $ 1,470

Summary of Significant Accoun25

Summary of Significant Accounting Policies (Narrative) (Details) shares in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2017USD ($)stateshares	Jun. 30, 2016USD ($)shares	Jun. 30, 2017USD ($)statesegmentitemshares	Jun. 30, 2016USD ($)shares	Dec. 31, 2016USD ($)
Summary Of Significant Accounting Policies [Line Items]
Number of reportable business segments | segment			1
Number of consumers | item			34,000
Number of locations | item			110
Number of states in which the company operates | state	24		24
Goodwill impairment charge	$ 0	$ 0	$ 0	$ 0	$ 0
Impairment of finite-lived intangible assets	0	0	0	0
Impairment of intangible assets, indefinite-lived (Excluding Goodwill)	0	0	0	0
Deductible component of workers' compensation			400,000
Increase in workers' compensation liabilities			500,000		$ 700,000
Interest income received	0	0	0	0
Income tax expense (benefit)	1,170,000	$ 1,131,000	$ 3,285,000	$ 1,207,000
Number of stock incentive plans | item			2
Accounting Standards Update 2016-09 [Member]
Summary Of Significant Accounting Policies [Line Items]
Income tax expense (benefit)	$ 92,000		$ 118,000
Stock Options [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of stock options included in calculation | shares	461	469	461	469
Number of dilutive shares outstanding | shares	105	24	101	25
Restricted Stock [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of dilutive shares outstanding | shares	47	0	51	0
Shares of restricted stock awards included in calculation | shares	139	98	139	98
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

Summary of Significant Accoun26

Summary of Significant Accounting Policies (Estimated Useful Lives of Property and Equipment) (Details)	6 Months Ended
	Jun. 30, 2017
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

Sale of Adult Day Services Ce27

Sale of Adult Day Services Centers (Narrative) (Details) - Illinois [Member] $ in Millions	Mar. 01, 2017USD ($)item
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of adult day centers sold | item	3
Proceeds from sale of adult day service centers	$ 2.4
Pre-tax gain from sale of adult day service centers	$ 2.1

Goodwill and Intangible Asset28

Goodwill and Intangible Assets (Narrative) (Details) - USD ($) $ in Millions	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Goodwill and Intangible Assets [Abstract]
Amortization expense	$ 1	$ 1.3	$ 2.1	$ 2.4

Goodwill and Intangible Asset29

Goodwill and Intangible Assets (Summary of Goodwill Activity) (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2017USD ($)
Goodwill and Intangible Assets [Abstract]
Goodwill, at Beginning of Period	$ 73,906
Additions for Acquisitions
Adjustments to previously recorded goodwill
Goodwill, at End of Period	$ 73,906

Goodwill and Intangible Asset30

Goodwill and Intangible Assets (Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset) (Details) - USD ($) $ in Thousands	Jun. 30, 2017	Dec. 31, 2016
Finite-Lived Intangible Assets [Line Items]
Gross balance	$ 50,238	$ 50,238
Accumulated amortization	(36,918)	(34,825)
Net Balance	13,320	15,413
Customer And Referral Relationships [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	34,672	34,672
Accumulated amortization	(27,918)	(26,766)
Net Balance	6,754	7,906
Trade Names And Trademarks [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	13,261	13,261
Accumulated amortization	(7,182)	(6,296)
Net Balance	6,079	6,965
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	2,155	2,155
Accumulated amortization	(1,818)	(1,763)
Net Balance	$ 337	$ 392

Details of Certain Balance Sh31

Details of Certain Balance Sheet Accounts (Schedule of Prepaid Expenses and Other Current Assets) (Details) - USD ($) $ in Thousands		Jun. 30, 2017	Dec. 31, 2016
Details of Certain Balance Sheet Accounts [Abstract]
Prepaid health insurance	[1]	$ 1,363	$ 2,238
Prepaid workers' compensation and liability insurance		311	1,190
Prepaid rent		474	568
Workers' compensation insurance receivable		520	747
Other		1,216	1,255
Prepaid expenses and other current assets		$ 3,884	$ 5,998
[1]	The Company provides health insurance coverage to qualified union employees providing personal care services in Illinois through a Taft-Hartley multi-employer health and welfare plan under Section 302(c)(5) of the Labor Management Relations Act of 1947. The Company's insurance contributions equal the amount reimbursed by the State of Illinois. Contributions are due within five business days from the date the funds are received from the State of Illinois. Amounts due of $0.9 million and $2.2 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance as of June 30, 2017 and December 31, 2016, respectively .

Details of Certain Balance Sh32

Details of Certain Balance Sheet Accounts (Schedule of Accrued Expenses) (Details) $ in Thousands		3 Months Ended		6 Months Ended
		Sep. 30, 2016item	Mar. 31, 2014USD ($)	Jun. 30, 2017USD ($)	Dec. 31, 2016USD ($)
Accrued payroll				$ 15,283	$ 17,509
Accrued workers' compensation insurance				12,517	12,823
Accrued health insurance	[1]			4,288	4,092
Indemnification reserve	[2]			419	419
Accrued payroll taxes				1,293	1,747
Accrued professional fees				2,398	1,485
Accrued severance	[3]			1,104	1,326
Accrued restructuring	[4]			1,470	1,786
Other				1,818	1,416
Accrued expenses				$ 40,590	42,603
Contributions due after fund received, period				5 days
Health insurance reimbursement and contribution due				$ 900	$ 2,200
Illinois [Member]
Number of adult day centers closed | item		3
LHC Group, Inc. [Member]
Amount voluntarily remitted to government			$ 1,800
Estimated billing adjustments for remittance payment				$ 400
[1]	The Company provides health insurance coverage to qualified union employees providing personal care services in Illinois through a Taft-Hartley multi-employer health and welfare plan under Section 302(c)(5) of the Labor Management Relations Act of 1947. The Company's insurance contributions equal the amount reimbursed by the State of Illinois. Contributions are due within five business days from the date the funds are received from the State of Illinois. Amounts due of $0.9 million and $2.2 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance as of June 30, 2017 and December 31, 2016, respectively .
[2]	As a condition of the sale of substantially all of the assets used in the Company's home health business to subsidiaries of LHC Group, Inc. ("LHCG") in February 2013, the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing. In connection with an internal evaluation of the Company's billing processes, the Company discovered documentation errors in a number of claims that it had submitted to Medicare. Consistent with applicable law, the Company voluntarily remitted $1.8 million to the U.S. government in March 2014. As of June 30, 2017, the Company, using its best judgment, has estimated a total of $0.4 million for billing adjustments for 2013, 2012 and 2011 services which may be subject to Medicare audits.
[3]	Accrued severance represents amounts payable to terminated employees with employment and/or separation agreements with the Company.
[4]	Accrued restructuring includes reserves for lease commitments related to the closure of three adult day services centers in Illinois during the third quarter of 2016, unused contact center office space and fees related to termination of professional services relationships.

Long-Term Debt (Narrative) (Det

Long-Term Debt (Narrative) (Details) $ in Thousands

May 08, 2017USD ($)

Oct. 01, 2016USD ($)

May 24, 2016

May 23, 2016

Jun. 30, 2017USD ($)

May 07, 2017USD ($)

Jun. 30, 2017USD ($)agreementitem$ / agreement

Jun. 30, 2016USD ($)

Dec. 31, 2016USD ($)

Apr. 13, 2015USD ($)

Sep. 11, 2014USD ($)

Jul. 12, 2014USD ($)

Debt Instrument [Line Items]

Proceeds from line of credit

$ 20,000

$ 17,000

Repayment of credit facility

20,000

Repayment of accrued interest

$ 938

$ 1,015

Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Maximum aggregate loan amount available

$ 125,000

Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Line of credit outstanding amount

$ 24,100

Debt instrument, maturity date

Nov. 10, 2020

Capital Leases [Member]

Debt Instrument [Line Items]

Option to purchase assets per lease agreement | $ / agreement

1

Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Maximum aggregate loan amount available

$ 100,000

100,000

$ 100,000

$ 79,700

Repayment of credit facility

$ 23,800

20,000

Repayment of accrued interest

100

Write off of unamortized debt issuance cost

1,300

Specified advance multiple used to determine funds availability under credit facility

3.75

3.25

3.75

Debt instrument leverage ratio

4.00%

3.50%

Term Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Maximum aggregate loan amount available

50,000

Delayed Draw Term Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Maximum aggregate loan amount available

25,000

Letters of Credit [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Maximum aggregate loan amount available

$ 35,000

First American Commercial Bancorp [Member] | Capital Leases [Member]

Debt Instrument [Line Items]

Number of capital lease agreements | agreement

3

Capital lease agreements term

48 months

Capital lease agreements amount

$ 400

$ 1,400

$ 2,700

Meridian Leasing Corporation [Member]

Debt Instrument [Line Items]

Capital lease agreements amount

$ 600

Debt instrument stated interest rate

11.10%

Meridian Leasing Corporation [Member] | Capital Leases [Member]

Debt Instrument [Line Items]

Capital lease agreements term

25 months

Minimum [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Fee charged on unused portion of revolving credit facility

0.25%

Minimum [Member] | First American Commercial Bancorp [Member] | Capital Leases [Member]

Debt Instrument [Line Items]

Debt instrument stated interest rate

3.00%

3.00%

Maximum [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Fee charged on unused portion of revolving credit facility

0.50%

Maximum [Member] | First American Commercial Bancorp [Member] | Capital Leases [Member]

Debt Instrument [Line Items]

Debt instrument stated interest rate

3.60%

3.60%

One Month LIBOR [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

3.00%

Federal Funds Rate [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

0.50%

New Credit Facility [Member]

Debt Instrument [Line Items]

Maximum aggregate loan amount available

250,000

Credit facility maturity period

5 years

Debt issuance costs

$ 2,800

$ 2,800

Proceeds from line of credit

0

Line of credit outstanding amount

45,000

45,000

New Credit Facility [Member] | Revolving Credit Loan [Member]

Debt Instrument [Line Items]

Maximum aggregate loan amount available

125,000

$ 86,500

$ 86,500

New Credit Facility [Member] | Term Loan [Member]

Debt Instrument [Line Items]

Maximum aggregate loan amount available

45,000

New Credit Facility [Member] | Delayed Draw Term Loan [Member]

Debt Instrument [Line Items]

Maximum aggregate loan amount available

80,000

New Credit Facility [Member] | Uncommitted Incremental Term Loan [Member]

Debt Instrument [Line Items]

Maximum aggregate loan amount available

$ 100,000

New Credit Facility [Member] | Minimum [Member] | Revolving Credit Loan [Member]

Debt Instrument [Line Items]

Fee charged on unused portion of revolving credit facility

0.25%

New Credit Facility [Member] | Maximum [Member]

Debt Instrument [Line Items]

Maximum ratio used to determin availability of additional draws

4.25%

New Credit Facility [Member] | Maximum [Member] | Revolving Credit Loan [Member]

Debt Instrument [Line Items]

Fee charged on unused portion of revolving credit facility

0.50%

New Credit Facility [Member] | One Month LIBOR [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

1.00%

New Credit Facility [Member] | One Month LIBOR [Member] | Minimum [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

0.00%

New Credit Facility [Member] | Federal Funds Rate [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

0.50%

Amended Credit Facility [Member] | Revolving Credit Loan [Member]

Debt Instrument [Line Items]

Maximum number of acquisitions in a year | item

3

Basis for Availability of Funds Debt Covenant One [Member] | Minimum [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

2.00%

Basis for Availability of Funds Debt Covenant One [Member] | Maximum [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

2.50%

Basis for Availability of Funds Debt Covenant Two [Member] | Minimum [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

3.00%

Basis for Availability of Funds Debt Covenant Two [Member] | Maximum [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

3.50%

Basis for Availability of Funds Debt Covenant Three [Member] | Minimum [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

3.00%

Basis for Availability of Funds Debt Covenant Three [Member] | Maximum [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

3.50%

Restriction on Dividends [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Aggregate amount of dividends and distributions

$ 5,000

Restriction on Dividends [Member] | Minimum [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Availability of revolving credit commitment under credit facility percent

40.00%

Restriction on Dividends [Member] | New Credit Facility [Member]

Debt Instrument [Line Items]

Aggregate amount of dividends and distributions

$ 5,000

Restriction on Ability to Consummate Acquisitions [Member] | Revolving Credit Loan [Member] | Terminated Senior Secured Credit Facility [Member]

Debt Instrument [Line Items]

Maximum single acquisition price

25,000

Maximum total purchase price allowed

40,000

Restriction on Ability to Consummate Acquisitions [Member] | New Credit Facility [Member]

Debt Instrument [Line Items]

Maximum single acquisition price

60,000

Maximum total purchase price allowed

$ 80,000

Based On Applicable Senior Leverage Ratio [Member] | New Credit Facility [Member] | Minimum [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

1.50%

Based On Applicable Senior Leverage Ratio [Member] | New Credit Facility [Member] | Maximum [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

2.25%

Based On Applicable Leverage Ratio [Member] | New Credit Facility [Member] | Minimum [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

2.50%

Based On Applicable Leverage Ratio [Member] | New Credit Facility [Member] | Maximum [Member]

Debt Instrument [Line Items]

Debt instrument variable interest rate margin

3.25%

Long-Term Debt (Schedule of Lon

Long-Term Debt (Schedule of Long-Term Debt) (Details) - USD ($) $ in Thousands	Jun. 30, 2017	Dec. 31, 2016
Debt Instrument [Line Items]
Less unamortized issuance costs	$ (2,688)	$ (1,483)
Total	44,038	25,013
Less current maturities	(3,052)	(2,531)
Long-term debt	40,986	22,482
Term Loan [Member] | New Credit Facility [Member]
Debt Instrument [Line Items]
Long-term debt gross	45,000
Term Loan [Member] | Terminated Credit Facility [Member]
Debt Instrument [Line Items]
Long-term debt gross		24,063
Capital Leases [Member]
Debt Instrument [Line Items]
Long-term debt gross	$ 1,726	$ 2,433

Long-Term Debt (Schedule of Lea

Long-Term Debt (Schedule of Leased Property Under Capital Leases) (Details) $ in Thousands	Jun. 30, 2017USD ($)
Capital Leased Assets [Line Items]
Leased property under capital leases	$ 3,291
Less: Accumulated Depreciation and Amortization	(1,074)
Net Leased Property Under Capital Leases	2,217
Leasehold Improvements [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	1,485
Furniture and Equipment [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	868
Computer Equipment [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	635
Computer Software [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	$ 303

Long-Term Debt (Schedule of Fut

Long-Term Debt (Schedule of Future Minimum Payments for Capital Leases) (Details) $ in Thousands	Jun. 30, 2017USD ($)
Long-Term Debt [Abstract]
2,017	$ 780
2,018	1,026
2,019	30
Total minimum lease payments	1,836
Less: amount representing estimated executory costs (such as taxes, maintenance and insurance), including profit thereon, included in total minimum lease payments	(50)
Net minimum lease payments	1,786
Less: amount representing interest	(60)	[1]
Present value of net minimum lease payments	1,726	[2]
Current obligations under capital leases	1,500
Noncurrent obligations under capital leases	$ 200
[1]	Amount necessary to reduce net minimum lease payments to present value calculated at the Company's incremental borrowing rate at lease inception.
[2]	Included in the balance sheet as $1.5 million of the current portion of long-term debt, net of debt issuance costs and $0.2 million of the long-term debt, less current portion, net of debt issuance costs.

Income Taxes (Reconciliation of

Income Taxes (Reconciliation of Statutory Federal Tax Rate) (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]
Federal income tax at statutory rate	35.00%	34.90%	35.00%	34.90%
State and local taxes, net of federal benefit	5.20%	5.20%	5.20%	5.20%
Jobs tax credits, net	(8.10%)	(10.80%)	(7.40%)	(11.80%)
Nondeductible permanent items	0.50%	1.00%	0.50%	2.10%
Other	(2.40%)	0.00%	(1.20%)	0.00%
Effective income tax rate	30.20%	30.30%	32.10%	30.40%

Commitments and Contingencies (

Commitments and Contingencies (Narrative) (Details) - USD ($) $ in Millions	6 Months Ended	11 Months Ended
	Jun. 30, 2017	Jun. 30, 2017
Commitments and Contingencies [Abstract]
Payments received from the State of Illinois		$ 65.4
Maximum term of employment agreements	4 years

Severance and Restructuring (Na

Severance and Restructuring (Narrative) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016
Severance and Restructuring [Abstract]
Total expenses related to streamlining initiatives	$ 50	$ 800	$ 900	$ 4,300

Severance and Restructuring (Co

Severance and Restructuring (Components of and Changes in Severance and Restructuring Accruals) (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2017USD ($)
Employee Termination Costs [Member]
Restructuring Cost and Reserve [Line Items]
Balance	$ 1,326
Provision	894
Utilization	(1,116)
Balance	1,104
Restructuring and Other [Member]
Restructuring Cost and Reserve [Line Items]
Balance	1,786
Provision	44
Utilization	(360)
Balance	$ 1,470

Significant Payors (Narrative)

Significant Payors (Narrative) (Details) - USD ($) $ in Thousands	Aug. 04, 2017	Jun. 30, 2017	Jun. 30, 2016	Jun. 30, 2017	Jun. 30, 2016	Dec. 31, 2016
Concentration Risk [Line Items]
Accounts receivable		$ 137,967		$ 137,967		$ 116,999
Delayed Payments From State Of Illinois [Member]
Concentration Risk [Line Items]
Accounts receivable		$ 73,800		$ 73,800
Delayed Payments From State Of Illinois [Member] | Subsequent Event [Member]
Concentration Risk [Line Items]
Aggregate delayed payments received	$ 69,400
Service Revenues, Net [Member] | Illinois Department On Aging [Member]
Concentration Risk [Line Items]
Concentration risk, percentage		36.70%	43.50%	36.60%	44.10%
Accounts Receivable [Member] | Illinois Department On Aging [Member]
Concentration Risk [Line Items]
Concentration risk, percentage				56.40%		55.40%

Subsequent Events Not Disclos42

Subsequent Events Not Disclosed Elsewhere (Narrative) (Details) $ in Millions	Aug. 01, 2017USD ($)
Options Home Care [Member] | Subsequent Event [Member]
Subsequent Events [Line Items]
Total purchase price for business acquisition	$ 23.2