Addus HomeCare (ADUS) 10-Q 10 Aug 20 2020 Q2 Quarterly report Financial data

Document And Entity Information

Document And Entity Information - shares	6 Months Ended
	Jun. 30, 2020	Jul. 31, 2020
Cover [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2020
Document Fiscal Period Focus	Q2
Document Fiscal Year Focus	2020
Entity Registrant Name	ADDUS HOMECARE CORPORATION
Entity Central Index Key	0001468328
Trading Symbol	ADUS
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Current Reporting Status	Yes
Entity Address, State or Province	TX
Entity File Number	001-34504
Entity Tax Identification Number	20-5340172
Entity Address, Address Line One	6303 Cowboys Way
Entity Address, Address Line Two	Suite 600
Entity Address, City or Town	Frisco
Entity Address, Postal Zip Code	75034
City Area Code	(469)
Local Phone Number	535-8200
Entity Common Stock, Shares Outstanding		15,664,952
Document Quarterly Report	true
Document Transition Report	false
Entity Interactive Data Current	Yes
Entity Incorporation, State or Country Code	DE
Title of 12(b) Security	Common Stock, $0.001 par value
Security Exchange Name	NASDAQ

Condensed Consolidated Balance

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Current assets
Cash	$ 158,549	$ 111,714
Accounts receivable, net	126,389	149,680
Prepaid expenses and other current assets	11,398	7,993
Total current assets	296,336	269,387
Property and equipment, net of accumulated depreciation and amortization	14,707	12,156
Other assets
Goodwill	275,433	275,368
Intangibles, net of accumulated amortization	53,073	57,079
Deferred tax assets, net	1,547	1,647
Operating lease assets, net	19,825	21,111
Total other assets	349,878	355,205
Total assets	660,921	636,748
Current liabilities
Accounts payable	17,201	19,641
Accrued payroll	28,787	30,587
Accrued expenses	32,674	22,429
Accrued workers’ compensation insurance	14,075	14,143
Current portion of long-term debt	948	728
Total current liabilities	93,685	87,528
Long-term liabilities
Long-term debt, less current portion, net of debt issuance costs	59,048	59,164
Long-term operating lease liabilities	12,672	14,301
Other long-term liabilities	655	163
Total long-term liabilities	72,375	73,628
Total liabilities	166,060	161,156
Stockholders’ equity
Common stock—$.001 par value; 40,000 authorized and 15,665 and 15,617 shares issued and outstanding as of June 30, 2020 and December 31, 2019, respectively	16	15
Additional paid-in capital	363,248	359,545
Retained earnings	131,597	116,032
Total stockholders’ equity	494,861	475,592
Total liabilities and stockholders’ equity	$ 660,921	$ 636,748

Condensed Consolidated Balanc_2

Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares	Jun. 30, 2020	Dec. 31, 2019
Statement Of Financial Position [Abstract]
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	40,000,000	40,000,000
Common stock, shares issued	15,665,000	15,617,000
Common stock, shares outstanding	15,665,000	15,617,000

Condensed Consolidated Statemen

Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Income Statement [Abstract]
Net service revenues	$ 184,576	$ 148,915	$ 374,792	$ 287,422
Cost of service revenues	129,579	109,222	263,960	210,902
Gross profit	54,997	39,693	110,832	76,520
General and administrative expenses	42,450	29,767	84,737	59,024
Depreciation and amortization	2,940	2,535	5,827	4,609
Total operating expenses	45,390	32,302	90,564	63,633
Operating income	9,607	7,391	20,268	12,887
Interest income	(155)	(95)	(489)	(310)
Interest expense	721	680	1,629	1,298
Total interest expense, net	566	585	1,140	988
Income before income taxes	9,041	6,806	19,128	11,899
Income tax expense	2,134	1,514	3,563	2,311
Net income	$ 6,907	$ 5,292	$ 15,565	$ 9,588
Net income per common share
Basic income per share	$ 0.44	$ 0.41	$ 1	$ 0.74
Diluted income per share	$ 0.43	$ 0.39	$ 0.98	$ 0.71
Weighted average number of common shares and potential common shares outstanding:
Basic	15,582	13,044	15,551	13,019
Diluted	15,916	13,433	15,917	13,413

Condensed Consolidated Statem_2

Condensed Consolidated Statement of Stockholders' Equity - USD ($) shares in Thousands, $ in Thousands	Total	Common Stock [Member]	Additional Paid-in Capital [Member]	Retained Earnings [Member]
Balance at Dec. 31, 2018	$ 268,491	$ 13	$ 177,683	$ 90,795
Balance, shares at Dec. 31, 2018		13,126
Issuance of shares of common stock under restricted stock award agreements		63
Stock-based compensation	2,715		2,715
Shares issued for exercise of stock options	713		713
Shares issued for exercise of stock options, shares		30
Net income	9,588			9,588
Balance at Jun. 30, 2019	281,507	$ 13	181,111	100,383
Balance, shares at Jun. 30, 2019		13,219
Balance at Mar. 31, 2019	274,020	$ 13	178,916	95,091
Balance, shares at Mar. 31, 2019		13,178
Issuance of shares of common stock under restricted stock award agreements		11
Stock-based compensation	1,482		1,482
Shares issued for exercise of stock options	713		713
Shares issued for exercise of stock options, shares		30
Net income	5,292			5,292
Balance at Jun. 30, 2019	281,507	$ 13	181,111	100,383
Balance, shares at Jun. 30, 2019		13,219
Balance at Dec. 31, 2019	475,592	$ 15	359,545	116,032
Balance, shares at Dec. 31, 2019		15,617
Forfeiture of shares of common stock under restricted stock award agreements, shares		(6)
Stock-based compensation	2,525		2,525
Shares issued for exercise of stock options	1,179	$ 1	1,178
Shares issued for exercise of stock options, shares		54
Net income	15,565			15,565
Balance at Jun. 30, 2020	494,861	$ 16	363,248	131,597
Balance, shares at Jun. 30, 2020		15,665
Balance at Mar. 31, 2020	486,808	$ 16	362,102	124,690
Balance, shares at Mar. 31, 2020		15,660
Forfeiture of shares of common stock under restricted stock award agreements, shares		(1)
Stock-based compensation	1,118		1,118
Shares issued for exercise of stock options	28		28
Shares issued for exercise of stock options, shares		6
Net income	6,907			6,907
Balance at Jun. 30, 2020	$ 494,861	$ 16	$ 363,248	$ 131,597
Balance, shares at Jun. 30, 2020		15,665

Condensed Consolidated Statem_3

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Cash flows from operating activities:
Net income	$ 15,565	$ 9,588
Adjustments to reconcile net income to net cash provided by (used in) operating activities, net of acquisitions:
Depreciation and amortization	5,827	4,609
Deferred income taxes	100	(154)
Stock-based compensation	2,525	2,715
Amortization of debt issuance costs under the credit facility	370	347
Provision for doubtful accounts	436	106
Loss (gain) of disposal of assets	352	(51)
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	23,342	(17,360)
Prepaid expenses and other current assets	(3,608)	328
Accounts payable	(2,700)	641
Accrued expenses and other long-term liabilities	8,678	(4,847)
Net cash provided by (used in) operating activities	50,887	(4,078)
Cash flows from investing activities:
Purchases of property and equipment	(4,842)	(1,996)
Acquisitions of businesses, net of cash acquired	(295)	(29,808)
Proceeds from disposal of assets	172
Net cash used in investing activities	(4,965)	(31,804)
Cash flows from financing activities:
Borrowings on term loan — credit facility		19,600
Payments on term loan — credit facility	(245)
Payments on financing lease obligations	(21)	(45)
Cash received from exercise of stock options	1,179	713
Net cash provided by financing activities	913	20,268
Net change in cash	46,835	(15,614)
Cash, at beginning of period	111,714	70,406
Cash, at end of period	158,549	54,792
Supplemental disclosures of cash flow information:
Cash paid for interest	992	904
Cash paid for income taxes	$ 6,414	3,474
Supplemental disclosures of non-cash investing and financing activities:
Leasehold improvements acquired through tenant allowances		$ 682

Nature of Operations, Consolida

Nature of Operations, Consolidation, and Presentation of Financial Statements	6 Months Ended
	Jun. 30, 2020
Organization Consolidation And Presentation Of Financial Statements [Abstract]
Nature of Operations, Consolidation, and Presentation of Financial Statements	1. Nature of Operations, Consolidation, and Presentation of Financial Statements Addus HomeCare Corporation (“Holdings”) and its subsidiaries (together with Holdings, the “Company”, “we”, “us” or “our”) operate as a multi-state provider of three distinct but related business segments providing in-home services. In its personal care services segment, the Company provides non-medical assistance with activities of daily living, primarily to persons who are at increased risk of hospitalization or institutionalization, such as the elderly, chronically ill or disabled. In its hospice segment, the Company provides physical, emotional and spiritual care for people who are terminally ill as well as related services for their families. In its home health segment, the Company provides services that are primarily medical in nature to individuals who may require assistance during an illness or after hospitalization and include skilled nursing and physical, occupational and speech therapy. The Company’s payors include federal, state and local governmental agencies, managed care organizations, commercial insurers and private individuals. Basis of Presentation The accompanying Unaudited Condensed Consolidated Financial Statements and related notes have been prepared in accordance with the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”) for Quarterly Reports on Form 10-Q. The accompanying balance sheet as of December 31, 2019 has been derived from the Company’s audited financial statements for the year ended December 31, 2019 previously filed with the SEC. Accordingly, these financial statements do not include all of the information and note disclosures required by accounting principles generally accepted in the United States of America (“GAAP”) for annual financial statements and should be read in conjunction with our consolidated financial statements and notes thereto for the year ended December 31, 2019 included in our Annual Report on Form 10-K, which includes information and disclosures not included herein. In the opinion of management, these financial statements reflect all adjustments of a normal, recurring nature necessary for the fair statement of our financial position, results of operations, and cash flows for the interim periods presented in conformity with GAAP. Our results for any interim period are not necessarily indicative of results for a full year or any other interim period. Principles of Consolidation These Unaudited Condensed Consolidated Financial Statements include the accounts of Addus HomeCare Corporation, and its subsidiaries. All intercompany balances and transactions have been eliminated in consolidation.

Summary of Significant Accounti

Summary of Significant Accounting Policies	6 Months Ended
	Jun. 30, 2020
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	2. Summary of Significant Accounting Policies Estimates The financial statements are prepared by management in conformity with GAAP and include estimated amounts and certain disclosures based on assumptions about future events. The Company’s critical accounting estimates include revenue recognition, accounts receivable and allowances and goodwill and intangible assets. Actual results could differ from those estimates. 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. As of June 30, 2020 and 2019, dilutive stock options outstanding were approximately 579,000 and 695,000, respectively, and dilutive restricted stock awards outstanding were approximately 72,000 and 154,000, respectively. Included in the Company’s calculation of diluted earnings per share for the three and six months ended June 30, 2020, dilutive stock options outstanding were approximately 296,000 and 304,000, respectively. In addition, dilutive restricted stock awards outstanding were approximately 37,000 and 63,000 for the three and six months ended June 30, 2020, respectively. Included in the Company’s calculation of diluted earnings per share for the three and six months ended June 30, 2019, were approximately 327,000 and 316,000 dilutive stock options outstanding , respectively. In addition, dilutive restricted stock awards outstanding were approximately 62,000 and 78,000 for the three and six months ended June 30, 2019, respectively. Recently Adopted Accounting Pronouncements In June 2016, the FASB issued ASU 2016-13, Financial Instruments—Credit Losses (Topic 326) Measurement of Credit Losses on Financial Instruments. In January 2017, the FASB issued ASU 2017-04, Intangibles—Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment. In August 2018, the FASB issued ASU 2018-15, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Customer s Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That is a Service Contract Recently Issued Accounting Pronouncements In December 2019, the FASB issued ASU 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes In March 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting

Revision of Previously Issued F

Revision of Previously Issued Financial Statements	6 Months Ended
	Jun. 30, 2020
Accounting Changes And Error Corrections [Abstract]
Revision of Previously Issued Financial Statements	3. Revision of Previously Issued Financial Statements In connection with management finalizing their financial reporting close process for the year ended December 31, 2019, management identified certain immaterial errors impacting the current period and previous periods dating back to periods prior to 2017, including interim periods within those years. and other immaterial items Management evaluated the impact of the errors on all previously issued financial statements and concluded such previously issued financial statements were not materially misstated; however, to reflect such corrections in the quarter ended December 31, 2019 financial statements would materially misstate the 2019 fiscal year. Accordingly, management revised previously issued financial statements to correct for the impact of the errors. The Company’s consolidated financial statements have been revised from the amounts previously reported to correct these immaterial errors as shown in the tables below and are reflected throughout the financial statements and related notes, as applicable. The Consolidated Statements of Income has been revised to reflect the correction for the three and six months ended June 30, 2019 as follows (amounts in thousands, except per share data): For the Three Months Ended June 30, For the Six Months Ended June 30, 2019 2019 As As Previously As Previously As Reported Revision Revised Reported Revision Revised Net service revenues $ 149,692 $ (777 ) $ 148,915 $ 288,946 $ (1,524 ) $ 287,422 Gross profit 40,470 (777 ) 39,693 78,044 (1,524 ) 76,520 General and administrative expenses 30,222 (455 ) 29,767 59,479 (455 ) 59,024 Total operating expenses 32,757 (455 ) 32,302 64,088 (455 ) 63,633 Operating income 7,713 (322 ) 7,391 13,956 (1,069 ) 12,887 Income before income taxes 7,128 (322 ) 6,806 12,968 (1,069 ) 11,899 Income tax expense 1,610 (96 ) 1,514 2,588 (277 ) 2,311 Net income $ 5,518 $ (226 ) $ 5,292 $ 10,380 $ (792 ) $ 9,588 Basic income per share $ 0.42 $ (0.01 ) $ 0.41 $ 0.80 $ (0.06 ) $ 0.74 Diluted income per share $ 0.41 $ (0.02 ) $ 0.39 $ 0.77 $ (0.06 ) $ 0.71 The cumulative effect of the adjustments on all prior periods decreased retained earnings as of January 1, 2019, April 1, 2019 and June 30, 2019 as reflected below (amounts in thousands): Common Stock Additional Paid in Capital Retained Earnings Total Stockholders' Equity Shares Amount Balance at January 1, 2019 13,126 $ 13 $ 177,683 $ 97,837 $ 275,533 Revision — — (7,042 ) (7,042 ) Balance at January 1, 2019, as revised 13,126 $ 13 $ 177,683 $ 90,795 $ 268,491 Balance at April 1, 2019 13,178 $ 13 $ 178,916 $ 102,699 $ 281,628 Revision — — (7,608 ) (7,608 ) Balance at April 1, 2019, as revised 13,178 $ 13 $ 178,916 $ 95,091 $ 274,020 Balance at June 30, 2019 13,219 $ 13 $ 181,111 $ 108,217 $ 289,341 Revision — — (7,834 ) (7,834 ) Balance at June 30, 2019, as revised 13,219 $ 13 $ 181,111 $ 100,383 $ 281,507 Additionally, the Consolidated Statement of Cash Flows has been revised to reflect the correction for the six months ended June 30, 2019 as follows (amounts in thousands): For the Six Months Ended June 30, 2019 As Previously As Reported Revision Revised Net income $ 10,380 $ (792 ) $ 9,588 Deferred income taxes 123 (277 ) (154 ) Accounts receivable (18,884 ) 1,524 (17,360 ) Net cash provided by operating activities $ (4,078 ) $ — $ (4,078 )

Leases

Leases	6 Months Ended
	Jun. 30, 2020
Leases [Abstract]
Leases	4. Leases We have historically entered into operating leases for local branches, our corporate headquarters and certain equipment. The Company’s current leases have expiration dates through 2026. Certain of our arrangements have free rent periods and/or escalating rent payment provisions. We recognize rent expense on a straight-line basis over the lease term. Certain of the Company’s leases include termination options and renewal options for periods ranging from one to five years. Because we are not reasonably certain to exercise these renewal options, the options generally are not considered in determining the lease term, and payments associated with the option years are excluded from lease payments. When available, we use the rate implicit in the lease to dis count lease payments to present value; however, most of our leases do not provide a readily determinable implicit rate. Therefore, we must estimate our incremental borrowing rate to discount the lease payments based on information available at lease commen cement. Amounts reported in the Company’s Unaudited Condensed June 30, 2020 December 31, 2019 (Amounts in Thousands) Operating lease assets, net $ 19,825 $ 21,111 Short-term operating lease liabilities (in accrued expenses) 7,402 7,234 Long-term operating lease liabilities 12,672 14,301 Total operating lease liabilities $ 20,074 $ 21,535 Lease Costs Components of lease cost were reported in general and administrative expenses in the Company’s Unaudited Condensed Consolidated Statements of Income as follows: For the Three Months Ended June 30, (Amounts in Thousands) For the Six Months Ended June 30, (Amounts in Thousands) 2020 2019 2020 2019 Operating lease costs $ 2,120 $ 1,558 $ 4,238 $ 3,204 Short-term lease costs 161 96 428 160 Total lease cost $ 2,281 $ 1,654 $ 4,666 $ 3,364 Lease Term and Discount Rate Weighte d average remaining lease terms and discount rates were as follows: June 30, 2020 December 31, 2019 Operating leases: Weighted average remaining lease term 3.20 3.42 Weighted average discount rate 4.98 % 5.14 % Maturity of Lease Liabilities A summary of our remaining operating lease payments as of June 30, 2020 were as follows: Operating Leases (Amounts in Thousands) Due in the 12-month period ended June 30, 2021 $ 8,034 2022 6,462 2023 3,795 2024 2,140 2025 1,259 Thereafter 104 Total future minimum rental commitments 21,794 Less: Imputed interest (1,720 ) Total lease liabilities $ 20,074 Supplemental cash flows information For the Six Months Ended June 30, (Amounts in Thousands) 2020 2019 Supplemental Cash Flows Information Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 4,321 $ 3,465 Right-of-use assets obtained in exchange for lease obligations: Operating leases 2,441 3,743 Financing Leases Some of our financing leases include provisions to purchase the asset at the conclusion of the lease. Financing leases were not material as of June 30, 2020 and December 31, 2019.

Acquisitions

Acquisitions	6 Months Ended
	Jun. 30, 2020
Business Combinations [Abstract]
Acquisitions	5. Acquisitions The Company’s acquisitions have been accounted for in accordance with ASC Topic 805, Business Combinations Goodwill and Other Intangible Assets Management’s assessment of qualitative factors affecting goodwill for each acquisition includes estimates of market share at the date of purchase, ability to grow in the market, synergy with existing Company operations and the payor profile in the markets. Hospice Partners On October 1, 2019, the Company completed the acquisition of the assets of Hospice Partners of America, LLC (“Hospice Partners”). The purchase price was approximately $135.6 million. The purchase of Hospice Partners was funded through a portion of the net proceeds of our public offering of an aggregate 2,300,000 shares of common stock, par value $0.001 per share, including 300,000 shares of common stock sold pursuant to the exercise in full by the underwriters of their option to purchase additional shares at a public offering price of $79.50 per share, which the Company completed on September 9, 2019 (the “Public Offering”) Based upon management’s valuations, which are preliminary and subject to completion of working capital adjustments, the fair values of the assets and liabilities are as follows: Total (Amounts in Thousands) Goodwill $ 111,897 Identifiable intangible assets 18,090 Cash 5,473 Property and equipment 164 Accounts receivable 7,185 Operating lease assets, net 2,425 Other assets 702 Accounts payable (1,764 ) Accrued expenses (4,339 ) Accrued payroll (1,110 ) Deferred tax liability (1,540 ) Long-term operating lease liabilities (1,615 ) Total purchase price $ 135,568 Identifiable intangible assets acquired consist of $9.5 million in trade names with estimated useful lives of fifteen years, $2.5 million in non-competition agreements with estimated useful lives of three to five years and $6.1 million of indefinite lived state licenses. The preliminary estimated fair value of identifiable intangible assets was determined, using Level 3 inputs as defined under ASC Topic 820, with the assistance of a valuation specialist. The fair value analysis and related valuations reflect the conclusions of management. All estimates, key assumptions, and forecasts were either provided by or reviewed by the Company. The goodwill and intangible assets acquired are deductible for tax purposes. The Hospice Partners acquisition accounted for $13.1 million and $27.3 million of net service revenues and $2.9 million and $6.0 million of operating income for the three and six months ended June 30, 2020, respectively. Alliance Home Health Care On August 1, 2019, the Company completed the acquisition of all of the assets of Alliance Home Health Care (“Alliance”). The purchase price was approximately $23.5 million. The purchase of Alliance was funded through the Company’s revolving credit facility and available cash. With the purchase of Alliance, the Company expanded its personal care, home health and hospice operations in the state of New Mexico. The related integration costs were $0.1 million and $0.2 million for the three and six months ended June 30, 2020, respectively. These costs were included in general and administrative expenses on the Unaudited Condensed Consolidated Statements of Income and were expensed as incurred. Based upon management’s final valuations, the fair values of the assets and liabilities are as follows: Total (Amounts in Thousands) Goodwill $ 16,972 Identifiable intangible assets 5,422 Cash 177 Accounts receivable 1,693 Accounts payable (316 ) Other liabilities (490 ) Total purchase price $ 23,458 Identifiable intangible assets acquired consist of $1.1 million in state licenses, subject to amortization, with an estimated useful life of ten years and $4.3 million of indefinite lived state licenses. The estimated fair value of identifiable intangible assets was determined, using Level 3 inputs as defined under ASC Topic 820, with the assistance of a valuation specialist. The fair value analysis and related valuations reflect the conclusions of management. All estimates, key assumptions, and forecasts were either provided by or reviewed by the Company. The goodwill and intangible assets acquired are deductible for tax purposes. The Alliance acquisition accounted for $4.0 million and $8.7 million of net service revenues and $0.9 million and $1.9 million of operating income for the three and six months ended June 30, 2020, respectively. VIP Health Care Services On June 1, 2019, the Company completed the acquisition of all of the assets of VIP Health Care Services (“VIP”). The purchase price was approximately $29.9 million. The purchase of VIP was funded through a combination of the Company’s delayed draw term loan portion of its credit facility and available cash. With the purchase of VIP, the Company expanded its personal care operations in the state of New York and into the New York City metropolitan area. The related acquisition costs were $0.2 million for the three and six months ended June 30, 2019. The related integration costs were $0.1 million for the three and six months ended June 30, 2020 and 2019, respectively. These costs were included in general and administrative expenses on the Unaudited Condensed Consolidated Statements of Income and were expensed as incurred. Based upon management’s valuations, the fair values of the assets and liabilities are as follows: Total (Amounts in Thousands) Goodwill $ 11,936 Identifiable intangible assets 15,370 Cash 130 Accounts receivable 4,730 Operating lease assets, net 2,278 Other assets 30 Property and equipment 27 Accounts payable (540 ) Accrued expenses (770 ) Accrued payroll (1,742 ) Long-term operating lease liabilities (1,531 ) Total purchase price $ 29,918 Identifiable intangible assets acquired consist of $10.7 million in state licenses, subject to amortization, and $4.7 million in customer relationships, with estimated useful lives of six and eight years, respectively. The estimated fair value of identifiable intangible assets was determined, using Level 3 inputs as defined under ASC Topic 820, with the assistance of a valuation specialist. The fair value analysis and related valuations reflect the conclusions of management. All estimates, key assumptions, and forecasts were either provided by or reviewed by the Company. The goodwill and intangible assets acquired are deductible for tax purposes. The VIP acquisition accounted for $9.3 million and $4.4 million of net service revenues for the three months ended June 30, 2020 and 2019, respectively, and $20.8 million and $4.4 million for the six months ended June 30, 2020 and 2019, respectively, and $0.7 million of operating loss and $0.3 million of operating income for the three and six months ended June 30, 2020 and 2019, respectively. For the three and six months ended June 30, 2019, the following table contains unaudited pro forma condensed consolidated income statement information of the Company as if each of the acquisitions of Hospice Partners, Alliance and VIP closed on January 1, 2019. For the Three Months Ended June 30, (Amounts in Thousands) For the Six Months Ended June 30, (Amounts in Thousands) 2019 2019 Net service revenues $ 177,488 $ 348,976 Operating income 10,038 18,407 Net income 7,378 13,999 Net income per common share Basic income per share $ 0.57 $ 1.08 The pro forma disclosures in the table above include adjustments for amortization of intangible assets, tax expense and acquisition costs to reflect results that are more representative of the combined results of the transactions as if Hospice Partners, Alliance and VIP had been acquired effective January 1, 2019. This pro forma information is presented for illustrative purposes only and may not be indicative of the results of operations that would have actually occurred. In addition, future results may vary significantly from the results reflected in the pro forma information. The unaudited pro forma financial information does not reflect the impact of future events that may occur after the acquisition, such as anticipated cost savings from operating synergies.

Goodwill and Intangible Assets

Goodwill and Intangible Assets	6 Months Ended
	Jun. 30, 2020
Goodwill And Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets	6. Goodwill and Intangible Assets A summary of the goodwill activity for the six months ended June 30, 2020 is provided below: Goodwill Personal Care Hospice Home Health Total (Amounts in Thousands) Goodwill as of December 31, 2019 $ 126,577 $ 146,983 $ 1,808 $ 275,368 Divestiture — (1,167 ) — (1,167 ) Adjustments to previously recorded goodwill 1,438 (243 ) 37 1,232 Goodwill as of June 30, 2020 $ 128,015 $ 145,573 $ 1,845 $ 275,433 The Company’s identifiable intangible assets consist of customer and referral relationships, trade names, trademarks and non-competition agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from three to twenty-five years. Customer and referral relationships are amortized systematically over the periods of expected economic benefit, which range from five to ten years. Goodwill and certain state licenses are not amortized pursuant to ASC Topic 350. For the three and six months ended June 30, 2020, adjustments to the previously recorded goodwill are primarily adjustments to accounts receivable based on the final valuations. During the three months ended June 30, 2020, the Company divested certain branches and their related net assets including $1.2 million of related goodwill. The Company recognized a $0.4 million loss on the disposition, reflected as a reduction in general and administrative expense for the three and six months ended June 30, 2020. The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following as of June 30, 2020: Customer and referral relationships Trade names and trademarks Non- competition agreements State Licenses Total (Amounts in Thousands) Intangible assets with indefinite lives — — — 13,296 13,296 Intangible assets subject to amortization: Gross carrying amount 48,028 30,566 4,655 12,020 95,269 Accumulated amortization (36,730 ) (14,109 ) (2,570 ) (2,083 ) (55,492 ) Intangible assets subject to amortization, net 11,298 16,457 2,085 9,937 39,777 Total intangible assets at June 30, 2020 $ 11,298 $ 16,457 $ 2,085 $ 23,233 $ 53,073 Amortization expense related to the identifiable intangible assets amounted to $1.8 million and $3.5 million for the three and six months ended June 30, 2020, respectively, and $1.4 million and $2.7 million for the three and six months ended June 30, 2019, respectively. The weighted average remaining lives of identifiable intangible assets as of June 30, 2020 is 8.6 years.

Details of Certain Balance Shee

Details of Certain Balance Sheet Accounts	6 Months Ended
	Jun. 30, 2020
Details Of Certain Balance Sheet Accounts [Abstract]
Details of Certain Balance Sheet Accounts	7. Details of Certain Balance Sheet Accounts Prepaid expenses and other current assets consisted of the following: June 30, 2020 December 31, 2019 (Amounts in Thousands) Income tax receivable $ 2,764 $ — Prepaid workers’ compensation and liability insurance 2,042 2,040 Workers’ compensation insurance receivable 1,890 1,989 Health insurance receivable 1,049 1,567 Other 3,653 2,397 Total prepaid expenses and other current assets $ 11,398 $ 7,993 Accrued expenses consisted of the following: June 30, 2020 December 31, 2019 (Amounts in Thousands) Accrued payroll taxes (1) $ 8,345 $ 1,843 Current portion of operating lease liabilities 7,402 7,234 Accrued health insurance 5,007 4,140 Accrued professional fees 3,773 2,517 Other 8,147 6,695 Total accrued expenses $ 32,674 $ 22,429 (1) The Company deferred $7.1 million of payroll taxes in connection to a provision included in the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”), see Note 10 to the Notes to Consolidated Financial Statements for additional information.

Long-Term Debt

Long-Term Debt	6 Months Ended
	Jun. 30, 2020
Long Term Debt [Abstract]
Long-Term Debt	8. Long-Term Debt Long-term debt consisted of the following: June 30, 2020 December 31, 2019 (Amounts in Thousands) Revolving loan under the credit facility $ 43,458 $ 43,458 Term loan under the credit facility 18,620 18,865 Financing leases 1 21 Less unamortized issuance costs (2,083 ) (2,452 ) Total $ 59,996 $ 59,892 Less current maturities (948 ) (728 ) Long-term debt $ 59,048 $ 59,164 Amended and Restated Senior Secured Credit Facility On October 31, 2018, the Company entered into the Amended and Restated Credit Agreement, dated as of October 31, 2018, with certain lenders and Capital One, National Association, as a lender and as agent for all lenders (as amended by the Amendment (as hereinafter defined), the “Credit Agreement”), which amended and restated the Company’s existing credit agreement. This credit facility totaled $269.6 million, inclusive of a $250.0 million revolving loan and a $19.6 million delayed draw term loan, and is evidenced by the Credit Agreement. 0.75 4.25 Addus HealthCare, Inc. (“Addus HealthCare”) is the borrower, and its parent, Holdings, and substantially all of Holdings’ subsidiaries are guarantors under this amended and restated credit facility, and it is collateralized 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. The Credit Agreement contains affirmative and negative covenants customary for credit facilities of this type, including limitations on the Company with respect to liens, indebtedness, guaranties, investments, distributions, mergers and acquisitions and dispositions of assets. On September 12, 2019, the Company entered into a First Amendment (the “Amendment”) to its Credit Agreement. The Amendment increased the Company’s credit facility by $50.0 million in incremental revolving loans, for an aggregate $300.0 million in revolving loans. The Amendment provides that future incremental loans may be for term loans or an increase to the revolving loan commitments. The Amendment further provides that the proceeds of the incremental revolving loan commitments may be used for, among other things, general corporate purposes. In connection with the modification of this Amendment, the Company incurred approximately $0.4 million of debt issuance costs. The Company pays a fee ranging from 0.20% to 0.35% based on the applicable senior net leverage ratio times the unused portion of the revolving loan portion of the amended and restated credit facility. 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 Interest Coverage Ratio (as defined in the Credit Agreement), a requirement to stay below a maximum Total Net Leverage Ratio (as defined in the Credit Agreement) 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 $7.5 million in any year absent of an event of default, plus limited exceptions for tax and administrative distributions), a restriction on the ability to consummate acquisitions (without the consent of the lenders) under its credit facility subject to compliance with the Total Net Leverage Ratio (as defined in the Credit Agreement thresholds), restrictions on mergers, dispositions of assets, and affiliate transactions, and restrictions on fundamental changes and lines of business. As of June 30, 2020, the Company was in compliance with all financial covenants under the Credit Agreement. However, the Company was unable to timely file its Annual Report on Form 10-K, which would have included its audited financial statements for the year ended December 31, 2019. The Company is required to deliver annual audited financial statements under the affirmative covenants of its Credit Agreement. The Company obtained consent from the Required Lenders (as defined in the Credit Agreement) to extend the timeline of the audited financials for the year ended December 31, 2019 to not later than October 31, 2020. During the six months ended June 30, 2020, the Company had no draws under its credit facility. As of June 30, 2020, the Company had a total of $43.5 million of revolving loans, with an interest rate of 1.92% and $18.6 million of term loans, with an interest rate of 1.93%, . As of December 31, 2019, the Company had a total of $43.4 million of revolving loans, with an interest rate of 3.44%, and $18.9 million of term loans, with an interest rate of 3.45%, outstanding on its credit facility. After giving effect to the amount drawn on its credit facility, approximately $10.0 million of outstanding letters of credit and borrowing limits based on an advance multiple of adjusted EBITDA (as defined in the Credit Agreement), the Company had

Income Taxes

Income Taxes	6 Months Ended
	Jun. 30, 2020
Income Tax Disclosure [Abstract]
Income Taxes	9. Income Taxes The effective income tax rates are 23.6% and 22.2% for the three months ended June 30, 2020 and 2019, respectively. For the three months ended June 30, 2020 and 2019, the difference between our federal statutory and effective income tax rates was principally due to the inclusion of state taxes and non-deductible compensation, partially offset by an excess tax benefit and the use of federal employment tax credits. The effective income tax rates are 18.6 The effective tax rates are lower than the federal statutory rate primarily due to the inclusion of a 7.5% and 6.5% excess tax benefit for the six months ended June 30, 2020 and 2019, respectively.

Commitments and Contingencies

Commitments and Contingencies	6 Months Ended
	Jun. 30, 2020
Commitments And Contingencies Disclosure [Abstract]
Commitments and Contingencies	10. 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 Unaudited Condensed Consolidated Balance Sheets and Unaudited Condensed Consolidated Statements of Income. Government Actions to Mitigate COVID-19’s Impact On January 31, 2020, the Secretary of the U.S. Department of Health and Human Services (“HHS”) declared a national public health emergency due to a novel coronavirus. In March 2020, the World Health Organization declared the outbreak of COVID-19, a disease caused by this novel coronavirus, a pandemic. This disease continues to spread throughout the United States and other parts of the world. It is impossible to predict the effect and ultimate impact of the COVID-19 pandemic as the situation is rapidly evolving. In recognition of the significant threat to the liquidity of financial markets posed by the COVID-19 pandemic, the Federal Reserve and Congress have taken dramatic actions to provide liquidity to businesses and the banking system in the United States. For example, on March 27, 2020, the President signed into law the CARES Act, a sweeping stimulus bill intended to bolster the U.S. economy. On April 24, 2020, the Paycheck Protection Program and Health Care Enhancement Act (“PPPHCE Act”) was enacted, an expansion of the CARES Act. Together, the CARES Act and the PPPHCE Act authorize $175 billion in funding to be distributed to health care providers through Relief Fund. This funding is intended to support healthcare providers by reimbursing them for healthcare-related expenses or lost revenues attributable to COVID-19. In addition to relief funding, the CARES Act includes temporary changes to Medicare and Medicaid payment rules and relief from certain accounting provisions. In April 2020, the Company received grants in an aggregate principal amount of $6.9 million, for which it did not apply, from the Relief Fund as part of the automatic general distributions by HHS. The Company returned these funds in June 2020. The CARES Act includes provisions relating to refundable payroll tax credits, deferral of the employer portion of certain payroll taxes, net operating loss carrybacks, and other areas. The payroll tax deferral requires that the deferred payroll taxes be paid over two years, with half of the amount required to be paid by December 31, 2021 and the other half by December 31, 2022. The Company deferred $7.1 million of payroll taxes, which are included in accrued expenses in the Company’s Unaudited Condensed Consolidated Balance Sheets at June 30, 2020.

Segment Information

Segment Information	6 Months Ended
	Jun. 30, 2020
Segment Reporting [Abstract]
Segment Information	11. Segment Information Operating segments are defined as components of a company that engage in business activities from which it may earn revenues and incur expenses, and for which separate financial information is available and is regularly reviewed by the Company’s chief operating decision makers, to assess the performance of the individual segments and make decisions about resources to be allocated to the segments. The Company operates as a multi-state provider of three distinct but related business segments providing in-home services. In its personal care segment, the Company provides non-medical assistance with activities of daily living, primarily to persons who are at increased risk of hospitalization or institutionalization, such as the elderly, chronically ill or disabled. In its hospice segment, the Company provides physical, emotional and spiritual care for people who are terminally ill as well as related services for their families. In its home health segment, the Company provides services that are primarily medical in nature to individuals who may require assistance during an illness or after hospitalization and include skilled nursing and physical, occupational and speech therapy. The tables below set forth information about the Company’s reportable segments for the three and six months ended June 30, 2020 and 2019 along with the items necessary to reconcile the segment information to the totals reported in the accompanying consolidated financial statements. Segment assets are not reviewed by the Company’s chief operating decision maker function and therefore are not disclosed below. Segment operating income consists of revenue generated by a segment, less the direct costs of service revenues and general and administrative expenses that are incurred directly by the segment. Unallocated general and administrative costs are those costs for functions performed in a centralized manner and therefore not attributable to a particular segment. These costs include accounting, finance, human resources, legal, information technology, corporate office support and facility costs and overall corporate management. For the Three Months Ended June 30, 2020 (Amounts in Thousands) Personal Care Hospice Home Health Total Net service revenues $ 156,268 $ 24,525 $ 3,783 $ 184,576 Cost of services revenues 115,822 10,924 2,833 129,579 Gross profit 40,446 13,601 950 54,997 General and administrative expenses 14,603 6,297 883 21,783 Segment operating income $ 25,843 $ 7,304 $ 67 $ 33,214 For the Three Months Ended June 30, 2019 (Amounts in Thousands) Personal Care Hospice Home Health Total Net service revenues $ 137,477 $ 8,437 $ 3,001 $ 148,915 Cost of services revenues 102,829 4,322 2,071 109,222 Gross profit 34,648 4,115 930 39,693 General and administrative expenses 12,777 1,548 656 14,981 Segment operating income $ 21,871 $ 2,567 $ 274 $ 24,712 For the Three Months Ended June 30, 2020 2019 (Amounts in Thousands) Segment reconciliation: Total segment operating income $ 33,214 $ 24,712 Items not allocated at segment level: Other general and administrative expenses 20,667 14,786 Depreciation and amortization 2,940 2,535 Interest income (155 ) (95 ) Interest expense 721 680 Income before income taxes $ 9,041 $ 6,806 For the Six Months Ended June 30, 2020 (Amounts in Thousands) Personal Care Hospice Home Health Total Net service revenues $ 316,933 $ 49,737 $ 8,122 $ 374,792 Cost of services revenues 234,850 23,242 5,868 263,960 Gross profit 82,083 26,495 2,254 110,832 General and administrative expenses 30,205 12,754 1,905 44,864 Segment operating income $ 51,878 $ 13,741 $ 349 $ 65,968 For the Six Months Ended June 30, 2019 (Amounts in Thousands) Personal Care Hospice Home Health Total Net service revenues $ 265,371 $ 16,354 $ 5,697 $ 287,422 Cost of services revenues 198,825 8,092 3,985 210,902 Gross profit 66,546 8,262 1,712 76,520 General and administrative expenses 25,316 3,138 1,343 29,797 Segment operating income $ 41,230 $ 5,124 $ 369 $ 46,723 For the Six Months Ended June 30, 2020 2019 (Amounts in Thousands) Segment reconciliation: Total segment operating income $ 65,968 $ 46,723 Items not allocated at segment level: Other general and administrative expenses 39,873 29,227 Depreciation and amortization 5,827 4,609 Interest income (489 ) (310 ) Interest expense 1,629 1,298 Income before income taxes $ 19,128 $ 11,899

Significant Payors

Significant Payors	6 Months Ended
	Jun. 30, 2020
Significant Payors [Abstract]
Significant Payors	12. Significant Payors For the three and six months ended June 30, 2020 and 2019 the Company’s revenue by payor type was as follows: Personal Care For the Three Months Ended June 30, For the Six Months Ended June 30, 2020 2019 2020 2019 Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues State, local and other governmental programs $ 78,054 50.0 % $ 74,649 54.2 % $ 157,398 49.7 % $ 146,290 55.1 % Managed care organizations 69,282 44.3 53,823 39.2 141,393 44.6 101,550 38.3 Private pay 4,986 3.2 5,202 3.8 10,257 3.2 10,192 3.8 Commercial insurance 2,394 1.5 2,029 1.5 4,970 1.6 3,885 1.5 Other 1,552 1.0 1,774 1.3 2,915 0.9 3,454 1.3 % Total personal care segment net service revenues $ 156,268 100.0 % $ 137,477 100.0 % $ 316,933 100.0 % $ 265,371 100.0 Hospice For the Three Months Ended June 30, For the Six Months Ended June 30, 2020 2019 2020 2019 Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Medicare $ 22,753 92.8 % $ 7,808 92.6 % $ 45,971 92.4 % $ 15,199 92.9 % Managed care organizations 1,198 4.9 474 5.6 2,578 5.2 835 5.1 Other 574 2.3 155 1.8 1,188 2.4 320 2.0 Total hospice segment net service revenues $ 24,525 100.0 % $ 8,437 100.0 % $ 49,737 100.0 % $ 16,354 100.0 % Home Health For the Three Months Ended June 30, For the Six Months Ended June 30, 2020 2019 2020 2019 Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Medicare $ 3,010 79.6 % $ 2,436 81.2 % $ 6,480 79.8 % $ 4,635 81.4 % Managed care organizations 688 18.2 477 15.9 1,495 18.4 891 15.6 Other 85 2.2 88 2.9 147 1.8 171 3.0 Total home health segment net service revenues $ 3,783 100.0 % $ 3,001 100.0 % $ 8,122 100.0 % $ 5,697 100.0 % The Company derives a significant amount of its revenue from its operations in Illinois, New York and New Mexico. The percentages of segment revenue for each of these significant states for the three and six months ended June 30, 2020 and 2019 were as follows: Personal Care For the Three Months Ended June 30, For the Six Months Ended June 30, 2020 2019 2020 2019 Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Illinois $ 69,052 44.2 % $ 59,114 43.0 % $ 140,598 44.4 % $ 115,963 43.7 % New York 27,244 17.4 23,020 16.7 59,082 18.6 40,833 15.4 New Mexico 21,831 14.0 18,135 13.2 42,525 13.4 35,343 13.3 All other states 38,141 24.4 37,208 27.1 74,728 23.6 73,232 27.6 Total personal care segment net service revenues $ 156,268 100.0 % $ 137,477 100.0 % $ 316,933 100.0 % $ 265,371 100.0 % Hospice For the Three Months Ended June 30, For the Six Months Ended June 30, 2020 2019 2020 2019 Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues New Mexico $ 11,443 46.7 % $ 8,437 100.0 % $ 22,452 45.1 % $ 16,354 100.0 % All other states 13,082 53.3 — — 27,285 54.9 — — Total hospice segment net service revenues $ 24,525 100.0 % $ 8,437 100.0 % $ 49,737 100.0 % $ 16,354 100.0 % Home Health For the Three Months Ended June 30, For the Six Months Ended June 30, 2020 2019 2020 2019 Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues New Mexico $ 3,783 100.0 % $ 3,001 100.0 % $ 8,122 100.0 % $ 5,697 100.0 % Total home health segment net service revenues $ 3,783 100.0 % $ 3,001 100.0 % $ 8,122 100.0 % $ 5,697 100.0 % A substantial portion of the Company’s revenue and accounts receivable are derived from services performed for federal, state and local governmental agencies. We derive a significant amount of our net service revenues in Illinois, which represented 37.4%, and 39.6% of our net service revenues for the three months ended June 30, 2020, and 2019, respectively and accounted for 37.5% and 40.3% of our net service revenues for the six months ended June 30, 2020 and 2019, respectively. The related receivables due from the Illinois Department on Aging represented 23.0% and 25.1% of the Company’s net accounts receivable at June 30, 2020 and December 31, 2019, respectively.

Subsequent Events

Subsequent Events	6 Months Ended
	Jun. 30, 2020
Subsequent Events [Abstract]
Subsequent Events	13. Subsequent Events On July 1, 2020, we completed the acquisition of A Plus Health Care, Inc. (“A Plus”) for approximately $12.2 million, with funding provided by cash on hand. With the purchase of A Plus, we expanded our personal care services in the state of Montana. The Company is currently assessing the fair value of identifiable net assets acquired.

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	6 Months Ended
	Jun. 30, 2020
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation The accompanying Unaudited Condensed Consolidated Financial Statements and related notes have been prepared in accordance with the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”) for Quarterly Reports on Form 10-Q. The accompanying balance sheet as of December 31, 2019 has been derived from the Company’s audited financial statements for the year ended December 31, 2019 previously filed with the SEC. Accordingly, these financial statements do not include all of the information and note disclosures required by accounting principles generally accepted in the United States of America (“GAAP”) for annual financial statements and should be read in conjunction with our consolidated financial statements and notes thereto for the year ended December 31, 2019 included in our Annual Report on Form 10-K, which includes information and disclosures not included herein. In the opinion of management, these financial statements reflect all adjustments of a normal, recurring nature necessary for the fair statement of our financial position, results of operations, and cash flows for the interim periods presented in conformity with GAAP. Our results for any interim period are not necessarily indicative of results for a full year or any other interim period.
Principles of Consolidation	Principles of Consolidation These Unaudited Condensed Consolidated Financial Statements include the accounts of Addus HomeCare Corporation, and its subsidiaries. All intercompany balances and transactions have been eliminated in consolidation.
Estimates	Estimates The financial statements are prepared by management in conformity with GAAP and include estimated amounts and certain disclosures based on assumptions about future events. The Company’s critical accounting estimates include revenue recognition, accounts receivable and allowances and goodwill and intangible assets. Actual results could differ from those estimates.
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. As of June 30, 2020 and 2019, dilutive stock options outstanding were approximately 579,000 and 695,000, respectively, and dilutive restricted stock awards outstanding were approximately 72,000 and 154,000, respectively. Included in the Company’s calculation of diluted earnings per share for the three and six months ended June 30, 2020, dilutive stock options outstanding were approximately 296,000 and 304,000, respectively. In addition, dilutive restricted stock awards outstanding were approximately 37,000 and 63,000 for the three and six months ended June 30, 2020, respectively. Included in the Company’s calculation of diluted earnings per share for the three and six months ended June 30, 2019, were approximately 327,000 and 316,000 dilutive stock options outstanding , respectively. In addition, dilutive restricted stock awards outstanding were approximately 62,000 and 78,000 for the three and six months ended June 30, 2019, respectively.
Recently Issued and Adopted Accounting Pronouncements	Recently Adopted Accounting Pronouncements In June 2016, the FASB issued ASU 2016-13, Financial Instruments—Credit Losses (Topic 326) Measurement of Credit Losses on Financial Instruments. In January 2017, the FASB issued ASU 2017-04, Intangibles—Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment. In August 2018, the FASB issued ASU 2018-15, Intangibles—Goodwill and Other—Internal-Use Software (Subtopic 350-40): Customer s Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That is a Service Contract Recently Issued Accounting Pronouncements In December 2019, the FASB issued ASU 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes In March 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting

Revision of Previously Issued_2

Revision of Previously Issued Financial Statements (Tables)	6 Months Ended
	Jun. 30, 2020
Accounting Changes And Error Corrections [Abstract]
Schedule of Error Corrections and Prior Period Adjustments	The Consolidated Statements of Income has been revised to reflect the correction for the three and six months ended June 30, 2019 as follows (amounts in thousands, except per share data): For the Three Months Ended June 30, For the Six Months Ended June 30, 2019 2019 As As Previously As Previously As Reported Revision Revised Reported Revision Revised Net service revenues $ 149,692 $ (777 ) $ 148,915 $ 288,946 $ (1,524 ) $ 287,422 Gross profit 40,470 (777 ) 39,693 78,044 (1,524 ) 76,520 General and administrative expenses 30,222 (455 ) 29,767 59,479 (455 ) 59,024 Total operating expenses 32,757 (455 ) 32,302 64,088 (455 ) 63,633 Operating income 7,713 (322 ) 7,391 13,956 (1,069 ) 12,887 Income before income taxes 7,128 (322 ) 6,806 12,968 (1,069 ) 11,899 Income tax expense 1,610 (96 ) 1,514 2,588 (277 ) 2,311 Net income $ 5,518 $ (226 ) $ 5,292 $ 10,380 $ (792 ) $ 9,588 Basic income per share $ 0.42 $ (0.01 ) $ 0.41 $ 0.80 $ (0.06 ) $ 0.74 Diluted income per share $ 0.41 $ (0.02 ) $ 0.39 $ 0.77 $ (0.06 ) $ 0.71 The cumulative effect of the adjustments on all prior periods decreased retained earnings as of January 1, 2019, April 1, 2019 and June 30, 2019 as reflected below (amounts in thousands): Common Stock Additional Paid in Capital Retained Earnings Total Stockholders' Equity Shares Amount Balance at January 1, 2019 13,126 $ 13 $ 177,683 $ 97,837 $ 275,533 Revision — — (7,042 ) (7,042 ) Balance at January 1, 2019, as revised 13,126 $ 13 $ 177,683 $ 90,795 $ 268,491 Balance at April 1, 2019 13,178 $ 13 $ 178,916 $ 102,699 $ 281,628 Revision — — (7,608 ) (7,608 ) Balance at April 1, 2019, as revised 13,178 $ 13 $ 178,916 $ 95,091 $ 274,020 Balance at June 30, 2019 13,219 $ 13 $ 181,111 $ 108,217 $ 289,341 Revision — — (7,834 ) (7,834 ) Balance at June 30, 2019, as revised 13,219 $ 13 $ 181,111 $ 100,383 $ 281,507 Additionally, the Consolidated Statement of Cash Flows has been revised to reflect the correction for the six months ended June 30, 2019 as follows (amounts in thousands): For the Six Months Ended June 30, 2019 As Previously As Reported Revision Revised Net income $ 10,380 $ (792 ) $ 9,588 Deferred income taxes 123 (277 ) (154 ) Accounts receivable (18,884 ) 1,524 (17,360 ) Net cash provided by operating activities $ (4,078 ) $ — $ (4,078 )

Leases (Tables)

Leases (Tables)	6 Months Ended
	Jun. 30, 2020
Leases [Abstract]
Amounts Reported in Unaudited and Audited Condensed Consolidated Balance Sheets for Operating Leases	Amounts reported in the Company’s Unaudited Condensed June 30, 2020 December 31, 2019 (Amounts in Thousands) Operating lease assets, net $ 19,825 $ 21,111 Short-term operating lease liabilities (in accrued expenses) 7,402 7,234 Long-term operating lease liabilities 12,672 14,301 Total operating lease liabilities $ 20,074 $ 21,535
Components of Lease Cost Reported in General and Administrative Expenses in Unaudited Condensed Consolidated Statements of Income	Components of lease cost were reported in general and administrative expenses in the Company’s Unaudited Condensed Consolidated Statements of Income as follows: For the Three Months Ended June 30, (Amounts in Thousands) For the Six Months Ended June 30, (Amounts in Thousands) 2020 2019 2020 2019 Operating lease costs $ 2,120 $ 1,558 $ 4,238 $ 3,204 Short-term lease costs 161 96 428 160 Total lease cost $ 2,281 $ 1,654 $ 4,666 $ 3,364
Schedule of Weighted Average Remaining Lease Terms and Discount Rates	Weighte d average remaining lease terms and discount rates were as follows: June 30, 2020 December 31, 2019 Operating leases: Weighted average remaining lease term 3.20 3.42 Weighted average discount rate 4.98 % 5.14 %
Summary of Remaining Operating Lease Payments	A summary of our remaining operating lease payments as of June 30, 2020 were as follows: Operating Leases (Amounts in Thousands) Due in the 12-month period ended June 30, 2021 $ 8,034 2022 6,462 2023 3,795 2024 2,140 2025 1,259 Thereafter 104 Total future minimum rental commitments 21,794 Less: Imputed interest (1,720 ) Total lease liabilities $ 20,074
Supplemental Cash Flows Information	For the Six Months Ended June 30, (Amounts in Thousands) 2020 2019 Supplemental Cash Flows Information Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 4,321 $ 3,465 Right-of-use assets obtained in exchange for lease obligations: Operating leases 2,441 3,743

Acquisitions (Tables)

Acquisitions (Tables)	6 Months Ended
	Jun. 30, 2020
Business Acquisition [Line Items]
Unaudited Pro Forma Condensed Consolidated Income Statement Information	For the three and six months ended June 30, 2019, the following table contains unaudited pro forma condensed consolidated income statement information of the Company as if each of the acquisitions of Hospice Partners, Alliance and VIP closed on January 1, 2019. For the Three Months Ended June 30, (Amounts in Thousands) For the Six Months Ended June 30, (Amounts in Thousands) 2019 2019 Net service revenues $ 177,488 $ 348,976 Operating income 10,038 18,407 Net income 7,378 13,999 Net income per common share Basic income per share $ 0.57 $ 1.08
Hospice Partners [Member]
Business Acquisition [Line Items]
Schedule of Fair Values of Assets and Liabilities	Based upon management’s valuations, which are preliminary and subject to completion of working capital adjustments, the fair values of the assets and liabilities are as follows: Total (Amounts in Thousands) Goodwill $ 111,897 Identifiable intangible assets 18,090 Cash 5,473 Property and equipment 164 Accounts receivable 7,185 Operating lease assets, net 2,425 Other assets 702 Accounts payable (1,764 ) Accrued expenses (4,339 ) Accrued payroll (1,110 ) Deferred tax liability (1,540 ) Long-term operating lease liabilities (1,615 ) Total purchase price $ 135,568
Alliance Home Health Care [Member]
Business Acquisition [Line Items]
Schedule of Fair Values of Assets and Liabilities	Based upon management’s final valuations, the fair values of the assets and liabilities are as follows: Total (Amounts in Thousands) Goodwill $ 16,972 Identifiable intangible assets 5,422 Cash 177 Accounts receivable 1,693 Accounts payable (316 ) Other liabilities (490 ) Total purchase price $ 23,458
VIP Health Care Services [Member]
Business Acquisition [Line Items]
Schedule of Fair Values of Assets and Liabilities	Based upon management’s valuations, the fair values of the assets and liabilities are as follows: Total (Amounts in Thousands) Goodwill $ 11,936 Identifiable intangible assets 15,370 Cash 130 Accounts receivable 4,730 Operating lease assets, net 2,278 Other assets 30 Property and equipment 27 Accounts payable (540 ) Accrued expenses (770 ) Accrued payroll (1,742 ) Long-term operating lease liabilities (1,531 ) Total purchase price $ 29,918

Goodwill and Intangible Assets

Goodwill and Intangible Assets (Tables)	6 Months Ended
	Jun. 30, 2020
Goodwill And Intangible Assets Disclosure [Abstract]
Summary of Goodwill and Related Adjustments	A summary of the goodwill activity for the six months ended June 30, 2020 is provided below: Goodwill Personal Care Hospice Home Health Total (Amounts in Thousands) Goodwill as of December 31, 2019 $ 126,577 $ 146,983 $ 1,808 $ 275,368 Divestiture — (1,167 ) — (1,167 ) Adjustments to previously recorded goodwill 1,438 (243 ) 37 1,232 Goodwill as of June 30, 2020 $ 128,015 $ 145,573 $ 1,845 $ 275,433
Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset	The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following as of June 30, 2020: Customer and referral relationships Trade names and trademarks Non- competition agreements State Licenses Total (Amounts in Thousands) Intangible assets with indefinite lives — — — 13,296 13,296 Intangible assets subject to amortization: Gross carrying amount 48,028 30,566 4,655 12,020 95,269 Accumulated amortization (36,730 ) (14,109 ) (2,570 ) (2,083 ) (55,492 ) Intangible assets subject to amortization, net 11,298 16,457 2,085 9,937 39,777 Total intangible assets at June 30, 2020 $ 11,298 $ 16,457 $ 2,085 $ 23,233 $ 53,073

Details of Certain Balance Sh_2

Details of Certain Balance Sheet Accounts (Tables)	6 Months Ended
	Jun. 30, 2020
Details Of Certain Balance Sheet Accounts [Abstract]
Schedule of Prepaid Expenses and Other Current Assets	Prepaid expenses and other current assets consisted of the following: June 30, 2020 December 31, 2019 (Amounts in Thousands) Income tax receivable $ 2,764 $ — Prepaid workers’ compensation and liability insurance 2,042 2,040 Workers’ compensation insurance receivable 1,890 1,989 Health insurance receivable 1,049 1,567 Other 3,653 2,397 Total prepaid expenses and other current assets $ 11,398 $ 7,993
Schedule of Accrued Expenses	Accrued expenses consisted of the following: June 30, 2020 December 31, 2019 (Amounts in Thousands) Accrued payroll taxes (1) $ 8,345 $ 1,843 Current portion of operating lease liabilities 7,402 7,234 Accrued health insurance 5,007 4,140 Accrued professional fees 3,773 2,517 Other 8,147 6,695 Total accrued expenses $ 32,674 $ 22,429 (1) The Company deferred $7.1 million of payroll taxes in connection to a provision included in the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”), see Note 10 to the Notes to Consolidated Financial Statements for additional information.

Long-Term Debt (Tables)

Long-Term Debt (Tables)	6 Months Ended
	Jun. 30, 2020
Long Term Debt [Abstract]
Schedule of Long-Term Debt	Long-term debt consisted of the following: June 30, 2020 December 31, 2019 (Amounts in Thousands) Revolving loan under the credit facility $ 43,458 $ 43,458 Term loan under the credit facility 18,620 18,865 Financing leases 1 21 Less unamortized issuance costs (2,083 ) (2,452 ) Total $ 59,996 $ 59,892 Less current maturities (948 ) (728 ) Long-term debt $ 59,048 $ 59,164

Segment Information (Tables)

Segment Information (Tables)	6 Months Ended
	Jun. 30, 2020
Segment Reporting [Abstract]
Summary of Segment Information	For the Three Months Ended June 30, 2020 (Amounts in Thousands) Personal Care Hospice Home Health Total Net service revenues $ 156,268 $ 24,525 $ 3,783 $ 184,576 Cost of services revenues 115,822 10,924 2,833 129,579 Gross profit 40,446 13,601 950 54,997 General and administrative expenses 14,603 6,297 883 21,783 Segment operating income $ 25,843 $ 7,304 $ 67 $ 33,214 For the Three Months Ended June 30, 2019 (Amounts in Thousands) Personal Care Hospice Home Health Total Net service revenues $ 137,477 $ 8,437 $ 3,001 $ 148,915 Cost of services revenues 102,829 4,322 2,071 109,222 Gross profit 34,648 4,115 930 39,693 General and administrative expenses 12,777 1,548 656 14,981 Segment operating income $ 21,871 $ 2,567 $ 274 $ 24,712 For the Three Months Ended June 30, 2020 2019 (Amounts in Thousands) Segment reconciliation: Total segment operating income $ 33,214 $ 24,712 Items not allocated at segment level: Other general and administrative expenses 20,667 14,786 Depreciation and amortization 2,940 2,535 Interest income (155 ) (95 ) Interest expense 721 680 Income before income taxes $ 9,041 $ 6,806 For the Six Months Ended June 30, 2020 (Amounts in Thousands) Personal Care Hospice Home Health Total Net service revenues $ 316,933 $ 49,737 $ 8,122 $ 374,792 Cost of services revenues 234,850 23,242 5,868 263,960 Gross profit 82,083 26,495 2,254 110,832 General and administrative expenses 30,205 12,754 1,905 44,864 Segment operating income $ 51,878 $ 13,741 $ 349 $ 65,968 For the Six Months Ended June 30, 2019 (Amounts in Thousands) Personal Care Hospice Home Health Total Net service revenues $ 265,371 $ 16,354 $ 5,697 $ 287,422 Cost of services revenues 198,825 8,092 3,985 210,902 Gross profit 66,546 8,262 1,712 76,520 General and administrative expenses 25,316 3,138 1,343 29,797 Segment operating income $ 41,230 $ 5,124 $ 369 $ 46,723 For the Six Months Ended June 30, 2020 2019 (Amounts in Thousands) Segment reconciliation: Total segment operating income $ 65,968 $ 46,723 Items not allocated at segment level: Other general and administrative expenses 39,873 29,227 Depreciation and amortization 5,827 4,609 Interest income (489 ) (310 ) Interest expense 1,629 1,298 Income before income taxes $ 19,128 $ 11,899

Significant Payors (Tables)

Significant Payors (Tables)	6 Months Ended
	Jun. 30, 2020
Significant Payors [Abstract]
Schedule of Revenue by Payor Type	For the three and six months ended June 30, 2020 and 2019 the Company’s revenue by payor type was as follows: Personal Care For the Three Months Ended June 30, For the Six Months Ended June 30, 2020 2019 2020 2019 Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues State, local and other governmental programs $ 78,054 50.0 % $ 74,649 54.2 % $ 157,398 49.7 % $ 146,290 55.1 % Managed care organizations 69,282 44.3 53,823 39.2 141,393 44.6 101,550 38.3 Private pay 4,986 3.2 5,202 3.8 10,257 3.2 10,192 3.8 Commercial insurance 2,394 1.5 2,029 1.5 4,970 1.6 3,885 1.5 Other 1,552 1.0 1,774 1.3 2,915 0.9 3,454 1.3 % Total personal care segment net service revenues $ 156,268 100.0 % $ 137,477 100.0 % $ 316,933 100.0 % $ 265,371 100.0 Hospice For the Three Months Ended June 30, For the Six Months Ended June 30, 2020 2019 2020 2019 Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Medicare $ 22,753 92.8 % $ 7,808 92.6 % $ 45,971 92.4 % $ 15,199 92.9 % Managed care organizations 1,198 4.9 474 5.6 2,578 5.2 835 5.1 Other 574 2.3 155 1.8 1,188 2.4 320 2.0 Total hospice segment net service revenues $ 24,525 100.0 % $ 8,437 100.0 % $ 49,737 100.0 % $ 16,354 100.0 % Home Health For the Three Months Ended June 30, For the Six Months Ended June 30, 2020 2019 2020 2019 Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Medicare $ 3,010 79.6 % $ 2,436 81.2 % $ 6,480 79.8 % $ 4,635 81.4 % Managed care organizations 688 18.2 477 15.9 1,495 18.4 891 15.6 Other 85 2.2 88 2.9 147 1.8 171 3.0 Total home health segment net service revenues $ 3,783 100.0 % $ 3,001 100.0 % $ 8,122 100.0 % $ 5,697 100.0 %
Schedule of Revenue by Geographic Location	The Company derives a significant amount of its revenue from its operations in Illinois, New York and New Mexico. The percentages of segment revenue for each of these significant states for the three and six months ended June 30, 2020 and 2019 were as follows: Personal Care For the Three Months Ended June 30, For the Six Months Ended June 30, 2020 2019 2020 2019 Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Illinois $ 69,052 44.2 % $ 59,114 43.0 % $ 140,598 44.4 % $ 115,963 43.7 % New York 27,244 17.4 23,020 16.7 59,082 18.6 40,833 15.4 New Mexico 21,831 14.0 18,135 13.2 42,525 13.4 35,343 13.3 All other states 38,141 24.4 37,208 27.1 74,728 23.6 73,232 27.6 Total personal care segment net service revenues $ 156,268 100.0 % $ 137,477 100.0 % $ 316,933 100.0 % $ 265,371 100.0 % Hospice For the Three Months Ended June 30, For the Six Months Ended June 30, 2020 2019 2020 2019 Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues New Mexico $ 11,443 46.7 % $ 8,437 100.0 % $ 22,452 45.1 % $ 16,354 100.0 % All other states 13,082 53.3 — — 27,285 54.9 — — Total hospice segment net service revenues $ 24,525 100.0 % $ 8,437 100.0 % $ 49,737 100.0 % $ 16,354 100.0 % Home Health For the Three Months Ended June 30, For the Six Months Ended June 30, 2020 2019 2020 2019 Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues Amount (in Thousands) % of Segment Net Service Revenues New Mexico $ 3,783 100.0 % $ 3,001 100.0 % $ 8,122 100.0 % $ 5,697 100.0 % Total home health segment net service revenues $ 3,783 100.0 % $ 3,001 100.0 % $ 8,122 100.0 % $ 5,697 100.0 %

Nature of Operations, Consoli_2

Nature of Operations, Consolidation, and Presentation of Financial Statements (Narrative) (Details)	6 Months Ended
	Jun. 30, 2020segment
Organization Consolidation And Presentation Of Financial Statements [Abstract]
Number of operating segments	3

Summary of Significant Accoun_3

Summary of Significant Accounting Policies (Narrative) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Summary Of Significant Accounting Policies [Line Items]
Provision for doubtful accounts	$ 200		$ 436	$ 106
Allowance for doubtful accounts	$ 900		$ 900		$ 1,000
Stock Options [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of potential diluted securities outstanding	579,000	695,000	579,000	695,000
Number of securities included in calculation of diluted earnings per share	296,000	327,000	304,000	316,000
Restricted Stock [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of potential diluted securities outstanding	72,000	154,000	72,000	154,000
Number of securities included in calculation of diluted earnings per share	37,000	62,000	63,000	78,000

Revision of Previously Issued_3

Revision of Previously Issued Financial Statements (Consolidated Statements of Income) (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Error Corrections And Prior Period Adjustments Restatement [Line Items]
Net service revenues	$ 184,576	$ 148,915	$ 374,792	$ 287,422
Gross profit	54,997	39,693	110,832	76,520
General and administrative expenses	42,450	29,767	84,737	59,024
Total operating expenses	45,390	32,302	90,564	63,633
Operating income	9,607	7,391	20,268	12,887
Income before income taxes	9,041	6,806	19,128	11,899
Income tax expense	2,134	1,514	3,563	2,311
Net income	$ 6,907	$ 5,292	$ 15,565	$ 9,588
Basic income per share	$ 0.44	$ 0.41	$ 1	$ 0.74
Diluted income per share	$ 0.43	$ 0.39	$ 0.98	$ 0.71
As Previously Reported [Member]
Error Corrections And Prior Period Adjustments Restatement [Line Items]
Net service revenues		$ 149,692		$ 288,946
Gross profit		40,470		78,044
General and administrative expenses		30,222		59,479
Total operating expenses		32,757		64,088
Operating income		7,713		13,956
Income before income taxes		7,128		12,968
Income tax expense		1,610		2,588
Net income		$ 5,518		$ 10,380
Basic income per share		$ 0.42		$ 0.80
Diluted income per share		$ 0.41		$ 0.77
Revision [Member]
Error Corrections And Prior Period Adjustments Restatement [Line Items]
Net service revenues		$ (777)		$ (1,524)
Gross profit		(777)		(1,524)
General and administrative expenses		(455)		(455)
Total operating expenses		(455)		(455)
Operating income		(322)		(1,069)
Income before income taxes		(322)		(1,069)
Income tax expense		(96)		(277)
Net income		$ (226)		$ (792)
Basic income per share		$ (0.01)		$ (0.06)
Diluted income per share		$ (0.02)		$ (0.06)

Revision of Previously Issued_4

Revision of Previously Issued Financial Statements (Cumulative Effect of Adjustments on all Periods Decreased Retained Earnings) (Details) - USD ($) shares in Thousands, $ in Thousands	Jun. 30, 2020	Mar. 31, 2020	Dec. 31, 2019	Jun. 30, 2019	Mar. 31, 2019	Dec. 31, 2018
Disclosure Correction To Prior Period Financial Statements Cumulative Effect Of Adjustments On All Periods Decreased Retained Earnings Details [Line Items]
Balance	$ 494,861	$ 486,808	$ 475,592	$ 281,507	$ 274,020	$ 268,491
As Previously Reported [Member]
Disclosure Correction To Prior Period Financial Statements Cumulative Effect Of Adjustments On All Periods Decreased Retained Earnings Details [Line Items]
Balance				289,341	281,628	275,533
Revision [Member]
Disclosure Correction To Prior Period Financial Statements Cumulative Effect Of Adjustments On All Periods Decreased Retained Earnings Details [Line Items]
Balance				(7,834)	(7,608)	(7,042)
Common Stock [Member]
Disclosure Correction To Prior Period Financial Statements Cumulative Effect Of Adjustments On All Periods Decreased Retained Earnings Details [Line Items]
Balance	$ 16	$ 16	$ 15	$ 13	$ 13	$ 13
Balance, shares	15,665	15,660	15,617	13,219	13,178	13,126
Common Stock [Member] | As Previously Reported [Member]
Disclosure Correction To Prior Period Financial Statements Cumulative Effect Of Adjustments On All Periods Decreased Retained Earnings Details [Line Items]
Balance				$ 13	$ 13	$ 13
Balance, shares				13,219	13,178	13,126
Additional Paid-in Capital [Member]
Disclosure Correction To Prior Period Financial Statements Cumulative Effect Of Adjustments On All Periods Decreased Retained Earnings Details [Line Items]
Balance	$ 363,248	$ 362,102	$ 359,545	$ 181,111	$ 178,916	$ 177,683
Additional Paid-in Capital [Member] | As Previously Reported [Member]
Disclosure Correction To Prior Period Financial Statements Cumulative Effect Of Adjustments On All Periods Decreased Retained Earnings Details [Line Items]
Balance				181,111	178,916	177,683
Retained Earnings [Member]
Disclosure Correction To Prior Period Financial Statements Cumulative Effect Of Adjustments On All Periods Decreased Retained Earnings Details [Line Items]
Balance	$ 131,597	$ 124,690	$ 116,032	100,383	95,091	90,795
Retained Earnings [Member] | As Previously Reported [Member]
Disclosure Correction To Prior Period Financial Statements Cumulative Effect Of Adjustments On All Periods Decreased Retained Earnings Details [Line Items]
Balance				108,217	102,699	97,837
Retained Earnings [Member] | Revision [Member]
Disclosure Correction To Prior Period Financial Statements Cumulative Effect Of Adjustments On All Periods Decreased Retained Earnings Details [Line Items]
Balance				$ (7,834)	$ (7,608)	$ (7,042)

Revision of Previously Issued_5

Revision of Previously Issued Financial Statements (Consolidated Statement of Cash Flows) (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Error Corrections And Prior Period Adjustments Restatement [Line Items]
Net income	$ 15,565	$ 9,588
Deferred income taxes	100	(154)
Accounts receivable	23,342	(17,360)
Net cash provided by operating activities	$ 50,887	(4,078)
As Previously Reported [Member]
Error Corrections And Prior Period Adjustments Restatement [Line Items]
Net income		10,380
Deferred income taxes		123
Accounts receivable		(18,884)
Net cash provided by operating activities		(4,078)
Revision [Member]
Error Corrections And Prior Period Adjustments Restatement [Line Items]
Net income		(792)
Deferred income taxes		(277)
Accounts receivable		$ 1,524

Leases (Narrative) (Details)

Leases (Narrative) (Details)	6 Months Ended
	Jun. 30, 2020
Lessee Lease [Line Items]
Operating lease expiration dates	expiration dates through 2026
Minimum [Member]
Lessee Lease [Line Items]
Leases termination and renewal option	1 year
Maximum [Member]
Lessee Lease [Line Items]
Leases termination and renewal option	5 years

Leases (Amounts Reported in Una

Leases (Amounts Reported in Unaudited Condensed Consolidated Balance Sheets for Operating Leases) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Leases [Abstract]
Operating lease assets, net	$ 19,825	$ 21,111
Short-term operating lease liabilities (in accrued expenses)	$ 7,402	$ 7,234
Operating lease, liability, current, statement of financial position [Extensible List]	us-gaap:AccruedLiabilitiesCurrent	us-gaap:AccruedLiabilitiesCurrent
Long-term operating lease liabilities	$ 12,672	$ 14,301
Total operating lease liabilities	$ 20,074	$ 21,535

Leases (Components of Lease Cos

Leases (Components of Lease Cost Reported in General and Administrative Expenses in Unaudited Condensed Consolidated Statements of Income) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Leases [Abstract]
Operating lease costs	$ 2,120	$ 1,558	$ 4,238	$ 3,204
Short-term lease costs	161	96	428	160
Total lease cost	$ 2,281	$ 1,654	$ 4,666	$ 3,364

Leases (Schedule of Weighted Av

Leases (Schedule of Weighted Average Remaining Lease Terms and Discount Rates) (Details)	Jun. 30, 2020	Dec. 31, 2019
Leases [Abstract]
Weighted average remaining lease term	3 years 2 months 12 days	3 years 5 months 1 day
Weighted average discount rate	4.98%	5.14%

Leases (Summary of Remaining Op

Leases (Summary of Remaining Operating Lease Payments) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Leases [Abstract]
2021	$ 8,034
2022	6,462
2023	3,795
2024	2,140
2025	1,259
Thereafter	104
Total future minimum rental commitments	21,794
Less: Imputed interest	(1,720)
Total lease liabilities	$ 20,074	$ 21,535

Leases (Supplemental Cash Flows

Leases (Supplemental Cash Flows Information) (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases	$ 4,321	$ 3,465
Right-of-use assets obtained in exchange for lease obligations:
Operating leases	$ 2,441	$ 3,743

Acquisitions (Narrative) (Detai

Acquisitions (Narrative) (Details) $ / shares in Units, $ in Thousands	Oct. 01, 2019USD ($)location$ / sharesshares	Aug. 01, 2019USD ($)	Jun. 01, 2019USD ($)	Jun. 30, 2020USD ($)$ / shares	Jun. 30, 2019USD ($)	Jun. 30, 2020USD ($)$ / shares	Jun. 30, 2019USD ($)	Dec. 31, 2019$ / shares
Business Acquisition [Line Items]
Total purchase price for business acquisition						$ 295	$ 29,808
Common stock, par value | $ / shares				$ 0.001		$ 0.001		$ 0.001
Net service revenues				$ 184,576	$ 148,915	$ 374,792	287,422
Operating income (loss) from continuing operations				9,041	6,806	$ 19,128	11,899
Minimum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives						3 years
Maximum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives						25 years
Customer Relationships [Member] | Minimum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives						5 years
Customer Relationships [Member] | Maximum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives						10 years
Hospice Partners [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition	$ 135,600
Number of locations | location	21
Integration costs				700		$ 1,400
Net service revenues				13,100		27,300
Operating income (loss) from continuing operations				2,900		6,000
Hospice Partners [Member] | Trade Names [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives	15 years
Identifiable intangible assets acquired	$ 9,500
Hospice Partners [Member] | Non-competition Agreements [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired	$ 2,500
Hospice Partners [Member] | Non-competition Agreements [Member] | Minimum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives	3 years
Hospice Partners [Member] | Non-competition Agreements [Member] | Maximum [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives	5 years
Hospice Partners [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Indefinite lived intangible assets acquired	$ 6,100
Hospice Partners [Member] | Common Stock [Member]
Business Acquisition [Line Items]
Shares issued during period | shares	2,300,000
Common stock, par value | $ / shares	$ 0.001
Public offering price, per share | $ / shares	$ 79.50
Hospice Partners [Member] | Common Stock [Member] | Over Allotment Option [Member]
Business Acquisition [Line Items]
Shares issued during period | shares	300,000
Alliance Home Health Care [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition		$ 23,500
Integration costs				100		200
Alliance Home Health Care [Member] | New York [Member]
Business Acquisition [Line Items]
Net service revenues				4,000		8,700
Operating income (loss) from continuing operations				900		1,900
Alliance Home Health Care [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives		10 years
Identifiable intangible assets acquired		$ 1,100
Indefinite lived intangible assets acquired		$ 4,300
VIP Health Care Services [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition			$ 29,900
Integration costs				100	100	100	100
Acquisition related costs					200		200
VIP Health Care Services [Member] | New York [Member]
Business Acquisition [Line Items]
Net service revenues				9,300	4,400	20,800	4,400
Operating income (loss) from continuing operations				$ (700)	$ 300	$ (700)	$ 300
VIP Health Care Services [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives			6 years
Identifiable intangible assets acquired			$ 10,700
VIP Health Care Services [Member] | Customer Relationships [Member]
Business Acquisition [Line Items]
Intangible assets, estimated useful lives			8 years
Identifiable intangible assets acquired			$ 4,700

Acquisitions (Schedule of Fair

Acquisitions (Schedule of Fair Values of Assets and Liabilities) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019	Oct. 01, 2019	Aug. 01, 2019	Jun. 01, 2019
Business Acquisition [Line Items]
Goodwill	$ 275,433	$ 275,368
Hospice Partners [Member]
Business Acquisition [Line Items]
Goodwill			$ 111,897
Identifiable intangible assets			18,090
Cash			5,473
Property and equipment			164
Accounts receivable			7,185
Operating lease assets, net			2,425
Other assets			702
Accounts payable			(1,764)
Accrued expenses			(4,339)
Accrued payroll			(1,110)
Deferred tax liability			(1,540)
Long-term operating lease liabilities			(1,615)
Total purchase price			$ 135,568
Alliance Home Health Care [Member]
Business Acquisition [Line Items]
Goodwill				$ 16,972
Identifiable intangible assets				5,422
Cash				177
Accounts receivable				1,693
Accounts payable				(316)
Other liabilities				(490)
Total purchase price				$ 23,458
VIP Health Care Services [Member]
Business Acquisition [Line Items]
Goodwill					$ 11,936
Identifiable intangible assets					15,370
Cash					130
Property and equipment					27
Accounts receivable					4,730
Operating lease assets, net					2,278
Other assets					30
Accounts payable					(540)
Accrued expenses					(770)
Accrued payroll					(1,742)
Long-term operating lease liabilities					(1,531)
Total purchase price					$ 29,918

Acquisitions (Unaudited Pro For

Acquisitions (Unaudited Pro Forma Condensed Consolidated Income Statement Information) (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2020
Business Acquisition Pro Forma Information [Abstract]
Net service revenues	$ 177,488	$ 348,976
Operating income	10,038	18,407
Net income	$ 7,378	$ 13,999
Basic income per share	$ 0.57	$ 1.08

Goodwill and Intangible Asset_2

Goodwill and Intangible Assets (Summary of Goodwill and Related Adjustments) (Details) - USD ($) $ in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2020
Goodwill [Line Items]
Goodwill, at Beginning of Period		$ 275,368
Divestiture	$ (1,200)	(1,167)
Adjustments to previously recorded goodwill		1,232
Goodwill, at End of Period	275,433	275,433
Personal Care [Member]
Goodwill [Line Items]
Goodwill, at Beginning of Period		126,577
Adjustments to previously recorded goodwill		1,438
Goodwill, at End of Period	128,015	128,015
Hospice [Member]
Goodwill [Line Items]
Goodwill, at Beginning of Period		146,983
Divestiture		(1,167)
Adjustments to previously recorded goodwill		(243)
Goodwill, at End of Period	145,573	145,573
Home Health [Member]
Goodwill [Line Items]
Goodwill, at Beginning of Period		1,808
Adjustments to previously recorded goodwill		37
Goodwill, at End of Period	$ 1,845	$ 1,845

Goodwill and Intangible Asset_3

Goodwill and Intangible Assets (Narrative) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Goodwill [Line Items]
Adjustment of goodwill related to divestiture	$ 1,200		$ 1,167
Loss (gain) of disposal of assets			352	$ (51)
Amortization expense	1,800	$ 1,400	$ 3,500	$ 2,700
Weighted average remaining lives of identifiable intangible assets			8 years 7 months 6 days
General and Administrative Expense [Member]
Goodwill [Line Items]
Loss (gain) of disposal of assets	$ 400		$ 400
Minimum [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives			3 years
Minimum [Member] | Customer and Referral Relationships [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives			5 years
Maximum [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives			25 years
Maximum [Member] | Customer and Referral Relationships [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives			10 years

Goodwill and Intangible Asset_4

Goodwill and Intangible Assets (Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Finite Lived Intangible Assets [Line Items]
Intangible assets with indefinite lives	$ 13,296
Intangible assets subject to amortization:
Gross carrying amount	95,269
Accumulated amortization	(55,492)
Intangible assets subject to amortization, net	39,777
Total intangible assets at June 30, 2020	53,073	$ 57,079
Customer and Referral Relationships [Member]
Intangible assets subject to amortization:
Gross carrying amount	48,028
Accumulated amortization	(36,730)
Intangible assets subject to amortization, net	11,298
Total intangible assets at June 30, 2020	11,298
Trade Names And Trademarks [Member]
Intangible assets subject to amortization:
Gross carrying amount	30,566
Accumulated amortization	(14,109)
Intangible assets subject to amortization, net	16,457
Total intangible assets at June 30, 2020	16,457
Non-competition Agreements [Member]
Intangible assets subject to amortization:
Gross carrying amount	4,655
Accumulated amortization	(2,570)
Intangible assets subject to amortization, net	2,085
Total intangible assets at June 30, 2020	2,085
State Licenses [Member]
Finite Lived Intangible Assets [Line Items]
Intangible assets with indefinite lives	13,296
Intangible assets subject to amortization:
Gross carrying amount	12,020
Accumulated amortization	(2,083)
Intangible assets subject to amortization, net	9,937
Total intangible assets at June 30, 2020	$ 23,233

Details of Certain Balance Sh_3

Details of Certain Balance Sheet Accounts (Schedule of Prepaid Expenses and Other Current Assets) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Details Of Certain Balance Sheet Accounts [Abstract]
Income tax receivable	$ 2,764
Prepaid workers’ compensation and liability insurance	2,042	$ 2,040
Workers’ compensation insurance receivable	1,890	1,989
Health insurance receivable	1,049	1,567
Other	3,653	2,397
Total prepaid expenses and other current assets	$ 11,398	$ 7,993

Details of Certain Balance Sh_4

Details of Certain Balance Sheet Accounts (Schedule of Accrued Expenses) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Details Of Certain Balance Sheet Accounts [Abstract]
Accrued payroll taxes	$ 8,345	$ 1,843
Current portion of operating lease liabilities	7,402	7,234
Accrued health insurance	5,007	4,140
Accrued professional fees	3,773	2,517
Other	8,147	6,695
Total accrued expenses	$ 32,674	$ 22,429

Details of Certain Balance Sh_5

Details of Certain Balance Sheet Accounts (Schedule of Accrued Expenses) (Parenthetical) (Details) $ in Millions	Jun. 30, 2020USD ($)
CARES Act [Member]
Schedule Of Accrued Expenses [Line Items]
Deferred payroll taxes	$ 7.1

Long-Term Debt (Schedule of Lon

Long-Term Debt (Schedule of Long-Term Debt) (Details) - USD ($) $ in Thousands	Jun. 30, 2020	Dec. 31, 2019
Debt Instrument [Line Items]
Financing leases	$ 1	$ 21
Less unamortized issuance costs	(2,083)	(2,452)
Total	59,996	59,892
Less current maturities	(948)	(728)
Long-term debt	59,048	59,164
Revolving Credit Loan [Member] | Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Long-term debt gross	43,458	43,458
Term Loan [Member] | Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Long-term debt gross	$ 18,620	$ 18,865

Long-Term Debt (Narrative) (Det

Long-Term Debt (Narrative) (Details) - USD ($)	Sep. 12, 2019	Oct. 31, 2018	Oct. 30, 2018	Jun. 30, 2020	Dec. 31, 2019
Debt Instrument [Line Items]
Debt issuance costs				$ 2,083,000	$ 2,452,000
Credit Agreement [Member] | Capital One, National Association [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available		$ 269,600,000		$ 223,500,000	191,400,000
Debt instrument, maturity date				May 8, 2023
Debt instrument total net leverage ratio			4.25%
Debt issuance costs		900,000
Line of credit outstanding amount				$ 9,600,000	10,000,000
Credit Agreement [Member] | Capital One, National Association [Member] | Delayed Draw Term Loan [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available		$ 19,600,000
Credit Agreement [Member] | Capital One, National Association [Member] | Term Loan [Member]
Debt Instrument [Line Items]
Line of credit outstanding amount				$ 18,600,000	$ 18,900,000
Debt instrument stated interest rate				1.93%	3.45%
Credit Agreement [Member] | Capital One, National Association [Member] | Maximum [Member]
Debt Instrument [Line Items]
Debt instrument total net leverage ratio		3.75%
Credit Agreement [Member] | Capital One, National Association [Member] | Federal Funds Rate [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		0.50%
Credit Agreement [Member] | Capital One, National Association [Member] | London Interbank Offered Rate (LIBOR)
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		1.00%
Credit Agreement [Member] | Capital One, National Association [Member] | London Interbank Offered Rate (LIBOR) | Minimum [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		0.00%
Credit Agreement [Member] | Capital One, National Association [Member] | Based On Applicable Senior Leverage Ratio | Minimum [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		0.75%
Credit Agreement [Member] | Capital One, National Association [Member] | Based On Applicable Senior Leverage Ratio | Maximum [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		1.50%
Credit Agreement [Member] | Capital One, National Association [Member] | Based On Applicable Leverage Ratio [Member] | Minimum [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		1.75%
Credit Agreement [Member] | Capital One, National Association [Member] | Based On Applicable Leverage Ratio [Member] | Maximum [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		2.50%
Credit Agreement [Member] | Capital One, National Association [Member] | Restriction on Dividends [Member] | Maximum [Member]
Debt Instrument [Line Items]
Aggregate amount of dividends and distributions				$ 7,500,000
Credit Agreement [Member] | Revolving Credit Loan [Member] | Capital One, National Association [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	$ 300,000,000	$ 250,000,000
Increase in credit facility	50,000,000
Debt issuance costs	$ 400,000
Proceeds from line of credit				0
Line of credit outstanding amount				$ 43,500,000	$ 43,400,000
Debt instrument stated interest rate				1.92%	3.44%
Credit Agreement [Member] | Revolving Credit Loan [Member] | Capital One, National Association [Member] | Minimum [Member]
Debt Instrument [Line Items]
Fee charged on unused portion of revolving credit facility				0.20%
Credit Agreement [Member] | Revolving Credit Loan [Member] | Capital One, National Association [Member] | Maximum [Member]
Debt Instrument [Line Items]
Fee charged on unused portion of revolving credit facility				0.35%

Income Taxes (Narrative) (Detai

Income Taxes (Narrative) (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Income Tax Disclosure [Abstract]
Effective income tax rate	23.60%	22.20%	18.60%	19.40%
Excess tax benefit			7.50%	6.50%

Commitments and Contingencies (

Commitments and Contingencies (Narrative) (Details) - PPPHCE Act [Member] - USD ($) $ in Millions	Apr. 24, 2020	Apr. 30, 2020	Jun. 30, 2020
Commitment And Contingencies [Line Items]
Authorized fund to be distributed to health care providers	$ 175,000
Aggregate principal amount of grants receivable		$ 6.9
Deferred payroll taxes period		2 years
Deferred payroll taxes			$ 7.1

Segment Information (Narrative)

Segment Information (Narrative) (Details)	6 Months Ended
	Jun. 30, 2020segment
Segment Reporting [Abstract]
Number of business segments	3

Segment Information (Summary Of

Segment Information (Summary Of Segment Information) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Segment Reporting Information [Line Items]
Net service revenues	$ 184,576	$ 148,915	$ 374,792	$ 287,422
Cost of services revenues	129,579	109,222	263,960	210,902
Gross profit	54,997	39,693	110,832	76,520
General and administrative expenses	42,450	29,767	84,737	59,024
Operating income	9,607	7,391	20,268	12,887
Operating Segments [Member]
Segment Reporting Information [Line Items]
General and administrative expenses	21,783	14,981	44,864	29,797
Operating income	33,214	24,712	65,968	46,723
Personal Care [Member]
Segment Reporting Information [Line Items]
Net service revenues	156,268	137,477	316,933	265,371
Cost of services revenues	115,822	102,829	234,850	198,825
Gross profit	40,446	34,648	82,083	66,546
Personal Care [Member] | Operating Segments [Member]
Segment Reporting Information [Line Items]
General and administrative expenses	14,603	12,777	30,205	25,316
Operating income	25,843	21,871	51,878	41,230
Hospice [Member]
Segment Reporting Information [Line Items]
Net service revenues	24,525	8,437	49,737	16,354
Cost of services revenues	10,924	4,322	23,242	8,092
Gross profit	13,601	4,115	26,495	8,262
Hospice [Member] | Operating Segments [Member]
Segment Reporting Information [Line Items]
General and administrative expenses	6,297	1,548	12,754	3,138
Operating income	7,304	2,567	13,741	5,124
Home Health [Member]
Segment Reporting Information [Line Items]
Net service revenues	3,783	3,001	8,122	5,697
Cost of services revenues	2,833	2,071	5,868	3,985
Gross profit	950	930	2,254	1,712
Home Health [Member] | Operating Segments [Member]
Segment Reporting Information [Line Items]
General and administrative expenses	883	656	1,905	1,343
Operating income	$ 67	$ 274	$ 349	$ 369

Segment Information (Segment Re

Segment Information (Segment Reconciliation to Totals reported in the accompanying Consolidated Financial Statements) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Segment Reporting Information [Line Items]
Operating income	$ 9,607	$ 7,391	$ 20,268	$ 12,887
Other general and administrative expenses	20,667	14,786	39,873	29,227
Depreciation and amortization	2,940	2,535	5,827	4,609
Interest income	(155)	(95)	(489)	(310)
Interest expense	721	680	1,629	1,298
Income before income taxes	9,041	6,806	19,128	11,899
Operating Segments [Member]
Segment Reporting Information [Line Items]
Operating income	$ 33,214	$ 24,712	$ 65,968	$ 46,723

Significant Payors (Revenue by

Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Net service revenues	$ 184,576	$ 148,915	$ 374,792	$ 287,422
Personal Care [Member]
Net service revenues	156,268	137,477	316,933	265,371
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 156,268	$ 137,477	$ 316,933	$ 265,371
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | State, Local And Other Governmental Programs [Member]
Net service revenues	$ 78,054	$ 74,649	$ 157,398	$ 146,290
Concentration risk, percentage	50.00%	54.20%	49.70%	55.10%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 69,282	$ 53,823	$ 141,393	$ 101,550
Concentration risk, percentage	44.30%	39.20%	44.60%	38.30%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member]
Net service revenues	$ 4,986	$ 5,202	$ 10,257	$ 10,192
Concentration risk, percentage	3.20%	3.80%	3.20%	3.80%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member]
Net service revenues	$ 2,394	$ 2,029	$ 4,970	$ 3,885
Concentration risk, percentage	1.50%	1.50%	1.60%	1.50%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 1,552	$ 1,774	$ 2,915	$ 3,454
Concentration risk, percentage	1.00%	1.30%	0.90%	1.30%
Hospice [Member]
Net service revenues	$ 24,525	$ 8,437	$ 49,737	$ 16,354
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 24,525	$ 8,437	$ 49,737	$ 16,354
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 22,753	$ 7,808	$ 45,971	$ 15,199
Concentration risk, percentage	92.80%	92.60%	92.40%	92.90%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 1,198	$ 474	$ 2,578	$ 835
Concentration risk, percentage	4.90%	5.60%	5.20%	5.10%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 574	$ 155	$ 1,188	$ 320
Concentration risk, percentage	2.30%	1.80%	2.40%	2.00%
Home Health [Member]
Net service revenues	$ 3,783	$ 3,001	$ 8,122	$ 5,697
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member]
Net service revenues	$ 3,783	$ 3,001	$ 8,122	$ 5,697
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member]
Net service revenues	$ 3,010	$ 2,436	$ 6,480	$ 4,635
Concentration risk, percentage	79.60%	81.20%	79.80%	81.40%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member]
Net service revenues	$ 688	$ 477	$ 1,495	$ 891
Concentration risk, percentage	18.20%	15.90%	18.40%	15.60%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member]
Net service revenues	$ 85	$ 88	$ 147	$ 171
Concentration risk, percentage	2.20%	2.90%	1.80%	3.00%

Significant Payors (Revenue b_2

Significant Payors (Revenue by Geographic Location) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019
Net service revenues	$ 184,576	$ 148,915	$ 374,792	$ 287,422
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration risk, percentage	37.40%	39.60%	37.50%	40.30%
Personal Care [Member]
Net service revenues	$ 156,268	$ 137,477	$ 316,933	$ 265,371
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 156,268	$ 137,477	$ 316,933	$ 265,371
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Net service revenues	$ 69,052	$ 59,114	$ 140,598	$ 115,963
Concentration risk, percentage	44.20%	43.00%	44.40%	43.70%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New York [Member]
Net service revenues	$ 27,244	$ 23,020	$ 59,082	$ 40,833
Concentration risk, percentage	17.40%	16.70%	18.60%	15.40%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 21,831	$ 18,135	$ 42,525	$ 35,343
Concentration risk, percentage	14.00%	13.20%	13.40%	13.30%
Personal Care [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 38,141	$ 37,208	$ 74,728	$ 73,232
Concentration risk, percentage	24.40%	27.10%	23.60%	27.60%
Hospice [Member]
Net service revenues	$ 24,525	$ 8,437	$ 49,737	$ 16,354
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 24,525	$ 8,437	$ 49,737	$ 16,354
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 11,443	$ 8,437	$ 22,452	$ 16,354
Concentration risk, percentage	46.70%	100.00%	45.10%	100.00%
Hospice [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | All Other States [Member]
Net service revenues	$ 13,082		$ 27,285
Concentration risk, percentage	53.30%		54.90%
Home Health [Member]
Net service revenues	$ 3,783	$ 3,001	$ 8,122	$ 5,697
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member]
Net service revenues	$ 3,783	$ 3,001	$ 8,122	$ 5,697
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Home Health [Member] | Revenues [Member] | Geographic Concentration Risk [Member] | New Mexico [Member]
Net service revenues	$ 3,783	$ 3,001	$ 8,122	$ 5,697
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%

Significant Payors (Narrative)

Significant Payors (Narrative) (Details)	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2020	Jun. 30, 2019	Jun. 30, 2020	Jun. 30, 2019	Dec. 31, 2019
Revenues [Member] | Illinois Department On Aging [Member]
Concentration Risk [Line Items]
Concentration risk, percentage	23.20%	27.60%	23.20%	28.30%
Revenues [Member] | Geographic Concentration Risk [Member] | Illinois [Member]
Concentration Risk [Line Items]
Concentration risk, percentage	37.40%	39.60%	37.50%	40.30%
Accounts Receivable [Member] | Illinois Department On Aging [Member]
Concentration Risk [Line Items]
Concentration risk, percentage			23.00%		25.10%

Subsequent Events (Narrative) (

Subsequent Events (Narrative) (Details) - USD ($) $ in Thousands	Jul. 01, 2020	Jun. 30, 2020	Jun. 30, 2019
Subsequent Event [Line Items]
Total purchase price for business acquisition		$ 295	$ 29,808
Subsequent Event | A Plus Health Care, Inc [Member]
Subsequent Event [Line Items]
Total purchase price for business acquisition	$ 12,200