Civitas Solutions 10-Q 10 May 16 2016 Q2 Quarterly report Financial data

Document and Entity Information

Document and Entity Information - shares	6 Months Ended
	Mar. 31, 2016	Apr. 30, 2016
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Mar. 31, 2016
Document Fiscal Year Focus	2,016
Document Fiscal Period Focus	Q2
Trading Symbol	CIVI
Entity Registrant Name	CIVITAS SOLUTIONS, INC.
Entity Central Index Key	1,608,638
Current Fiscal Year End Date	--09-30
Entity Filer Category	Accelerated Filer
Entity Common Stock, Shares Outstanding		37,106,586

Condensed Consolidated Balance

Condensed Consolidated Balance Sheets (Unaudited) - USD ($) $ in Thousands	Mar. 31, 2016	Sep. 30, 2015
Current assets:
Cash and cash equivalents	$ 7,125	$ 41,690
Restricted cash	734	749
Accounts receivable, net of allowances of $11,341 and $11,207 at March 31, 2016 and September 30, 2015	147,678	145,395
Deferred tax assets, net	16,924	19,648
Prepaid expenses and other current assets	20,801	14,049
Total current assets	193,262	221,531
Property and equipment, net	169,427	168,227
Intangible assets, net	321,026	305,856
Goodwill	283,310	274,520
Restricted cash	50,000	50,000
Other assets	44,548	43,050
Total assets	1,061,573	1,063,184
Current liabilities:
Accounts payable	24,171	25,890
Accrued payroll and related costs	67,616	82,012
Other accrued liabilities	56,348	46,428
Obligations under capital lease, current	522	497
Current portion of long-term debt	6,554	6,554
Total current liabilities	155,211	161,381
Other long-term liabilities	75,852	79,170
Deferred tax liabilities, net	55,250	58,223
Obligations under capital lease, less current portion	5,293	5,561
Long-term debt, less current portion	$ 634,436	$ 637,574
Commitments and Contingencies
Stockholders’ equity
Common stock, $0.01 par value; 350,000,000 shares authorized; and 37,103,016 and 37,093,237 shares issued and outstanding at March 31, 2016 and September 30, 2015, respectively	$ 371	$ 371
Additional paid-in capital	291,482	277,311
Accumulated loss on derivatives, net of taxes of ($2,261) and ($1,157) at March 31, 2016 and September 30, 2015, respectively	(3,330)	(1,704)
Accumulated deficit	(152,992)	(154,703)
Total stockholders’ equity	135,531	121,275
Total liabilities and stockholders’ equity	$ 1,061,573	$ 1,063,184

Condensed Consolidated Balance3

Condensed Consolidated Balance Sheets (Unaudited) (Parenthetical) - USD ($) $ in Thousands	Mar. 31, 2016	Sep. 30, 2015
Statement of Financial Position [Abstract]
Allowances for accounts receivable	$ 11,341	$ 11,207
Common stock, par value (dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized (shares)	350,000,000	350,000,000
Common stock, shares issued (shares)	37,103,016	37,093,237
Common stock, shares outstanding (shares)	37,103,016	37,093,237
Accumulated loss on derivatives, tax	$ (2,261)	$ (1,157)

Condensed Consolidated Statemen

Condensed Consolidated Statements of Operations (Unaudited) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Mar. 31, 2016	Mar. 31, 2015	Mar. 31, 2016	Mar. 31, 2015
Income Statement [Abstract]
Net revenue	$ 345,683	$ 335,180	$ 691,430	$ 669,770
Cost of revenue	265,804	260,073	536,816	517,631
Operating expenses:
General and administrative	40,084	39,473	89,626	79,781
Depreciation and amortization	18,331	20,653	36,318	37,863
Total operating expenses	58,415	60,126	125,944	117,644
Income from operations	21,464	14,981	28,670	34,495
Other income (expense):
Management fee of related party	0	0	0	(162)
Other income (expense), net	(143)	(87)	(958)	53
Extinguishment of debt	0	(2,715)	0	(17,058)
Interest expense	(8,464)	(9,416)	(17,037)	(20,321)
Income from continuing operations before income taxes	12,857	2,763	10,675	(2,993)
Provision (benefit) for income taxes	5,344	995	8,736	(1,376)
Income (loss) from continuing operations	7,513	1,768	1,939	(1,617)
Loss from discontinued operations, net of tax	(198)	(70)	(228)	(125)
Net income (loss)	$ 7,315	$ 1,698	$ 1,711	$ (1,742)
Income (loss) per common share, basic and diluted
Income (loss) from continuing operations, basic and diluted (in dollars per share)	$ 0.20	$ 0.05	$ 0.05	$ (0.04)
Income (loss) from discontinued operations, basic and diluted (in dollars per share)	0	0	0	0
Net income (loss) per share, basic and diluted (in dollars per share)	$ 0.20	$ 0.05	$ 0.05	$ (0.05)
Weighted average number of common shares outstanding, basic	37,102,113	36,950,000	37,098,677	36,950,000
Weighted average number of common shares outstanding, diluted	37,207,096	37,065,969	37,245,466	36,950,000

Condensed Consolidated Stateme5

Condensed Consolidated Statements of Comprehensive Income (Loss) (Unaudited) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Mar. 31, 2016	Mar. 31, 2015	Mar. 31, 2016	Mar. 31, 2015
Statement of Comprehensive Income [Abstract]
Net income (loss)	$ 7,315	$ 1,698	$ 1,711	$ (1,742)
Other comprehensive income (loss), net of tax:
Gain (loss) on derivative instrument classified as cash flow hedge, net of tax for the three and six months ended March 31, 2016 of ($2,013) and ($1,104), respectively, and $169 for both the three and six months ended March 31, 2015	(2,965)	249	(1,626)	249
Comprehensive income (loss)	$ 4,350	$ 1,947	$ 85	$ (1,493)

Condensed Consolidated Stateme6

Condensed Consolidated Statements of Comprehensive Income (Loss) (Unaudited) (Parenthetical) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Mar. 31, 2016	Mar. 31, 2015	Mar. 31, 2016	Mar. 31, 2015
Statement of Comprehensive Income [Abstract]
Tax effects of changes in unrealized gain on derivatives	$ (2,013)	$ 169	$ (1,104)	$ 169

Condensed Consolidated Stateme7

Condensed Consolidated Statement of Stockholders' Equity (Unaudited) - USD ($) $ in Thousands	Total	Common Stock	Additional Paid-in Capital	Accumulated Other Comprehensive Loss	Accumulated Deficit
Beginning balance at Sep. 30, 2014	$ 115,538	$ 370	$ 272,943	$ 0	$ (157,775)
Common stock, shares outstanding, beginning balance (shares) at Sep. 30, 2014		36,950,000
Increase (Decrease) in Stockholders' Equity
Change in estimate of initial public offering costs	576		576
Stock-based compensation	2,373		2,373
Other comprehensive loss, net of tax	249			249
Net income (loss)	(1,742)				(1,742)
Common stock, shares outstanding, ending balance (shares) at Mar. 31, 2015		36,950,000
Ending balance at Mar. 31, 2015	116,994	$ 370	275,892	249	(159,517)
Beginning balance at Sep. 30, 2015	$ 121,275	$ 371	277,311	(1,704)	(154,703)
Common stock, shares outstanding, beginning balance (shares) at Sep. 30, 2015	37,093,237	37,093,237
Increase (Decrease) in Stockholders' Equity
Issuance of common stock under employee incentive plans, net of shares surrendered (shares)		9,779
Issuance of common stock under employee incentive plans, net of shares surrendered	$ (8)		(8)
Stock-based compensation	13,434		13,434
Excess tax benefits from stock-based compensation awards	745		745
Other comprehensive loss, net of tax	(1,626)			(1,626)
Net income (loss)	$ 1,711				1,711
Common stock, shares outstanding, ending balance (shares) at Mar. 31, 2016	37,103,016	37,103,016
Ending balance at Mar. 31, 2016	$ 135,531	$ 371	$ 291,482	$ (3,330)	$ (152,992)

Condensed Consolidated Stateme8

Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Operating activities:
Net income (loss)	$ 1,711	$ (1,742)
Adjustments to reconcile net income to net cash provided by operating activities:
Provision for accounts receivable allowances	7,463	7,552
Depreciation and amortization	36,347	35,799
Amortization and write-off of original issue discount and initial purchasers discount	139	4,758
Amortization and write-off of financing costs	780	2,357
Stock-based compensation	13,434	2,373
Deferred income taxes	855	1,728
Loss on disposal of assets	418	209
Non-cash impairment charge	0	2,158
Change in fair value of contingent consideration	(3,156)	152
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	(9,746)	(13,303)
Other assets	(8,896)	(10,551)
Accounts payable	(1,340)	146
Accrued payroll and related costs	(14,396)	(13,134)
Other accrued liabilities	8,883	(3,860)
Other long-term liabilities	(547)	740
Net cash provided by operating activities	31,949	15,382
Investing activities:
Acquisition of businesses, net of cash acquired	(44,319)	(31,942)
Purchases of property and equipment	(19,019)	(19,711)
Change in restricted cash	15	328
Proceeds from sale of assets	899	706
Net cash used in investing activities	(62,424)	(50,619)
Financing activities:
Issuance of long-term debt, net of original issue discount	0	54,450
Repayments of long-term debt	(3,277)	(215,139)
Proceeds from borrowings under senior revolver	0	170,300
Repayments of borrowings under senior revolver	0	(170,300)
Repayments of capital lease obligations	(243)	(221)
Cash paid for settlement of acquisition contingent consideration	(1,307)	0
Proceeds from issuance of common stock under employee equity incentive plans	67	0
Excess tax benefits from stock-based compensation	745	0
Taxes paid related to net share settlements of restricted stock unit awards	(75)	0
Net cash used in financing activities	(4,090)	(160,910)
Net decrease in cash and cash equivalents	(34,565)	(196,147)
Cash and cash equivalents at beginning of period	41,690	196,147
Cash and cash equivalents at end of period	7,125	0
Supplemental disclosure of cash flow information
Cash paid for interest	15,793	21,598
Cash paid for call premium on redemption of senior notes	0	11,688
Cash paid for income taxes	11,368	1,011
Supplemental disclosure of non-cash investing activities:
Accrued property and equipment	1,026	223
Fair value of contingent consideration related to acquisitions	$ 0	$ 6,100

Business Overview

Business Overview	6 Months Ended
	Mar. 31, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Business Overview	1. Business Overview Civitas Solutions, Inc. ("Civitas"), through its wholly-owned subsidiaries (collectively, the "Company"), is the leading provider of home- and community-based health and human services to individuals with intellectual and/or developmental disabilities, acquired brain injury and other catastrophic injuries and illnesses; and to youth with emotional, behavioral and/or medically complex challenges. Since the Company’s founding in 1980, the Company has evolved into a diversified national network providing an array of high-quality services and care in large, growing and highly-fragmented markets. The Company currently provides services to individuals with intellectual and/or developmental disabilities (“I/DD”), individuals with catastrophic injuries and illnesses, particularly acquired brain injury (“ABI”), youth with emotional, behavioral and/or medically complex challenges, or at-risk youth (“ARY”) and elders in need of day health services to support their independence, or adult day health (“ADH”). Since the Company’s founding in 1980, the Company’s operations have grown to 35 states. The Company provides residential services to approximately 11,500 clients and approximately 16,000 clients receive periodic services from the Company in non-residential settings. The Company designs customized service plans to meet the individual needs of its clients, which it delivers in home- and community-based settings. Most of the Company’s service plans involve residential support, typically in small group homes, host home settings, or specialized community facilities, designed to improve the clients’ quality of life and to promote their independence and participation in community life. Other services offered include supported living, day and transitional programs, vocational services, case management, family-based and outpatient therapeutic services, post-acute treatment and neurorehabilitation, neurobehavioral rehabilitation and physical, occupational and speech therapies, among others. The Company’s customized service plans offer its clients as well as the payors of these services, an attractive, cost-effective alternative to health and human services provided in large, institutional settings. Civitas is the parent of a consolidated group of subsidiaries that market their services under The MENTOR Network tradename. Prior to October 1, 2015, Civitas was a partially owned subsidiary of NMH Investment, LLC (“NMH Investment”), which was formed in connection with the acquisition of our business by affiliates of Vestar Capital Partners (“Vestar”) in 2006. The equity interests of NMH Investment were owned by Vestar and certain executive officers, directors and other members of management. On October 1, 2015, in connection with an underwritten secondary offering, NMH Investment distributed all of the 25,250,000 shares of common stock of Civitas it held to its existing members in accordance with their respective membership interests. NMH Holdings, LLC ("NMHH") is a wholly-owned subsidiary of Civitas and National Mentor Holdings, Inc. (“NMHI”) is a wholly-owned subsidiary of NMHH. The financial results of Civitas are primarily composed of the financial results of NMHI and its subsidiaries on a consolidated basis.

Significant Accounting Policies

Significant Accounting Policies	6 Months Ended
	Mar. 31, 2016
Accounting Policies [Abstract]
Significant Accounting Policies	2. Significant Accounting Policies Basis of Presentation The accompanying unaudited condensed consolidated financial statements have been prepared by the Company in accordance with generally accepted accounting principles (“GAAP”) for interim financial information and pursuant to the applicable rules and regulations of the Securities and Exchange Commission (“SEC”). Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. The unaudited condensed consolidated financial statements herein should be read in conjunction with the Company’s audited consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2015 , which is on file with the SEC. In the opinion of management, the accompanying unaudited condensed consolidated financial statements contain all adjustments, consisting of normal and recurring adjustments, necessary to present fairly the financial statements in accordance with GAAP. Intercompany balances and transactions between the Company and its subsidiaries have been eliminated in consolidation. Operating results for the three and six months ended March 31, 2016 may not necessarily be indicative of results to be expected for any other interim period or for the full year. The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates. Our financial results are affected by the selection and application of accounting policies and methods. There were no material changes in the six months ended March 31, 2016 to the application of significant accounting policies as described in our audited financial statements for the year ended September 30, 2015 . Statement of Cash Flow Correction In the Company's Quarterly Report on Form 10-Q for the three and six months ended March 31, 2015, the Company incorrectly included the fair value of contingent consideration related to acquisitions of businesses, net of cash acquired, and the corresponding changes to other accrued and long term liabilities, in its cash flow statement for the six months ended March 31, 2015. This resulted in an overstatement of net cash provided by operating activities and an overstatement of net cash used in investing activities of $6.1 million for the six months ended March 31, 2015. This has been corrected in the reported amounts for the six months ended March 31, 2015 included herein.

Recent Accounting Pronouncement

Recent Accounting Pronouncements	6 Months Ended
	Mar. 31, 2016
Accounting Changes and Error Corrections [Abstract]
Recent Accounting Pronouncements	3. Recent Accounting Pronouncements Revenue from Contracts with Customers— In May 2014, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2014-09, Revenue from Contracts with Customers Topic 606 (ASU 2014-09), which supersedes nearly all existing revenue recognition guidance under U.S. GAAP. The core principle of ASU 2014-09 is to recognize revenues when promised goods or services are transferred to customers in an amount that reflects the consideration to which an entity expects to be entitled for those goods or services. ASU 2014-09 defines a five step process to achieve this core principle and, in doing so, more judgment and estimates may be required within the revenue recognition process than are required under existing U.S. GAAP. In August 2015, the FASB issued ASU No. 2015-14, Revenue from Contracts with Customers (Topic 606): Deferral of the Effective Date, which delayed the effective date of the new standard for the Company from October 1, 2017 to October 1, 2018. The FASB also agreed to allow entities to choose to adopt the standard as of the original effective date. The Company is evaluating the method of adoption and the potential impact that ASU 2014-09 may have on our financial position, results of operations, cash flows, and liquidity. Imputation of Interest— In April 2015, the FASB issued ASU No. 2015-03, Interest - Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs. The new standard requires that debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of that debt liability, consistent with debt discounts. In August 2015, the FASB issued ASU No. 2015-15, Interest - Imputation of Interest (Subtopic 835-30): Presentation and Subsequent Measurement of Debt Issuance Costs Associated with Line-of-Credit Arrangements, which clarified that debt issuance costs related to line-of-credit arrangements can be presented in the balance sheet as an asset and amortized over the term of the line-of-credit arrangement. The standard is to be applied retrospectively and is effective for fiscal years beginning after December 15, 2015, and interim periods within those years. As of March 31, 2016 and September 30, 2015, the Company had deferred financing costs of $6.7 million and $7.5 million , respectively, within other assets. Business Combinations — In September 2015, the FASB issued ASU No. 2015-16, Business Combinations (Topic 805): Simplifying the Accounting for Measurement-Period Adjustments. The new standard requires that an acquirer recognize adjustments to provisional amounts that are identified during the measurement period in the reporting period in which the adjustment amounts are determined and sets forth new disclosure requirements related to the adjustments. The standard is to be applied prospectively and is effective for fiscal years beginning after December 15, 2015, including interim periods within those fiscal years. Although the impact of applying this standard to prior acquisitions would have been immaterial, the adoption could have a significant impact on the accounting for future business combinations. Income Taxes — In November 2015, the FASB issued ASU No. 2015-17, Income Taxes (Topic 740): Balance Sheet Classification of Deferred Taxes. The new standard requires that deferred tax liabilities and assets be classified as non-current in a classified statement of financial position. The amendments in this update apply to all entities that present a classified statement of financial position. The standard is to be applied prospectively and is effective for fiscal years beginning after December 15, 2016, including interim periods within those fiscal years. As of March 31, 2016 and September 30, 2015, the Company had current deferred tax assets, net of current deferred tax liabilities, of $16.9 million and $19.6 million , respectively. Leases — In February 2016, the FASB issued ASU No. 2016-02—Leases (Topic 842). The new standard requires that all lessees recognize the assets and liabilities that arise from leases on the balance sheet and disclose qualitative and quantitative information about its leasing arrangements. The standard is to be applied using a modified retrospective approach and is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. The Company is currently evaluating the potential impact that this standard may have on its consolidated financial statements. Stock Compensation — In March 2016, the FASB issued ASU No. 2016-09—Compensation—Stock Compensation (Topic 718). The areas for simplification in this Update involve several aspects of the accounting for share-based payment transactions, including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. The new standard is effective for fiscal years beginning after December 15, 2016, including interim periods within those fiscal years. The Company is currently evaluating the potential impact that this standard may have on its consolidated financial statements.

Long-Term Debt

Long-Term Debt	6 Months Ended
	Mar. 31, 2016
Debt Disclosure [Abstract]
Long-Term Debt	4. Long-Term Debt As of March 31, 2016 and September 30, 2015 , the Company’s long-term debt consisted of the following: (in thousands) March 31, September 30, Term loan principal; principal and interest is due in quarterly installments through January 31, 2021 $ 642,307 $ 645,585 Original issue discount on term loan, net of accumulated amortization (1,317 ) (1,457 ) 640,990 644,128 Less current portion 6,554 6,554 Long-term debt $ 634,436 $ 637,574 Senior Secured Credit Facilities NMHI's senior credit agreement (the “senior credit agreement”), as amended, governs a $655.0 million term loan facility (the “term loan facility”), of which $50.0 million was deposited in a cash collateral account in support of the issuance of letters of credit under an institutional letter of credit facility (the “institutional letter of credit facility”), and a $120.0 million senior secured revolving credit facility (the “senior revolver”). The term loan facility has a seven year maturity and the senior revolver has a five year maturity from the effective date, or January 31, 2014. All of the obligations under the senior secured credit facilities are guaranteed by NMHH and the subsidiary guarantors named therein. The senior credit agreement provides that NMHI may make one or more offers to the lenders, and consummate transactions with individual lenders that accept the terms contained in such offers, to extend the maturity date of the lender’s term loans and/or revolving commitments, subject to certain conditions, and any extended term loans or revolving commitments will constitute a separate class of term loans or revolving commitments. The senior revolver includes borrowing capacity available for letters of credit and for borrowings on same-day notice, referred to as the “swingline loans.” Any issuance of letters of credit or borrowing on a swingline loan will reduce the amount available under the senior revolver. As of March 31, 2016 , NMHI had no loans under the senior revolver and $47.4 million of letters of credit issued under the institutional letter of credit facility and $2.9 million of letters of credit issued under the senior revolver. Borrowings under the senior secured credit facilities bear interest, at our option, at: (i) an alternate base rate ("ABR") equal to the greater of (a) the prime rate of Barclays Bank PLC, (b) the federal funds rate plus 1/2 of 1.0%, and (c) the Eurodollar rate for an interest period of one-month plus 100 basis points, plus 2.25% (provided that the ABR rate applicable to the term loan facility will not be less than 2.00% per annum); or (ii) the Eurodollar rate (provided that the Eurodollar rate applicable to the term loan facility will not be less than 1.00% per annum), plus 3.25% . NMHI is also required to pay a commitment fee to the lenders under the senior revolver at an initial rate of 0.50% of the average daily unutilized commitments thereunder. NMHI must also pay customary letter of credit fees. The senior credit agreement requires NMHI to make mandatory prepayments, subject to certain exceptions, on a percentage of NMHI's annual Excess Cash Flow, as defined in the senior credit agreement. NMHI determines whether or not a mandatory prepayment is required at the end of each fiscal year. NMHI was not required to make a prepayment for the fiscal year ended September 30, 2015. Covenants The senior credit agreement contains negative covenants, including, among other things, limitations on the Company’s ability to incur additional debt, create liens on assets, transfer or sell assets, pay dividends, redeem stock or make other distributions or investments, and engage in certain transactions with affiliates. The senior credit agreement contains a springing financial covenant. If, at the end of any fiscal quarter, the Company’s outstanding borrowings under the senior revolver exceeds 30% of the commitments thereunder, it is required to maintain at the end of each such fiscal quarter a consolidated first lien leverage ratio of not more than 5.50 to 1.00 . This consolidated first lien leverage ratio will step down to 5.00 to 1.00 commencing with the fiscal quarter ending March 31, 2017. The springing financial covenant was not in effect as of March 31, 2016 or September 30, 2015 as NMHI’s outstanding borrowings on the senior revolver did not exceed the threshold. Derivatives On January 20, 2015, NMHI entered into two interest rate swap agreements in an aggregate notional amount of $375.0 million in order to reduce the variability of cash flows of our variable rate debt. NMHI entered into these interest rate swaps to hedge the risk of changes in the floating rate of interest on borrowings under the term loan. Under the terms of the swaps, NMHI will receive from the counterparty a quarterly payment based on a rate equal to the greater of 3-month LIBOR or 1.00% per annum, and NMHI will make payments to the counterparty based on a fixed rate of 1.795% per annum, in each case on the notional amount of $375.0 million , settled on a net payment basis. The swap agreements expire on March 31, 2020. The fair value of the swap agreements, representing the price that would be received to transfer the liability in an orderly transaction between market participants, was $5.6 million and $2.9 million as of March 31, 2016 and September 30, 2015 , respectively. The fair value was recorded in Other accrued liabilities and was determined based on pricing models and independent formulas using current assumptions. Hedge ineffectiveness, if any, associated with the swap will be reported by the Company in interest expense. There was no ineffectiveness associated with the swap during the six months ended March 31, 2016 , nor was any amount excluded from ineffectiveness testing for the period.

Stock-Based Compensation

Stock-Based Compensation	6 Months Ended
	Mar. 31, 2016
Share-based Compensation [Abstract]
Stock-Based Compensation	5. Stock-Based Compensation 2014 Plan Civitas maintains a 2014 Omnibus Incentive Plan (“2014 Plan”). The 2014 Plan authorizes the issuance of stock-based awards, including incentive stock options (“ISOs”), non-qualified stock options (“NSOs”), restricted stock units (“RSUs”) to purchase up to 5,546,797 shares authorized in the 2014 Plan. Stock option activity for the six months ended March 31, 2016 is presented below: (in thousands, except share and per share amounts) Number of Weighted- Weighted- Aggregate Outstanding at September 30, 2015 567,900 $ 16.98 Granted 211,588 25.29 Forfeited 15,197 17.00 Exercised 3,965 17.00 Expired 1,858 17.00 Outstanding at March 31, 2016 758,468 $ 19.30 8.8 $ 250 Vested or expected to vest as of March 31, 2016 726,068 $ 19.23 8.8 $ 241 Exercisable at March 31, 2016 184,660 $ 16.98 8.5 $ 84 The Company utilizes the Black-Scholes valuation model for estimating the fair value of stock options. Options granted under the 2014 Plan during the six months ended March 31, 2016 were valued using the following assumptions: 2016 Risk-free interest rate 1.32% to 1.92% Expected term 6 years Expected volatility 35.12% to 36.20% Expected dividend yield — % Restricted stock unit activity for the six months ended March 31, 2016 is presented below: Number of Restricted Stock Units Weighted Average Grant-Date Fair Value Non-vested units at September 30, 2015 385,935 $ 17.10 Granted 262,567 24.45 Forfeited 20,501 19.05 Vested 8,684 16.43 Non-vested units at March 31, 2016 619,317 $ 20.16 The Company recognizes the fair value of stock options and restricted stock units in net income over the requisite service period of the individual grantee, which generally equals the vesting period. Under the 2014 Plan, the Company may also grant awards of performance based restricted stock units (“PRSUs”). The number of PRSUs earned is determined based on the Company's attainment of predefined performance targets set by the Compensation Committee. During the six months ended March 31, 2016 the Company issued 42,467 PRSUs. The number of PRSUs earned will be determined based on (1) the Company's actual performance against established performance targets in the third year of the three year performance period (the “Performance Condition”) and (2) may be further adjusted based on the performance of the Company’s common stock in relation to the Russell 2000 Healthcare Index (the “Market Condition”). The number of PRSUs earned based on the Performance Condition may range from 0% to 200% of the initial award and thereafter may be increased or decreased by 25% based on the Market Condition. All of the PRSUs will be settled in shares of the Company’s common stock, which will be issued following the end of the three -year performance period, subject to the actual achievement of the predefined performance targets. For the PRSUs subject only to the Performance Condition, the Company has determined the per share fair value to be equal to the stock price on the date of grant. Compensation expense is recorded ratably over the 3 -year performance period. To calculate compensation expense, the Company forecasts the likelihood of achieving the predefined performance targets and calculates the number of PRSUs expected to be earned. Based on the results achieved through March 31, 2016 and forecasted over the remainder of the performance period, the Company expected 100% achievement of the Performance Condition. For the portion of the PRSUs that will be subject to increase or decrease based on achievement of the Market Condition, the Company utilized a Monte Carlo simulation to determine the fair value of the underlying shares on the grant date and will record expense ratably over the three-year performance period. A summary of PRSU activity for the six months ended March 31, 2016 is as follows: Initial Number of Performance Based Restricted Stock Units Adjustment (1) Total Number of Performance Based Restricted Stock Units Weighted Average Grant-Date Fair Value Non-vested units at September 30, 2015 — — — $ — Granted 42,467 — 42,467 17.61 Forfeited — — — — Vested — — — — Non-vested units at March 31, 2016 42,467 — 42,467 $ 17.61 (1) Represents an increase or decrease in the number of PRSUs awarded based on either (a) the final performance criteria achievement at the end of the defined performance period or (b) a change in estimated awards based on the forecasted performance against the predefined targets. The Company recorded stock-based compensation expense for awards issued under the 2014 Plan of $1.8 million and $3.0 million during the three and six months ended March 31, 2016 , and $1.2 million and $2.4 million during the three and six months ended March 31, 2015 . Stock-based compensation expense is included in general and administrative expense in the consolidated statements of operations. Unit Plan NMH Investment maintained the Amended and Restated 2006 Unit Plan (the “Unit Plan”). Under the plan NMH Investment issued units of limited liability company interests pursuant to such plan, consisting of Class B Common Units, Class C Common Units, Class D Common Units, Class E Common Units, Class F Common Units, Class G Common Units and Class H Common Units. These units derived their value from the value of the Company. On October 1, 2015, in connection with a secondary offering, NMH Investment distributed all of the 25,250,000 shares of our common stock it held to its existing members in accordance with their respective membership interests and pursuant to the terms of the NMH Investment's Limited Liability Company Agreement and the management unitholders agreements (the “Distribution”). The Distribution triggered the vesting condition for the Class H Common Units and the acceleration of unvested Class F Common Units. As a result, the Company recorded compensation expense of $10.5 million related to these awards during the quarter ended December 31, 2015. This expense is not deductible for tax purposes. During the six months ended March 31, 2016 the Company recorded compensation expense of $10.5 million for the Distribution, and during the three and six months ended March 31, 2015 the Company recorded compensation expense of $35 thousand and $78 thousand , respectively, for awards issued under the Unit Plan. The expense is included in general and administrative expense in the consolidated statements of operations. As a result of the Distribution, the Unit Plan has concluded and there will be no future issuances under this plan.

Business Combinations

Business Combinations	6 Months Ended
	Mar. 31, 2016
Business Combinations [Abstract]
Business Combinations	6. Business Combinations The operating results of the businesses acquired are included in the consolidated statements of operations from the date of acquisition. The Company accounted for the acquisitions under the acquisition method and, as a result, the purchase price was allocated to the assets acquired and liabilities assumed based upon their respective fair values. The excess of the purchase price over the estimated fair value of net tangible assets was allocated to specifically identified intangible assets, with the residual being allocated to goodwill. Fiscal 2016 Acquisitions During the six months ended March 31, 2016 , the Company acquired the assets of eight companies complementary to its business for a total fair value consideration of $44.3 million . Mother's Touch, LLC ("Mother's Touch") . On November 30, 2015 , the Company acquired the assets of Mother's Touch for $3.4 million . Mother's Touch is located in Indiana and provides residential and community-based services to individuals with developmental disabilities. The Company acquired $2.7 million of identified intangible assets which included $2.7 million of agency contracts with a weighted average useful life of 12 years and $14 thousand of other intangible assets. As a result of the acquisition, the Company recorded $0.7 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. Winways, LLC ("Winways") . On December 31, 2015 , the Company acquired the assets of Winways for $0.8 million . Winways is located in California and provides residential and day treatment services to individuals with traumatic brain injuries, neurological illnesses and similar conditions. The Company acquired $0.6 million of identified intangible assets which included $0.5 million of agency contracts with a weighted average useful life of 12 years and $0.1 million of other intangible assets. As a result of this acquisition, the Company recorded $0.1 million of goodwill in the Post Acute Specialty-Rehabilitation Services segment, which is expected to be deductible for tax purposes. Triumph Rehabilitation, LLC ("Triumph") . On February 1, 2016 , the Company acquired the assets of Triumph for $2.6 million . Triumph is located in Michigan and provides physical therapy, rehabilitation and related services to individuals with traumatic brain injuries, neurological illnesses, and similar conditions. The Company acquired $2.3 million of identified intangible assets which included $2.2 million of agency contracts with a weighted average useful life of 12 years and $89 thousand of other intangible assets. The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has yet to be finalized. The Company’s valuations are subject to adjustment as additional information is obtained; however these adjustments are not expected to be material. Based on the preliminary fair value estimate of the net assets acquired at the date of acquisition, the Company recorded $0.3 million of goodwill in the Post Acute Specialty-Rehabilitation Services segment, which is expected to be deductible for tax purposes. Brighton Worcester Massachusetts Adult Day Health, Inc. ("Brighton Worcester ADH"). On February 1, 2016 the Company acquired the assets of Brighton Worcester ADH for $13.6 million . Brighton Worcester ADH is located in Massachusetts and provides nursing and health oversight, medication management, therapy services, nutritional and dietary services, counseling and case management to elders. The Company acquired $10.6 million of identified intangible assets which included $9.8 million of agency contracts with a weighted average useful life of 12 years , $0.7 million of tradenames with a weighted average useful life of 5 years and $40 thousand of other intangible assets. The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has yet to be finalized. The Company’s valuations are subject to adjustment as additional information is obtained; however these adjustments are not expected to be material. Based on the preliminary fair value estimate of the net assets acquired at the date of acquisition, the Company recorded $2.7 million of goodwill in adult day health services as part of the Human Services segment, which is expected to be deductible for tax purposes. Tender Loving Care Duluth, LLC ("TLC Duluth") . On February 29, 2016 , the Company acquired the assets of TLC Duluth for $8.5 million . TLC Duluth is located in Minnesota and provides full-time services in the community residential setting for individuals with developmental disabilities, traumatic brain injuries or mental illness. The Company acquired $7.1 million of identified intangible assets which included $6.2 million of agency contracts with a weighted average useful life of 12 years and $1.0 million of other intangible assets. The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has yet to be finalized. The Company’s valuations are subject to adjustment as additional information is obtained; however these adjustments are not expected to be material. Based on the preliminary fair value estimate of the net assets acquired at the date of acquisition, the Company recorded $1.3 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. Maryland Adult Day Health, Inc. ("Maryland ADH"). On March 14, 2016 , the Company acquired the assets of Maryland ADH for $12.3 million . Maryland ADH is located in Maryland and provides adult day health care services to the Medicaid eligible elderly population. The Company acquired $8.2 million of identified intangible assets which included $7.2 million of agency contracts with a weighted average useful life of 12 years , $1.0 million of tradenames with a weighted average useful life of 5 years , and $40 thousand of other intangible assets. In addition, the Company acquired total tangible assets, consisting primarily of vehicles, of $0.7 million . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has yet to be finalized. The Company’s valuations are subject to adjustment as additional information is obtained; however these adjustments are not expected to be material. Based on the preliminary fair value estimate of the net assets acquired at the date of acquisition, the Company recorded $3.3 million of goodwill in adult day health services as part of the Human Services segment, which is expected to be deductible for tax purposes. Eagle Crest Center, LLC ("Eagle Crest"). On March 15, 2016 , the Company acquired the assets of Eagle Crest for $2.0 million . Eagle Crest is located in California and provides skilled nursing services and related services to individuals with traumatic brain injuries, spinal cord injuries, neuro-muscular or congenital anomalies, and similar conditions. The Company acquired $1.7 million of intangible assets which included $1.4 million of agency contracts with a weighted average useful life of 12 years and $0.3 million of other intangible assets. The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has yet to be finalized. The Company’s valuations are subject to adjustment as additional information is obtained; however these adjustments are not expected to be material. Based on the preliminary fair value estimate of the net assets acquired at the date of acquisition, the Company recorded $0.3 million of goodwill in the Post Acute Specialty-Rehabilitation Services segment, which is expected to be deductible for tax purposes. CRM Habilitative Services, Inc. ("CRM"). On March 31, 2016 , the Company acquired the assets of CRM for $1.1 million . CRM is located in Pennsylvania and provides group home services and day program services and related services to individuals with intellectual and developmental disabilities. The Company acquired $0.9 million of intangible assets which included $0.8 million of agency contracts with a weighted average useful life of 12 years and $0.2 million of other intangible assets. As a result of this acquisition, the Company recorded $0.1 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The following table summarizes the recognized amounts of identifiable assets acquired at the date of each acquisition: (in thousands) Identifiable Intangible Assets Tangible Assets Total Identifiable Assets Goodwill Purchase Consideration Mother's Touch $ 2,741 $ 9 $ 2,750 $ 650 $ 3,400 Winways 619 29 648 108 756 Triumph 2,335 — 2,335 265 2,600 Brighton Worcester ADH 10,560 363 10,923 2,717 13,640 TLC Duluth 7,132 26 7,158 1,342 8,500 Maryland ADH 8,230 748 8,978 3,306 12,284 Eagle Crest 1,717 — 1,717 283 2,000 CRM 934 86 1,020 119 1,139 Total $ 34,268 $ 1,261 $ 35,529 $ 8,790 $ 44,319 The Company has not separately disclosed the operating results of these businesses during the three and six months ended March 31, 2016 because they are immaterial. 7. Pro Forma Results of Operations The following table reflects the unaudited pro forma results of operations for the three and six months ended March 31, 2016 and 2015 assuming that the acquisitions made during the three and six months ended March 31, 2016 and 2015 had occurred on October 1, 2014 and 2013, respectively. Three Months Ended Six Months Ended (in thousands) 2016 2015 2016 2015 Net revenue $ 351,070 $ 346,513 $ 707,075 $ 696,501 Net income 8,344 3,913 4,734 4,013 The unaudited pro forma information is presented for informational purposes only and is not necessarily indicative of the actual results that would have been achieved had the acquisitions occurred as of October 1, 2014 and 2013, or the results that may be achieved in future periods.

Proforma Results of Operations

Proforma Results of Operations	6 Months Ended
	Mar. 31, 2016
Business Combinations [Abstract]
Proforma Results of Operations	6. Business Combinations The operating results of the businesses acquired are included in the consolidated statements of operations from the date of acquisition. The Company accounted for the acquisitions under the acquisition method and, as a result, the purchase price was allocated to the assets acquired and liabilities assumed based upon their respective fair values. The excess of the purchase price over the estimated fair value of net tangible assets was allocated to specifically identified intangible assets, with the residual being allocated to goodwill. Fiscal 2016 Acquisitions During the six months ended March 31, 2016 , the Company acquired the assets of eight companies complementary to its business for a total fair value consideration of $44.3 million . Mother's Touch, LLC ("Mother's Touch") . On November 30, 2015 , the Company acquired the assets of Mother's Touch for $3.4 million . Mother's Touch is located in Indiana and provides residential and community-based services to individuals with developmental disabilities. The Company acquired $2.7 million of identified intangible assets which included $2.7 million of agency contracts with a weighted average useful life of 12 years and $14 thousand of other intangible assets. As a result of the acquisition, the Company recorded $0.7 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. Winways, LLC ("Winways") . On December 31, 2015 , the Company acquired the assets of Winways for $0.8 million . Winways is located in California and provides residential and day treatment services to individuals with traumatic brain injuries, neurological illnesses and similar conditions. The Company acquired $0.6 million of identified intangible assets which included $0.5 million of agency contracts with a weighted average useful life of 12 years and $0.1 million of other intangible assets. As a result of this acquisition, the Company recorded $0.1 million of goodwill in the Post Acute Specialty-Rehabilitation Services segment, which is expected to be deductible for tax purposes. Triumph Rehabilitation, LLC ("Triumph") . On February 1, 2016 , the Company acquired the assets of Triumph for $2.6 million . Triumph is located in Michigan and provides physical therapy, rehabilitation and related services to individuals with traumatic brain injuries, neurological illnesses, and similar conditions. The Company acquired $2.3 million of identified intangible assets which included $2.2 million of agency contracts with a weighted average useful life of 12 years and $89 thousand of other intangible assets. The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has yet to be finalized. The Company’s valuations are subject to adjustment as additional information is obtained; however these adjustments are not expected to be material. Based on the preliminary fair value estimate of the net assets acquired at the date of acquisition, the Company recorded $0.3 million of goodwill in the Post Acute Specialty-Rehabilitation Services segment, which is expected to be deductible for tax purposes. Brighton Worcester Massachusetts Adult Day Health, Inc. ("Brighton Worcester ADH"). On February 1, 2016 the Company acquired the assets of Brighton Worcester ADH for $13.6 million . Brighton Worcester ADH is located in Massachusetts and provides nursing and health oversight, medication management, therapy services, nutritional and dietary services, counseling and case management to elders. The Company acquired $10.6 million of identified intangible assets which included $9.8 million of agency contracts with a weighted average useful life of 12 years , $0.7 million of tradenames with a weighted average useful life of 5 years and $40 thousand of other intangible assets. The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has yet to be finalized. The Company’s valuations are subject to adjustment as additional information is obtained; however these adjustments are not expected to be material. Based on the preliminary fair value estimate of the net assets acquired at the date of acquisition, the Company recorded $2.7 million of goodwill in adult day health services as part of the Human Services segment, which is expected to be deductible for tax purposes. Tender Loving Care Duluth, LLC ("TLC Duluth") . On February 29, 2016 , the Company acquired the assets of TLC Duluth for $8.5 million . TLC Duluth is located in Minnesota and provides full-time services in the community residential setting for individuals with developmental disabilities, traumatic brain injuries or mental illness. The Company acquired $7.1 million of identified intangible assets which included $6.2 million of agency contracts with a weighted average useful life of 12 years and $1.0 million of other intangible assets. The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has yet to be finalized. The Company’s valuations are subject to adjustment as additional information is obtained; however these adjustments are not expected to be material. Based on the preliminary fair value estimate of the net assets acquired at the date of acquisition, the Company recorded $1.3 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. Maryland Adult Day Health, Inc. ("Maryland ADH"). On March 14, 2016 , the Company acquired the assets of Maryland ADH for $12.3 million . Maryland ADH is located in Maryland and provides adult day health care services to the Medicaid eligible elderly population. The Company acquired $8.2 million of identified intangible assets which included $7.2 million of agency contracts with a weighted average useful life of 12 years , $1.0 million of tradenames with a weighted average useful life of 5 years , and $40 thousand of other intangible assets. In addition, the Company acquired total tangible assets, consisting primarily of vehicles, of $0.7 million . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has yet to be finalized. The Company’s valuations are subject to adjustment as additional information is obtained; however these adjustments are not expected to be material. Based on the preliminary fair value estimate of the net assets acquired at the date of acquisition, the Company recorded $3.3 million of goodwill in adult day health services as part of the Human Services segment, which is expected to be deductible for tax purposes. Eagle Crest Center, LLC ("Eagle Crest"). On March 15, 2016 , the Company acquired the assets of Eagle Crest for $2.0 million . Eagle Crest is located in California and provides skilled nursing services and related services to individuals with traumatic brain injuries, spinal cord injuries, neuro-muscular or congenital anomalies, and similar conditions. The Company acquired $1.7 million of intangible assets which included $1.4 million of agency contracts with a weighted average useful life of 12 years and $0.3 million of other intangible assets. The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has yet to be finalized. The Company’s valuations are subject to adjustment as additional information is obtained; however these adjustments are not expected to be material. Based on the preliminary fair value estimate of the net assets acquired at the date of acquisition, the Company recorded $0.3 million of goodwill in the Post Acute Specialty-Rehabilitation Services segment, which is expected to be deductible for tax purposes. CRM Habilitative Services, Inc. ("CRM"). On March 31, 2016 , the Company acquired the assets of CRM for $1.1 million . CRM is located in Pennsylvania and provides group home services and day program services and related services to individuals with intellectual and developmental disabilities. The Company acquired $0.9 million of intangible assets which included $0.8 million of agency contracts with a weighted average useful life of 12 years and $0.2 million of other intangible assets. As a result of this acquisition, the Company recorded $0.1 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The following table summarizes the recognized amounts of identifiable assets acquired at the date of each acquisition: (in thousands) Identifiable Intangible Assets Tangible Assets Total Identifiable Assets Goodwill Purchase Consideration Mother's Touch $ 2,741 $ 9 $ 2,750 $ 650 $ 3,400 Winways 619 29 648 108 756 Triumph 2,335 — 2,335 265 2,600 Brighton Worcester ADH 10,560 363 10,923 2,717 13,640 TLC Duluth 7,132 26 7,158 1,342 8,500 Maryland ADH 8,230 748 8,978 3,306 12,284 Eagle Crest 1,717 — 1,717 283 2,000 CRM 934 86 1,020 119 1,139 Total $ 34,268 $ 1,261 $ 35,529 $ 8,790 $ 44,319 The Company has not separately disclosed the operating results of these businesses during the three and six months ended March 31, 2016 because they are immaterial. 7. Pro Forma Results of Operations The following table reflects the unaudited pro forma results of operations for the three and six months ended March 31, 2016 and 2015 assuming that the acquisitions made during the three and six months ended March 31, 2016 and 2015 had occurred on October 1, 2014 and 2013, respectively. Three Months Ended Six Months Ended (in thousands) 2016 2015 2016 2015 Net revenue $ 351,070 $ 346,513 $ 707,075 $ 696,501 Net income 8,344 3,913 4,734 4,013 The unaudited pro forma information is presented for informational purposes only and is not necessarily indicative of the actual results that would have been achieved had the acquisitions occurred as of October 1, 2014 and 2013, or the results that may be achieved in future periods.

Goodwill and Intangible Assets

Goodwill and Intangible Assets	6 Months Ended
	Mar. 31, 2016
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets	8. Goodwill and Intangible Assets Goodwill The changes in goodwill for the six months ended March 31, 2016 are as follows (in thousands): Human Services Post -Acute Specialty Rehabilitation Services Total Balance as of September 30, 2015 $ 193,286 $ 81,234 $ 274,520 Goodwill acquired through acquisitions 8,134 656 8,790 Balance as of March 31, 2016 $ 201,420 $ 81,890 $ 283,310 Intangible Assets Intangible assets consist of the following as of March 31, 2016 (in thousands): Description Weighted Average Amortization Period Gross Carrying Value Accumulated Amortization Intangible Assets, Net Agency contracts 8 years $ 499,504 $ 240,819 $ 258,685 Non-compete/non-solicit 2 years 6,438 3,988 2,450 Relationship with contracted caregivers — 7,521 7,291 230 Trade names 3 years 6,516 3,621 2,895 Trade names (indefinite life) — 45,800 — 45,800 Licenses and permits 2 years 49,711 38,757 10,954 Intellectual property — 452 440 12 $ 615,942 $ 294,916 $ 321,026 Intangible assets consist of the following as of September 30, 2015 (in thousands): Description Weighted Average Amortization Period Gross Carrying Value Accumulated Amortization Intangible Assets, Net Agency contracts 8 years $ 468,549 $ 225,383 $ 243,166 Non-compete/non-solicit 2 years 6,097 3,477 2,620 Relationship with contracted caregivers 1 year 7,521 6,915 606 Trade names 2 years 4,883 3,343 1,540 Trade names (indefinite life) — 45,800 — 45,800 Licenses and permits 2 years 48,395 36,314 12,081 Intellectual property 1 year 452 409 43 $ 581,697 $ 275,841 $ 305,856 Amortization expense was $9.7 million and $19.1 million for the three and six months ended March 31, 2016 , respectively, and $9.9 million and $19.3 million for the three and six months ended March 31, 2015 , respectively. The estimated remaining amortization expense related to intangible assets with finite lives for the six months remaining in fiscal 2016 and each of the four succeeding years and thereafter is as follows: (in thousands) 2016 $ 19,147 2017 35,851 2018 34,990 2019 34,707 2020 33,911 Thereafter 116,620 Total $ 275,226

Related Party Transactions

Related Party Transactions	6 Months Ended
	Mar. 31, 2016
Related Party Transactions [Abstract]
Related Party Transactions	9. Related Party Transactions Lease Agreements The Company leases several offices, homes and other facilities from its employees, or from relatives of employees, primarily in the states of Minnesota, California and Wisconsin. These leases were entered into in the ordinary course of business and completed at an arm’s length. These leases have various expiration dates extending out through September 2020. Related party lease expense was $0.2 million and $0.3 million for the three and six months ended March 31, 2016 and $0.2 million and $0.4 million for the three and six months ended March 31, 2015 .

Fair Value Measurements

Fair Value Measurements	6 Months Ended
	Mar. 31, 2016
Fair Value Disclosures [Abstract]
Fair Value Measurements	10. Fair Value Measurements The Company measures and reports its financial assets and liabilities on the basis of fair value. Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. A three-level hierarchy for disclosure has been established to show the extent and level of judgment used to estimate fair value measurements, as follows: Level 1: Quoted market prices in active markets for identical assets or liabilities. Level 2: Significant other observable inputs (quoted prices in active markets for similar assets or liabilities, quoted prices for identical or similar assets or liabilities in markets that are not active, or inputs other than quoted prices that are observable for the asset or liability). Level 3: Significant unobservable inputs for the asset or liability. These values are generally determined using pricing models which utilize management estimates of market participant assumptions. Valuation techniques for assets and liabilities measured using Level 3 inputs may include methodologies such as the market approach, the income approach or the cost approach, and may use unobservable inputs such as projections, estimates and management’s interpretation of current market data. These unobservable inputs are only utilized to the extent that observable inputs are not available or cost-effective to obtain. A description of the valuation methodologies used for instruments measured at fair value as well as the general classification of such instruments pursuant to the valuation hierarchy, is set forth below. The following table sets forth the Company’s assets and liabilities that were accounted for at fair value on a recurring basis as of March 31, 2016 . (in thousands) Total Quoted Market Prices (Level 1) Significant Other Observable Inputs (Level 2) Significant Unobservable Inputs (Level 3) Liabilities Interest rate swap agreements $ (5,591 ) $ — $ (5,591 ) $ — Contingent consideration $ (4,612 ) $ — $ — $ (4,612 ) The following table sets forth the Company’s assets and liabilities that were accounted for at fair value on a recurring basis as of September 30, 2015 . (in thousands) Total Quoted Market Prices (Level 1) Significant Significant Unobservable Inputs (Level 3) Liabilities Interest rate swap agreements $ (2,861 ) $ — $ (2,861 ) $ — Contingent consideration $ (9,075 ) $ — $ — $ (9,075 ) Interest rate-swap agreements. The Company’s interest rate-swap agreements are classified within Level 2 of the fair value hierarchy. The fair value of the swap agreements is recorded in current liabilities (under other accrued liabilities) in the Company’s consolidated balance sheets. The fair value of these agreements is determined based on pricing models and independent formulas using current assumptions that included swap terms, interest rates and forward LIBOR curves and the Company’s credit risk. Contingent consideration. In connection with the acquisition of Mass Adult Day Health (“Adult Day Health”) in August 2014 and Cassell in January 2015, the Company recorded contingent consideration pertaining to the amounts potentially payable to the former owners upon the businesses achieving certain performance targets. The fair values of the Company's contingent consideration obligations are based on a probability-weighted approach derived from the overall likelihood of achieving certain performance targets. The resultant probability-weighted earn-out payments are discounted using a discount rate based upon the weighted-average cost of capital. The fair value measurement is based on significant inputs not observable in the market, which represent Level 3 inputs within the fair value hierarchy. The valuation of contingent consideration uses assumptions the Company believes would be made by a market participant. The Company assesses these estimates on an ongoing basis as additional data impacting the assumptions is obtained. Increases or decreases in the fair values of the contingent consideration obligations may result from changes in discount periods and rates, changes in the timing and amount of earn-out criteria and changes in probability assumptions with respect to the likelihood of achieving the various earn-out criteria. Changes in the fair value of contingent consideration related to updated assumptions and estimates are recognized in General and administrative expense within the consolidated statements of operations. The following table presents a summary of changes in fair value of the Company’s Level 3 liabilities measured on a recurring basis for the six months ended March 31, 2016 . (in thousands) Six Months Ended Balance at September 30, 2015 $ 9,075 Present value accretion (211 ) Cassell fair value adjustment (2,945 ) Balance at December 31, 2015 $ 5,919 Payment (1,307 ) Balance at March 31, 2016 $ 4,612 As of March 31, 2016 and September 30, 2015 , the Company had $4.6 million and $9.1 million of contingent consideration, respectively, of which approximately $4.6 million and $3.9 million , respectively, were reflected in Other accrued liabilities and zero and $5.2 million , respectively, were reflected in Other long-term liabilities. The $3.2 million fair value adjustment and reversal of present value accretion during the six months ended March 31, 2016 relates to the Cassell acquisition and reflects the revised estimate from the date of acquisition of expected operating performance during the two year earn out period which ends January 31, 2017. At March 31, 2016 and September 30, 2015 , the carrying values of cash, accounts receivable, accounts payable and variable rate debt approximated fair value.

Income Taxes

Income Taxes	6 Months Ended
	Mar. 31, 2016
Income Tax Disclosure [Abstract]
Income Taxes	11. Income Taxes The Company’s effective income tax rate for the interim periods is based on management’s estimate of the Company’s annual effective tax rate for the applicable year. It is also affected by discrete items that may occur in any given period. For the three and six months ended March 31, 2016 , the Company’s effective income tax rate was 41.6% and 81.8% , respectively, as compared to an effective tax rate of 36.0% and 46.0% for the three and six months ended March 31, 2015 , respectively. These rates differ from the federal statutory income tax rate primarily due to state income taxes, nondeductible permanent differences such as meals and nondeductible compensation, and net operating losses not benefited. The higher effective tax rate for the six months ended March 31, 2016 is primarily due to $10.5 million of stock-based compensation expense related to certain awards under our former equity compensation plan that vested in October 2015. This expense is not deductible for tax purposes and was considered a discrete item. Therefore, the entire impact of the expense on income taxes was recorded during the first quarter of fiscal 2016 and is included in the six months ended March 31, 2016 . The Company files a federal consolidated return and files various state income tax returns and, generally, is no longer subject to income tax examinations by the taxing authorities for years prior to September 30, 2012. The Company did not have a reserve for uncertain income tax positions at March 31, 2016 and September 30, 2015 . The Company does not expect any significant changes to unrecognized tax benefits within the next twelve months. The Company’s policy is to recognize interest and penalties related to unrecognized tax benefits as charges to income tax expense.

Segment Information

Segment Information	6 Months Ended
	Mar. 31, 2016
Segment Reporting [Abstract]
Segment Information	12. Segment Information The Company conducts its business through two reportable business segments: the Human Services Segment and the Post-Acute Specialty Rehabilitation Services (“SRS”) Segment. Through the Human Services Segment, the Company primarily provides home- and community-based human services to adults and children with intellectual and developmental disabilities (“I/DD”), and to youth with emotional, behavioral and/or medically complex challenges (“ARY”) and, beginning in fiscal 2014, to elders. The operations of the Human Services Segment have been organized by management into three operating segments based upon geography and clients served. Through the SRS Segment, the Company delivers services to individuals who have suffered acquired brain injury, spinal injuries and other catastrophic injuries and illnesses. The operations of the SRS Segment have been organized by management into two operating segments, NeuroRestorative and CareMeridian, based upon service type. The NeuroRestorative operating group provides behavioral therapies to brain injured clients in post-acute community settings and the CareMeridian operating group provides a higher level of medical support to traumatically injured clients . Each operating segment is aligned with the Company’s reporting structure and has a segment manager that is directly accountable for its operations and regularly reports results to the chief operating decision makers, which are the Company's Chief Executive Officer and Chief Operating Officer, for the purpose of evaluating these results and making decisions regarding resource allocations. The Company evaluates performance based on EBITDA. EBITDA for each segment is defined as income (loss) from continuing operations before income taxes, before depreciation and amortization, intangible impairments, and interest income (expense). Activities classified as “Corporate” in the table below relate primarily to unallocated home office expenses, management fees, and debt extinguishment costs. The following table is a financial summary by reportable segments for the periods indicated (in thousands): For the three months ended March 31, Human Services Post-Acute Specialty Rehabilitation Services Corporate Consolidated 2016 Net revenue $ 273,677 $ 72,006 $ — $ 345,683 EBITDA 42,794 14,433 (17,578 ) 39,649 Total assets 634,364 256,671 170,538 1,061,573 Depreciation and amortization 11,705 5,920 706 18,331 Purchases of property and equipment 6,659 2,369 869 9,897 2015 Net revenue $ 269,745 $ 65,435 $ — $ 335,180 EBITDA (1) 39,678 11,822 (18,537 ) 32,963 Depreciation and amortization 14,126 5,903 624 20,653 Purchases of property and equipment 5,693 3,798 1,334 10,825 (1) The performance measures previously reported for the three months ended March 31, 2015 have been revised from Income (loss) from continuing operations before income taxes to EBITDA. A reconciliation of EBITDA to income from continuing operations on a consolidated basis is as follows (in thousands): For the three months ended March 31, 2016 2015 EBITDA $ 39,649 $ 32,963 Less: Depreciation and amortization 18,331 20,653 Interest expense, net 8,461 9,547 Income from continuing operations before income taxes $ 12,857 $ 2,763 For the six months ended March 31, Human Services Post-Acute Specialty Rehabilitation Services Corporate Consolidated 2016 Net revenue $ 551,387 $ 140,043 $ — $ 691,430 EBITDA 80,416 26,080 (42,693 ) 63,803 Total assets 634,364 256,671 170,538 1,061,573 Depreciation and amortization 23,133 11,812 1,373 36,318 Purchases of property and equipment 12,007 5,277 1,735 19,019 2015 Net revenue $ 541,714 $ 128,056 $ — $ 669,770 EBITDA (1) 82,242 23,590 (50,535 ) 55,297 Depreciation and amortization 25,513 11,142 1,208 37,863 Purchases of property and equipment 10,003 7,962 1,746 19,711 (1) The performance measures previously reported for the six months ended March 31, 2015 have been revised from Income (loss) from continuing operations before income taxes to EBITDA. A reconciliation of EBITDA to income (loss) from continuing operations on a consolidated basis is as follows (in thousands): For the six months ended March 31, 2016 2015 EBITDA $ 63,803 $ 55,297 Less: Depreciation and amortization 36,318 37,863 Interest expense, net 16,810 20,427 Income (loss) from continuing operations before income taxes $ 10,675 $ (2,993 ) Revenue derived from contracts with state and local governmental payors in the state of Minnesota, the Company’s largest state operation, which is included in the Human Services segment, accounted for approximately 15% of the Company’s net revenue for the three and six months ended March 31, 2016 and 2015 .

Disposition of Business

Disposition of Business	6 Months Ended
	Mar. 31, 2016
Discontinued Operations and Disposal Groups [Abstract]
Disposition of Business	13. Disposition of Business During fiscal 2015, the Company decided to discontinue ARY services in the states of Florida, Louisiana, Indiana, North Carolina and Texas. These operations are included in the Human Services Segment. On December 1, 2015, the Company completed the sale of our ARY operations in the state of North Carolina. As consideration, the buyer assumed our lease and service delivery obligations in exchange for the assets of the business, excluding working capital items, and a cash payment of $1.3 million to the buyer. Upon the completion of the sale, the Company recorded a loss of $1.3 million . The closures of the ARY operations in Florida and Louisiana were complete as of December 31, 2015 and the closures of our ARY operations in Indiana and Texas were completed in January 2016. During the six months ended March 31, 2016 the Company recorded cash charges of approximately $2.0 million , consisting of severance costs of $0.5 million and lease termination costs of $1.5 million . The Company assessed the disposal group under the guidance of ASU 2014−08, Discontinued Operations and Disclosures of Disposals of Components of an Entity and concluded that the closure of the disposal group does not represent a "strategic shift" and therefore has not been classified as discontinued operations for any of the periods presented. However, the Company has concluded that the disposal group was an individually significant disposal group. Pretax losses for this disposal group were $0.3 million and $5.6 million for the three and six months ended March 31, 2016 , respectively, and $0.9 million and $2.4 million for the three and six months ended March 31, 2015 , respectively. Pretax losses for the six months ended March 31, 2016 included exit costs of $2.0 million disclosed above.

Net Income (Loss) Per Share

Net Income (Loss) Per Share	6 Months Ended
	Mar. 31, 2016
Earnings Per Share [Abstract]
Net Income (Loss) Per Share	14. Net Income (Loss) Per Share Basic net income (loss) per common share is computed by dividing net income (loss) by the basic weighted average number of common shares outstanding during the period. Diluted net income per common share, if applicable, is computed by dividing net income by the diluted weighted average number of common shares and common equivalent shares outstanding during the period. The weighted average number of common equivalent shares outstanding has been determined in accordance with the treasury-stock method. Common equivalent shares consist of common stock issuable on the exercise of outstanding options and vesting of restricted stock units when dilutive. The following table sets forth the computation of basic and diluted earnings per share (“EPS”): Three Months Ended March 31, Six Months Ended March 31, (in thousands, except share and per share amounts) 2016 2015 2016 2015 Numerator Net income (loss) $ 7,315 $ 1,698 $ 1,711 $ (1,742 ) Denominator Weighted average shares outstanding, basic 37,102,113 36,950,000 37,098,677 36,950,000 Weighted average common equivalent shares 104,983 115,969 146,789 — Weighted average shares outstanding, diluted 37,207,096 37,065,969 37,245,466 36,950,000 Net income (loss) per share, basic and diluted $ 0.20 $ 0.05 $ 0.05 $ (0.05 ) Equity instruments excluded from diluted net income (loss) per share calculation as the effect would have been anti-dilutive: Stock options 731,006 570,260 377,439 565,751 Restricted stock units 206,279 460,305 102,576 565,379

Other Commitments and Contingen

Other Commitments and Contingencies	6 Months Ended
	Mar. 31, 2016
Commitments and Contingencies Disclosure [Abstract]
Other Commitments and Contingencies	15. Other Commitments and Contingencies The Company is in the health and human services business and, therefore, has been and continues to be subject to numerous claims alleging that the Company, its employees or its independently contracted host-home caregivers (“Mentors”) failed to provide proper care for a client. The Company is also subject to claims by its clients, its employees, its Mentors or community members against the Company for negligence, intentional misconduct or violation of applicable laws. Included in the Company’s recent claims are claims alleging personal injury, assault, abuse, wrongful death and other charges. Regulatory agencies may initiate administrative proceedings alleging that the Company’s programs, employees or agents violate statutes and regulations and seek to impose monetary penalties on the Company. The Company could be required to incur significant costs to respond to regulatory investigations or defend against civil lawsuits and, if the Company does not prevail, the Company could be required to pay substantial amounts of money in damages, settlement amounts or penalties arising from these legal proceedings. The Company is also subject to potential lawsuits under the False Claims Act and other federal and state whistleblower statutes designed to combat fraud and abuse in the health care industry. These lawsuits can involve significant monetary awards that may incentivize private plaintiffs to bring these suits. If the Company is found to have violated the False Claims Act, it could be excluded from participation in Medicaid and other federal healthcare programs. The Patient Protection and Affordable Care Act provides a mandate for more vigorous and widespread enforcement activity to combat fraud and abuse in the health care industry. The Company is also subject to employee-related claims under state and federal law, including claims for discrimination, wrongful discharge or retaliation; claims for wage and hour violations under the Fair Labor Standards Act or state wage and hour laws.

Subsequent Events

Subsequent Events	6 Months Ended
	Mar. 31, 2016
Subsequent Events [Abstract]
Subsequent Events	16. Subsequent Events On Apr il 12, 2016 , the Company made a $2.3 million payment for contingent consideration related to the acquisition of Cassell & Associates LLC.

Significant Accounting Polici25

Significant Accounting Policies (Policies)	6 Months Ended
	Mar. 31, 2016
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation The accompanying unaudited condensed consolidated financial statements have been prepared by the Company in accordance with generally accepted accounting principles (“GAAP”) for interim financial information and pursuant to the applicable rules and regulations of the Securities and Exchange Commission (“SEC”). Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. The unaudited condensed consolidated financial statements herein should be read in conjunction with the Company’s audited consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2015 , which is on file with the SEC. In the opinion of management, the accompanying unaudited condensed consolidated financial statements contain all adjustments, consisting of normal and recurring adjustments, necessary to present fairly the financial statements in accordance with GAAP. Intercompany balances and transactions between the Company and its subsidiaries have been eliminated in consolidation. Operating results for the three and six months ended March 31, 2016 may not necessarily be indicative of results to be expected for any other interim period or for the full year. The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates. Our financial results are affected by the selection and application of accounting policies and methods. There were no material changes in the six months ended March 31, 2016 to the application of significant accounting policies as described in our audited financial statements for the year ended September 30, 2015 .

Recent Accounting Pronounceme26

Recent Accounting Pronouncements Recent Accounting Pronouncements (Policies)	6 Months Ended
	Mar. 31, 2016
Accounting Changes and Error Corrections [Abstract]
Recent Accounting Pronouncements	3. Recent Accounting Pronouncements Revenue from Contracts with Customers— In May 2014, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") No. 2014-09, Revenue from Contracts with Customers Topic 606 (ASU 2014-09), which supersedes nearly all existing revenue recognition guidance under U.S. GAAP. The core principle of ASU 2014-09 is to recognize revenues when promised goods or services are transferred to customers in an amount that reflects the consideration to which an entity expects to be entitled for those goods or services. ASU 2014-09 defines a five step process to achieve this core principle and, in doing so, more judgment and estimates may be required within the revenue recognition process than are required under existing U.S. GAAP. In August 2015, the FASB issued ASU No. 2015-14, Revenue from Contracts with Customers (Topic 606): Deferral of the Effective Date, which delayed the effective date of the new standard for the Company from October 1, 2017 to October 1, 2018. The FASB also agreed to allow entities to choose to adopt the standard as of the original effective date. The Company is evaluating the method of adoption and the potential impact that ASU 2014-09 may have on our financial position, results of operations, cash flows, and liquidity. Imputation of Interest— In April 2015, the FASB issued ASU No. 2015-03, Interest - Imputation of Interest (Subtopic 835-30): Simplifying the Presentation of Debt Issuance Costs. The new standard requires that debt issuance costs related to a recognized debt liability be presented in the balance sheet as a direct deduction from the carrying amount of that debt liability, consistent with debt discounts. In August 2015, the FASB issued ASU No. 2015-15, Interest - Imputation of Interest (Subtopic 835-30): Presentation and Subsequent Measurement of Debt Issuance Costs Associated with Line-of-Credit Arrangements, which clarified that debt issuance costs related to line-of-credit arrangements can be presented in the balance sheet as an asset and amortized over the term of the line-of-credit arrangement. The standard is to be applied retrospectively and is effective for fiscal years beginning after December 15, 2015, and interim periods within those years. As of March 31, 2016 and September 30, 2015, the Company had deferred financing costs of $6.7 million and $7.5 million , respectively, within other assets. Business Combinations — In September 2015, the FASB issued ASU No. 2015-16, Business Combinations (Topic 805): Simplifying the Accounting for Measurement-Period Adjustments. The new standard requires that an acquirer recognize adjustments to provisional amounts that are identified during the measurement period in the reporting period in which the adjustment amounts are determined and sets forth new disclosure requirements related to the adjustments. The standard is to be applied prospectively and is effective for fiscal years beginning after December 15, 2015, including interim periods within those fiscal years. Although the impact of applying this standard to prior acquisitions would have been immaterial, the adoption could have a significant impact on the accounting for future business combinations. Income Taxes — In November 2015, the FASB issued ASU No. 2015-17, Income Taxes (Topic 740): Balance Sheet Classification of Deferred Taxes. The new standard requires that deferred tax liabilities and assets be classified as non-current in a classified statement of financial position. The amendments in this update apply to all entities that present a classified statement of financial position. The standard is to be applied prospectively and is effective for fiscal years beginning after December 15, 2016, including interim periods within those fiscal years. As of March 31, 2016 and September 30, 2015, the Company had current deferred tax assets, net of current deferred tax liabilities, of $16.9 million and $19.6 million , respectively

Long-Term Debt (Tables)

Long-Term Debt (Tables)	6 Months Ended
	Mar. 31, 2016
Debt Disclosure [Abstract]
Long-Term Debt	As of March 31, 2016 and September 30, 2015 , the Company’s long-term debt consisted of the following: (in thousands) March 31, September 30, Term loan principal; principal and interest is due in quarterly installments through January 31, 2021 $ 642,307 $ 645,585 Original issue discount on term loan, net of accumulated amortization (1,317 ) (1,457 ) 640,990 644,128 Less current portion 6,554 6,554 Long-term debt $ 634,436 $ 637,574

Stock-Based Compensation (Table

Stock-Based Compensation (Tables)	6 Months Ended
	Mar. 31, 2016
Share-based Compensation [Abstract]
Schedule of Share-based Compensation, Stock Options, Activity	Stock option activity for the six months ended March 31, 2016 is presented below: (in thousands, except share and per share amounts) Number of Weighted- Weighted- Aggregate Outstanding at September 30, 2015 567,900 $ 16.98 Granted 211,588 25.29 Forfeited 15,197 17.00 Exercised 3,965 17.00 Expired 1,858 17.00 Outstanding at March 31, 2016 758,468 $ 19.30 8.8 $ 250 Vested or expected to vest as of March 31, 2016 726,068 $ 19.23 8.8 $ 241 Exercisable at March 31, 2016 184,660 $ 16.98 8.5 $ 84
Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions	The Company utilizes the Black-Scholes valuation model for estimating the fair value of stock options. Options granted under the 2014 Plan during the six months ended March 31, 2016 were valued using the following assumptions: 2016 Risk-free interest rate 1.32% to 1.92% Expected term 6 years Expected volatility 35.12% to 36.20% Expected dividend yield — %
Schedule of Nonvested Restricted Stock Units Activity	Restricted stock unit activity for the six months ended March 31, 2016 is presented below: Number of Restricted Stock Units Weighted Average Grant-Date Fair Value Non-vested units at September 30, 2015 385,935 $ 17.10 Granted 262,567 24.45 Forfeited 20,501 19.05 Vested 8,684 16.43 Non-vested units at March 31, 2016 619,317 $ 20.16 A summary of PRSU activity for the six months ended March 31, 2016 is as follows: Initial Number of Performance Based Restricted Stock Units Adjustment (1) Total Number of Performance Based Restricted Stock Units Weighted Average Grant-Date Fair Value Non-vested units at September 30, 2015 — — — $ — Granted 42,467 — 42,467 17.61 Forfeited — — — — Vested — — — — Non-vested units at March 31, 2016 42,467 — 42,467 $ 17.61 (1) Represents an increase or decrease in the number of PRSUs awarded based on either (a) the final performance criteria achievement at the end of the defined performance period or (b) a change in estimated awards based on the forecasted performance against the predefined targets.

Business Combinations (Tables)

Business Combinations (Tables)	6 Months Ended
	Mar. 31, 2016
Fiscal 2016 Acquisitions
Business Acquisition [Line Items]
Schedule of Recognized Amounts of Identifiable Assets Acquired and Assumed	The following table summarizes the recognized amounts of identifiable assets acquired at the date of each acquisition: (in thousands) Identifiable Intangible Assets Tangible Assets Total Identifiable Assets Goodwill Purchase Consideration Mother's Touch $ 2,741 $ 9 $ 2,750 $ 650 $ 3,400 Winways 619 29 648 108 756 Triumph 2,335 — 2,335 265 2,600 Brighton Worcester ADH 10,560 363 10,923 2,717 13,640 TLC Duluth 7,132 26 7,158 1,342 8,500 Maryland ADH 8,230 748 8,978 3,306 12,284 Eagle Crest 1,717 — 1,717 283 2,000 CRM 934 86 1,020 119 1,139 Total $ 34,268 $ 1,261 $ 35,529 $ 8,790 $ 44,319

Proforma Results of Operations

Proforma Results of Operations (Tables)	6 Months Ended
	Mar. 31, 2016
Business Combinations [Abstract]
Business Acquisition, Pro Forma Information	The following table reflects the unaudited pro forma results of operations for the three and six months ended March 31, 2016 and 2015 assuming that the acquisitions made during the three and six months ended March 31, 2016 and 2015 had occurred on October 1, 2014 and 2013, respectively. Three Months Ended Six Months Ended (in thousands) 2016 2015 2016 2015 Net revenue $ 351,070 $ 346,513 $ 707,075 $ 696,501 Net income 8,344 3,913 4,734 4,013

Goodwill and Intangible Assets

Goodwill and Intangible Assets (Tables)	6 Months Ended
	Mar. 31, 2016
Goodwill and Intangible Assets Disclosure [Abstract]
Schedule of Changes in Goodwill	The changes in goodwill for the six months ended March 31, 2016 are as follows (in thousands): Human Services Post -Acute Specialty Rehabilitation Services Total Balance as of September 30, 2015 $ 193,286 $ 81,234 $ 274,520 Goodwill acquired through acquisitions 8,134 656 8,790 Balance as of March 31, 2016 $ 201,420 $ 81,890 $ 283,310
Schedule of Intangible Assets	Intangible assets consist of the following as of March 31, 2016 (in thousands): Description Weighted Average Amortization Period Gross Carrying Value Accumulated Amortization Intangible Assets, Net Agency contracts 8 years $ 499,504 $ 240,819 $ 258,685 Non-compete/non-solicit 2 years 6,438 3,988 2,450 Relationship with contracted caregivers — 7,521 7,291 230 Trade names 3 years 6,516 3,621 2,895 Trade names (indefinite life) — 45,800 — 45,800 Licenses and permits 2 years 49,711 38,757 10,954 Intellectual property — 452 440 12 $ 615,942 $ 294,916 $ 321,026 Intangible assets consist of the following as of September 30, 2015 (in thousands): Description Weighted Average Amortization Period Gross Carrying Value Accumulated Amortization Intangible Assets, Net Agency contracts 8 years $ 468,549 $ 225,383 $ 243,166 Non-compete/non-solicit 2 years 6,097 3,477 2,620 Relationship with contracted caregivers 1 year 7,521 6,915 606 Trade names 2 years 4,883 3,343 1,540 Trade names (indefinite life) — 45,800 — 45,800 Licenses and permits 2 years 48,395 36,314 12,081 Intellectual property 1 year 452 409 43 $ 581,697 $ 275,841 $ 305,856
Schedule of Amortization Expense Related to Intangible Assets	The estimated remaining amortization expense related to intangible assets with finite lives for the six months remaining in fiscal 2016 and each of the four succeeding years and thereafter is as follows: (in thousands) 2016 $ 19,147 2017 35,851 2018 34,990 2019 34,707 2020 33,911 Thereafter 116,620 Total $ 275,226

Fair Value Measurements (Tables

Fair Value Measurements (Tables)	6 Months Ended
	Mar. 31, 2016
Fair Value Disclosures [Abstract]
Fair Value of Assets and Liabilities on a Recurring Basis	The following table sets forth the Company’s assets and liabilities that were accounted for at fair value on a recurring basis as of March 31, 2016 . (in thousands) Total Quoted Market Prices (Level 1) Significant Other Observable Inputs (Level 2) Significant Unobservable Inputs (Level 3) Liabilities Interest rate swap agreements $ (5,591 ) $ — $ (5,591 ) $ — Contingent consideration $ (4,612 ) $ — $ — $ (4,612 ) The following table sets forth the Company’s assets and liabilities that were accounted for at fair value on a recurring basis as of September 30, 2015 . (in thousands) Total Quoted Market Prices (Level 1) Significant Significant Unobservable Inputs (Level 3) Liabilities Interest rate swap agreements $ (2,861 ) $ — $ (2,861 ) $ — Contingent consideration $ (9,075 ) $ — $ — $ (9,075 )
Summary of Changes in Fair Value of Company's Level 3 Liabilities Measured on Recurring Basis	The following table presents a summary of changes in fair value of the Company’s Level 3 liabilities measured on a recurring basis for the six months ended March 31, 2016 . (in thousands) Six Months Ended Balance at September 30, 2015 $ 9,075 Present value accretion (211 ) Cassell fair value adjustment (2,945 ) Balance at December 31, 2015 $ 5,919 Payment (1,307 ) Balance at March 31, 2016 $ 4,612

Segment Information (Tables)

Segment Information (Tables)	6 Months Ended
	Mar. 31, 2016
Segment Reporting [Abstract]
Performance of Operating Segments	The following table is a financial summary by reportable segments for the periods indicated (in thousands): For the three months ended March 31, Human Services Post-Acute Specialty Rehabilitation Services Corporate Consolidated 2016 Net revenue $ 273,677 $ 72,006 $ — $ 345,683 EBITDA 42,794 14,433 (17,578 ) 39,649 Total assets 634,364 256,671 170,538 1,061,573 Depreciation and amortization 11,705 5,920 706 18,331 Purchases of property and equipment 6,659 2,369 869 9,897 2015 Net revenue $ 269,745 $ 65,435 $ — $ 335,180 EBITDA (1) 39,678 11,822 (18,537 ) 32,963 Depreciation and amortization 14,126 5,903 624 20,653 Purchases of property and equipment 5,693 3,798 1,334 10,825 (1) The performance measures previously reported for the three months ended March 31, 2015 have been revised from Income (loss) from continuing operations before income taxes to EBITDA. For the six months ended March 31, Human Services Post-Acute Specialty Rehabilitation Services Corporate Consolidated 2016 Net revenue $ 551,387 $ 140,043 $ — $ 691,430 EBITDA 80,416 26,080 (42,693 ) 63,803 Total assets 634,364 256,671 170,538 1,061,573 Depreciation and amortization 23,133 11,812 1,373 36,318 Purchases of property and equipment 12,007 5,277 1,735 19,019 2015 Net revenue $ 541,714 $ 128,056 $ — $ 669,770 EBITDA (1) 82,242 23,590 (50,535 ) 55,297 Depreciation and amortization 25,513 11,142 1,208 37,863 Purchases of property and equipment 10,003 7,962 1,746 19,711 (1) The performance measures previously reported for the six months ended March 31, 2015 have been revised from Income (loss) from continuing operations before income taxes to EBITDA.
Reconciliation of Operating Profit (Loss) from Segments to Consolidated	A reconciliation of EBITDA to income (loss) from continuing operations on a consolidated basis is as follows (in thousands): For the six months ended March 31, 2016 2015 EBITDA $ 63,803 $ 55,297 Less: Depreciation and amortization 36,318 37,863 Interest expense, net 16,810 20,427 Income (loss) from continuing operations before income taxes $ 10,675 $ (2,993 ) A reconciliation of EBITDA to income from continuing operations on a consolidated basis is as follows (in thousands): For the three months ended March 31, 2016 2015 EBITDA $ 39,649 $ 32,963 Less: Depreciation and amortization 18,331 20,653 Interest expense, net 8,461 9,547 Income from continuing operations before income taxes $ 12,857 $ 2,763

Net Income (Loss) Per Share (Ta

Net Income (Loss) Per Share (Tables)	6 Months Ended
	Mar. 31, 2016
Earnings Per Share [Abstract]
Schedule of Basic and Diluted Earnings Per Share	The following table sets forth the computation of basic and diluted earnings per share (“EPS”): Three Months Ended March 31, Six Months Ended March 31, (in thousands, except share and per share amounts) 2016 2015 2016 2015 Numerator Net income (loss) $ 7,315 $ 1,698 $ 1,711 $ (1,742 ) Denominator Weighted average shares outstanding, basic 37,102,113 36,950,000 37,098,677 36,950,000 Weighted average common equivalent shares 104,983 115,969 146,789 — Weighted average shares outstanding, diluted 37,207,096 37,065,969 37,245,466 36,950,000 Net income (loss) per share, basic and diluted $ 0.20 $ 0.05 $ 0.05 $ (0.05 ) Equity instruments excluded from diluted net income (loss) per share calculation as the effect would have been anti-dilutive: Stock options 731,006 570,260 377,439 565,751 Restricted stock units 206,279 460,305 102,576 565,379

Business Overview - Additional

Business Overview - Additional Information (Detail)	Oct. 01, 2015shares	Mar. 31, 2016stateclient
Product Information [Line Items]
Area of operations, number of states | state		35
Minimum
Product Information [Line Items]
Number of residential clients (more than)		11,500
Number of periodic clients (more than)		16,000
Two Thousand And Six Unit Plan | Secondary Offering | NMH Investment | Common Stock
Product Information [Line Items]
Shares sold by stockholders | shares	25,250,000

Significant Accounting Polici36

Significant Accounting Policies Significant Accounting Policies (Details) - USD ($) $ in Thousands	6 Months Ended
	Mar. 31, 2016	Mar. 31, 2015
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Overstatement of operating activities	$ (31,949)	$ (15,382)
Overstatement of investing activities	$ 62,424	50,619
Scenario, Adjustment
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Overstatement of operating activities		6,100
Overstatement of investing activities		$ 6,100

Recent Accounting Pronounceme37

Recent Accounting Pronouncements - Additional Information (Detail) - USD ($) $ in Millions	Mar. 31, 2016	Sep. 30, 2015
Accounting Changes and Error Corrections [Abstract]
Deferred finance costs, net	$ 6.7	$ 7.5
Deferred tax assets, net, current	$ 16.9	$ 19.6

Long-Term Debt (Detail)

Long-Term Debt (Detail) - USD ($) $ in Thousands	6 Months Ended	12 Months Ended
	Mar. 31, 2016	Sep. 30, 2015
Debt Instrument [Line Items]
Long-term debt current and non current	$ 640,990	$ 644,128
Less current portion	6,554	6,554
Long-term debt	634,436	637,574
Term Loan Principal And Interest Due In Quarterly Installment [Member]
Debt Instrument [Line Items]
Long-term debt	$ 642,307	$ 645,585
Debt instrument, maturity date	Jan. 31, 2021	Jan. 31, 2021
Original Issue
Debt Instrument [Line Items]
Discount on long-term debt	$ (1,317)	$ (1,457)

Long-Term Debt - Senior Secured

Long-Term Debt - Senior Secured Credit Facilities - Additional Information (Detail) - USD ($)	Jan. 31, 2014	Mar. 31, 2016
Debt Instrument [Line Items]
Basis points for interest rate		1.00%
Debt instrument, basis spread on variable rate (percent)		0.50%
National Mentor Holdings, Inc | Standby Letters of Credit Senior Revolver
Debt Instrument [Line Items]
Deposit in cash collateral	$ 120,000,000
NMH Investment
Debt Instrument [Line Items]
Letters of credit issued		$ 47,400,000
Line of credit facility, commitment fee (percent)		0.50%
Term Loan
Debt Instrument [Line Items]
Debt instrument maturity term	7 years
Term Loan | National Mentor Holdings, Inc
Debt Instrument [Line Items]
Amount of term loan facility	$ 655,000,000
Senior Revolver | NMH Investment
Debt Instrument [Line Items]
Letters of credit outstanding, amount		$ 0
Letter of Credit
Debt Instrument [Line Items]
Deposit in cash collateral	$ 50,000,000
Senior Secured Credit Facilities
Debt Instrument [Line Items]
Debt instrument maturity term	5 years
Senior Revolver | Line of Credit | NMH Investment | Letter of Credit
Debt Instrument [Line Items]
Amount of term loan facility		$ 2,900,000
Interest Rate Swap One | NMH Investment
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate (percent)		2.25%
Stated interest rate, minimum (not less than) (percent)		2.00%
Eurodollar | NMH Investment
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate (percent)		3.25%
Stated interest rate, minimum (not less than) (percent)		1.00%

Long-Term Debt - Senior Notes a

Long-Term Debt - Senior Notes and Covenants - Additional Information (Detail) - NMH Investment	3 Months Ended	6 Months Ended
	Mar. 31, 2017	Mar. 31, 2016
Debt Instrument [Line Items]
Percentage of revolving commitments		30.00%
Consolidated first lien leverage ratio, maximum		5.50
Scenario, Forecast
Debt Instrument [Line Items]
Consolidated first lien leverage ratio, maximum	5

Long-Term Debt - Derivatives -

Long-Term Debt - Derivatives - Additional Information (Detail) - Interest Rate Swap $ in Millions	6 Months Ended
	Mar. 31, 2016USD ($)	Sep. 30, 2015USD ($)	Jan. 20, 2015USD ($)Swap
National Mentor Holdings, Inc
Debt Instrument [Line Items]
Quarterly payments received from counterparty	Equal to the greater of 3-month LIBOR or 1.00% per annum
NMH Investment
Debt Instrument [Line Items]
Number of interest rate swap agreements | Swap			2
Interest rate swap in a notional amount			$ 375
Minimum interest received from counter party (percent)			1.00%
Payments on fixed rate (percent)			1.795%
Other Accrued Liabilities | NMH Investment
Debt Instrument [Line Items]
Derivative Liability	$ 5.6	$ 2.9

Stock-Based Compensation - Addi

Stock-Based Compensation - Additional Information (Detail) - USD ($) $ in Thousands	Oct. 01, 2015	Mar. 31, 2016	Dec. 31, 2015	Mar. 31, 2015	Mar. 31, 2016	Mar. 31, 2015
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of shares authorized		5,546,797			5,546,797
Share-based compensation expense		$ 1,800		$ 3,000	$ 1,200	$ 2,400
Performance Shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Options issued (in shares)		42,467			42,467
Change in vesting percentage		25.00%
Service period (in years)		3 years			3 years
Stock options vesting percentage		100.00%
Two Thousand And Six Unit Plan | Stock Compensation Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based compensation expense				$ 35		$ 78
Minimum | Performance Shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock options vesting percentage					0.00%
Maximum | Performance Shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock options vesting percentage					200.00%
NMH Investment | Common Stock | Secondary Offering | Two Thousand And Six Unit Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares sold by stockholders	25,250,000
Class F Common Units and Class H Common Units | Two Thousand And Six Unit Plan | Performance Shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based compensation expense			$ 10,500		$ 10,500

Stock-Based Compensation - Summ

Stock-Based Compensation - Summary of Stock Option Activity (Detail) - USD ($) $ / shares in Units, $ in Thousands	6 Months Ended
	Mar. 31, 2016	Sep. 30, 2015
Number of Shares
Outstanding number of shares	758,468	567,900
Granted (shares)	211,588
Forfeited (shares)	15,197
Exercised (shares)	3,965
Expired (shares)	1,858
Vested or expected to vest (shares)	726,068
Exercisable at end of year (shares)	184,660
Weighted-Average Exercise Price per Share
Weighted average exercise price, outstanding (dollars per share)	$ 19.30	$ 16.98
Granted (dollars per share)	25.29
Forfeited (dollars per share)	17
Exercised (dollars per share)	17
Expired (dollars per share)	17
Vested or expected to vest (dollars per share)	19.23
Exercisable at end of year (dollars per share)	$ 16.98
Outstanding weighted-average remaining life (years)	8 years 9 months 24 days
Vested or expected to vest weighed-average remaining life (years)	8 years 9 months 24 days
Exercisable weighted-average remaining life (years)	8 years 5 months 24 days
Outstanding at end of year, aggregate intrinsic value	$ 250
Vested or expected to vest at end of year, aggregate intrinsic value	241
Exercisable at end of year, aggregate intrinsic value	$ 84

Stock-Based Compensation - Assu

Stock-Based Compensation - Assumptions in Calculating the Fair Value of Options Granted (Detail) - Stock options	3 Months Ended
	Mar. 31, 2016
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected term (years)	6 years
Expected dividend yield (years)	0.00%
Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Risk-free interest rate (percent)	1.32%
Expected volatility (years)	35.12%
Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Risk-free interest rate (percent)	1.92%
Expected volatility (years)	36.20%

Stock-Based Compensation - Su45

Stock-Based Compensation - Summary of Nonvested Restricted Stock Awards (Detail) - Restricted stock units	6 Months Ended
	Mar. 31, 2016$ / sharesshares
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Non-vested shares beginning balance (shares) | shares	385,935
Granted (shares) | shares	262,567
Forfeited (shares) | shares	20,501
Vested (shares) | shares	8,684
Non-vested shares ending balance (shares) | shares	619,317
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract]
Non-vested balance at beginning balance of the year (dollars per share) | $ / shares	$ 17.10
Granted (dollars per share) | $ / shares	24.45
Forfeited (dollars per share) | $ / shares	19.05
Vested (dollars per share) | $ / shares	16.43
Non-vested balance at ending balance of the year (dollars per share) | $ / shares	$ 20.16

Stock-Based Compensation - Su46

Stock-Based Compensation - Summary of Performance Based Restricted Stock Awards (Details) - Performance Shares - $ / shares	3 Months Ended	6 Months Ended
	Mar. 31, 2016	Mar. 31, 2016
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Granted (shares)	42,467	42,467
Vested (shares)		0
Forfeited (shares)		0
Non-vested shares ending balance (shares)	42,467	42,467
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Adjustment for Number of Shares [Roll Forward]
Adjusted non-vested shares beginning balance (shares)		0
Granted adjustment (shares)		0
Forfeited adjustment (shares)		0
Vested adjustment (shares)		0
Adjusted non-vested shares ending balance (shares)	0	0
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares After Adjustment [Roll Forward] [Roll Forward]
Non-vested shares after adjustment beginning balance (shares)		0
Granted after adjustment (shares)		42,467
Forfeited after adjustment (shares)		0
Vested after adjustment (shares)		0
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract]
Granted (dollars per share)		$ 17.61
Vested (dollars per share)		0
Forfeited (dollars per share)		0
Non-vested balance at ending balance of the year (dollars per share)	$ 17.61	$ 17.61

Business Combinations - Additio

Business Combinations - Additional Information (Detail) $ in Thousands	Mar. 31, 2016USD ($)	Mar. 15, 2016USD ($)	Mar. 14, 2016USD ($)	Feb. 29, 2016USD ($)	Feb. 01, 2016USD ($)	Dec. 31, 2015USD ($)	Nov. 30, 2015USD ($)	Mar. 31, 2016USD ($)Company
Business Acquisition [Line Items]
Number of companies acquired | Company								8
Aggregate consideration for the acquisition								$ 44,300
Cost of acquisition	$ 44,319
Recognized identifiable intangible assets acquired	34,268							34,268
Property and equipment	1,261							1,261
Goodwill	8,790							8,790
Mother's Touch, LLC
Business Acquisition [Line Items]
Business acquisition date							Nov. 30, 2015
Cost of acquisition							$ 3,400
Recognized identifiable intangible assets acquired							2,741
Property and equipment							9
Mother's Touch, LLC | Human Services
Business Acquisition [Line Items]
Goodwill							700
Mother's Touch, LLC | Agency contracts
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired							$ 2,700
Weighted average useful life of intangible assets (years)							12 years
Mother's Touch, LLC | Other intangible assets
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired							$ 14
Winways, LLC
Business Acquisition [Line Items]
Business acquisition date						Dec. 31, 2015
Cost of acquisition	756					$ 800
Recognized identifiable intangible assets acquired	619							619
Property and equipment	29							29
Winways, LLC | Post -Acute Specialty Rehabilitation Services
Business Acquisition [Line Items]
Goodwill	100							100
Winways, LLC | Agency contracts
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired	500							500
Weighted average useful life of intangible assets (years)						12 years
Winways, LLC | Other intangible assets
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired						$ 100
Triumph Rehabilitation, LLC
Business Acquisition [Line Items]
Business acquisition date					Feb. 1, 2016
Cost of acquisition					$ 2,600
Recognized identifiable intangible assets acquired					2,335
Property and equipment					0
Triumph Rehabilitation, LLC | Post -Acute Specialty Rehabilitation Services
Business Acquisition [Line Items]
Cost of acquisition					2,600
Goodwill					265
Triumph Rehabilitation, LLC | Agency contracts
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired					2,200
Triumph Rehabilitation, LLC | Other intangible assets
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired					$ 89
Weighted average useful life of intangible assets (years)					12 years
Massachusetts Adult Day Health Alliance
Business Acquisition [Line Items]
Business acquisition date					Feb. 1, 2016
Cost of acquisition					$ 13,600
Recognized identifiable intangible assets acquired					10,560
Property and equipment					363
Massachusetts Adult Day Health Alliance | Human Services
Business Acquisition [Line Items]
Cost of acquisition					13,640
Goodwill					2,717
Massachusetts Adult Day Health Alliance | Agency contracts
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired					9,800
Massachusetts Adult Day Health Alliance | Other intangible assets
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired					40
Massachusetts Adult Day Health Alliance | Trade names
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired					$ 700
Weighted average useful life of intangible assets (years)					12 years
Tender Loving Care Duluth, LLC
Business Acquisition [Line Items]
Business acquisition date				Feb. 29, 2016
Cost of acquisition				$ 8,500
Recognized identifiable intangible assets acquired				7,132
Property and equipment				26
Tender Loving Care Duluth, LLC | Human Services
Business Acquisition [Line Items]
Cost of acquisition				8,500
Goodwill				1,342
Tender Loving Care Duluth, LLC | Agency contracts
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired			$ 7,200	6,200
Tender Loving Care Duluth, LLC | Other intangible assets
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired				$ 1,000
Weighted average useful life of intangible assets (years)				12 years
Maryland Adult Day Health
Business Acquisition [Line Items]
Business acquisition date			Mar. 14, 2016
Cost of acquisition				$ 12,300
Recognized identifiable intangible assets acquired			$ 8,230
Property and equipment			748
Maryland Adult Day Health | Post -Acute Specialty Rehabilitation Services
Business Acquisition [Line Items]
Cost of acquisition			12,284
Goodwill			3,306
Maryland Adult Day Health | Other intangible assets
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired			$ 0
Weighted average useful life of intangible assets (years)			12 years		5 years
Maryland Adult Day Health | Trade names
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired			$ 1,000
Eagle Crest Center, LLC
Business Acquisition [Line Items]
Business acquisition date		Mar. 15, 2016
Cost of acquisition		$ 2,000
Recognized identifiable intangible assets acquired		1,717
Property and equipment		0
Eagle Crest Center, LLC | Post -Acute Specialty Rehabilitation Services
Business Acquisition [Line Items]
Cost of acquisition		2,000
Goodwill		283
Eagle Crest Center, LLC | Agency contracts
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired	$ 1,400							1,400
Eagle Crest Center, LLC | Other intangible assets
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired		$ 300
CRM Habilitative Services, Inc
Business Acquisition [Line Items]
Business acquisition date	Mar. 31, 2016
Cost of acquisition	$ 1,100
Recognized identifiable intangible assets acquired	934							934
Property and equipment	86							86
CRM Habilitative Services, Inc | Human Services
Business Acquisition [Line Items]
Cost of acquisition	1,139
Goodwill	119							119
CRM Habilitative Services, Inc | Agency contracts
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired	800							800
CRM Habilitative Services, Inc | Other intangible assets
Business Acquisition [Line Items]
Recognized identifiable intangible assets acquired	$ 200							$ 200
Weighted average useful life of intangible assets (years)	12 years

Business Combinations - Schedul

Business Combinations - Schedule of Recognized Amounts of Identifiable Assets Acquired and Assumed (Detail) - USD ($) $ in Thousands	Mar. 31, 2016	Mar. 15, 2016	Mar. 14, 2016	Feb. 29, 2016	Feb. 01, 2016	Dec. 31, 2015	Nov. 30, 2015
Business Acquisition [Line Items]
Identifiable intangible assets	$ 34,268
Property and equipment	1,261
Total identifiable net assets	35,529
Goodwill	8,790
Cost of acquisition	44,319
Mother's Touch, LLC
Business Acquisition [Line Items]
Identifiable intangible assets							$ 2,741
Property and equipment							9
Total identifiable net assets							2,750
Cost of acquisition							3,400
Winways, LLC
Business Acquisition [Line Items]
Identifiable intangible assets	619
Property and equipment	29
Total identifiable net assets	648
Cost of acquisition	756					$ 800
Triumph Rehabilitation, LLC
Business Acquisition [Line Items]
Identifiable intangible assets					$ 2,335
Property and equipment					0
Total identifiable net assets					2,335
Cost of acquisition					2,600
Massachusetts Adult Day Health Alliance
Business Acquisition [Line Items]
Identifiable intangible assets					10,560
Property and equipment					363
Total identifiable net assets					10,923
Cost of acquisition					13,600
Tender Loving Care Duluth, LLC
Business Acquisition [Line Items]
Identifiable intangible assets				$ 7,132
Property and equipment				26
Total identifiable net assets				7,158
Cost of acquisition				8,500
Maryland Adult Day Health
Business Acquisition [Line Items]
Identifiable intangible assets			$ 8,230
Property and equipment			748
Total identifiable net assets			8,978
Cost of acquisition				12,300
Eagle Crest Center, LLC
Business Acquisition [Line Items]
Identifiable intangible assets		$ 1,717
Property and equipment		0
Total identifiable net assets		1,717
Cost of acquisition		2,000
CRM Habilitative Services, Inc
Business Acquisition [Line Items]
Identifiable intangible assets	934
Property and equipment	86
Total identifiable net assets	1,020
Cost of acquisition	1,100
Human Services | Mother's Touch, LLC
Business Acquisition [Line Items]
Goodwill							700
Human Services | Massachusetts Adult Day Health Alliance
Business Acquisition [Line Items]
Goodwill					2,717
Cost of acquisition					13,640
Human Services | Tender Loving Care Duluth, LLC
Business Acquisition [Line Items]
Goodwill				1,342
Cost of acquisition				8,500
Human Services | CRM Habilitative Services, Inc
Business Acquisition [Line Items]
Goodwill	119
Cost of acquisition	1,139
Post -Acute Specialty Rehabilitation Services | Winways, LLC
Business Acquisition [Line Items]
Goodwill	100
Post -Acute Specialty Rehabilitation Services | Triumph Rehabilitation, LLC
Business Acquisition [Line Items]
Goodwill					265
Cost of acquisition					2,600
Post -Acute Specialty Rehabilitation Services | Maryland Adult Day Health
Business Acquisition [Line Items]
Goodwill			3,306
Cost of acquisition			12,284
Post -Acute Specialty Rehabilitation Services | Eagle Crest Center, LLC
Business Acquisition [Line Items]
Goodwill		283
Cost of acquisition		$ 2,000
Agency contracts | Mother's Touch, LLC
Business Acquisition [Line Items]
Identifiable intangible assets							$ 2,700
Agency contracts | Winways, LLC
Business Acquisition [Line Items]
Identifiable intangible assets	500
Agency contracts | Triumph Rehabilitation, LLC
Business Acquisition [Line Items]
Identifiable intangible assets					2,200
Agency contracts | Massachusetts Adult Day Health Alliance
Business Acquisition [Line Items]
Identifiable intangible assets					$ 9,800
Agency contracts | Tender Loving Care Duluth, LLC
Business Acquisition [Line Items]
Identifiable intangible assets			$ 7,200	$ 6,200
Agency contracts | Eagle Crest Center, LLC
Business Acquisition [Line Items]
Identifiable intangible assets	1,400
Agency contracts | CRM Habilitative Services, Inc
Business Acquisition [Line Items]
Identifiable intangible assets	$ 800

Proforma Results of Operation49

Proforma Results of Operations - Schedule of Proforma Results of Operations (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Mar. 31, 2016	Mar. 31, 2015	Mar. 31, 2016	Mar. 31, 2015
Business Combinations [Abstract]
Net revenue	$ 351,070	$ 346,513	$ 707,075	$ 696,501
Net income	$ 8,344	$ 3,913	$ 4,734	$ 4,013

Goodwill and Intangible Asset50

Goodwill and Intangible Assets - Schedule of Changes in Goodwill (Detail) $ in Thousands	6 Months Ended
	Mar. 31, 2016USD ($)
Goodwill [Line Items]
Beginning Balance	$ 274,520
Goodwill acquired through acquisitions	8,790
Ending Balance	283,310
Human Services
Goodwill [Line Items]
Beginning Balance	193,286
Goodwill acquired through acquisitions	8,134
Ending Balance	201,420
Post -Acute Specialty Rehabilitation Services
Goodwill [Line Items]
Beginning Balance	81,234
Goodwill acquired through acquisitions	656
Ending Balance	$ 81,890

Goodwill and Intangible Asset51

Goodwill and Intangible Assets - Schedule of Intangible Assets (Detail) - USD ($) $ in Thousands	6 Months Ended	12 Months Ended
	Mar. 31, 2016	Sep. 30, 2015
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Value	$ 615,942	$ 581,697
Accumulated Amortization	294,916	275,841
Intangible Assets, Net	$ 321,026	$ 305,856
Agency contracts
Finite-Lived Intangible Assets [Line Items]
Weighted Average Amortization Period (years)	8 years	8 years
Gross Carrying Value	$ 499,504	$ 468,549
Accumulated Amortization	240,819	225,383
Intangible Assets, Net	$ 258,685	$ 243,166
Non-compete/non-solicit
Finite-Lived Intangible Assets [Line Items]
Weighted Average Amortization Period (years)	2 years	2 years
Gross Carrying Value	$ 6,438	$ 6,097
Accumulated Amortization	3,988	3,477
Intangible Assets, Net	2,450	$ 2,620
Relationship with contracted caregivers
Finite-Lived Intangible Assets [Line Items]
Weighted Average Amortization Period (years)		1 year
Gross Carrying Value	7,521	$ 7,521
Accumulated Amortization	7,291	6,915
Intangible Assets, Net	$ 230	$ 606
Trade names
Finite-Lived Intangible Assets [Line Items]
Weighted Average Amortization Period (years)	3 years	2 years
Gross Carrying Value	$ 6,516	$ 4,883
Accumulated Amortization	3,621	3,343
Intangible Assets, Net	$ 2,895	$ 1,540
Licenses and permits
Finite-Lived Intangible Assets [Line Items]
Weighted Average Amortization Period (years)	2 years	2 years
Gross Carrying Value	$ 49,711	$ 48,395
Accumulated Amortization	38,757	36,314
Intangible Assets, Net	10,954	$ 12,081
Intellectual property
Finite-Lived Intangible Assets [Line Items]
Weighted Average Amortization Period (years)		1 year
Gross Carrying Value	452	$ 452
Accumulated Amortization	440	409
Intangible Assets, Net	12	43
Trade names (indefinite life)
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Value	45,800	45,800
Intangible Assets, Net	$ 45,800	$ 45,800

Goodwill and Intangible Asset52

Goodwill and Intangible Assets - Schedule of Amortization Expense Related to Intangible Assets (Detail) $ in Thousands	Mar. 31, 2016USD ($)
Goodwill and Intangible Assets Disclosure [Abstract]
2,016	$ 19,147
2,017	35,851
2,018	34,990
2,019	34,707
2,020	33,911
Thereafter	116,620
Total	$ 275,226

Goodwill and Intangible Asset53

Goodwill and Intangible Assets - Additional Information (Detail) - USD ($) $ in Millions	3 Months Ended		6 Months Ended
	Mar. 31, 2016	Mar. 31, 2015	Mar. 31, 2016	Mar. 31, 2015
Finite-Lived Intangible Assets [Line Items]
Amortization expense	$ 9.7	$ 9.9	$ 19.1	$ 19.3

Related Party Transactions - Ad

Related Party Transactions - Additional Information (Detail) - USD ($) $ in Millions	3 Months Ended		6 Months Ended
	Mar. 31, 2016	Mar. 31, 2015	Mar. 31, 2016	Mar. 31, 2015
Related Party Transactions [Abstract]
Related party lease expense	$ 0.2	$ 0.2	$ 0.3	$ 0.4

Fair Value Measurements - Fair

Fair Value Measurements - Fair Value of Assets and Liabilities on a Recurring Basis (Detail) - USD ($) $ in Thousands	Mar. 31, 2016	Sep. 30, 2015
Contingent Consideration
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities, recurring	$ (4,612)	$ (9,075)
Fair Value, Inputs, Level 2 | Contingent Consideration
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities, recurring	0	0
Fair Value, Inputs, Level 3 | Contingent Consideration
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities, recurring	(4,612)	(9,075)
Interest Rate Swap
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities, recurring	(5,591)	(2,861)
Interest Rate Swap | Fair Value, Inputs, Level 1
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities, recurring	0	0
Interest Rate Swap | Fair Value, Inputs, Level 2
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities, recurring	$ (5,591)	$ (2,861)

Fair Value Measurements - Summa

Fair Value Measurements - Summary of Changes in Fair Value of Company's Level 3 Liabilities Measured on Recurring Basis (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Mar. 31, 2016	Dec. 31, 2015	Mar. 31, 2016	Mar. 31, 2015
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Cassell fair value adjustment			$ 3,156	$ (152)
Fair Value, Inputs, Level 3
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Fair value of liabilities beginning balance	$ 5,919	$ 9,075	9,075
Payment	(1,307)
Fair value of liabilities ending balance	$ 4,612	5,919	$ 4,612
Contingent Consideration | Fair Value, Inputs, Level 3
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Present value accretion		(211)
Cassell fair value adjustment		$ (2,945)

Fair Value Measurements - Addit

Fair Value Measurements - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended	6 Months Ended
	Mar. 31, 2016	Mar. 31, 2016	Mar. 31, 2015	Sep. 30, 2015
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Contingent consideration liability	$ 4,600	$ 4,600		$ 9,100
Cassell fair value adjustment		(3,156)	$ 152
Other Accrued Liabilities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value of liabilities	4,600	4,600		3,900
Other Long-Term Liabilities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value of liabilities	0	$ 0		$ 5,200
Cassell And Associates
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cassell fair value adjustment	$ 3,200

Income Taxes - Additional Infor

Income Taxes - Additional Information (Detail) - USD ($)	3 Months Ended		6 Months Ended
	Mar. 31, 2016	Mar. 31, 2015	Mar. 31, 2016	Mar. 31, 2015	Sep. 30, 2015
Income Tax Disclosure [Abstract]
Effective income tax rate	41.60%	36.00%	81.80%	46.00%
Nondeductible expense, share-based compensation cost, amount			$ 10,500,000
Reserve for uncertain income tax positions	$ 0		$ 0		$ 0

Segment Information - Additiona

Segment Information - Additional Information (Detail)	3 Months Ended	6 Months Ended
	Mar. 31, 2016business_unit	Mar. 31, 2016business_unitsegment	Mar. 31, 2015
Segment Reporting Information [Line Items]
Number of reportable segments | segment		2
Human Services
Segment Reporting Information [Line Items]
Number of business units	3	3
Human Services | Minnesota | Geographic Concentration Risk | Sales Revenue, Segment
Segment Reporting Information [Line Items]
Percent of revenue	15.00%		15.00%
Post -Acute Specialty Rehabilitation Services
Segment Reporting Information [Line Items]
Number of business units	2	2

Segment Information - Performan

Segment Information - Performance of Operating Segments (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Mar. 31, 2016	Mar. 31, 2015	Mar. 31, 2016	Mar. 31, 2015	Sep. 30, 2015
Segment Reporting Information [Line Items]
Net revenue	$ 345,683	$ 335,180	$ 691,430	$ 669,770
EBITDA	39,649	32,963	63,803	55,297
Total assets	1,061,573		1,061,573		$ 1,063,184
Depreciation and amortization	18,331	20,653	36,318	37,863
Purchases of property and equipment	9,897	10,825	19,019	19,711
Operating Segments | Human Services
Segment Reporting Information [Line Items]
Net revenue	273,677	269,745	551,387	541,714
EBITDA	42,794	39,678	80,416	82,242
Total assets	634,364		634,364
Depreciation and amortization	11,705	14,126	23,133	25,513
Purchases of property and equipment	6,659	5,693	12,007	10,003
Operating Segments | Post -Acute Specialty Rehabilitation Services
Segment Reporting Information [Line Items]
Net revenue	72,006	65,435	140,043	128,056
EBITDA	14,433	11,822	26,080	23,590
Total assets	256,671		256,671
Depreciation and amortization	5,920	5,903	11,812	11,142
Purchases of property and equipment	2,369	3,798	5,277	7,962
Corporate
Segment Reporting Information [Line Items]
Net revenue	0	0	0	0
EBITDA	(17,578)	(18,537)	(42,693)	(50,535)
Total assets	170,538		170,538
Depreciation and amortization	706	624	1,373	1,208
Purchases of property and equipment	$ 869	$ 1,334	$ 1,735	$ 1,746

Segment Information - Reconcili

Segment Information - Reconciliation of Operating Income (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Mar. 31, 2016	Mar. 31, 2015	Mar. 31, 2016	Mar. 31, 2015
Segment Reporting [Abstract]
EBITDA	$ 39,649	$ 32,963	$ 63,803	$ 55,297
Depreciation and amortization	18,331	20,653	36,318	37,863
Interest expense, net	8,461	9,547	16,810	20,427
Income from continuing operations before income taxes	$ 12,857	$ 2,763	$ 10,675	$ (2,993)

Disposition of Business - Addit

Disposition of Business - Additional Information (Detail) - Disposal Group, Disposed of by Sale, Not Discontinued Operations - Human Services - USD ($) $ in Millions	Dec. 01, 2015	Mar. 31, 2016	Mar. 31, 2015	Mar. 31, 2016	Mar. 31, 2015
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Payment from divestiture of business	$ 1.3
Loss on disposition of business	$ (1.3)
Closure costs		$ 2		$ 2
Severance costs		0.5
Lease termination costs		1.5
Discontinued operation, loss on disposal before income taxes		$ 0.3	$ (0.9)	$ 5.6	$ (2.4)

Net Income (Loss) Per Share - S

Net Income (Loss) Per Share - Schedule of Basic and Diluted Earnings Per Share (Detail) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		6 Months Ended
	Mar. 31, 2016	Mar. 31, 2015	Mar. 31, 2016	Mar. 31, 2015
Numerator
Net income (loss)	$ 7,315	$ 1,698	$ 1,711	$ (1,742)
Denominator (shares)
Weighted average number of common shares outstanding, basic	37,102,113	36,950,000	37,098,677	36,950,000
Weighted average common equivalent shares	104,983	115,969	146,789	0
Weighted average number of common shares outstanding, diluted	37,207,096	37,065,969	37,245,466	36,950,000
Net income (loss) per share, basic and diluted (in dollars per share)	$ 0.20	$ 0.05	$ 0.05	$ (0.05)
Stock options
Denominator (shares)
Anti-dilutive securities excluded from the computation of diluted EPS (shares)	731,006	570,260	377,439	565,751
Restricted stock units
Denominator (shares)
Anti-dilutive securities excluded from the computation of diluted EPS (shares)	206,279	460,305	102,576	565,379

Subsequent Events - Additional

Subsequent Events - Additional Information (Detail) - USD ($) $ in Thousands	Apr. 12, 2016	Mar. 31, 2016	Mar. 31, 2015
Subsequent Event [Line Items]
Earn out payment		$ 1,307	$ 0
Cassell And Associates | Subsequent Event
Subsequent Event [Line Items]
Earn out payment	$ 2,300