Civitas Solutions 10-K 14 Dec 16 2016 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($)	12 Months Ended
	Sep. 30, 2016	Nov. 30, 2016	Mar. 31, 2016
Document And Entity Information [Abstract]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Sep. 30, 2016
Document Fiscal Year Focus	2,016
Document Fiscal Period Focus	FY
Trading Symbol	CIVI
Entity Registrant Name	CIVITAS SOLUTIONS, INC.
Entity Central Index Key	1,608,638
Current Fiscal Year End Date	--09-30
Entity Well-known Seasoned Issuer	No
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No
Entity Filer Category	Accelerated Filer
Entity Common Stock, Shares Outstanding		37,216,214
Entity Public Float			$ 305,000,000

Consolidated Balance Sheets

Consolidated Balance Sheets - USD ($) $ in Thousands	Sep. 30, 2016	Sep. 30, 2015
Current Assets:
Cash and cash equivalents	$ 50,683	$ 41,690
Restricted cash	1,046	749
Accounts receivable, net of allowances of $11,863 and $11,207 at September 30, 2016 and 2015, respectively	155,767	145,395
Deferred tax assets, net	18,013	19,648
Prepaid expenses and other current assets	20,841	14,049
Total current assets	246,350	221,531
Property and equipment, net	175,008	168,227
Intangible assets, net	302,229	305,856
Goodwill	273,660	274,520
Restricted cash	50,000	50,000
Other assets	44,801	43,050
Total assets	1,092,048	1,063,184
Current Liabilities:
Accounts payable	32,131	25,890
Accrued payroll and related costs	78,082	82,012
Other accrued liabilities	51,680	46,428
Obligations under capital lease, current	549	497
Current portion of long-term debt	6,554	6,554
Total current liabilities	168,996	161,381
Other long-term liabilities	81,466	79,170
Deferred tax liabilities, net	59,686	58,223
Obligations under capital lease, less current portion	5,012	5,561
Long-term debt, less current portion	631,298	637,574
Commitments and contingencies (Note 18)
Stockholders' Equity
Common stock, $0.01 par value; 350,000,000 shares authorized; and 37,214,758 and 37,093,237 shares issued and outstanding at September 30, 2016 and 2015, respectively	372	371
Additional paid-in capital	294,295	277,311
Accumulated loss on derivatives, net of taxes of $2,418 and $1,157 at September 30, 2016 and September 30, 2015, respectively	(3,561)	(1,704)
Accumulated deficit	(145,516)	(154,703)
Total stockholders' equity	145,590	121,275
Total liabilities and stockholders' equity	$ 1,092,048	$ 1,063,184

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Sep. 30, 2016	Sep. 30, 2015
Statement of Financial Position [Abstract]
Allowances for accounts receivable	$ 11,863	$ 11,207
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized	350,000,000	350,000,000
Common stock, shares issued	37,214,758	37,093,237
Common stock, shares outstanding	37,214,758	37,093,237
Accumulated loss on derivatives, tax	$ 2,418	$ 1,157

Consolidated Statements of Oper

Consolidated Statements of Operations - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Income Statement [Abstract]
Net revenue	$ 1,407,587	$ 1,366,946	$ 1,255,838
Cost of revenue (exclusive of depreciation and amortization expense below)	1,092,181	1,059,364	983,043
Operating expenses:
General and administrative	184,649	162,839	145,041
Depreciation and amortization	73,061	82,172	67,488
Total operating expenses	257,710	245,011	212,529
Income (loss) from operations	57,696	62,571	60,266
Other income (expense):
Management fee of related party	0	28	(9,488)
Other (expense) income, net	(908)	(1,325)	374
Extinguishment of debt	0	(17,058)	(14,699)
Interest expense	(34,041)	(37,455)	(69,349)
Income (loss) from continuing operations before income taxes	22,747	6,761	(32,896)
Provision (benefit) for income taxes	13,290	2,689	(11,463)
Income (loss) from continuing operations	9,457	4,072	(21,433)
Loss from discontinued operations, net of tax benefit for the fiscal years ended September 30, 2016, 2015 and 2014 of $171, $634 and $877, respectively	(270)	(1,000)	(1,382)
Net income (loss)	$ 9,187	$ 3,072	$ (22,815)
Income (loss) per common share, basic
Income (loss) from continuing operations, basic (in dollars per share)	$ 0.25	$ 0.11	$ (0.84)
Loss from discontinued operations, basic (in dollars per share)	0	(0.03)	(0.05)
Net income (loss), basic (dollars per shares)	0.25	0.08	(0.89)
Loss per common share, diluted
Income (loss) from continuing operations, diluted (in dollars per share)	0.25	0.11	(0.84)
Loss from discontinued operations, diluted (in dollars per share)	0	(0.03)	(0.05)
Net income (loss), diluted (dollars per share)	$ 0.25	$ 0.08	$ (0.89)
Weighted average number of common shares outstanding, basic	37,112,794	36,959,997	25,538,493
Weighted average number of common shares outstanding, diluted	37,262,915	37,088,632	25,538,493

Consolidated Statements of Ope5

Consolidated Statements of Operations (Parenthetical) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Income Statement [Abstract]
Loss from discontinued operations, tax benefit	$ (171)	$ (634)	$ (877)

Consolidated Statements of Comp

Consolidated Statements of Comprehensive Income (Loss) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Statement of Comprehensive Income [Abstract]
Net income (loss)	$ 9,187	$ 3,072	$ (22,815)
Other comprehensive (loss) gain, net of tax:
(Loss) gain on derivative instrument classified as cash flow hedge, net of tax of $1,261, $1,157 and ($310) for the fiscal year ended September 30, 2016, 2015 and 2014 , respectively	(1,857)	(1,704)	466
Reclassification adjustments for losses on derivative instruments included in net income, net of tax of $942	0	0	1,414
Comprehensive income (loss)	$ 7,330	$ 1,368	$ (20,935)

Consolidated Statements of Com7

Consolidated Statements of Comprehensive Income (Loss) (Parenthetical) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Statement of Comprehensive Income [Abstract]
Gain (loss) on derivative instruments classified as cash flow hedge, tax	$ (1,261)	$ (1,157)	$ 310
Reclassification adjustments for gains on derivative instruments, tax			$ 942

Consolidated Statements of Stoc

Consolidated Statements of Stockholder's Equity (Deficit) - USD ($) $ in Thousands	Total	Common Stock	Additional Paid-in Capital	Accumulated Other Comprehensive (Loss) Income	Accumulated Deficit
Beginning balance (shares) at Sep. 30, 2013		25,250,000
Beginning balance at Sep. 30, 2013	$ (46,515)	$ 253	$ 90,072	$ (1,880)	$ (134,960)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Issuance of common stock, net of issuance costs (shares)		11,700,000
Issuance of common stock under employee incentive plans, net of shares surrendered	182,203	$ 117	182,086
Other comprehensive income (loss), net of tax	1,880			1,880
Stock-based compensation expense	895		895
Dividend to parent	(110)		(110)
Net income (loss)	(22,815)				(22,815)
Ending balance (shares) at Sep. 30, 2014		36,950,000
Ending balance at Sep. 30, 2014	115,538	$ 370	272,943	0	(157,775)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Other comprehensive income (loss), net of tax	(1,704)			(1,704)
Stock-based compensation expense	5,238		5,238
Net income (loss)	3,072				3,072
Issuance of common stock under restricted stock unit awards, net of shares surrendered (shares)		143,237
Excess tax benefits from stock-based compensation awards	645		645
Issuance of common stock under employee incentive plans, net of shares surrendered	(1,514)	$ 1	(1,515)
Ending balance (shares) at Sep. 30, 2015		37,093,237
Ending balance at Sep. 30, 2015	121,275	$ 371	277,311	(1,704)	(154,703)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Other comprehensive income (loss), net of tax	(1,857)			(1,857)
Stock-based compensation expense	17,072		17,072
Net income (loss)	9,187				9,187
Issuance of common stock under restricted stock unit awards, net of shares surrendered (shares)		121,521
Issuance of common stock under employee incentive plans, net of shares surrendered	(900)	$ 1	(901)
Adjustments to Additional Paid in Capital, Income Tax Benefit from Share-based Compensation	813		813
Ending balance (shares) at Sep. 30, 2016		37,214,758
Ending balance at Sep. 30, 2016	$ 145,590	$ 372	$ 294,295	$ (3,561)	$ (145,516)

Consolidated Statements of Cash

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Cash Flows from operating activities:
Net income (loss)	$ 9,187	$ 3,072	$ (22,815)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Provision for accounts receivable allowances	14,784	17,055	20,392
Depreciation and amortization	73,100	71,643	66,695
Amortization and write-off of original issue discount and initial purchasers discount	279	4,899	7,101
Amortization and write-off of financing costs	1,558	3,141	10,523
Stock-based compensation expense	17,072	5,238	895
Deferred income taxes	4,359	356	(13,266)
Gain on changes in derivative fair value	0	0	(33)
Loss on disposal of assets	789	675	385
Non-cash impairment charges	10,251	10,660	3,605
Net change in fair value of contingent liabilities	405	575	0
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	(25,156)	(21,072)	(16,817)
Other assets	(8,706)	(4,711)	4,369
Accounts payable	6,802	3,037	(4,279)
Accrued payroll and related costs	(3,930)	(2,164)	18,836
Other accrued liabilities	5,028	(8,070)	9,079
Other long-term liabilities	1,300	6,144	(754)
Net cash provided by operating activities	107,122	90,478	83,916
Cash Flows from investing activities:
Acquisition of businesses, net of cash acquired	(45,196)	(38,738)	(53,699)
Purchases of property and equipment	(43,356)	(42,793)	(35,295)
Changes in restricted cash	(297)	1,195	(1,137)
Proceeds from sale of assets	1,423	1,332	1,207
Net cash used in investing activities	(87,426)	(79,004)	(88,924)
Cash Flows from financing activities:
Issuance of long term-debt, net of original issue discount	0	54,450	598,500
Repayments of long-term debt	(6,554)	(218,416)	(587,525)
Proceeds from borrowings under senior revolver	52,200	210,700	9,300
Repayments of borrowings under senior revolver	(52,200)	(210,700)	(9,300)
Repayments of capital lease obligations	(497)	(451)	(430)
Dividend to NMH Investment	0	0	(110)
Payments of financing costs	0	0	(10,923)
Cash paid for settlement of acquisition contingent consideration	(3,565)	0	0
Proceeds from issuance of common stock under employee equity incentive plans	142	0	0
Excess tax benefits from stock-based compensation	813	0	0
Taxes paid related to net share settlements of restricted stock unit awards	(1,042)	(1,514)	0
Proceeds from the issuance of common stock, net of offering costs	0	0	182,203
Net cash (used in)/provided by financing activities	(10,703)	(165,931)	181,715
Net increase (decrease) in cash and cash equivalents	8,993	(154,457)	176,707
Cash and cash equivalents at beginning of period	41,690	196,147	19,440
Cash and cash equivalents at end of period	50,683	41,690	196,147
Supplemental disclosure of cash flow information
Cash paid for interest	31,563	37,461	64,155
Cash paid for call premium on redemption of senior notes	0	11,688	2,375
Cash paid for income taxes, net	12,641	1,860	632
Supplemental disclosure of non-cash investing activities:
Accrued property and equipment	810	1,454	966
Fair value of contingent consideration related to acquisitions	0	6,100	2,400
Accrued tenant reimbursements for leasehold improvements	$ 1,262	$ 0	$ 0

Business Overview

Business Overview	12 Months Ended
	Sep. 30, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Business Overview	Business Overview Civitas Solutions, Inc., through its wholly-owned subsidiaries (collectively, the “Company”), is the leading provider of home- and community-based health and human services to adults and children 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”). As of September 30, 2016 , the Company operated in 35 states, serving approximately 11,500 clients in residential settings and more than 16,500 clients 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 its 25,250,000 shares of common stock of Civitas Solutions, Inc. it held to its existing members in accordance with their respective membership interests. NMH Holdings, LLC ("NMHH") is a wholly owned subsidiary of Civitas Solutions, Inc. and National Mentor Holdings, Inc. (“NMHI”) is a wholly owned subsidiary of NMHH. The financial results of Civitas Solutions, Inc. are primarily composed of the financial results of National Mentor Holdings, Inc. and its subsidiaries on a consolidated basis.

Significant Accounting Policies

Significant Accounting Policies	12 Months Ended
	Sep. 30, 2016
Accounting Policies [Abstract]
Significant Accounting Policies	Significant Accounting Policies Basis of Presentation Principles of Consolidation The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. Intercompany accounts and transactions between the Company and its subsidiaries have been eliminated in consolidation. Use of Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America (“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. On an on-going basis, we evaluate our estimates and judgments and methodologies. Actual results could differ from these estimates under different assumptions or conditions. Fair Value Measurements The accounting standard for fair value measurements defines fair value, establishes a framework for measuring fair value in accordance with GAAP, and requires detailed disclosures about fair value measurements. Under this standard, fair value is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. The valuation techniques are based on observable and unobservable inputs. Observable inputs reflect readily obtainable data from independent sources, while unobservable inputs reflect certain market assumptions. This standard classifies these inputs into the following hierarchy: Level 1 Inputs - Quoted prices for identical instruments in active markets. Level 2 Inputs - Quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations whose inputs are observable or whose significant value drivers are observable. Level 3 Inputs - Instruments with primarily unobservable value drivers. The fair value hierarchy level is determined by asset class based on the lowest level of significant input. In periods of market inactivity, the observability of prices and inputs may be reduced for certain instruments. This condition could cause an instrument to be reclassified between levels. During the years ended September 30, 2016 and 2015, there were no transfers between levels. Cash Equivalents The Company considers short-term investments with maturity dates of 90 days or less at the date of purchase to be cash equivalents. As of September 30, 2016 and 2015, the Company did not have any cash equivalents. Restricted Cash Restricted cash consists of a cash collateral account set up to support the issuance of letters of credit under the Company’s institutional letter of credit facility and funds provided from government payors restricted for client use. Concentrations of Credit and Other Risks Financial instruments that potentially subject the Company to credit risk primarily consist of cash and cash equivalents, self-insurance receivables and accounts receivable. Cash and cash equivalents are deposited with federally insured commercial banks in the United States, which, at times may exceed federally insured limits of $250 thousand . The Company has not experienced any losses in such accounts. As of September 30, 2016, our accounts exceeded federally insured limits by $50.4 million . The Company derives approximately 88% of its revenue from state and local government payors. These entities fund a significant portion of their payments to the Company through federal matching funds, which pass through various state and local government agencies. Of the 35 states the Company operates in, Minnesota is our largest state and generates revenue from our contracts with state and local governmental payors which accounted for 15% , 15% and 14% of our net revenue in fiscal 2016 , 2015 and 2014, respectively. Revenue Recognition Revenue is reported net of allowances for unauthorized sales and estimated sales adjustments. Revenue is also reported net of any state provider taxes or gross receipts taxes levied on services the Company provides. Sales adjustments are estimated based on an analysis of historical sales adjustments and recent developments in payment trends. Revenue is recognized when evidence of an arrangement exists, the service has been provided, the price is fixed or determinable and collectability is reasonably assured. The Company recognizes revenue for services performed pursuant to contracts with various state and local government agencies and private health care agencies. The payment terms and rates of our contracts vary by jurisdiction and service type. The Company has four types of contractual arrangements with payors which include negotiated contracts, fixed fee contracts, retrospective reimbursement contracts and prospective payments contracts. Under the Company's units-of-service contracts revenue is recognized at the time the service is performed. Under the Company's cost reimbursement contracts revenue is recognized at the time the service costs are incurred. For the Company’s cost-reimbursement contracts, the rate provided by the payor is based on a certain level of service and types of costs incurred in delivering the service. From time to time, the Company receives payments under cost-reimbursement contracts in excess of the allowable costs required to support those payments. In such instances, the Company estimates and records a liability for such excess payments. At the end of the contract period, any balance of excess payments is maintained as a liability until it is reimbursed to the payor. Revenue in the future may be affected by changes in rate-setting structures, methodologies or interpretations that may be enacted in states where the Company operates or by the federal government. Cost of Revenue The Company classifies expenses directly related to providing services as cost of revenue, except for depreciation and amortization related to cost of revenue, which are shown separately in the consolidated statements of operations. Direct costs and expenses principally include salaries and benefits for service provider employees, per diem payments to independently contracted host-home caregivers (“Mentors”), residential occupancy expenses, which are primarily composed of rent and utilities related to facilities providing direct care, certain client expenses, such as food and medicine and transportation costs for clients requiring services, professional and general liability expense, employment practices liability expense and workers’ compensation expense. Property and Equipment Property and equipment are recorded at cost and are depreciated using a straight-line method when placed into service, based on their estimated useful lives as follows: Asset Description Estimated Useful Life (in years) Land Indefinite Building 30 Leasehold Improvements Not to exceed 7 years or length of lease Vehicles 5 Computer hardware and software 3 Furniture, fixtures and equipment 3-5 Capital lease assets are depreciated over the lesser of the lease term or the useful life of the asset. Expenditures for maintenance and repairs are charged to operating expenses as incurred. When assets are sold or retired, the corresponding cost and accumulated depreciation are removed from the related accounts and any gain or loss is recorded in the period of the sale or retirement. Internal Use Software Development Costs The Company capitalizes certain costs associated with its internally developed software that are incurred subsequent to the preliminary project stage. Specifically, the Company capitalizes the payroll and payroll-related costs of employees who are directly involved with and who devote time to the Company’s software development project and other applicable third-party costs, and amortizes these costs on a straight-line basis over the estimated useful life of the software of three years . Amortization begins when the internal-use software is ready for its intended use. During both years ended September 30, 2016 and 2015 the Company capitalized $1.4 million of internal use software development costs related to customized software solutions for the Company's service programs. As of September 30, 2016 and 2015, the Company had $5.2 million and $3.8 million of internal use software costs included in Property and equipment, net, respectively. Accounts Receivable Accounts receivable primarily consist of amounts due from government agencies, not-for-profit providers and commercial insurance companies. An estimated allowance for doubtful accounts is recorded to the extent it is probable that a portion or all of a particular account will not be collected. In evaluating the collectability of accounts receivable, the Company considers a number of factors, including payment trends in individual states, age of the accounts and the status of ongoing disputes with third party payors. Complex rules and regulations regarding billing and timely filing requirements in various states are also a factor in our assessment of the collectability of accounts receivable. Actual collections of accounts receivable in subsequent periods may require changes in the estimated allowance for doubtful accounts. Changes in these estimates are charged or credited to revenue as a contractual allowance in the consolidated statements of operations in the period of the change in estimate. Goodwill and Indefinite-lived Intangible Assets The Company reviews costs of purchased businesses in excess of the fair value of net assets acquired (goodwill), and indefinite-lived intangible assets for impairment at least annually, unless significant changes in circumstances indicate a potential impairment may have occurred sooner. The Company conducts its annual impairment test for both goodwill and indefinite-lived intangible assets on July 1 st of each year. The Company is required to test goodwill on a reporting unit basis. The Company has the option to first assess qualitative factors to determine whether further impairment testing is necessary. The Company has elected to bypass the qualitative assessments and proceed directly to the two-step impairment test. The first step is to compare the fair value of the reporting unit with its carrying value. If the carrying amount of the reporting unit exceeds its fair value then the second step of the goodwill impairment test is performed. The second step of the goodwill impairment test compares the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill in order to determine the amount of impairment to be recognized. The excess of the carrying value of goodwill above the implied goodwill, if any, would be recognized as an impairment charge. Fair values are estimated using the discounted cash flow method. For its indefinite-lived intangible assets, the Company has elected to bypass the qualitative assessments and proceed directly to the quantitative impairment test. The impairment test for indefinite-lived intangible assets requires the determination of the fair value of the intangible asset. If the fair value of the indefinite-lived intangible asset is less than its carrying value, an impairment loss is recognized in an amount equal to the difference. Fair values are estimated using the relief from royalty method. As described above, the fair value of a reporting unit is based on discounted estimated future cash flows. The assumptions used to estimate fair value include management’s best estimates of future operating cash flows, including revenue growth, tax rates, capital expenditures, discount rates and working capital changes. As such, actual results may differ from these estimates and lead to a revaluation of the Company’s goodwill and indefinite-lived intangible assets. Impairment of Long-Lived Tangible and Intangible Assets The Company reviews long-lived tangible and intangible assets for impairment when events or circumstances have occurred that indicate the estimated useful life of these assets may warrant revision or that the carrying amount of these asset may be impaired. To compute whether assets have been impaired, the estimated undiscounted future cash flows for the estimated remaining useful life of the assets are compared to the carrying value. To the extent that the future cash flows are less than the carrying value, the assets are written down to the estimated fair value of the asset. Income Taxes The Company accounts for income taxes using the asset and liability method. Under this method, deferred tax assets and liabilities are determined by multiplying the differences between the financial reporting and tax reporting bases for assets and liabilities by the enacted tax rates expected to be in effect when such differences are recovered or settled. These deferred tax assets and liabilities are separated into current and long-term amounts based on the classification of the related assets and liabilities for financial reporting purposes and netted by jurisdiction. Valuation allowances on deferred tax assets are estimated based on the Company’s assessment of the realizability of such amounts. The Company also recognizes the benefits of tax positions when certain criteria are satisfied. The Company may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such a position should be measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. The Company recognizes interest and penalties related to uncertain tax positions as a component of income tax expense which is consistent with the recognition of these items in prior reporting periods. Derivative Financial Instruments The Company reports derivative financial instruments on the balance sheet at fair value and establishes criteria for designation and effectiveness of hedging relationships. Changes in the fair value of derivatives are recorded each period in current operations or in the consolidated statements of comprehensive income (loss) depending upon whether the derivative is designated as part of a hedge transaction and, if it is, the type of hedge transaction. The Company, from time to time, enters into interest rate swap agreements to hedge against variability in cash flows resulting from fluctuations in the benchmark interest rate, which is LIBOR, on the Company’s debt. These agreements involve the exchange of variable interest rates for fixed interest rates over the life of the swap agreement without an exchange of the notional amount upon which the payments are based. On a quarterly basis, the differential to be received or paid as interest rates change is accrued and recognized as an adjustment to interest expense in the accompanying consolidated statements of operations. In addition, on a quarterly basis, the mark to market valuation is recorded as an adjustment to gain (loss) on derivative within the consolidated statements of comprehensive income (loss). The related amount receivable from or payable to counterparties is included as an asset or liability, respectively, in the Company’s consolidated balance sheets. Stock-Based Compensation Prior to the Company's initial public offering ("IPO"), NMH Investment maintained an equity-based compensation plan, and from time to time it issued units of limited liability company interests pursuant to such plan. The units were available for issuance to the Company’s employees and members of the Board of Directors. The Company recognized the fair value of these awards as compensation expense over the requisite services period or when the satisfaction of the vesting conditions were determined to be probable. In October 2015, 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 conditions for all unvested awards. As a result, the Company recorded compensation expense of $10.5 million that is included in General and administrative expense on the Consolidated Statement of Operations during the year ended September 30, 2016. In fiscal 2014, Civitas adopted an equity-based compensation plan and began issuing stock-based awards including non-qualified stock options and restricted stock units. The Company recognizes the fair value of stock-based compensation expense over the requisite service period of the individual grantee, which equals the vesting period. The fair value of each option granted was estimated on the grant date using the Black-Scholes valuation model. The fair value of each restricted stock unit was determined based the Company's closing stock price on the date of grant. The Company is required to estimate future forfeitures of stock-based awards for recognition of compensation expense. The Company will record additional expense if the actual forfeitures are lower than estimated and will record a recovery of prior recognized expense if the actual forfeitures are higher than estimated. The actual expense recognized over the vesting period will only be for those awards that vest. Self-Insurance The Company maintains employment practices liability, professional and general liability, workers’ compensation, automobile liability and health insurance with policies that include self-insured retentions. Employment practices liability is fully self-insured. The Company records expenses related to claims on an incurred basis, which includes estimates of fully developed losses for both reported and unreported claims. The accruals for the health, workers’ compensation, automobile, employment practices liability and professional and general liability programs are based on analyses performed internally by management and for certain balances, take into account reports by independent third party actuaries. Self-insurance accruals are periodically re-evaluated and increased or decreased based on new information. Self-Insurance Gross versus Net Presentation The Company reports its insurance liabilities on a gross basis without giving effect to insurance recoveries. Anticipated insurance recoveries are presented in Prepaid expenses and other current assets and Other assets on the consolidated balance sheets. Self-insured liabilities are presented in Accrued payroll and related costs, Other accrued liabilities and Other long-term liabilities on the Company’s consolidated balance sheets. Legal Contingencies The Company reserves for costs related to contingencies when a loss is probable and the amount is reasonably estimable or a range of loss can be determined. These accruals represent management’s best estimate of probable loss. Disclosure is also provided when it is reasonably possible that a loss will be incurred or when it is reasonably possible that the amount of loss will exceed the recorded provision. Significant judgment is required in both the determination of probability and the determination as to whether an exposure is reasonably estimable. Because of uncertainties related to these matters, accruals are based only on the best information available at the time. As additional information becomes available, the Company reassesses the potential liability related to pending claims and litigation and may revise its estimates. These revisions in the estimates of the potential liabilities could have a material impact on our consolidated results of operations and financial position. Leases The Company accounts for leases in accordance with ASC Topic 840 Leases . For lease agreements that provide for escalating rent payments and rent holidays, the Company recognized rent expense on a straight-line basis over the non-cancellable lease term and option renewal periods where failure to exercise such options would result in an economic penalty such that the renewal appears, at the inception of the lease, to be reasonable assured. The lease term commences when the Company becomes obligated under the terms of the lease agreement. Discontinued Operations In determining whether operations disposed (or to be disposed) of should be presented as discontinued operations, the Company assesses whether the disposal group represents a strategic shift that has (or will have) a major effect on the entity's operations and financial results. If these determinations can be made affirmatively, the results of operations of the disposal group (as well as any gain or loss on the disposal transaction) are aggregated for separate presentation apart from the continuing results of the Company in the consolidated finance statements. If the disposal group does not represent a strategic shift that has a major effect on the Company's operations or financial results but is determined to be an individually significant component of the Company, enhanced disclosures on the operating results of the disposal group will be presented. Prior to fiscal 2015, operations disposed (or to be disposed) of that did not represent a strategic shift that had a major effect on the Company's operations and financial results were presented as discontinued operations if they qualified as a component and the cash flows of the component were eliminated from ongoing operations by the end of the assessment period and the Company did not have significant continuing involvement with the divested operations. Subsequent Events The Company considers events or transactions that have occurred after the balance sheet date of September 30, 2016 , but prior to the filing of the financial statements with the Securities and Exchange Commission, or SEC, to provide additional evidence relative to certain estimates or to identify matters that require additional recognition or disclosure. Subsequent events have been evaluated through the filing of the financial statements accompanying this Annual Report on Form 10-K.

Recent Accounting Pronouncement

Recent Accounting Pronouncements	12 Months Ended
	Sep. 30, 2016
Accounting Changes and Error Corrections [Abstract]
Recent Accounting Pronouncements	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 including identifying performance obligations in the contract, estimating the amount of variable consideration to include in the transaction price and allocating the transaction price to each separate performance obligation. Subsequent to issuing ASU No. 2014-09, the FASB issued the following amendments concerning the adoption and clarification of ASU No. 2014-09. 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. In March 2016, the FASB issued ASU No. 2016-08, Revenue from Contracts with Customers (Topic 606): Principal versus Agent Considerations (Reporting Revenue Gross versus Net), which further clarifies the implementation guidance on principal versus agent considerations. The new guidance requires either a retrospective or a modified retrospective approach to adoption. In April 2016, the FASB issued ASU No. 2016-10 Revenue from Contracts with Customers (Topic 606): Identifying Performance Obligations and Licensing, which clarifies the identification of the performance obligations and licensing implementation guidance, while retaining the related principals of those areas. In May 2016, the FASB issued ASU No. 2016-12 Revenue from Contracts with Customers (Topic 606): Narrow-Scope Improvements and Practical Expedients, which provides clarification on assessing the collectability criterion, presentation of sales taxes, measurement date for noncash consideration and completed contracts at transition. The Company is evaluating the method of adoption and the potential impact that these ASUs will 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 was effective for the Company beginning on October 1, 2016. As of September 30, 2016 and September 30, 2015 , the Company had deferred financing costs of $5.9 million and $7.5 million , respectively, within other assets. These costs will be presented as a deduction from the carrying amount of the Company's debt balance beginning on October 1, 2016. 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 was effective for the Company beginning on October 1, 2016. Although the impact of applying this standard to prior acquisitions would have been immaterial, the standard 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 and is to be applied either prospectively or retrospectively. The update will be effective for the Company beginning on October 1, 2017. As of September 30, 2016 and September 30, 2015 , the Company had current deferred tax assets, net of current deferred tax liabilities, of $18.0 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 but expects that the adoption of ASU No. 2016-02 will result in an increase to its long-term assets and liabilities on the consolidated balance sheet. Stock Compensation— In March 2016, the FASB issued ASU No. 2016-09-Compensation-Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting. 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. Statement of Cash Flows— In August 2016, the FASB issued ASU No. 2016-15- Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments. The update addresses eight specific cash flow issues with the objective of reducing the existing diversity in practice. The new standard is effective for fiscal years beginning after December 15, 2017, and interim periods within those fiscal years. The Company is currently evaluating the potential impact that this standard may have on its consolidated financial statements.

Business Combinations

Business Combinations	12 Months Ended
	Sep. 30, 2016
Business Combinations [Abstract]
Business Combinations	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 fiscal year ended September 30, 2016 , the Company acquired certain assets of 12 companies complementary to its business for a total cash consideration of $45.2 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 approximately $2.7 million of agency contracts with a weighted average useful life of 12 years . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. 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 . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. 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 . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. As a result of this 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 $9.9 million of agency contracts with a weighted average useful life of 12 years and $0.7 million of tradenames with a weighted average useful life of 5 years . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. As a result of this 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 $0.9 million of licenses and permits with a weighted average useful life of 10 years . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. As a result of this 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 $7.7 million of identified intangible assets which included $6.7 million of agency contracts with a weighted average useful life of 12 years and $1.0 million of tradenames with a weighted average useful life of 5 years . In addition, the Company acquired total tangible assets, consisting primarily of vehicles, of $0.8 million . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. As a result of this acquisition, the Company recorded $3.8 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 . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. As a result of this 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 . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. 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. Other acquisitions. During fiscal 2016, the Company acquired the assets of Resources for Human Development ("RHD"), Learning Services, Inc. ("Learning Services"), Pine Grove Habilitation Center ("Pine Grove"), and Alexander Milne Developmental Services ("Milne"). RHD, Pine Grove and Milne are in the business of providing residential group home services to individuals with developmental disabilities and similar conditions and is included in our Human Services segment. Learning Services is engaged in the business of providing supported living and rehabilitation services for individuals with acquired brain injuries and similar conditions and is included in our Post Acute Specialty-Rehabilitation Services segment. Total cash consideration for these companies was $0.9 million . 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 10,600 363 10,963 2,677 13,640 TLC Duluth 7,132 26 7,158 1,342 8,500 Maryland ADH 7,680 769 8,449 3,835 12,284 Eagle Crest 1,698 — 1,698 302 2,000 CRM 934 87 1,021 119 1,140 RHD 18 43 61 — 61 Learning Services 100 — 100 — 100 Pine Grove 407 — 407 93 500 Milne 210 5 215 — 215 Total $ 34,474 $ 1,331 $ 35,805 $ 9,391 $ 45,196 The Company's consolidated statement of operations for the years ended September 30, 2016 included revenue totaling approximately $27.6 million . The Company has not disclosed income from operations because it is immaterial. Fiscal 2015 Acquisitions During the fiscal year ended September 30, 2015, the Company acquired certain assets of 10 companies complementary to its business for a total fair value consideration of $44.8 million , including $6.1 million of contingent consideration. Capstone Services, LLC (“Capstone”). On October 31, 2014 , the Company acquired the assets of Capstone for $4.5 million . Capstone is located in Minnesota and provides residential and home-based supportive living services to individuals with developmental disabilities. The Company acquired $3.5 million of intangible assets which included $2.6 million of agency contracts with a weighted average useful life of 12 years , $0.8 million of licenses and permits with a weighted average useful life of 10 years , and $0.1 million for a non-compete/non-solicit agreement with a useful life of 5 years . In addition, the Company acquired total tangible assets of $0.2 million . As a result of this acquisition, the Company recorded $0.8 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. Lakeview Systems (“Lakeview”). On December 29, 2014 , the Company acquired certain assets of Lakeview’s New Hampshire programs for $8.0 million . Lakeview provides community-based residential services for individuals with brain injuries. The Company acquired $6.7 million of intangible assets which included $6.0 million of agency contracts with a weighted average useful life of 12 years , $0.7 million of licenses and permits with a weighted average useful life of 10 years , and $31 thousand for a non-compete/non-solicit agreement with a useful life of 5 years . In addition, the Company acquired total tangible assets of $48 thousand . As a result of this acquisition, the Company recorded $1.3 million of goodwill in the Post-Acute Specialty Rehabilitation Services segment, which is expected to be deductible for tax purposes. Cassell & Associates LLC ("Cassell"). On January 13, 2015 , the Company acquired the assets of Cassell's Michigan programs for $24.3 million , including $6.1 million of contingent consideration. The terms of the acquisition agreement require the Company to pay an earn-out upon successfully meeting certain revenue and EBITDA targets through February 2017. There is no dollar cap on the earn-out. Cassell provides non-residential therapeutic vocational services to individuals recovering from brain injuries in the state of Michigan. The Company acquired $11.6 million of intangible assets which included $10.3 million of agency contracts with a weighted average useful life of 12 years , $0.2 million of non-compete/non-solicit agreement with a useful life of 5 years , and $1.1 million of trade names with a useful life of 5 years . In addition, the Company acquired total tangible assets of $37 thousand . As a result of this acquisition, the Company recorded $12.6 million of goodwill in the Post-Acute Specialty Rehabilitation Services segment, which is expected to be deductible for tax purposes. Comprehensive Professional Services ("CPS"). On March 23, 2015 , the Company acquired the assets of CPS's Michigan programs for $1.3 million . CPS provides community-based, residential services for individuals with brain injuries. The Company acquired $0.9 million of intangible assets which included $0.7 million of agency contracts with a weighted average useful life of 12 years , $0.2 million of licenses and permits with a weighted average useful life of 10 years , $5 thousand for a non-compete/non-solicit agreement with a useful life of 5 years . In addition, the Company acquired total tangible assets of $19 thousand . As a result of this acquisition, the Company recorded $0.4 million of goodwill in the Post-Acute Specialty Rehabilitation Services segment, which is expected to be deductible for tax purposes. Snug Harbor Home Health, Inc. ("Snug Harbor"). On April 1, 2015 , the Company acquired the assets of Snug Harbor for $1.0 million . Snug Harbor provides home and community-based services to individuals with intellectual and/or developmental disabilities. The Company acquired $0.9 million of agency contracts with a weighted average useful life of 12 years . In addition, the Company acquired total tangible assets of $28 thousand . As a result of this acquisition, the Company recorded $34 thousand of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. Heritage Residential Services, Inc. ("Heritage"). On April 30, 2015 , the Company acquired the assets of Heritage for $2.2 million . Heritage provides residential and related services to individuals with intellectual and/or developmental disabilities. The Company acquired $1.3 million of intangible assets which included $1.1 million of agency contracts with a weighted average useful life of 12 years , $0.2 million of licenses and permits with a weighted average useful life of 10 years , and $22 thousand of trade names with a useful life of 1 year . As a result of this acquisition, the Company recorded $0.9 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. Visions of N.E.W., LLC ("Visions of N.E.W."). On April 30, 2015 , the Company acquired the assets of Visions of N.E.W. for $3.0 million . Visions of N.E.W. provides residential, transportation, job coaching, supportive care and similar services to individuals with developmental disabilities. The Company acquired $2.2 million of intangible assets which included $1.8 million of agency contracts with a weighted average useful life of 12 years , and $0.4 million of licenses and permits with a weighted average useful life of 10 years . In addition, the Company acquired total tangible assets of $0.1 million . As a result of this acquisition, the Company recorded $0.7 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. Other Acquisitions. During fiscal 2015, the Company acquired the assets of Kessel Group Home, Inc ("Kessel"), Individual Expressions, Inc ("Individual Expressions"), and Georgia Rehabilitation Institute, Inc at Harison Heights ("Harison Heights"). Kessel and Individual Expressions are in the business of providing group home and related services to individuals with developmental disabilities and are included in our Human Services segment. Harison Heights is engaged in the business of providing assisted living, supported living or transitional living services to individuals with brain injuries, neuromuscular disorders, spinal cord injuries and similar conditions and is included in our SRS segment. Total cash consideration for these companies was $0.6 million of which $0.4 million was recorded for identifiable intangible assets, $0.2 million was recorded for goodwill and $48 thousand was recorded for tangible assets. The following table summarizes the recognized amounts of identifiable assets acquired assumed at the date of the acquisition: (in thousands) Identifiable Tangible Assets Total Identifiable Goodwill Capstone $ 3,539 $ 178 $ 3,717 $ 758 Lakeview 6,664 48 6,712 1,272 Cassell 11,600 37 11,637 12,633 CPS 876 19 895 355 Snug Harbor 938 28 966 34 Heritage 1,252 — 1,252 945 Visions of N.E.W. 2,240 122 2,362 663 Other acquisitions 361 48 409 228 Total $ 27,470 $ 480 $ 27,950 $ 16,888 The Company's consolidated statement of operations for the year ended September 30, 2015 included revenue totaling $25.2 million related to these businesses. The Company has not disclosed income from operations because it is immaterial. Fiscal 2014 Acquisitions During the fiscal year ended September 30, 2014, the Company acquired 11 companies complementary to its business for a total fair value consideration of $56.1 million . Show-Me Health Care, Inc. (“Show-Me Health Care”). On November 29, 2013 , the Company acquired the assets of Show-Me Health Care for $1.2 million . Show-Me Health Care is located in Missouri and provides community-based supportive living services to individuals with developmental disabilities. As a result of this acquisition, the Company recorded $0.3 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $0.9 million of intangible assets which included $0.7 million of agency contracts with a weighted average useful life of 12 years , $0.2 million of licenses and permits with a weighted average useful life of 10 years , and $14 thousand of non-compete/non-solicit agreement with a useful life of 5 years . Occazio, Inc. (“Occazio”) . On January 2, 2014 , the Company acquired the assets of Occazio for $5.5 million . Occazio is located in Indiana and provides residential, home care and home health care services to consumers with intellectual and/or developmental disabilities. As a result of this acquisition, the Company recorded $1.4 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $3.9 million of intangible assets which included $2.9 million of agency contracts with a weighted average useful life of 12 years , $0.7 million of licenses and permits with a weighted average useful life of 10 years , $0.2 million trade name with a useful life of 5 years , and $24 thousand of non-compete/non-solicit agreement with a useful life of 5 years . In addition, the Company acquired total tangible assets of $0.2 million . Momentum Rehabilitation Services, Inc., D/B/A Ann Arbor Rehabilitation Centers (“Ann Arbor”) . On February 7, 2014 , the Company acquired the assets of Ann Arbor for $4.8 million . Ann Arbor is located in Michigan and provides comprehensive on and off-campus residential housing and personalized daily services to adults with traumatic brain injury. As a result of this acquisition, the Company recorded $1.0 million of goodwill in the Post-Acute Specialty Rehabilitation Services segment, which is expected to be deductible for tax purposes. The Company acquired $3.8 million of intangible assets which included $3.7 million of agency contracts with a weighted average useful life of 12 years , $0.1 million trade name with a useful life of 5 years , and $33 thousand of non-compete/non-solicit agreement with a useful life of 5 years . Tender Loving Care Metro, LLC (“Tender Loving Care”). On April 7, 2014 , the Company acquired the assets of Tender Loving Care for $3.0 million . Tender Loving Care is located in Minnesota and provides residential and related services to adults with intellectual and/or developmental disabilities. As a result of this acquisition, the Company recorded $0.5 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $2.4 million of intangible assets which included $2.0 million of agency contracts with a weighted average useful life of 12 years , $0.3 million of licenses and permits with a weighted average useful life of 10 years , and $0.1 million of non-compete/non-solicit agreement with a useful life of 5 years . AmeriServe International of Arizona, Inc. (“AmeriServe”). On June 30, 2014 , the Company acquired the assets of AmeriServe for $0.4 million . AmeriServe is located in Arizona and provides group home services, day program services and related services to individuals with developmental disabilities. 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 Company acquired $0.3 million of intangible assets which included $0.2 million of agency contracts with a weighted average useful life of 12 years , $39 thousand of licenses and permits with a weighted average useful life of 10 years , and $12 thousand of non-compete/non-solicit agreement with a useful life of 5 years . G&D Alternative Living, Inc. (“G&D”) . On June 30, 2014 , the Company acquired the assets of G&D for $1.5 million . G&D is located in Ohio and provides group home services, day program services and related services to individuals with developmental disabilities. As a result of this acquisition, the Company recorded $0.3 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $1.1 million of intangible assets which included $0.9 million of agency contracts with a weighted average useful life of 12 years , $0.2 million of licenses and permits with a weighted average useful life of 10 years , and $6 thousand of non-compete/non-solicit agreement with a useful life of 5 years . Life by Design, Inc. (“Life by Design”) . On July 23, 2014 , the Company acquired the assets of Life by Design for $2.1 million . Life by Design is located in Minnesota and provides supported living and related services to individuals with developmental disabilities. Based on the estimated fair values of the assets acquired at the date of acquisition, the Company recorded $0.4 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $1.7 million of intangible assets which included $1.3 million of agency contracts with a weighted average useful life of 12 years , $0.3 million of licenses and permits with a weighted average useful life of 10 years , and $33 thousand of non-compete/non-solicit agreement with a useful life of 5 years . Mass Adult Day Health Alliance (“Adult Day Health”). On September 8, 2014 , the Company acquired Adult Day Health for consideration of $37.1 million , including $2.4 million of contingent consideration. The terms of the acquisition agreement require the Company to pay an earn-out upon successfully meeting certain revenue and EBITDA targets through 2016. There is a $3.3 million dollar cap on the earn-out. Adult Day Health is located in Massachusetts and operates eight adult day health facilities in the Boston area and provides outpatient, center-based services that provide health, therapeutic and social support to elders in a group environment. Based on the estimated fair values of the net assets acquired at the date of acquisition, the Company recorded $18.0 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $18.1 million of intangible assets which included $12.4 million of agency contracts with a weighted average useful life of 12 years , $0.7 million of licenses and permits with a weighted average useful life of 10 years , $3.4 million trade name with an indefinite useful life, and $1.6 million of non-compete/non-solicit agreements with a useful life of 5 years . In addition, the Company acquired total tangible assets of $1.4 million . Other Acquisitions. During fiscal 2014, the Company acquired the assets of Rose View Group Home, LLC, Multi-Dimensional Services and Supports, Inc. and Residential CRF, Inc. All three of these acquisitions are in the business of providing group home and related services to individuals with developmental disabilities and are included in our Human Services segment. Total cash consideration for these companies was $0.4 million of which $0.1 million was recorded to goodwill and $0.3 million was recorded to intangible assets. The following table summarizes the recognized amounts of identifiable assets acquired assumed at the date of the acquisition: (in thousands) Identifiable Tangible Assets Total Identifiable Goodwill Show-Me Health Care $ 895 $ 9 $ 904 $ 336 Occazio 3,863 216 4,079 1,421 Ann Arbor 3,801 50 3,851 972 Tender Loving Care 2,396 16 2,412 538 AmeriServe 288 43 331 69 G&D 1,086 102 1,188 312 Life by Design 1,651 16 1,667 433 Adult Day Health 18,100 1,081 19,181 17,969 Other acquisitions 272 106 378 57 Total $ 32,352 $ 1,639 $ 33,991 $ 22,107 The Company's consolidated statement of operations for the years ended September 30, 2014 included revenue totaling approximately $19.7 million related to these businesses. The Company has not disclosed income from operations because it is immaterial. Proforma Results of Operations The following table reflects the unaudited pro forma results of operations for fiscal 2016 , 2015 , and 2014 assuming that the acquisitions made during fiscal 2016 , 2015 , and 2014 had occurred on October 1, 2014, 2013 and 2012, respectively. (in thousands) Year Ended Year ended September 30, 2015 Year ended September 30, 2014 Net revenue $ 1,428,219 $ 1,429,166 $ 1,324,122 Net income (loss) 11,233 9,779 (8,422 ) 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, 2013 and 2012, or the results that may be achieved in future periods.

Proforma Results of Operations

Proforma Results of Operations	12 Months Ended
	Sep. 30, 2016
Business Combinations [Abstract]
Proforma Results of Operations	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 fiscal year ended September 30, 2016 , the Company acquired certain assets of 12 companies complementary to its business for a total cash consideration of $45.2 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 approximately $2.7 million of agency contracts with a weighted average useful life of 12 years . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. 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 . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. 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 . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. As a result of this 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 $9.9 million of agency contracts with a weighted average useful life of 12 years and $0.7 million of tradenames with a weighted average useful life of 5 years . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. As a result of this 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 $0.9 million of licenses and permits with a weighted average useful life of 10 years . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. As a result of this 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 $7.7 million of identified intangible assets which included $6.7 million of agency contracts with a weighted average useful life of 12 years and $1.0 million of tradenames with a weighted average useful life of 5 years . In addition, the Company acquired total tangible assets, consisting primarily of vehicles, of $0.8 million . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. As a result of this acquisition, the Company recorded $3.8 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 . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. As a result of this 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 . The estimated fair values of the intangible assets acquired at the date of acquisition are determined based on a valuation that has been finalized. 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. Other acquisitions. During fiscal 2016, the Company acquired the assets of Resources for Human Development ("RHD"), Learning Services, Inc. ("Learning Services"), Pine Grove Habilitation Center ("Pine Grove"), and Alexander Milne Developmental Services ("Milne"). RHD, Pine Grove and Milne are in the business of providing residential group home services to individuals with developmental disabilities and similar conditions and is included in our Human Services segment. Learning Services is engaged in the business of providing supported living and rehabilitation services for individuals with acquired brain injuries and similar conditions and is included in our Post Acute Specialty-Rehabilitation Services segment. Total cash consideration for these companies was $0.9 million . 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 10,600 363 10,963 2,677 13,640 TLC Duluth 7,132 26 7,158 1,342 8,500 Maryland ADH 7,680 769 8,449 3,835 12,284 Eagle Crest 1,698 — 1,698 302 2,000 CRM 934 87 1,021 119 1,140 RHD 18 43 61 — 61 Learning Services 100 — 100 — 100 Pine Grove 407 — 407 93 500 Milne 210 5 215 — 215 Total $ 34,474 $ 1,331 $ 35,805 $ 9,391 $ 45,196 The Company's consolidated statement of operations for the years ended September 30, 2016 included revenue totaling approximately $27.6 million . The Company has not disclosed income from operations because it is immaterial. Fiscal 2015 Acquisitions During the fiscal year ended September 30, 2015, the Company acquired certain assets of 10 companies complementary to its business for a total fair value consideration of $44.8 million , including $6.1 million of contingent consideration. Capstone Services, LLC (“Capstone”). On October 31, 2014 , the Company acquired the assets of Capstone for $4.5 million . Capstone is located in Minnesota and provides residential and home-based supportive living services to individuals with developmental disabilities. The Company acquired $3.5 million of intangible assets which included $2.6 million of agency contracts with a weighted average useful life of 12 years , $0.8 million of licenses and permits with a weighted average useful life of 10 years , and $0.1 million for a non-compete/non-solicit agreement with a useful life of 5 years . In addition, the Company acquired total tangible assets of $0.2 million . As a result of this acquisition, the Company recorded $0.8 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. Lakeview Systems (“Lakeview”). On December 29, 2014 , the Company acquired certain assets of Lakeview’s New Hampshire programs for $8.0 million . Lakeview provides community-based residential services for individuals with brain injuries. The Company acquired $6.7 million of intangible assets which included $6.0 million of agency contracts with a weighted average useful life of 12 years , $0.7 million of licenses and permits with a weighted average useful life of 10 years , and $31 thousand for a non-compete/non-solicit agreement with a useful life of 5 years . In addition, the Company acquired total tangible assets of $48 thousand . As a result of this acquisition, the Company recorded $1.3 million of goodwill in the Post-Acute Specialty Rehabilitation Services segment, which is expected to be deductible for tax purposes. Cassell & Associates LLC ("Cassell"). On January 13, 2015 , the Company acquired the assets of Cassell's Michigan programs for $24.3 million , including $6.1 million of contingent consideration. The terms of the acquisition agreement require the Company to pay an earn-out upon successfully meeting certain revenue and EBITDA targets through February 2017. There is no dollar cap on the earn-out. Cassell provides non-residential therapeutic vocational services to individuals recovering from brain injuries in the state of Michigan. The Company acquired $11.6 million of intangible assets which included $10.3 million of agency contracts with a weighted average useful life of 12 years , $0.2 million of non-compete/non-solicit agreement with a useful life of 5 years , and $1.1 million of trade names with a useful life of 5 years . In addition, the Company acquired total tangible assets of $37 thousand . As a result of this acquisition, the Company recorded $12.6 million of goodwill in the Post-Acute Specialty Rehabilitation Services segment, which is expected to be deductible for tax purposes. Comprehensive Professional Services ("CPS"). On March 23, 2015 , the Company acquired the assets of CPS's Michigan programs for $1.3 million . CPS provides community-based, residential services for individuals with brain injuries. The Company acquired $0.9 million of intangible assets which included $0.7 million of agency contracts with a weighted average useful life of 12 years , $0.2 million of licenses and permits with a weighted average useful life of 10 years , $5 thousand for a non-compete/non-solicit agreement with a useful life of 5 years . In addition, the Company acquired total tangible assets of $19 thousand . As a result of this acquisition, the Company recorded $0.4 million of goodwill in the Post-Acute Specialty Rehabilitation Services segment, which is expected to be deductible for tax purposes. Snug Harbor Home Health, Inc. ("Snug Harbor"). On April 1, 2015 , the Company acquired the assets of Snug Harbor for $1.0 million . Snug Harbor provides home and community-based services to individuals with intellectual and/or developmental disabilities. The Company acquired $0.9 million of agency contracts with a weighted average useful life of 12 years . In addition, the Company acquired total tangible assets of $28 thousand . As a result of this acquisition, the Company recorded $34 thousand of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. Heritage Residential Services, Inc. ("Heritage"). On April 30, 2015 , the Company acquired the assets of Heritage for $2.2 million . Heritage provides residential and related services to individuals with intellectual and/or developmental disabilities. The Company acquired $1.3 million of intangible assets which included $1.1 million of agency contracts with a weighted average useful life of 12 years , $0.2 million of licenses and permits with a weighted average useful life of 10 years , and $22 thousand of trade names with a useful life of 1 year . As a result of this acquisition, the Company recorded $0.9 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. Visions of N.E.W., LLC ("Visions of N.E.W."). On April 30, 2015 , the Company acquired the assets of Visions of N.E.W. for $3.0 million . Visions of N.E.W. provides residential, transportation, job coaching, supportive care and similar services to individuals with developmental disabilities. The Company acquired $2.2 million of intangible assets which included $1.8 million of agency contracts with a weighted average useful life of 12 years , and $0.4 million of licenses and permits with a weighted average useful life of 10 years . In addition, the Company acquired total tangible assets of $0.1 million . As a result of this acquisition, the Company recorded $0.7 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. Other Acquisitions. During fiscal 2015, the Company acquired the assets of Kessel Group Home, Inc ("Kessel"), Individual Expressions, Inc ("Individual Expressions"), and Georgia Rehabilitation Institute, Inc at Harison Heights ("Harison Heights"). Kessel and Individual Expressions are in the business of providing group home and related services to individuals with developmental disabilities and are included in our Human Services segment. Harison Heights is engaged in the business of providing assisted living, supported living or transitional living services to individuals with brain injuries, neuromuscular disorders, spinal cord injuries and similar conditions and is included in our SRS segment. Total cash consideration for these companies was $0.6 million of which $0.4 million was recorded for identifiable intangible assets, $0.2 million was recorded for goodwill and $48 thousand was recorded for tangible assets. The following table summarizes the recognized amounts of identifiable assets acquired assumed at the date of the acquisition: (in thousands) Identifiable Tangible Assets Total Identifiable Goodwill Capstone $ 3,539 $ 178 $ 3,717 $ 758 Lakeview 6,664 48 6,712 1,272 Cassell 11,600 37 11,637 12,633 CPS 876 19 895 355 Snug Harbor 938 28 966 34 Heritage 1,252 — 1,252 945 Visions of N.E.W. 2,240 122 2,362 663 Other acquisitions 361 48 409 228 Total $ 27,470 $ 480 $ 27,950 $ 16,888 The Company's consolidated statement of operations for the year ended September 30, 2015 included revenue totaling $25.2 million related to these businesses. The Company has not disclosed income from operations because it is immaterial. Fiscal 2014 Acquisitions During the fiscal year ended September 30, 2014, the Company acquired 11 companies complementary to its business for a total fair value consideration of $56.1 million . Show-Me Health Care, Inc. (“Show-Me Health Care”). On November 29, 2013 , the Company acquired the assets of Show-Me Health Care for $1.2 million . Show-Me Health Care is located in Missouri and provides community-based supportive living services to individuals with developmental disabilities. As a result of this acquisition, the Company recorded $0.3 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $0.9 million of intangible assets which included $0.7 million of agency contracts with a weighted average useful life of 12 years , $0.2 million of licenses and permits with a weighted average useful life of 10 years , and $14 thousand of non-compete/non-solicit agreement with a useful life of 5 years . Occazio, Inc. (“Occazio”) . On January 2, 2014 , the Company acquired the assets of Occazio for $5.5 million . Occazio is located in Indiana and provides residential, home care and home health care services to consumers with intellectual and/or developmental disabilities. As a result of this acquisition, the Company recorded $1.4 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $3.9 million of intangible assets which included $2.9 million of agency contracts with a weighted average useful life of 12 years , $0.7 million of licenses and permits with a weighted average useful life of 10 years , $0.2 million trade name with a useful life of 5 years , and $24 thousand of non-compete/non-solicit agreement with a useful life of 5 years . In addition, the Company acquired total tangible assets of $0.2 million . Momentum Rehabilitation Services, Inc., D/B/A Ann Arbor Rehabilitation Centers (“Ann Arbor”) . On February 7, 2014 , the Company acquired the assets of Ann Arbor for $4.8 million . Ann Arbor is located in Michigan and provides comprehensive on and off-campus residential housing and personalized daily services to adults with traumatic brain injury. As a result of this acquisition, the Company recorded $1.0 million of goodwill in the Post-Acute Specialty Rehabilitation Services segment, which is expected to be deductible for tax purposes. The Company acquired $3.8 million of intangible assets which included $3.7 million of agency contracts with a weighted average useful life of 12 years , $0.1 million trade name with a useful life of 5 years , and $33 thousand of non-compete/non-solicit agreement with a useful life of 5 years . Tender Loving Care Metro, LLC (“Tender Loving Care”). On April 7, 2014 , the Company acquired the assets of Tender Loving Care for $3.0 million . Tender Loving Care is located in Minnesota and provides residential and related services to adults with intellectual and/or developmental disabilities. As a result of this acquisition, the Company recorded $0.5 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $2.4 million of intangible assets which included $2.0 million of agency contracts with a weighted average useful life of 12 years , $0.3 million of licenses and permits with a weighted average useful life of 10 years , and $0.1 million of non-compete/non-solicit agreement with a useful life of 5 years . AmeriServe International of Arizona, Inc. (“AmeriServe”). On June 30, 2014 , the Company acquired the assets of AmeriServe for $0.4 million . AmeriServe is located in Arizona and provides group home services, day program services and related services to individuals with developmental disabilities. 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 Company acquired $0.3 million of intangible assets which included $0.2 million of agency contracts with a weighted average useful life of 12 years , $39 thousand of licenses and permits with a weighted average useful life of 10 years , and $12 thousand of non-compete/non-solicit agreement with a useful life of 5 years . G&D Alternative Living, Inc. (“G&D”) . On June 30, 2014 , the Company acquired the assets of G&D for $1.5 million . G&D is located in Ohio and provides group home services, day program services and related services to individuals with developmental disabilities. As a result of this acquisition, the Company recorded $0.3 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $1.1 million of intangible assets which included $0.9 million of agency contracts with a weighted average useful life of 12 years , $0.2 million of licenses and permits with a weighted average useful life of 10 years , and $6 thousand of non-compete/non-solicit agreement with a useful life of 5 years . Life by Design, Inc. (“Life by Design”) . On July 23, 2014 , the Company acquired the assets of Life by Design for $2.1 million . Life by Design is located in Minnesota and provides supported living and related services to individuals with developmental disabilities. Based on the estimated fair values of the assets acquired at the date of acquisition, the Company recorded $0.4 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $1.7 million of intangible assets which included $1.3 million of agency contracts with a weighted average useful life of 12 years , $0.3 million of licenses and permits with a weighted average useful life of 10 years , and $33 thousand of non-compete/non-solicit agreement with a useful life of 5 years . Mass Adult Day Health Alliance (“Adult Day Health”). On September 8, 2014 , the Company acquired Adult Day Health for consideration of $37.1 million , including $2.4 million of contingent consideration. The terms of the acquisition agreement require the Company to pay an earn-out upon successfully meeting certain revenue and EBITDA targets through 2016. There is a $3.3 million dollar cap on the earn-out. Adult Day Health is located in Massachusetts and operates eight adult day health facilities in the Boston area and provides outpatient, center-based services that provide health, therapeutic and social support to elders in a group environment. Based on the estimated fair values of the net assets acquired at the date of acquisition, the Company recorded $18.0 million of goodwill in the Human Services segment, which is expected to be deductible for tax purposes. The Company acquired $18.1 million of intangible assets which included $12.4 million of agency contracts with a weighted average useful life of 12 years , $0.7 million of licenses and permits with a weighted average useful life of 10 years , $3.4 million trade name with an indefinite useful life, and $1.6 million of non-compete/non-solicit agreements with a useful life of 5 years . In addition, the Company acquired total tangible assets of $1.4 million . Other Acquisitions. During fiscal 2014, the Company acquired the assets of Rose View Group Home, LLC, Multi-Dimensional Services and Supports, Inc. and Residential CRF, Inc. All three of these acquisitions are in the business of providing group home and related services to individuals with developmental disabilities and are included in our Human Services segment. Total cash consideration for these companies was $0.4 million of which $0.1 million was recorded to goodwill and $0.3 million was recorded to intangible assets. The following table summarizes the recognized amounts of identifiable assets acquired assumed at the date of the acquisition: (in thousands) Identifiable Tangible Assets Total Identifiable Goodwill Show-Me Health Care $ 895 $ 9 $ 904 $ 336 Occazio 3,863 216 4,079 1,421 Ann Arbor 3,801 50 3,851 972 Tender Loving Care 2,396 16 2,412 538 AmeriServe 288 43 331 69 G&D 1,086 102 1,188 312 Life by Design 1,651 16 1,667 433 Adult Day Health 18,100 1,081 19,181 17,969 Other acquisitions 272 106 378 57 Total $ 32,352 $ 1,639 $ 33,991 $ 22,107 The Company's consolidated statement of operations for the years ended September 30, 2014 included revenue totaling approximately $19.7 million related to these businesses. The Company has not disclosed income from operations because it is immaterial. Proforma Results of Operations The following table reflects the unaudited pro forma results of operations for fiscal 2016 , 2015 , and 2014 assuming that the acquisitions made during fiscal 2016 , 2015 , and 2014 had occurred on October 1, 2014, 2013 and 2012, respectively. (in thousands) Year Ended Year ended September 30, 2015 Year ended September 30, 2014 Net revenue $ 1,428,219 $ 1,429,166 $ 1,324,122 Net income (loss) 11,233 9,779 (8,422 ) 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, 2013 and 2012, or the results that may be achieved in future periods.

Discontinued Operations

Discontinued Operations	12 Months Ended
	Sep. 30, 2016
Discontinued Operations and Disposal Groups [Abstract]
Discontinued Operations	Discontinued Operations REM Connecticut During the fourth quarter of fiscal 2014, the Company notified the State of Connecticut of its intention to stop providing services under existing contracts due to rate cuts and a change in state policy. The effective transition of the Company’s programs occurred in the first quarter of fiscal 2015. REM Connecticut was included in the Human Services segment and the results of the operations are presented as discontinued operations in the consolidated statements of operations and the prior periods have been reclassified. Loss from discontinued operations for REM Connecticut for fiscal 2014 included impairment charges of $1.6 million and $0.7 million for intangible assets and owned buildings, respectively, and $0.1 million of expense for severance. The net revenue and loss before income taxes for the Company’s discontinued operations for the periods presented is as follows (in thousands): Year ended September 30, 2016 2015 2014 Net revenue $ 146 $ 968 $ 13,425 Loss before income taxes (441 ) (1,634 ) (2,259 ) Disposition of Businesses During fiscal 2015, the Company decided to discontinue ARY services in the states of Florida, Louisiana, Indiana, North Carolina and Texas. On December 1, 2015, the Company completed the sale of its ARY operations in the state of North Carolina. As consideration, the buyer assumed the Company's 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 which is in line item Other income (expense), net on the Consolidated Statement of Operations. During the first and second quarter of fiscal 2016, the Company completed the closures of its ARY operations in Florida, Louisiana, Indiana and Texas. In connection with these closures, the Company recorded exit costs of approximately $2.0 million , consisting of severance costs of $0.5 million and lease termination costs of $1.5 million , during the year ended September 30, 2016 . The Company assessed whether the disposal group should be presented as a discontinued operation when the decision was made to discontinue these operations and concluded that the disposal group does not represent a strategic shift that has (or will have) a major effect on the Company's operations and financial results. However, the Company has concluded that the disposal group did represent an individually significant component. Pretax losses for this disposal group were $5.6 million , $13.9 million , and $11.3 million for the fiscal years ended September 30, 2016 , 2015 and 2014, respectively. Pretax losses for the year ended September 30, 2016 included exit costs of $2.0 million disclosed above.

Disposition of Businesses

Disposition of Businesses	12 Months Ended
	Sep. 30, 2016
Discontinued Operations and Disposal Groups [Abstract]
Disposition of Businesses	Discontinued Operations REM Connecticut During the fourth quarter of fiscal 2014, the Company notified the State of Connecticut of its intention to stop providing services under existing contracts due to rate cuts and a change in state policy. The effective transition of the Company’s programs occurred in the first quarter of fiscal 2015. REM Connecticut was included in the Human Services segment and the results of the operations are presented as discontinued operations in the consolidated statements of operations and the prior periods have been reclassified. Loss from discontinued operations for REM Connecticut for fiscal 2014 included impairment charges of $1.6 million and $0.7 million for intangible assets and owned buildings, respectively, and $0.1 million of expense for severance. The net revenue and loss before income taxes for the Company’s discontinued operations for the periods presented is as follows (in thousands): Year ended September 30, 2016 2015 2014 Net revenue $ 146 $ 968 $ 13,425 Loss before income taxes (441 ) (1,634 ) (2,259 ) Disposition of Businesses During fiscal 2015, the Company decided to discontinue ARY services in the states of Florida, Louisiana, Indiana, North Carolina and Texas. On December 1, 2015, the Company completed the sale of its ARY operations in the state of North Carolina. As consideration, the buyer assumed the Company's 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 which is in line item Other income (expense), net on the Consolidated Statement of Operations. During the first and second quarter of fiscal 2016, the Company completed the closures of its ARY operations in Florida, Louisiana, Indiana and Texas. In connection with these closures, the Company recorded exit costs of approximately $2.0 million , consisting of severance costs of $0.5 million and lease termination costs of $1.5 million , during the year ended September 30, 2016 . The Company assessed whether the disposal group should be presented as a discontinued operation when the decision was made to discontinue these operations and concluded that the disposal group does not represent a strategic shift that has (or will have) a major effect on the Company's operations and financial results. However, the Company has concluded that the disposal group did represent an individually significant component. Pretax losses for this disposal group were $5.6 million , $13.9 million , and $11.3 million for the fiscal years ended September 30, 2016 , 2015 and 2014, respectively. Pretax losses for the year ended September 30, 2016 included exit costs of $2.0 million disclosed above.

Goodwill and Intangible Assets

Goodwill and Intangible Assets	12 Months Ended
	Sep. 30, 2016
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets	Goodwill and Intangible Assets Goodwill The changes in goodwill for the fiscal years ended September 30, 2016 and 2015 are as follows (in thousands): Human Services Post-Acute Specialty Rehabilitation Services Total Balance as of September 30, 2014 190,658 66,974 257,632 Goodwill acquired through acquisitions 2,628 14,260 16,888 Balance as of September 30, 2015 $ 193,286 $ 81,234 $ 274,520 Goodwill acquired through acquisitions 8,716 675 9,391 Impairment (10,251 ) — (10,251 ) Balance as of September 30, 2016 $ 191,751 $ 81,909 $ 273,660 Annual Goodwill Impairment Testing The Company tests goodwill at least annually for possible impairment. Accordingly, the Company completes the annual testing of impairment for goodwill on July 1st of each fiscal year. In addition to its annual test, the Company regularly evaluates whether events or circumstances have occurred that may indicate a potential impairment of these assets. The Company has elected to bypass the qualitative assessments and proceed directly to the two-step impairment test. The process of testing goodwill for impairment involves the determination of the fair value of the applicable reporting units. The test consists of a two-step process. Step 1 includes the determination of the carrying value of the reporting unit, including the existing goodwill and intangible assets, and estimating the fair value of the reporting unit. If the carrying amount of a reporting unit exceeds its fair value, we are required to perform a second step to the impairment test. The Company utilizes the income approach, specifically the discounted cash flow method, to estimate the fair value of its reporting units when testing for impairment of goodwill. A number of significant assumptions and estimates are involved in the application of the income approach to forecast operating cash flows, including revenue growth, tax rates, capital spending, discount rate and working capital changes. These inputs are not observable in the market and represent Level 3 inputs within the fair value hierarchy. Cash flow forecasts are based on business unit operating plans and historical relationships. The income approach is sensitive to changes in long-term terminal growth rates and the discount rate. The discount rate was selected based on the estimated rate of return as well as time value of money. Our annual impairment analysis as of July 1, 2016 indicated that the Step 2 analysis was necessary for the ADH reporting unit, that is included within Human Services, as the carrying value exceeded the fair value of the reporting unit. Step 2 of the goodwill test is performed to measure the impairment loss. Step 2 requires that the implied fair value of the reporting unit goodwill be compared to the carrying amount of that goodwill. If the carrying amount of the reporting unit goodwill exceeds the implied fair value of that goodwill, an impairment loss shall be recognized in an amount equal to that excess. After performing Step 2, it was determined that the implied value of goodwill was less than the carrying amount, resulting in an impairment charge of $10.3 million that is included in General and administrative expense for the year ended September 30, 2016. The impairment was driven by higher than anticipated operating costs in recently acquired businesses that have negatively affected the reporting unit's projected operating margins. The Company completed Step 1 for its other reporting units as of July 1, 2016 and concluded that the there was no goodwill impairment. Additionally, the Company performed its annual impairment testing for its reporting units as of July 1, 2015 and 2014 and concluded based on the first step of the process that there was no goodwill impairment. Intangible Assets Intangible assets consist of the following as of September 30, 2016 (in thousands): Description Weighted Average Remaining Life Gross Carrying Value Accumulated Amortization Intangible Assets, Net Agency contracts 7 years $ 499,652 $ 257,104 $ 242,548 Non-compete/non-solicit 2 years 6,438 4,432 $ 2,006 Relationship with contracted caregivers — 7,521 7,505 $ 16 Trade names 2 years 6,516 4,014 $ 2,502 Trade names (indefinite life) — 45,800 — $ 45,800 Licenses and permits 2 years 49,773 40,416 $ 9,357 Intellectual property — 452 452 $ — $ 616,152 $ 313,923 $ 302,229 Intangible assets consist of the following as of September 30, 2015 (in thousands): Description Weighted Average Remaining Life 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 For fiscal years ended 2016 , 2015 and 2014 , the amortization expense for continuing operations was $38.1 million , $38.7 million and $37.7 million , respectively. Annual Indefinite Life Impairment Testing The Company tests indefinite-lived intangible assets at least annually for possible impairment. Accordingly, the Company completes the annual testing of impairment for indefinite-lived intangible assets on July 1 of each fiscal year. In addition to its annual test, the Company regularly evaluates whether events or circumstances have occurred that may indicate a potential impairment of these assets. The impairment test consists of a comparison of the fair value of the indefinite-lived intangible asset with its carrying amount. If the carrying amount of an indefinite-lived intangible asset exceeds its fair value, an impairment loss in an amount equal to that excess is recognized. The Company has consistently employed the relief from royalty model to estimate the current fair value when testing for impairment of indefinite-lived intangible assets. In addition, the Company evaluates the remaining useful life of its indefinite-lived intangible assets at least annually to determine whether events or circumstances continue to support an indefinite useful life. If events or circumstances indicate that the useful lives of indefinite-lived intangible assets are no longer indefinite, the assets will be tested for impairment. The Company performed its annual impairment testing as of July 1, 2016 , 2015 and 2014 and concluded that there is no impairment to its indefinite lived trade names. Long-Lived Impairment Testing The Company reviews long-lived tangible and intangible assets for impairment when events or circumstances have occurred that indicate the estimated useful life of these assets may warrant revision or that the carrying amount of these asset may be impaired. During the fiscal year ended September 30, 2016, the Company concluded it had a triggering event requiring assessment of impairment for certain long-lived assets held by ADH due to the impairment of goodwill. The Company estimated the future net undiscounted cash flows and compared them to the carrying amount of the assets. Based on this assessment the Company concluded that the assets are recoverable as the undiscounted cash flows exceeded the carrying amount, therefore; an impairment does not exist. During the fiscal year ended September 30, 2015, the Company decided to discontinue ARY services in the states of Illinois, Florida, Louisiana, Indiana, North Carolina and Texas. As a result, the Company determined certain assets were impaired and recorded impairment charges of $0.4 million for relationships with contracted caregivers, $9.8 million for agency contracts, and $0.2 million of other intangibles. The total impairment charge of $10.4 million is included in depreciation and amortization expense for fiscal year ended September 30, 2015. See Note 7 for more information on these divestitures. During the fiscal year ended September 30, 2014, the Company determined that certain intangible assets associated with programs that it voluntarily withdrew from within the Human Services segment were impaired. As a result, the Company recorded an impairment charge of $1.3 million related to intangible assets associated with these programs which is included in depreciation and amortization expense for the fiscal year ended September 30, 2014. Additionally, during the fiscal year ended September 30, 2014, the Company notified the state of Connecticut of its intention to stop providing services under existing contracts due to rate cuts and a change in state policy. As a result, the Company recorded an impairment charge of $1.6 million related to intangible assets associated with these programs which is included in loss from discontinued operations for the fiscal year ended September 30, 2014. The estimated remaining amortization expense related to intangible assets with finite lives for each of the five succeeding years and thereafter is as follows: Year Ending September 30, (In thousands) 2017 $ 35,709 2018 35,217 2019 35,286 2020 34,231 2021 30,624 Thereafter 85,362 $ 256,429

Property and Equipment

Property and Equipment	12 Months Ended
	Sep. 30, 2016
Property, Plant and Equipment [Abstract]
Property and Equipment	Property and Equipment Property and equipment consists of the following as of September 30 (in thousands): 2016 2015 Buildings and land $ 125,604 $ 125,103 Vehicles 66,421 57,495 Computer hardware and software 33,053 31,165 Leasehold improvements 83,533 65,757 Furniture and fixtures 18,148 16,687 Office and telecommunication equipment 6,236 6,133 Software for internal use 4,608 3,033 Construction in progress 2,472 4,590 340,075 309,963 Less accumulated depreciation (165,067 ) (141,736 ) Property and equipment, net $ 175,008 $ 168,227 For fiscal years ended 2016 , 2015 and 2014 , depreciation expense for continuing operations was $34.9 million , $32.8 million and $28.4 million , respectively, and depreciation expense for discontinued operations was $38 thousand , $0.1 million and $0.3 million , respectively.

Certain Balance Sheet Accounts

Certain Balance Sheet Accounts	12 Months Ended
	Sep. 30, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Certain Balance Sheet Accounts	Certain Balance Sheet Accounts Prepaid Expenses and Other Current Assets Prepaid expenses and other current assets consist of the following as of September 30 (in thousands): 2016 2015 Prepaid business expense $ 3,283 $ 2,300 Prepaid insurance 524 1,208 Anticipated insurance recoveries 8,067 7,245 Other 8,967 3,296 Prepaid expenses and other current assets $ 20,841 $ 14,049 Other Accrued Liabilities Other accrued liabilities consist of the following as of September 30 (in thousands): 2016 2015 Accrued insurance $ 19,374 $ 16,994 Overpayments 1,459 1,039 Due to third party payors 6,601 10,093 Accrued professional services 2,028 3,977 Accrued interest 86 86 Other 22,132 14,239 Other accrued liabilities $ 51,680 $ 46,428 Other Long-Term Liabilities Other long-term liabilities consist of the following as of September 30 (in thousands): 2016 2015 Accrued self-insurance reserves $ 60,080 $ 55,612 Other 21,386 23,558 Other long-term liabilities $ 81,466 $ 79,170

Long-term Debt

Long-term Debt	12 Months Ended
	Sep. 30, 2016
Debt Disclosure [Abstract]
Long-term Debt	Long-term Debt The Company’s long-term debt consists of the following as of September 30 (in thousands): 2016 2015 Term loan principal; principal and interest are due in quarterly installments through January 31, 2021 $ 639,030 $ 645,585 Original issue discount on term loan, net of accumulated amortization (1,178 ) (1,457 ) 637,852 644,128 Less current portion 6,554 6,554 Long-term debt $ 631,298 $ 637,574 As of September 30, 2016 and 2015 , the Company did not have any borrowings under the senior revolver. Senior Secured Credit Facilities The Company's and NMHH'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 7 year maturity and the senior revolver has a 5 year maturity from the effective date of January 31, 2014. 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. All of the obligations under the senior secured credit facilities are guaranteed by NMHH and the subsidiary guarantors named therein (the “Subsidiary Guarantors”). Pursuant to the Guarantee and Security Agreement, dated as of January 31, 2014 (the “guarantee and security agreement”), among NMHH, as parent guarantor, NMHI, certain of the its subsidiaries, as subsidiary guarantors and Barclays Bank, PLC, as administrative agent, subject to certain exceptions, the obligations under the senior secured credit facilities are secured by a pledge of 100% of the NMHI’s capital stock and the capital stock of domestic subsidiaries owned by NMHI and any other domestic Subsidiary Guarantor and 65% of the capital stock of any first tier foreign subsidiaries and a security interest in substantially all of NMHI’s tangible and intangible assets and the tangible and intangible assets of NMHH and each Subsidiary Guarantor. 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 September 30, 2016 , NMHI had no borrowings under the senior revolver and $47.4 million of letters of credit issued under the institutional letter of credit facility. NMHI also issued $2.9 million of standby letters of credit under the senior revolver at September 30, 2016 . At its option, NMHI may add one or more new term loan facilities or increase the commitments under the senior revolver (collectively, the “incremental borrowings”) in an aggregate amount of up to $125.0 million plus any additional amounts so long as certain conditions, including a consolidated first lien leverage ratio (as defined in the senior credit agreement) of not more than 4.50 to 1.00 on a pro forma basis, are satisfied. NMHI used $55.0 million of the incremental borrowings capacity in February 2015. Borrowings under the senior secured credit facilities bear interest, at our option, at: (i) an ABR rate 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, with: (i) beginning in fiscal year 2015, 50% (which percentage will be reduced upon its achievement of certain first lien leverage ratios) of the NMHI’s annual excess cash flow; (ii) 100% of net cash proceeds of all non-ordinary course assets sales or other dispositions of property, subject to certain exceptions and thresholds; and (iii) 100% of the net cash proceeds of any debt incurrence, other than debt permitted under the senior credit agreement. Excess cash flow is defined in our senior credit agreement as (A) the sum of (i) consolidated net income (as defined in the senior credit agreement), plus (ii) the net decrease in working capital, plus (iii) noncash charges previously deducted from consolidated net income, plus (iv) non-cash losses from assets sales, minus (B) the sum of (i) certain amortization and other mandatory prepayment of indebtedness, plus (ii) unfinanced capital expenditures plus (iii) the cash portion of permitted investments plus (iv) noncash gains previously including in consolidated net income, plus (v) the net increase in working capital, plus (vi) certain cash payments of long-term liabilities, plus (vii) cash restricted payments, plus (viii) cash expenditures not expensed during such period, plus (ix) penalties paid in connection with the repayment of indebtedness, plus (x) certain cash distributions from the SRS business, plus (xi) aggregate unfinanced portion of contract consideration for acquisition or capital expenditures to be consummated, plus (xii) aggregate amount of cash amounts received in such period but excluded from consolidated net income, plus (xiii) certain cash payments in respect of earnout obligations, plus (xiv) certain voluntary prepayments of indebtedness, plus (xv) certain cash payments of non-cash charges added back in a prior period, plus (xvi) all charges or expenses incurred in such period but excluded from consolidated net income. NMHI was not required to make an additional mandatory prepayment for the year ended September 30, 2016. NMHI is required to repay the term loan facility portion of the senior secured credit facilities in quarterly principal installments of 0.25% , or $1.6 million , of the principal amount, with the balance payable at maturity. The senior credit agreement permits NMHI to offer to its lenders newly issued notes in exchange for their term loans in one or more permitted debt exchange offers, subject to the conditions set forth in the senior credit agreement. Senior Notes During fiscal 2014 and 2015, NMHI redeemed $38.0 million and the remaining $212.0 million of senior notes, respectively. The redemption price of the senior notes was 106.25% of the principal amount redeemed. As a result of the redemptions, NMHI incurred expense of $3.6 million and $17.1 million during fiscal 2014 and 2015, respectively, related to deferred financing fees, debt issuance costs and associated call premiums. The expense is reflected in extinguishment of debt in the statements of operations. Covenants The senior credit agreement contains negative covenants that, among other things, restrict, subject to certain exceptions, NMHI's ability and the ability of its subsidiaries to: (i) incur additional indebtedness; (ii) create liens on assets; (iii) engage in mergers or consolidations; (iv) sell assets; (v) pay dividends and distributions or repurchase our capital stock; (vi) enter into certain swap transactions; (vii) make investments, loans or advances; (viii) repay certain junior indebtedness; (ix) engage in certain transactions with affiliates; (x) enter into sale and leaseback transactions; (xi) amend material agreements governing certain of our junior indebtedness; (xii) change our lines of business; (xiii) make certain acquisitions; and (xiv) limitations on the letter of credit cash collateral account. If we withdraw any of the $50.0 million from the cash collateral account supporting the issuance of letters of credit, we must use the cash to either prepay the term loan facility or to secure any other obligations under the senior secured credit facilities in a manner reasonably satisfactory to the administrative agent. We were in compliance with these covenants as of September 30, 2016 . The senior credit agreement contains customary affirmative covenants and events of default. The senior credit agreement contains a springing financial covenant. If, at the end of any fiscal quarter, our usage of 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 September 30, 2016 as our usage of the senior revolver did not exceed the threshold for that quarter. Derivatives On January 20, 2015, NMHI entered into two new 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 agreement, representing the price that would be received to transfer the liability in an orderly transaction between market participants, was $6.0 million or $3.6 million after taxes, at September 30, 2016 and $2.9 million or $1.7 million after taxes, at September 30, 2015. 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 year ended September 30, 2016 , nor was any amount excluded from ineffectiveness testing for the period. During fiscal 2014, the Company had an interest rate swap in a notional amount of $400.0 million . Under the terms of the swap, NMHI received from the counterparty a quarterly payment based on a rate equal to the greater of 3-month LIBOR and 1.75% per annum, and NMHI made payments to the counterparty based on a fixed rate of 2.55% per annum, in each case on the notional amount of $400.0 million , settled on a net payment basis. The swap expired on September 30, 2014. Prior to the January 31, 2014 refinancing transaction, the Company accounted for the interest rate swap as a cash flow hedge and the effectiveness of the hedge relationship was assessed on a quarterly basis. The fair value of the swap agreement, representing the price that would be paid to transfer the liability in an orderly transaction between market participants, was recorded in current liabilities and was determined based on pricing models and independent formulas using current assumptions. The change in fair market value was recorded in the consolidated statements of comprehensive loss. In conjunction with the January 31, 2014 refinancing transaction, the Company de-designated the interest rate swap agreement as a cash flow hedge. Subsequent to the January 31, 2014 refinancing transaction, prospective mark to market adjustments were recognized in earnings and accumulated mark to market adjustments were amortized and recognized in earnings over the term of the interest rate swap agreement which expired on September 30, 2014. Annual maturities Annual maturities of the Company’s debt for the fiscal year ended September 30 are as follows: (In thousands) 2017 $ 6,554 2018 6,554 2019 6,554 2020 6,554 2021 612,814 Total $ 639,030 Amounts due at any year end may increase as a result of the provision in the senior credit agreement that requires a prepayment of a portion of the outstanding term loan amounts if NMHI generates certain levels of cash flow.

Stockholders' Equity

Stockholders' Equity	12 Months Ended
	Sep. 30, 2016
Equity [Abstract]
Stockholder's Equity	Stockholders' Equity Common Stock The holders of the Company’s common stock are entitled to receive dividends when and as declared by the Company’s Board of Directors. In addition, the holders of common stock are entitled to one vote per share. Preferred Stock The Company has authorized 50,000,000 shares of $0.01 par value preferred stock. No shares of preferred stock are outstanding. Dividends to National Mentor Holdings, LLC The Company did not pay dividends to NMH Investment during fiscal years 2016 and 2015 . During fiscal 2014 , the Company paid dividends to NMH Investment of $110 thousand to fund the repurchases of equity units from employees upon or after their departures from the Company.

Employee Savings and Retirement

Employee Savings and Retirement Plans	12 Months Ended
	Sep. 30, 2016
Compensation and Retirement Disclosure [Abstract]
Employee Savings and Retirement Plans	Employee Savings and Retirement Plans The Company has a multi-company plan (the “Plan”) which covers all of its wholly-owned subsidiaries. Under the Plan, employees may contribute a portion of their earnings, which are invested in mutual funds of their choice. After January 1, the Company makes a matching contribution for the previous calendar year on behalf of all participants employed on the last day of the year. This matching contribution vests immediately. In addition, there is a profit sharing feature of the Plan, whereby, at the discretion of management, an allocation may be made to all of the eligible employees in one or more of its business units. Profit sharing contributions vest ratably over three years with forfeitures available to cover plan costs and employer matches in future years. The Company made contributions of $6.4 million , $7.4 million and $5.5 million , for fiscal years 2016 , 2015 and 2014 , respectively. The Company has the following two deferred compensation plans: The National Mentor Holdings, LLC Executive Deferred Compensation Plan The National Mentor Holdings, LLC Executive Deferred Compensation Plan is an unfunded, nonqualified deferred compensation arrangement for senior management, in which the Company contributes to the executive’s account a percentage of the executive’s base compensation. This contribution is made at the end of the year for service rendered during the year. The Company contributed $0.6 million , $0.6 million and $0.5 million for fiscal 2016 , 2015 and 2014 , respectively. The unfunded accrued liability was $3.1 million and $3.3 million as of September 30, 2016 and 2015 , respectively, and was included in other long-term liabilities on the Company’s consolidated balance sheets. The National Mentor Holdings, LLC Executive Deferral Plan The National Mentor Holdings, LLC Executive Deferral Plan, available to highly compensated employees, is a plan in which participants contribute a percentage of salary and/or bonus earned during the year. Employees contributed $1.3 million , $1.4 million and $0.9 million for fiscal 2016 , 2015 and 2014 , respectively. The accrued liability related to this plan was $9.7 million and $8.4 million as of September 30, 2016 and 2015 , respectively, and was included in other long-term liabilities on the Company’s consolidated balance sheets. In connection with the National Mentor Holdings, LLC Executive Deferral Plan, the Company has purchased company owned life insurance (“COLI”) policies on certain plan participants. The cash surrender value of the COLI policies is designed to provide a source for funding the accrued liability. The cash surrender value of the COLI policies was $8.0 million and $6.8 million as of September 30, 2016 and 2015 , respectively, and was included in other assets on the Company’s consolidated balance sheets. Retirement Agreement The Company entered into a retirement agreement with the Company's former Executive Chair, (the “Retirement Agreement”) on August 19, 2015. Pursuant to the Retirement Agreement, the Company expects to pay him the following amounts in connection with his retirement: (i) $800,000 over a period of two years , representing a continuation of his salary, (ii) $48,000 over a period of two years (representing a payment of $2,000 per month for 24 months in lieu of continuing health and welfare benefits) and (iii) $800,000 over the next two years , representing his target annual bonus of 100% of base salary under the incentive compensation plan for two years after his retirement. The accrued liability related to these retirement benefits was $1.4 million and $1.7 million as of September 30, 2016 and 2015 , respectively. The expense related to the deferred compensation plans and retirement agreement for the fiscal years ended September 30, 2016 , 2015 and 2014 was $1.6 million , $2.2 million and $1.2 million , respectively.

Related Party Transactions

Related Party Transactions	12 Months Ended
	Sep. 30, 2016
Related Party Transactions [Abstract]
Related Party Transactions	Related Party Transactions Management Agreements On February 9, 2011, the Company entered into an amended and restated management agreement with Vestar Capital Partners V, L.P. (“Vestar”) relating to certain advisory and consulting services for an annual management fee equal to the greater of (i) $850 thousand or (ii) an amount equal to 1.0% of the Company’s consolidated earnings before interest, taxes, depreciation, amortization and management fee for each fiscal year determined as set forth in the Company’s senior credit agreement. On September 22, 2014 the management agreement with Vestar was terminated as a result of the completion of the Company's IPO. As a result, there were no management fees and expenses recorded during the years ended September 30, 2015 or 2016. In connection with the IPO, the Company paid a one-time transaction advisory fee of $8.0 million which was expensed and paid in fiscal 2014. During the year ended September 30, 2014, the Company recorded $9.5 million , including the one-time transaction advisory fee of $8.0 million , and $1.4 million of management fees and expenses, respectively. There was no accrued liability related to the management agreement at September 30, 2016 and 2015 , respectively. 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 have various expiration dates extending out as far as December 2020. Related party lease expense was $0.7 million , $0.8 million and $1.1 million for the fiscal years ended September 30, 2016 , 2015 and 2014 , respectively.

Fair Value Measurements

Fair Value Measurements	12 Months Ended
	Sep. 30, 2016
Fair Value Disclosures [Abstract]
Fair Value Measurements	Fair Value Measurements The following table set forth the Company’s assets and liabilities that were accounted for at fair value on a recurring basis as of September 30, 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 $ (5,979 ) $ — $ (5,979 ) $ — Contingent consideration $ (5,915 ) $ — $ — $ (5,915 ) The following table set 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 Other Observable Inputs (Level 2) 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 was recorded in current liabilities (under other accrued liabilities) in the Company’s consolidated balance sheets. The fair value of these agreements was 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 Adult Day Health in September 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 fiscal years 2016 and 2015 . (in thousands) Level 3 Inputs Liabilities Balance at September 30, 2014 $ 2,400 Acquisition date fair value of contingent consideration obligations recorded 6,100 Present value accretion 575 Balance at September 30, 2015 9,075 Present value accretion (211 ) Fair value adjustments 616 Payments (3,565 ) Balance at September 30, 2016 $ 5,915 As of September 30, 2016 and 2015, the Company had $5.9 million and $9.1 million of contingent consideration, of which approximately $5.9 million and $3.9 million were reflected in Other accrued liabilities, respectively. The $0.4 million and $0.6 million fair value adjustment and reversal of present value accretion during the year ended September 30, 2016 and 2015, respectively, relates to the Adult Day Health and Cassell acquisitions and reflects the revised estimate from the date of acquisition of expected operating performance during the two year earn out period which ends September 30, 2016 and January 31, 2017, respectively. During the year ended September 30, 2016 , the Company made payments of $1.3 million and $2.3 million for contingent consideration related to the Adult Day Health and Cassell acquisitions, respectively. Items Measured at Fair Value on a Nonrecurring Basis. The Company’s intangible assets are measured at fair value on a nonrecurring basis using Level 3 inputs. During the year ended September 30, 2015 , certain intangible assets associated with the at-risk youth business with a carrying value of $10.4 million were written off because the Company determined the assets had no net realizable value. See Note 7 for further information about the decision to discontinue at-risk youth services in Florida, Louisiana, Indiana, North Carolina and Texas. The asset impairment charge of $10.4 million was recorded in amortization in the accompanying consolidated statement of operations. These impairment charges were determined by comparing the fair value based on projected future discounted cash flows to be provided from the intangible assets to the assets' carrying value. There were no other items measured at fair value on a nonrecurring basis during the years ended September 30, 2016 , 2015 or 2014. During the year ended September 30, 2014 , certain long-lived intangible assets associated with our human services business with a carrying value of $2.9 million were written off because the Company determined the assets had no net realizable value. The asset impairment charge of $2.9 million was recorded in amortization expense in the accompanying consolidated statement of operations. These adjustments were determined by comparing the projected future discounted cash flows to be provided from the long-lived assets to the asset’s carrying value. At September 30, 2016 and September 30, 2015, the carrying values of cash and cash equivalents, accounts receivable, net, accounts payable, accrued expenses, self-insurance assets and liabilities and variable rate debt approximate their fair value.

Leases

Leases	12 Months Ended
	Sep. 30, 2016
Leases [Abstract]
Leases	Leases Operating leases The Company leases office and client residential facilities, vehicles and certain office equipment in several locations under operating lease arrangements, which expire at various dates through 2030 . In addition to base rents presented below, the majority of the leases require payments for additional expenses such as taxes, maintenance and utilities. Certain of the leases contain renewal options at the Company’s option and some have escalation clauses which are recognized as rent expense on a straight line basis. Total rent expense from continuing operations for fiscal 2016 , 2015 and 2014 was $70.0 million , $65.1 million and $57.7 million , respectively. On September 23, 2015, the Company entered into an amendment to its lease agreement for its corporate office. The lease agreement, as amended, expires on July 31, 2024 and the Company has the option to extend the lease term for a period of 5 years . As of September 30, 2016 , the Company had total expected minimum lease commitments of approximately $15.7 million over the lease term. Total rent expense related to this lease was $1.9 million , $1.7 million and $1.5 million for fiscal years 2016 , 2015 and 2014 , respectively. Future minimum lease payments for non-cancellable operating leases for the fiscal years ending September 30 are as follows (in thousands): 2017 $ 64,477 2018 54,061 2019 43,997 2020 32,594 2021 23,862 Thereafter 65,084 $ 284,075 Capital leases The Company leases certain facilities and office equipment under various non-cancellable capital leases that expire at various dates through fiscal 2025 . Assets acquired under capital leases with an original cost of $7.8 million and $7.8 million and related accumulated amortization of $3.4 million and $2.8 million are included in property and equipment, net as of September 30, 2016 and 2015 , respectively. Amortization expense for fiscal years 2016 , 2015 and 2014 was $0.6 million , $0.6 million and $0.6 million , respectively. The following is a schedule of the future minimum lease payments under the capital leases for the fiscal years ending September 30 (in thousands): 2017 $ 1,124 2018 1,124 2019 1,124 2020 1,124 2021 1,124 Thereafter 2,633 Total minimum lease payments 8,253 Less: Interest payments (2,692 ) $ 5,561 Interest expense on capital leases during fiscal years 2016 , 2015 and 2014 was $0.6 million , $0.7 million , and $0.7 million , respectively.

Accruals for Self-Insurance

Accruals for Self-Insurance	12 Months Ended
	Sep. 30, 2016
Commitments and Contingencies Disclosure [Abstract]
Accruals for Self-Insurance	Accruals for Self-Insurance The Company maintains insurance for professional and general liability, workers’ compensation liability, automobile liability and health insurance liabilities that includes self-insured retentions. The Company intends to maintain such coverage in the future and is of the opinion that its insurance coverage is adequate to cover potential losses on asserted claims. Employment practices liability is fully self-insured. The Company records expenses related to claims on an incurred basis, which includes estimates of fully developed losses for both reported and unreported claims. The accruals for the health, workers’ compensation, automobile, and professional and general liability programs are based on analyses performed by management and take into account reports by independent third parties. Accruals are periodically reevaluated and increased or decreased based on new information. For professional and general liability, from October 1, 2013 to September 30, 2015, the Company was self-insured for $4.0 million per claim and $28.0 million in the aggregate. Commencing October 1, 2015, the Company is self-insured for $3.0 million per claim and $28.0 million in the aggregate. For workers’ compensation, the Company has a $350 thousand per claim retention with statutory limits. Automobile liability has a $100 thousand per claim retention, with additional insurance coverage above the retention. The Company purchases specific stop loss insurance as protection against extraordinary claims liability for health insurance claims. Stop loss insurance covers claims that exceed $300 thousand on a per member basis. The Company reports its self-insurance liabilities on a gross basis without giving effect to insurance recoveries. Anticipated insurance recoveries are presented in Prepaid expenses and other current assets and Other assets on the Company’s consolidated balance sheets. Self-insured liabilities are presented in Accrued payroll and related costs, Other accrued liabilities and Other long-term liabilities on its consolidated balance sheets.

Other Commitments and Contingen

Other Commitments and Contingencies	12 Months Ended
	Sep. 30, 2016
Commitments and Contingencies Disclosure [Abstract]
Other Commitments and Contingencies	Other Commitments and Contingencies The Company is in the health and human services business and, therefore, has been and continues to be subject to substantial 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.

Income Taxes

Income Taxes	12 Months Ended
	Sep. 30, 2016
Income Tax Disclosure [Abstract]
Income Taxes	Income Taxes The provision (benefit) for income taxes consists of the following as of September 30 (in thousands): 2016 2015 2014 Current: Federal $ 5,382 $ — $ — State 3,549 2,333 1,385 Total current taxes payable 8,931 2,333 1,385 Deferred: Federal 4,701 1,735 (10,338 ) State (342 ) (1,379 ) (2,510 ) Net deferred tax provision (benefit) 4,359 356 (12,848 ) Income tax provision (benefit) $ 13,290 $ 2,689 $ (11,463 ) The Company paid income taxes, net of any refunds, during fiscal 2016 , 2015 and 2014 of $12.6 million , $1.9 million , and $0.6 million , respectively. Deferred income taxes reflect the net tax effects of temporary differences between the carrying amount of the assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Significant components of the Company’s deferred tax assets and liabilities consist of the following as of September 30 (in thousands): 2016 2015 Gross deferred tax assets: Deferred compensation $ 1,371 $ 1,875 Interest rate swap agreements 2,418 1,157 Accrued workers’ compensation 11,196 12,335 Net operating loss carryforwards 7,330 15,145 Allowance for bad debts 4,797 3,828 Tax credits — 4,933 Depreciation — 3,067 Other 6,706 5,321 33,818 47,661 Valuation allowance (7,322 ) (9,229 ) Deferred tax assets 26,496 38,432 Deferred tax liabilities: Depreciation (994 ) — Amortization of goodwill and intangible assets (67,175 ) (74,477 ) Other accrued liabilities — (2,530 ) Net deferred tax liabilities $ (41,673 ) $ (38,575 ) The Company is required to record a valuation allowance to reduce the deferred tax assets if, based on the weight of the evidence, it is more likely than not that some portion or all of the deferred tax assets will not be realized. After consideration of all the evidence, both positive and negative, management determined that valuation allowances at September 30, 2016 and 2015 of $7.3 million and $9.2 million , respectively, were necessary to reduce the deferred tax assets to the amount that will more likely than not be realized. The valuation allowances primarily related to certain state net operating loss carryforwards. For federal purposes, the Company had no net operating loss carryforwards as of September 30, 2016 . For state purposes, the Company had $151.7 million of net operating loss carryforwards for fiscal 2016 , which expire from 2017 through 2036. The following is reconciliation between the statutory and effective income tax rates at September 30 (in thousands): 2016 2015 2014 Federal income tax at statutory rate 35.0 % 35.0 % 35.0 % State income taxes, net of federal tax benefit 9.3 % 3.6 % 2.0 % Nondeductible compensation (1) 18.8 % 0.8 % (0.8 )% Other nondeductible expenses 1.5 % 9.1 % (1.1 )% Credits (6.6 )% (3.0 )% 0.0 % Other 0.4 % (5.7 )% (0.3 )% Effective tax rate 58.4 % 39.8 % 34.8 % (1) Increase is due to a stock compensation charge of $10.5 million recorded in the first quarter of fiscal 2016 related to certain awards under our former equity compensation plan that vested in October 2015. Refer to Note 22 - Stock-Based Compensation for further information. Companies may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such a position should be measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. No unrecognized tax benefit was recognized for the years ended September 30, 2016 , 2015 and 2014 . The Company does not expect any significant changes to unrecognized tax benefits within the next twelve months. The Company recognizes interest and penalties related to uncertain tax positions as a component of income tax expense which is consistent with the recognition of these items in prior reporting periods. No interest and penalties were accrued as of September 30, 2016 , 2015 and 2014 . The Company files a federal consolidated return and files various state income tax returns and, generally, the Company is no longer subject to income tax examinations by the taxing authorities for years prior to September 30, 2013. The Company believes that it has appropriate support for the income tax positions taken and to be taken on the Company’s income tax returns. In addition, the Company believes its accruals for income tax liabilities are adequate for all open years based on an assessment of many factors including past experience and interpretations of the tax laws as applied to the facts of each matter.

Segment Information

Segment Information	12 Months Ended
	Sep. 30, 2016
Segment Reporting [Abstract]
Segment Information	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 the quarter ended September 30, 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. These segments have been aggregated based on the criteria set forth in ASC Topic 280, Segment Reporting. 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. These two operating segments have been aggregated based on the criteria set forth in ASC Topic 280, Segment Reporting. 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 maker, which is the Company's 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 from continuing operations before depreciation and amortization, intangible impairments, interest income (expense), and income taxes directly attributable to the segment. 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 Year Ended September 30, Human Services Post-Acute Specialty Rehabilitation Services Corporate Consolidated 2016 Net revenue (1) $ 1,118,494 $ 289,093 $ — $ 1,407,587 EBITDA 157,122 54,855 (82,358 ) 129,619 Total assets 627,075 250,695 214,278 1,092,048 Depreciation and amortization 46,874 23,412 2,775 73,061 Purchases of property and equipment 26,992 11,362 5,002 43,356 2015 Net revenue (1) $ 1,103,026 $ 263,920 $ — $ 1,366,946 EBITDA 165,741 49,099 (87,964 ) 126,876 Total assets 611,546 254,529 197,109 1,063,184 Depreciation and amortization 56,617 23,033 2,522 82,172 Purchases of property and equipment 22,972 16,551 3,270 42,793 2014 Net revenue (1) $ 1,025,672 $ 230,166 $ — $ 1,255,838 EBITDA 143,492 36,738 (76,472 ) 103,758 Total assets 634,989 222,475 350,490 1,207,954 Depreciation and amortization 45,576 19,177 2,735 67,488 Purchases of property and equipment 15,907 16,250 3,138 35,295 (1) In fiscal 2015 and fiscal 2016, we discontinued ARY services in the states of Illinois, Florida, Indiana, Louisiana, North Carolina and Texas. Included in the results for fiscal 2016, 2015, and 2014 is net revenue of $7.1 million , $53.9 million , and $67.9 million , respectively, related to these businesses. A reconciliation of EBITDA to income from continuing operations on a consolidated basis is as follows: Year Ended September 30 2016 2015 2014 EBITDA $ 129,619 $ 126,876 $ 103,758 Less: Depreciation and amortization 73,061 82,172 67,488 Interest expense, net 33,811 37,943 69,166 Income (loss) from continuing operations before income taxes $ 22,747 $ 6,761 $ (32,896 ) Interest expense, net includes interest income and acquisition related contingent consideration liabilities which is included in Other income (expense) in the Statement of Operations. Of the 35 states the Company operates in, Minnesota is our largest state and generates revenue from our contracts with state and local governmental payors which accounted for approximately 15% of the Company’s revenue for the fiscal year ended September 30, 2016 and 2015 and 14% of revenue for the fiscal year ended September 30, 2014.

Net Income (Loss) Per Share

Net Income (Loss) Per Share	12 Months Ended
	Sep. 30, 2016
Earnings Per Share [Abstract]
Net Income (Loss) Per Share	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 (loss) per common share 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”): Year Ended September 30, 2016 2015 2014 Numerator Net income (loss) $ 9,187 $ 3,072 $ (22,815 ) Denominator Weighted average shares outstanding, basic 37,112,794 36,959,997 25,538,493 Weighted average common equivalent shares 150,121 128,635 — Weighted average shares outstanding, diluted 37,262,915 37,088,632 25,538,493 Net income (loss) per share, basic and diluted $ 0.25 $ 0.08 $ (0.89 ) Equity instruments excluded from diluted net income (loss) per share calculation as the effect would have been anti-dilutive: Stock options 534,312 1,758 559,327 Restricted stock units 83,793 5,664 550,481

Stock-Based Compensation

Stock-Based Compensation	12 Months Ended
	Sep. 30, 2016
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Stock-Based Compensation	Stock-Based Compensation Summary of Stock-Based Compensation Plans 2006 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 derive their value from the value of the Company. Under the Amended and Restated 2006 Unit Plan there are 192,500 Class B Common Units, 202,000 Class C Common Units, 388,881 Class D Common Units, 6,375 Class E Common Units, 5,396,388 Class F Common Units, 130,000 Class G Common Units and 1,200,000 Class H Common Units authorized for issuance under the plan. On October 1, 2015, in connection with an underwritten secondary offering, NMH Investment distributed shares of our common stock it held to its existing unit holders based on the respective membership interests, and the Unit Plan concluded. 2014 Plan Civitas maintains a 2014 Omnibus Incentive Plan (“2014 Plan”). As of September 30, 2016 , the 2014 Plan authorized the issuance of stock-based awards, including incentive stock options (“ISOs”), non-qualified stock options (“NSOs”), restricted stock units (“RSUs”) and performance based restricted stock units ("PRSUs") to purchase up to 5,546,797 shares authorized in the 2014 Plan. The number of shares authorized under the 2014 Plan automatically increases on the first day each fiscal year the 2014 Plan is in effect by 3.0% of the total number of shares of Common Stock outstanding on the last day of the immediately preceding fiscal year or a lesser amount determined by the Compensation Committee. Under the terms of the 2014 Plan, stock options may not be granted at less than the fair market value on the date of grant. Employee NSOs issued under the 2014 Plan vest annually over three years and expire after 10 years and employee RSUs vest annually over 3 years , in each case the awards are subject to a requisite service period equal to the vesting term. Director RSUs are subject to cliff vesting on the first anniversary of the grant date. Employee PRSUs are vested at the end of a 3 year performance period and are subject to adjustment based on predetermined performance targets in the third year of the performance period and may be further adjusted based on the performance of the Company's stock. NSOs, RSUs and PRSUs granted under the 2014 Plan immediately vest upon certain events, as described in the 2014 Plan. As of September 30, 2016 , approximately 4.0 million shares were available for future grant of awards under the 2014 Plan. Units of NMH Investment LLC Interests Prior to the initial public offering of the Company, all outstanding Class B Common Units, Class C Common Units, Class D Common Units and Class E Common Units were fully vested. On September 22, 2014, the Company completed the initial public offering which triggered the vesting condition for the Class G Common Units and resulted in the Company recognizing $0.6 million of stock-based compensation expense for these units in fiscal 2014. 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. The unrecognized compensation expense of $10.5 million for these awards was recorded during the first quarter of fiscal 2016 and was not deductible for tax purposes. Stock Options For the years ended September 30, 2016 , 2015 and 2014, Civitas issued 230,739 , 12,168 and 559,327 NSOs, respectively, which vest over three years (one-third each year). The fair value of each option granted was estimated on the grant date using the Black-Scholes valuation model with the following assumptions: 2016 2015 2014 Risk-free interest rate 1.32% - 1.92% 1.69% - 1.74% 1.88 % Expected term 6 years 6 years 6 years Expected volatility 34.65% - 36.20% 38.80% - 40.40% 45.00 % Expected dividend yield — % — % — % Weighted-average per share grant date fair value $ 9.19 $ 6.54 $ 7.67 Risk-free interest rate - The risk-free interest rate is equal to the U.S. federal Treasury bond rate consistent with the expected term assumption. Expected term - Expected term represents the period that Civitas’ option grants are expected to be outstanding. As Civitas had been operating as a private company, there is not sufficient historical data to calculate the expected term of the options. Therefore, management elected to utilize the “simplified method” to determine the expected term assumption. Under this approach, the weighted average expected life is presumed to be the average of the vesting term and the contractual term of the option. Expected volatility - Management has estimated volatility for the units granted based on the historical volatility for a group of companies believed to be a representative peer group, selected based on industry and market capitalization, due to lack of sufficient historical publicly traded prices of our own common stock. Expected dividend yield - The expected dividend yield is zero as dividends are not expected to be paid in the foreseeable future. The fair value of the stock options on the date of grant, less an estimated forfeiture rate, is recognized as expense in the Company’s consolidated financial statements on a straight-line basis over the requisite service periods (vesting term) of the awards. The Company will record additional expense if the actual forfeitures are lower than the estimated and will record a recovery of prior recognized expense if the actual forfeitures are higher than estimated. The actual expense recognized over the vesting period will only be for those awards that vest. The table below summarizes our stock option activity during fiscal year 2016 : Number of Shares Weighted- Average Exercise Price per Share Weighted- Average Remaining Life (Years) Aggregate Intrinsic Value Outstanding at September 30, 2015 567,900 $ 16.98 Granted 230,739 24.75 Forfeited 58,469 17.94 Exercised 28,480 17.02 Expired 1,858 17.00 Outstanding at September 30, 2016 709,832 $ 19.42 8.4 $ 635 Vested or expected to vest as of September 30, 2016 689,724 $ 19.36 8.4 $ 624 Exercisable at September 30, 2016 318,906 $ 16.99 8.0 $ 407 The total intrinsic values of options exercised for the years ended September, 30, 2016 and 2015 was $35 thousand and $83 thousand , respectively. There were no options exercised for the year ended September, 30, 2014. As of September 30, 2016 , there was $2.8 million of unrecognized compensation cost related to unvested stock options. This cost is expected to be recognized over a weighted-average period of 1.7 years . Restricted Stock Unit Awards (RSUs) For the years ended September 30, 2016 , 2015 and 2014, Civitas granted 283,865 , 39,393 and 550,481 RSUs, respectively, to employees and members of the Board of Directors. The fair value of all RSUs is based on the closing market value of our stock on the date of grant. The weighted average per share grant date fair value of the RSUs granted during the years ended September 30, 2016, 2015 and 2014 was $23.99 , $18.00 , and $17.00 , respectively. These awards will vest over three years (one-third each year) for employee grants and one year ( 100% on the first anniversary of the grant date) for grants to members of the Board of Directors. The fair value of the restricted stock unit awards on the date of grant, less an estimated forfeiture rate for employee grants, will be recognized as expense in the Company’s consolidated financial statements on a straight-line basis over the requisite service periods (vesting term) of the awards. The Company will record additional expense if the actual forfeitures are lower than the estimated and will record a recovery of prior recognized expense if the actual forfeitures are higher than estimated. The actual expense recognized over the vesting period will only be for those awards that vest. A summary of our issued restricted stock unit awards is as follows: Number of Restricted Stock Units Weighted Average Grant-Date Fair Value Non-vested units at September 30, 2015 385,935 17.10 Granted 283,865 23.99 Forfeited 63,996 19.06 Vested 163,276 17.11 Non-vested units at September 30, 2016 442,528 $ 21.24 The total fair values of RSUs that vested during the years ended September 30, 2016 and 2015 was $3.1 million and $5.3 million , respectively. No RSUs vested during the year ended September 30, 2014. As of September 30, 2016 , there was $7.2 million of unrecognized compensation expense related to unvested restricted stock unit awards. This cost is expected to be recognized over a weighted-average period of 1.7 years . Performance Based Restricted Stock Units (PRSUs) During the year ended September 30, 2016, the Company awarded 42,467 PRSUs under the 2014 Plan. The number of PRSUs earned is determined based on the Company's attainment of predefined performance targets set by the Compensation Committee. 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. The Company utilized a Monte Carlo simulation methodology to determine the per share fair value of the PRSU's on the grant date. 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. A summary of PRSU activity for the year ended September 30, 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 19.84 Forfeited — — — — Vested — — — — Non-vested units at September 30, 2016 42,467 — 42,467 $ 19.84 (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 $17.1 million , $5.2 million and $0.9 million of stock-based compensation expense for all awards during fiscal years 2016 , 2015 and 2014 , respectively. Stock-based compensation expense is included in general and administrative expense in the consolidated statements of operations.

Valuation and Qualifying Accoun

Valuation and Qualifying Accounts	12 Months Ended
	Sep. 30, 2016
Valuation and Qualifying Accounts [Abstract]
Valuation and Qualifying Accounts	Valuation and Qualifying Accounts The following table summarizes information about the allowances for doubtful accounts and sales allowances for the years ended September 30, 2016 , 2015 and 2014 (in thousands): Balance at Beginning of Period Provision Write-Offs Balance at end of Period Fiscal year ended September 30, 2016 $ 11,207 $ 14,784 $ (14,128 ) $ 11,863 Fiscal year ended September 30, 2015 $ 11,491 $ 17,055 $ (17,339 ) $ 11,207 Fiscal year ended September 30, 2014 $ 12,494 $ 20,392 $ (21,395 ) $ 11,491 The Company also had $3.8 million and $6.7 million of accounts receivable collateralized by liens, net of allowances for those liens of $1.0 million and $1.6 million , recorded as part of other assets within the accompanying consolidated balance sheets as of September 30, 2016 and September 30, 2015, respectively.

Quarterly Financial Data (unaud

Quarterly Financial Data (unaudited)	12 Months Ended
	Sep. 30, 2016
Quarterly Financial Information Disclosure [Abstract]
Quarterly Financial Data (unaudited)	Quarterly Financial Data (unaudited) The following table presents consolidated statement of operations data for each of the eight quarters in the period which began October 1, 2014 and ended September 30, 2016 . This information is derived from the Company’s unaudited financial statements, which in the opinion of management contain all adjustments necessary for a fair presentation of such financial data. Operating results for these periods are not necessarily indicative of the operating results for a full year. Historical results are not necessarily indicative of the results to be expected in future periods. For The Quarters Ended (in thousands, except share and per share amounts) September 30, June 30, March 31, December 31, September 30, June 30, March 31, December 31, Net revenue $ 362,194 $ 353,963 $ 345,683 $ 345,747 $ 351,182 $ 345,994 $ 335,180 $ 334,590 Income (loss) from continuing operations, net of tax 2,675 4,843 7,513 (5,574 ) 4,298 1,391 1,768 (3,385 ) Income (loss) from discontinued operations, net of tax (15 ) (27 ) (198 ) (30 ) (34 ) (841 ) (70 ) (55 ) Net income (loss) $ 2,660 $ 4,816 $ 7,315 $ (5,604 ) $ 4,264 $ 550 $ 1,698 $ (3,440 ) Loss per common share, basic Income (loss) from continuing operations $ 0.07 $ 0.13 $ 0.20 $ (0.15 ) $ 0.12 $ 0.04 $ 0.05 $ (0.09 ) Income (loss) from discontinued operations — — — — — (0.03 ) — — Net income (loss) $ 0.07 $ 0.13 $ 0.20 $ (0.15 ) $ 0.12 $ 0.01 $ 0.05 $ (0.09 ) Loss per common share, diluted Income (loss) from continuing operations $ 0.07 $ 0.13 $ 0.20 $ (0.15 ) $ 0.11 $ 0.04 $ 0.05 $ (0.09 ) Income (loss) from discontinued operations — — — — — (0.03 ) — — Net income (loss) $ 0.07 $ 0.13 $ 0.20 $ (0.15 ) $ 0.11 $ 0.01 $ 0.05 $ (0.09 ) Weighted average number of common shares outstanding, basic 37,145 37,108 37,102 37,095 36,990 36,950 36,950 36,950 Weighted average number of common shares outstanding, diluted 37,308 37,252 37,207 37,095 37,212 37,123 37,066 36,950

Subsequent Events

Subsequent Events	12 Months Ended
	Sep. 30, 2016
Subsequent Events [Abstract]
Subsequent Events	Subsequent Events As a result of recent changes in our organizational structure which took effect in the first quarter of fiscal 2017, we have changed our reportable operating segments. Beginning with the first quarter of fiscal 2017, our Human Services segment will be divided into two reportable operating segments: the Intellectual and Developmentally Disabilities (“I/DD”) segment and the At Risk Youth (“ARY”) segment. The Adult Day Health (“ADH”) operating segment, which was previously aggregated in the Human Services segment, will be included in the Corporate/Other segment. There will be no change to the SRS Segment. This change aligns with the way we have begun to operate our business commencing in the first quarter of fiscal 2017.

Schedule I - Condensed Parent C

Schedule I - Condensed Parent Company Financial Information	12 Months Ended
	Sep. 30, 2016
Condensed Financial Information of Parent Company Only Disclosure [Abstract]
Schedule I - Condensed Parent Company Financial Information	Financial Statement Schedules Schedule I—Condensed Parent Company Financial Information Civitas Solutions, Inc. Parent-Only Condensed Balance Sheets (in thousands) September 30, 2016 2015 Assets Cash $ — $ — Other assets 4,215 5,236 Deferred income taxes — 9,793 Investment in subsidiaries 142,568 106,263 Total assets $ 146,783 $ 121,292 Liabilities & Stockholders' Equity Other liabilities 1,193 17 Total liabilities $ 1,193 $ 17 Stockholder's equity Common stock, $0.01 par value; 350,000,000 shares authorized; and 37,214,758 and 37,093,237 shares issued and outstanding at September 30, 2016 and 2015, respectively 372 371 Additional paid-in-capital 294,295 277,311 Accumulated other comprehensive loss (3,561 ) (1,704 ) Accumulated deficit (145,516 ) (154,703 ) Total stockholders' equity 145,590 121,275 Total liabilities and stockholders' equity $ 146,783 $ 121,292 Civitas Solutions, Inc. Parent-Only Condensed Statements of Operations and Comprehensive Income (Loss) (in thousands) For the Year Ended September 30, 2016 2015 2014 General and administrative expenses $ — $ — $ (738 ) Equity in net income (loss) of subsidiary 9,187 2,608 (22,402 ) Income (loss) from operations 9,187 2,608 (23,140 ) Income (loss) before income taxes 9,187 2,608 (23,140 ) Expense (benefit) for income taxes — (464 ) (325 ) Net income (loss) 9,187 3,072 (22,815 ) Other comprehensive income (loss) (1,857 ) (1,704 ) 1,880 Comprehensive income (loss) $ 7,330 $ 1,368 $ (20,935 ) Civitas Solutions, Inc. Parent-Only Condensed Statements of Cash Flows (in thousands) For the Year Ended September 30, 2016 2015 2014 Cash flows used in operating activities: Net income (loss) $ 9,187 $ 3,072 $ (22,815 ) Adjustments to reconcile net (loss) income to net cash provided by operating activities: Equity in net (income) loss of subsidiary (9,187 ) (2,608 ) 22,402 Deferred income taxes 11,004 3,413 130 Other assets 1,021 (1,754 ) (2,711 ) Other accrued liabilities — (2,248 ) 2,994 Net cash used in operating activities 12,025 (125 ) — Cash flows provided by (used in) investing activities: Investment in NMHI (12,025 ) — (182,203 ) Dividend from NMHI — — 110 Net cash provided by (used in) investing activities (12,025 ) — (182,093 ) Cash flows provided by (used in) financing activities: Net proceeds from IPO — — 182,203 Dividend to NMH Investment, LLC — — (110 ) Net cash provided by (used in) financing activities — — 182,093 Decrease in cash and cash equivalents — (125 ) — Cash and cash equivalents, beginning of period — 125 125 Cash and cash equivalents, end of period $ — $ — $ 125 Notes to Condensed Civitas Solutions, Inc. Parent-Only Financial Statements Note 1 - Summary of Significant Accounting Policies and Nature of Operations Civitas Solutions, Inc., formerly known as NMH Holdings, Inc. (“Civitas”), was incorporated in Delaware on June 15, 2007. Civitas has no other operations beyond its ownership of National Mentor Holdings, Inc. (“NMHI”). The condensed Civitas financial information includes the activity of Civitas and its investment in NMHI using the equity method. The consolidated activity of Civitas and its subsidiaries are not included and are meant to be read in conjunction with the Civitas consolidated financial statements included elsewhere in this Annual Report on Form 10-K. . Note 2 - Initial Public Offering and Investment in NMHI On September 22, 2014, Civitas completed an initial public offering resulting in net proceeds of approximately $182.2 million after deducting underwriting discounts, commissions, and offering expenses. In Connection with the offering, Civitas made a capital contribution to NMHI in the amount of $182.2 million . NMHI used the net proceeds to pay a one-time transaction advisory fee to Vestar of $8.0 million and to redeem $162.0 million of aggregate principal amount of senior notes issued by NMHI at a redemption price of 106.25% plus accrued interest. Note 3 - Dividend from Subsidiaries Civitas received dividends of $110 thousand for the fiscal year ended 2014. This cash was used to fund the repurchases of equity units from employees upon or after their departures. Civitas received no dividends for the fiscal years ended 2015 or 2016. NMHI's ability to pay dividends on our common stock is limited by restrictions on the ability of our subsidiaries and us to pay dividends or make distributions under the terms of NMHI’s current and any future agreements governing our indebtedness. Any future determination to pay dividends will be at the discretion of our Board of Directors, subject to compliance with covenants in NMHI’s current and any future agreements governing our indebtedness, and will depend upon our results of operations, financial condition, capital requirements and other factors that our Board of Directors deems relevant.

Significant Accounting Polici36

Significant Accounting Policies (Policies)	12 Months Ended
	Sep. 30, 2016
Accounting Policies [Abstract]
Principles of Consolidation	Principles of Consolidation The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. Intercompany accounts and transactions between the Company and its subsidiaries have been eliminated in consolidation.
Use of Estimates	Use of Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America (“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. On an on-going basis, we evaluate our estimates and judgments and methodologies. Actual results could differ from these estimates under different assumptions or conditions.
Fair Value Measurements	Fair Value Measurements The accounting standard for fair value measurements defines fair value, establishes a framework for measuring fair value in accordance with GAAP, and requires detailed disclosures about fair value measurements. Under this standard, fair value is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. The valuation techniques are based on observable and unobservable inputs. Observable inputs reflect readily obtainable data from independent sources, while unobservable inputs reflect certain market assumptions. This standard classifies these inputs into the following hierarchy: Level 1 Inputs - Quoted prices for identical instruments in active markets. Level 2 Inputs - Quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-derived valuations whose inputs are observable or whose significant value drivers are observable. Level 3 Inputs - Instruments with primarily unobservable value drivers. The fair value hierarchy level is determined by asset class based on the lowest level of significant input. In periods of market inactivity, the observability of prices and inputs may be reduced for certain instruments. This condition could cause an instrument to be reclassified between levels. During the years ended September 30, 2016 and 2015, there were no transfers between levels.
Cash Equivalents	Cash Equivalents The Company considers short-term investments with maturity dates of 90 days or less at the date of purchase to be cash equivalents.
Restricted Cash	Restricted Cash Restricted cash consists of a cash collateral account set up to support the issuance of letters of credit under the Company’s institutional letter of credit facility and funds provided from government payors restricted for client use.
Concentrations of Credit and Other Risks	Concentrations of Credit and Other Risks Financial instruments that potentially subject the Company to credit risk primarily consist of cash and cash equivalents, self-insurance receivables and accounts receivable. Cash and cash equivalents are deposited with federally insured commercial banks in the United States, which, at times may exceed federally insured limits of $250 thousand . The Company has not experienced any losses in such accounts. As of September 30, 2016, our accounts exceeded federally insured limits by $50.4 million . The Company derives approximately 88% of its revenue from state and local government payors. These entities fund a significant portion of their payments to the Company through federal matching funds, which pass through various state and local government agencies.
Revenue Recognition	Revenue Recognition Revenue is reported net of allowances for unauthorized sales and estimated sales adjustments. Revenue is also reported net of any state provider taxes or gross receipts taxes levied on services the Company provides. Sales adjustments are estimated based on an analysis of historical sales adjustments and recent developments in payment trends. Revenue is recognized when evidence of an arrangement exists, the service has been provided, the price is fixed or determinable and collectability is reasonably assured. The Company recognizes revenue for services performed pursuant to contracts with various state and local government agencies and private health care agencies. The payment terms and rates of our contracts vary by jurisdiction and service type. The Company has four types of contractual arrangements with payors which include negotiated contracts, fixed fee contracts, retrospective reimbursement contracts and prospective payments contracts. Under the Company's units-of-service contracts revenue is recognized at the time the service is performed. Under the Company's cost reimbursement contracts revenue is recognized at the time the service costs are incurred. For the Company’s cost-reimbursement contracts, the rate provided by the payor is based on a certain level of service and types of costs incurred in delivering the service. From time to time, the Company receives payments under cost-reimbursement contracts in excess of the allowable costs required to support those payments. In such instances, the Company estimates and records a liability for such excess payments. At the end of the contract period, any balance of excess payments is maintained as a liability until it is reimbursed to the payor. Revenue in the future may be affected by changes in rate-setting structures, methodologies or interpretations that may be enacted in states where the Company operates or by the federal government.
Cost of Revenue	Cost of Revenue The Company classifies expenses directly related to providing services as cost of revenue, except for depreciation and amortization related to cost of revenue, which are shown separately in the consolidated statements of operations. Direct costs and expenses principally include salaries and benefits for service provider employees, per diem payments to independently contracted host-home caregivers (“Mentors”), residential occupancy expenses, which are primarily composed of rent and utilities related to facilities providing direct care, certain client expenses, such as food and medicine and transportation costs for clients requiring services, professional and general liability expense, employment practices liability expense and workers’ compensation expense.
Property and Equipment	Property and Equipment Property and equipment are recorded at cost and are depreciated using a straight-line method when placed into service, based on their estimated useful lives as follows: Asset Description Estimated Useful Life (in years) Land Indefinite Building 30 Leasehold Improvements Not to exceed 7 years or length of lease Vehicles 5 Computer hardware and software 3 Furniture, fixtures and equipment 3-5 Capital lease assets are depreciated over the lesser of the lease term or the useful life of the asset. Expenditures for maintenance and repairs are charged to operating expenses as incurred. When assets are sold or retired, the corresponding cost and accumulated depreciation are removed from the related accounts and any gain or loss is recorded in the period of the sale or retirement.
Internal Use Software Development Costs	Internal Use Software Development Costs The Company capitalizes certain costs associated with its internally developed software that are incurred subsequent to the preliminary project stage. Specifically, the Company capitalizes the payroll and payroll-related costs of employees who are directly involved with and who devote time to the Company’s software development project and other applicable third-party costs, and amortizes these costs on a straight-line basis over the estimated useful life of the software of three years . Amortization begins when the internal-use software is ready for its intended use.
Accounts Receivable	Accounts Receivable Accounts receivable primarily consist of amounts due from government agencies, not-for-profit providers and commercial insurance companies. An estimated allowance for doubtful accounts is recorded to the extent it is probable that a portion or all of a particular account will not be collected. In evaluating the collectability of accounts receivable, the Company considers a number of factors, including payment trends in individual states, age of the accounts and the status of ongoing disputes with third party payors. Complex rules and regulations regarding billing and timely filing requirements in various states are also a factor in our assessment of the collectability of accounts receivable. Actual collections of accounts receivable in subsequent periods may require changes in the estimated allowance for doubtful accounts. Changes in these estimates are charged or credited to revenue as a contractual allowance in the consolidated statements of operations in the period of the change in estimate.
Goodwill and Indefinite-lived Intangible Assets	Goodwill and Indefinite-lived Intangible Assets The Company reviews costs of purchased businesses in excess of the fair value of net assets acquired (goodwill), and indefinite-lived intangible assets for impairment at least annually, unless significant changes in circumstances indicate a potential impairment may have occurred sooner. The Company conducts its annual impairment test for both goodwill and indefinite-lived intangible assets on July 1 st of each year. The Company is required to test goodwill on a reporting unit basis. The Company has the option to first assess qualitative factors to determine whether further impairment testing is necessary. The Company has elected to bypass the qualitative assessments and proceed directly to the two-step impairment test. The first step is to compare the fair value of the reporting unit with its carrying value. If the carrying amount of the reporting unit exceeds its fair value then the second step of the goodwill impairment test is performed. The second step of the goodwill impairment test compares the implied fair value of the reporting unit’s goodwill with the carrying amount of that goodwill in order to determine the amount of impairment to be recognized. The excess of the carrying value of goodwill above the implied goodwill, if any, would be recognized as an impairment charge. Fair values are estimated using the discounted cash flow method. For its indefinite-lived intangible assets, the Company has elected to bypass the qualitative assessments and proceed directly to the quantitative impairment test. The impairment test for indefinite-lived intangible assets requires the determination of the fair value of the intangible asset. If the fair value of the indefinite-lived intangible asset is less than its carrying value, an impairment loss is recognized in an amount equal to the difference. Fair values are estimated using the relief from royalty method. As described above, the fair value of a reporting unit is based on discounted estimated future cash flows. The assumptions used to estimate fair value include management’s best estimates of future operating cash flows, including revenue growth, tax rates, capital expenditures, discount rates and working capital changes. As such, actual results may differ from these estimates and lead to a revaluation of the Company’s goodwill and indefinite-lived intangible assets.
Impairment of Long-Lived Tangible and Intangible Assets	Impairment of Long-Lived Tangible and Intangible Assets The Company reviews long-lived tangible and intangible assets for impairment when events or circumstances have occurred that indicate the estimated useful life of these assets may warrant revision or that the carrying amount of these asset may be impaired. To compute whether assets have been impaired, the estimated undiscounted future cash flows for the estimated remaining useful life of the assets are compared to the carrying value. To the extent that the future cash flows are less than the carrying value, the assets are written down to the estimated fair value of the asset.
Income Taxes	Income Taxes The Company accounts for income taxes using the asset and liability method. Under this method, deferred tax assets and liabilities are determined by multiplying the differences between the financial reporting and tax reporting bases for assets and liabilities by the enacted tax rates expected to be in effect when such differences are recovered or settled. These deferred tax assets and liabilities are separated into current and long-term amounts based on the classification of the related assets and liabilities for financial reporting purposes and netted by jurisdiction. Valuation allowances on deferred tax assets are estimated based on the Company’s assessment of the realizability of such amounts. The Company also recognizes the benefits of tax positions when certain criteria are satisfied. The Company may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such a position should be measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. The Company recognizes interest and penalties related to uncertain tax positions as a component of income tax expense which is consistent with the recognition of these items in prior reporting periods.
Derivative Financial Instruments	Derivative Financial Instruments The Company reports derivative financial instruments on the balance sheet at fair value and establishes criteria for designation and effectiveness of hedging relationships. Changes in the fair value of derivatives are recorded each period in current operations or in the consolidated statements of comprehensive income (loss) depending upon whether the derivative is designated as part of a hedge transaction and, if it is, the type of hedge transaction. The Company, from time to time, enters into interest rate swap agreements to hedge against variability in cash flows resulting from fluctuations in the benchmark interest rate, which is LIBOR, on the Company’s debt. These agreements involve the exchange of variable interest rates for fixed interest rates over the life of the swap agreement without an exchange of the notional amount upon which the payments are based. On a quarterly basis, the differential to be received or paid as interest rates change is accrued and recognized as an adjustment to interest expense in the accompanying consolidated statements of operations. In addition, on a quarterly basis, the mark to market valuation is recorded as an adjustment to gain (loss) on derivative within the consolidated statements of comprehensive income (loss). The related amount receivable from or payable to counterparties is included as an asset or liability, respectively, in the Company’s consolidated balance sheets.
Stock-Based Compensation	Stock-Based Compensation Prior to the Company's initial public offering ("IPO"), NMH Investment maintained an equity-based compensation plan, and from time to time it issued units of limited liability company interests pursuant to such plan. The units were available for issuance to the Company’s employees and members of the Board of Directors. The Company recognized the fair value of these awards as compensation expense over the requisite services period or when the satisfaction of the vesting conditions were determined to be probable. In October 2015, 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 conditions for all unvested awards. As a result, the Company recorded compensation expense of $10.5 million that is included in General and administrative expense on the Consolidated Statement of Operations during the year ended September 30, 2016. In fiscal 2014, Civitas adopted an equity-based compensation plan and began issuing stock-based awards including non-qualified stock options and restricted stock units. The Company recognizes the fair value of stock-based compensation expense over the requisite service period of the individual grantee, which equals the vesting period. The fair value of each option granted was estimated on the grant date using the Black-Scholes valuation model. The fair value of each restricted stock unit was determined based the Company's closing stock price on the date of grant. The Company is required to estimate future forfeitures of stock-based awards for recognition of compensation expense. The Company will record additional expense if the actual forfeitures are lower than estimated and will record a recovery of prior recognized expense if the actual forfeitures are higher than estimated. The actual expense recognized over the vesting period will only be for those awards that vest.
Self-Insurance	Self-Insurance The Company maintains employment practices liability, professional and general liability, workers’ compensation, automobile liability and health insurance with policies that include self-insured retentions. Employment practices liability is fully self-insured. The Company records expenses related to claims on an incurred basis, which includes estimates of fully developed losses for both reported and unreported claims. The accruals for the health, workers’ compensation, automobile, employment practices liability and professional and general liability programs are based on analyses performed internally by management and for certain balances, take into account reports by independent third party actuaries. Self-insurance accruals are periodically re-evaluated and increased or decreased based on new information.
Self-Insurance Gross versus Net Presentation	Self-Insurance Gross versus Net Presentation The Company reports its insurance liabilities on a gross basis without giving effect to insurance recoveries. Anticipated insurance recoveries are presented in Prepaid expenses and other current assets and Other assets on the consolidated balance sheets. Self-insured liabilities are presented in Accrued payroll and related costs, Other accrued liabilities and Other long-term liabilities on the Company’s consolidated balance sheets.
Legal Contingencies	Legal Contingencies The Company reserves for costs related to contingencies when a loss is probable and the amount is reasonably estimable or a range of loss can be determined. These accruals represent management’s best estimate of probable loss. Disclosure is also provided when it is reasonably possible that a loss will be incurred or when it is reasonably possible that the amount of loss will exceed the recorded provision. Significant judgment is required in both the determination of probability and the determination as to whether an exposure is reasonably estimable. Because of uncertainties related to these matters, accruals are based only on the best information available at the time. As additional information becomes available, the Company reassesses the potential liability related to pending claims and litigation and may revise its estimates. These revisions in the estimates of the potential liabilities could have a material impact on our consolidated results of operations and financial position.
Discontinued Operations	Discontinued Operations In determining whether operations disposed (or to be disposed) of should be presented as discontinued operations, the Company assesses whether the disposal group represents a strategic shift that has (or will have) a major effect on the entity's operations and financial results. If these determinations can be made affirmatively, the results of operations of the disposal group (as well as any gain or loss on the disposal transaction) are aggregated for separate presentation apart from the continuing results of the Company in the consolidated finance statements. If the disposal group does not represent a strategic shift that has a major effect on the Company's operations or financial results but is determined to be an individually significant component of the Company, enhanced disclosures on the operating results of the disposal group will be presented. Prior to fiscal 2015, operations disposed (or to be disposed) of that did not represent a strategic shift that had a major effect on the Company's operations and financial results were presented as discontinued operations if they qualified as a component and the cash flows of the component were eliminated from ongoing operations by the end of the assessment period and the Company did not have significant continuing involvement with the divested operations.
Subsequent Events	Subsequent Events The Company considers events or transactions that have occurred after the balance sheet date of September 30, 2016 , but prior to the filing of the financial statements with the Securities and Exchange Commission, or SEC, to provide additional evidence relative to certain estimates or to identify matters that require additional recognition or disclosure. Subsequent events have been evaluated through the filing of the financial statements accompanying this Annual Report on Form 10-K.
Recent Accounting Pronouncements	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 including identifying performance obligations in the contract, estimating the amount of variable consideration to include in the transaction price and allocating the transaction price to each separate performance obligation. Subsequent to issuing ASU No. 2014-09, the FASB issued the following amendments concerning the adoption and clarification of ASU No. 2014-09. 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. In March 2016, the FASB issued ASU No. 2016-08, Revenue from Contracts with Customers (Topic 606): Principal versus Agent Considerations (Reporting Revenue Gross versus Net), which further clarifies the implementation guidance on principal versus agent considerations. The new guidance requires either a retrospective or a modified retrospective approach to adoption. In April 2016, the FASB issued ASU No. 2016-10 Revenue from Contracts with Customers (Topic 606): Identifying Performance Obligations and Licensing, which clarifies the identification of the performance obligations and licensing implementation guidance, while retaining the related principals of those areas. In May 2016, the FASB issued ASU No. 2016-12 Revenue from Contracts with Customers (Topic 606): Narrow-Scope Improvements and Practical Expedients, which provides clarification on assessing the collectability criterion, presentation of sales taxes, measurement date for noncash consideration and completed contracts at transition. The Company is evaluating the method of adoption and the potential impact that these ASUs will 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 was effective for the Company beginning on October 1, 2016. As of September 30, 2016 and September 30, 2015 , the Company had deferred financing costs of $5.9 million and $7.5 million , respectively, within other assets. These costs will be presented as a deduction from the carrying amount of the Company's debt balance beginning on October 1, 2016. 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 was effective for the Company beginning on October 1, 2016. Although the impact of applying this standard to prior acquisitions would have been immaterial, the standard 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 and is to be applied either prospectively or retrospectively. The update will be effective for the Company beginning on October 1, 2017. As of September 30, 2016 and September 30, 2015 , the Company had current deferred tax assets, net of current deferred tax liabilities, of $18.0 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 but expects that the adoption of ASU No. 2016-02 will result in an increase to its long-term assets and liabilities on the consolidated balance sheet. Stock Compensation— In March 2016, the FASB issued ASU No. 2016-09-Compensation-Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting. 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. Statement of Cash Flows— In August 2016, the FASB issued ASU No. 2016-15- Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments. The update addresses eight specific cash flow issues with the objective of reducing the existing diversity in practice. The new standard is effective for fiscal years beginning after December 15, 2017, and interim periods within those fiscal years. The Company is currently evaluating the potential impact that this standard may have on its consolidated financial statements.

Significant Accounting Polici37

Significant Accounting Policies (Tables)	12 Months Ended
	Sep. 30, 2016
Accounting Policies [Abstract]
Schedule of Cost and Depreciation for Property and Equipment	Property and equipment are recorded at cost and are depreciated using a straight-line method when placed into service, based on their estimated useful lives as follows: Asset Description Estimated Useful Life (in years) Land Indefinite Building 30 Leasehold Improvements Not to exceed 7 years or length of lease Vehicles 5 Computer hardware and software 3 Furniture, fixtures and equipment 3-5

Business Combinations (Tables)

Business Combinations (Tables)	12 Months Ended
	Sep. 30, 2016
Fiscal 2016 Acquisitions
Schedule of Recognized Amounts of Identifiable Assets Acquired and Liabilities 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 10,600 363 10,963 2,677 13,640 TLC Duluth 7,132 26 7,158 1,342 8,500 Maryland ADH 7,680 769 8,449 3,835 12,284 Eagle Crest 1,698 — 1,698 302 2,000 CRM 934 87 1,021 119 1,140 RHD 18 43 61 — 61 Learning Services 100 — 100 — 100 Pine Grove 407 — 407 93 500 Milne 210 5 215 — 215 Total $ 34,474 $ 1,331 $ 35,805 $ 9,391 $ 45,196
Fiscal 2015 Acquisitions
Schedule of Recognized Amounts of Identifiable Assets Acquired and Liabilities Assumed	The following table summarizes the recognized amounts of identifiable assets acquired assumed at the date of the acquisition: (in thousands) Identifiable Tangible Assets Total Identifiable Goodwill Capstone $ 3,539 $ 178 $ 3,717 $ 758 Lakeview 6,664 48 6,712 1,272 Cassell 11,600 37 11,637 12,633 CPS 876 19 895 355 Snug Harbor 938 28 966 34 Heritage 1,252 — 1,252 945 Visions of N.E.W. 2,240 122 2,362 663 Other acquisitions 361 48 409 228 Total $ 27,470 $ 480 $ 27,950 $ 16,888
Fiscal 2014 Acquisitions
Schedule of Recognized Amounts of Identifiable Assets Acquired and Liabilities Assumed	The following table summarizes the recognized amounts of identifiable assets acquired assumed at the date of the acquisition: (in thousands) Identifiable Tangible Assets Total Identifiable Goodwill Show-Me Health Care $ 895 $ 9 $ 904 $ 336 Occazio 3,863 216 4,079 1,421 Ann Arbor 3,801 50 3,851 972 Tender Loving Care 2,396 16 2,412 538 AmeriServe 288 43 331 69 G&D 1,086 102 1,188 312 Life by Design 1,651 16 1,667 433 Adult Day Health 18,100 1,081 19,181 17,969 Other acquisitions 272 106 378 57 Total $ 32,352 $ 1,639 $ 33,991 $ 22,107

Proforma Results of Operations

Proforma Results of Operations (Tables)	12 Months Ended
	Sep. 30, 2016
Business Combinations [Abstract]
Business Acquisition, Pro Forma Information	The following table reflects the unaudited pro forma results of operations for fiscal 2016 , 2015 , and 2014 assuming that the acquisitions made during fiscal 2016 , 2015 , and 2014 had occurred on October 1, 2014, 2013 and 2012, respectively. (in thousands) Year Ended Year ended September 30, 2015 Year ended September 30, 2014 Net revenue $ 1,428,219 $ 1,429,166 $ 1,324,122 Net income (loss) 11,233 9,779 (8,422 )

Discontinued Operations (Tables

Discontinued Operations (Tables)	12 Months Ended
	Sep. 30, 2016
Discontinued Operations and Disposal Groups [Abstract]
Net Revenue and Loss Before Income Taxes for Company's Discontinued Operations	The net revenue and loss before income taxes for the Company’s discontinued operations for the periods presented is as follows (in thousands): Year ended September 30, 2016 2015 2014 Net revenue $ 146 $ 968 $ 13,425 Loss before income taxes (441 ) (1,634 ) (2,259 )

Goodwill and Intangible Assets

Goodwill and Intangible Assets (Tables)	12 Months Ended
	Sep. 30, 2016
Goodwill and Intangible Assets Disclosure [Abstract]
Schedule of Changes in Goodwill	The changes in goodwill for the fiscal years ended September 30, 2016 and 2015 are as follows (in thousands): Human Services Post-Acute Specialty Rehabilitation Services Total Balance as of September 30, 2014 190,658 66,974 257,632 Goodwill acquired through acquisitions 2,628 14,260 16,888 Balance as of September 30, 2015 $ 193,286 $ 81,234 $ 274,520 Goodwill acquired through acquisitions 8,716 675 9,391 Impairment (10,251 ) — (10,251 ) Balance as of September 30, 2016 $ 191,751 $ 81,909 $ 273,660
Schedule of Finite Lived Intangible Assets	Intangible assets consist of the following as of September 30, 2016 (in thousands): Description Weighted Average Remaining Life Gross Carrying Value Accumulated Amortization Intangible Assets, Net Agency contracts 7 years $ 499,652 $ 257,104 $ 242,548 Non-compete/non-solicit 2 years 6,438 4,432 $ 2,006 Relationship with contracted caregivers — 7,521 7,505 $ 16 Trade names 2 years 6,516 4,014 $ 2,502 Trade names (indefinite life) — 45,800 — $ 45,800 Licenses and permits 2 years 49,773 40,416 $ 9,357 Intellectual property — 452 452 $ — $ 616,152 $ 313,923 $ 302,229 Intangible assets consist of the following as of September 30, 2015 (in thousands): Description Weighted Average Remaining Life 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 Indefinite Lived Intangible Assets	Intangible assets consist of the following as of September 30, 2016 (in thousands): Description Weighted Average Remaining Life Gross Carrying Value Accumulated Amortization Intangible Assets, Net Agency contracts 7 years $ 499,652 $ 257,104 $ 242,548 Non-compete/non-solicit 2 years 6,438 4,432 $ 2,006 Relationship with contracted caregivers — 7,521 7,505 $ 16 Trade names 2 years 6,516 4,014 $ 2,502 Trade names (indefinite life) — 45,800 — $ 45,800 Licenses and permits 2 years 49,773 40,416 $ 9,357 Intellectual property — 452 452 $ — $ 616,152 $ 313,923 $ 302,229 Intangible assets consist of the following as of September 30, 2015 (in thousands): Description Weighted Average Remaining Life 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 each of the five succeeding years and thereafter is as follows: Year Ending September 30, (In thousands) 2017 $ 35,709 2018 35,217 2019 35,286 2020 34,231 2021 30,624 Thereafter 85,362 $ 256,429

Property and Equipment (Tables)

Property and Equipment (Tables)	12 Months Ended
	Sep. 30, 2016
Property, Plant and Equipment [Abstract]
Schedule of Property and Equipment	Property and equipment consists of the following as of September 30 (in thousands): 2016 2015 Buildings and land $ 125,604 $ 125,103 Vehicles 66,421 57,495 Computer hardware and software 33,053 31,165 Leasehold improvements 83,533 65,757 Furniture and fixtures 18,148 16,687 Office and telecommunication equipment 6,236 6,133 Software for internal use 4,608 3,033 Construction in progress 2,472 4,590 340,075 309,963 Less accumulated depreciation (165,067 ) (141,736 ) Property and equipment, net $ 175,008 $ 168,227

Certain Balance Sheet Accounts

Certain Balance Sheet Accounts (Tables)	12 Months Ended
	Sep. 30, 2016
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Prepaid Expenses and Other Current Assets	Prepaid expenses and other current assets consist of the following as of September 30 (in thousands): 2016 2015 Prepaid business expense $ 3,283 $ 2,300 Prepaid insurance 524 1,208 Anticipated insurance recoveries 8,067 7,245 Other 8,967 3,296 Prepaid expenses and other current assets $ 20,841 $ 14,049
Other Accrued Liabilities	Other accrued liabilities consist of the following as of September 30 (in thousands): 2016 2015 Accrued insurance $ 19,374 $ 16,994 Overpayments 1,459 1,039 Due to third party payors 6,601 10,093 Accrued professional services 2,028 3,977 Accrued interest 86 86 Other 22,132 14,239 Other accrued liabilities $ 51,680 $ 46,428
Other Long-Term Liabilities	Other long-term liabilities consist of the following as of September 30 (in thousands): 2016 2015 Accrued self-insurance reserves $ 60,080 $ 55,612 Other 21,386 23,558 Other long-term liabilities $ 81,466 $ 79,170

Long-term Debt (Tables)

Long-term Debt (Tables)	12 Months Ended
	Sep. 30, 2016
Debt Disclosure [Abstract]
Long-Term Debt	The Company’s long-term debt consists of the following as of September 30 (in thousands): 2016 2015 Term loan principal; principal and interest are due in quarterly installments through January 31, 2021 $ 639,030 $ 645,585 Original issue discount on term loan, net of accumulated amortization (1,178 ) (1,457 ) 637,852 644,128 Less current portion 6,554 6,554 Long-term debt $ 631,298 $ 637,574
Schedule of Annual Maturities of Company's Debt	Annual maturities of the Company’s debt for the fiscal year ended September 30 are as follows: (In thousands) 2017 $ 6,554 2018 6,554 2019 6,554 2020 6,554 2021 612,814 Total $ 639,030

Fair Value Measurements (Tables

Fair Value Measurements (Tables)	12 Months Ended
	Sep. 30, 2016
Fair Value Disclosures [Abstract]
Fair Value of Assets and Liabilities on a Recurring Basis	The following table set forth the Company’s assets and liabilities that were accounted for at fair value on a recurring basis as of September 30, 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 $ (5,979 ) $ — $ (5,979 ) $ — Contingent consideration $ (5,915 ) $ — $ — $ (5,915 ) The following table set 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 Other Observable Inputs (Level 2) 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 fiscal years 2016 and 2015 . (in thousands) Level 3 Inputs Liabilities Balance at September 30, 2014 $ 2,400 Acquisition date fair value of contingent consideration obligations recorded 6,100 Present value accretion 575 Balance at September 30, 2015 9,075 Present value accretion (211 ) Fair value adjustments 616 Payments (3,565 ) Balance at September 30, 2016 $ 5,915

Leases (Tables)

Leases (Tables)	12 Months Ended
	Sep. 30, 2016
Leases [Abstract]
Schedule of Future Minimum Lease Payments for Non-cancellable Operating Leases	Future minimum lease payments for non-cancellable operating leases for the fiscal years ending September 30 are as follows (in thousands): 2017 $ 64,477 2018 54,061 2019 43,997 2020 32,594 2021 23,862 Thereafter 65,084 $ 284,075
Schedule of Future Minimum Lease Payments under Capital Leases	The following is a schedule of the future minimum lease payments under the capital leases for the fiscal years ending September 30 (in thousands): 2017 $ 1,124 2018 1,124 2019 1,124 2020 1,124 2021 1,124 Thereafter 2,633 Total minimum lease payments 8,253 Less: Interest payments (2,692 ) $ 5,561

Income Taxes (Tables)

Income Taxes (Tables)	12 Months Ended
	Sep. 30, 2016
Income Tax Disclosure [Abstract]
Provision (Benefit) for Income Taxes	The provision (benefit) for income taxes consists of the following as of September 30 (in thousands): 2016 2015 2014 Current: Federal $ 5,382 $ — $ — State 3,549 2,333 1,385 Total current taxes payable 8,931 2,333 1,385 Deferred: Federal 4,701 1,735 (10,338 ) State (342 ) (1,379 ) (2,510 ) Net deferred tax provision (benefit) 4,359 356 (12,848 ) Income tax provision (benefit) $ 13,290 $ 2,689 $ (11,463 )
Significant Components of Company's Deferred Tax Assets and Liabilities	Significant components of the Company’s deferred tax assets and liabilities consist of the following as of September 30 (in thousands): 2016 2015 Gross deferred tax assets: Deferred compensation $ 1,371 $ 1,875 Interest rate swap agreements 2,418 1,157 Accrued workers’ compensation 11,196 12,335 Net operating loss carryforwards 7,330 15,145 Allowance for bad debts 4,797 3,828 Tax credits — 4,933 Depreciation — 3,067 Other 6,706 5,321 33,818 47,661 Valuation allowance (7,322 ) (9,229 ) Deferred tax assets 26,496 38,432 Deferred tax liabilities: Depreciation (994 ) — Amortization of goodwill and intangible assets (67,175 ) (74,477 ) Other accrued liabilities — (2,530 ) Net deferred tax liabilities $ (41,673 ) $ (38,575 )
Reconciliation Between Statutory and Effective Income Tax Rates	The following is reconciliation between the statutory and effective income tax rates at September 30 (in thousands): 2016 2015 2014 Federal income tax at statutory rate 35.0 % 35.0 % 35.0 % State income taxes, net of federal tax benefit 9.3 % 3.6 % 2.0 % Nondeductible compensation (1) 18.8 % 0.8 % (0.8 )% Other nondeductible expenses 1.5 % 9.1 % (1.1 )% Credits (6.6 )% (3.0 )% 0.0 % Other 0.4 % (5.7 )% (0.3 )% Effective tax rate 58.4 % 39.8 % 34.8 % (1) Increase is due to a stock compensation charge of $10.5 million recorded in the first quarter of fiscal 2016 related to certain awards under our former equity compensation plan that vested in October 2015. Refer to Note 22 - Stock-Based Compensation for further information

Segment Information (Tables)

Segment Information (Tables)	12 Months Ended
	Sep. 30, 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 Year Ended September 30, Human Services Post-Acute Specialty Rehabilitation Services Corporate Consolidated 2016 Net revenue (1) $ 1,118,494 $ 289,093 $ — $ 1,407,587 EBITDA 157,122 54,855 (82,358 ) 129,619 Total assets 627,075 250,695 214,278 1,092,048 Depreciation and amortization 46,874 23,412 2,775 73,061 Purchases of property and equipment 26,992 11,362 5,002 43,356 2015 Net revenue (1) $ 1,103,026 $ 263,920 $ — $ 1,366,946 EBITDA 165,741 49,099 (87,964 ) 126,876 Total assets 611,546 254,529 197,109 1,063,184 Depreciation and amortization 56,617 23,033 2,522 82,172 Purchases of property and equipment 22,972 16,551 3,270 42,793 2014 Net revenue (1) $ 1,025,672 $ 230,166 $ — $ 1,255,838 EBITDA 143,492 36,738 (76,472 ) 103,758 Total assets 634,989 222,475 350,490 1,207,954 Depreciation and amortization 45,576 19,177 2,735 67,488 Purchases of property and equipment 15,907 16,250 3,138 35,295 (1) In fiscal 2015 and fiscal 2016, we discontinued ARY services in the states of Illinois, Florida, Indiana, Louisiana, North Carolina and Texas. Included in the results for fiscal 2016, 2015, and 2014 is net revenue of $7.1 million , $53.9 million , and $67.9 million , respectively, related to these businesses.
Reconciliation of EBITDA to Income from Continuing Operations	A reconciliation of EBITDA to income from continuing operations on a consolidated basis is as follows: Year Ended September 30 2016 2015 2014 EBITDA $ 129,619 $ 126,876 $ 103,758 Less: Depreciation and amortization 73,061 82,172 67,488 Interest expense, net 33,811 37,943 69,166 Income (loss) from continuing operations before income taxes $ 22,747 $ 6,761 $ (32,896 )

Net Income (Loss) Per Share (Ta

Net Income (Loss) Per Share (Tables)	12 Months Ended
	Sep. 30, 2016
Earnings Per Share [Abstract]
Schedule of Earnings Per Share, Basic and Diluted	The following table sets forth the computation of basic and diluted earnings per share (“EPS”): Year Ended September 30, 2016 2015 2014 Numerator Net income (loss) $ 9,187 $ 3,072 $ (22,815 ) Denominator Weighted average shares outstanding, basic 37,112,794 36,959,997 25,538,493 Weighted average common equivalent shares 150,121 128,635 — Weighted average shares outstanding, diluted 37,262,915 37,088,632 25,538,493 Net income (loss) per share, basic and diluted $ 0.25 $ 0.08 $ (0.89 ) Equity instruments excluded from diluted net income (loss) per share calculation as the effect would have been anti-dilutive: Stock options 534,312 1,758 559,327 Restricted stock units 83,793 5,664 550,481

Stock-Based Compensation (Table

Stock-Based Compensation (Tables)	12 Months Ended
	Sep. 30, 2016
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Assumptions in Calculating the Fair Value of Options Granted	The fair value of each option granted was estimated on the grant date using the Black-Scholes valuation model with the following assumptions: 2016 2015 2014 Risk-free interest rate 1.32% - 1.92% 1.69% - 1.74% 1.88 % Expected term 6 years 6 years 6 years Expected volatility 34.65% - 36.20% 38.80% - 40.40% 45.00 % Expected dividend yield — % — % — % Weighted-average per share grant date fair value $ 9.19 $ 6.54 $ 7.67
Summary of Stock Option Activity	The table below summarizes our stock option activity during fiscal year 2016 : Number of Shares Weighted- Average Exercise Price per Share Weighted- Average Remaining Life (Years) Aggregate Intrinsic Value Outstanding at September 30, 2015 567,900 $ 16.98 Granted 230,739 24.75 Forfeited 58,469 17.94 Exercised 28,480 17.02 Expired 1,858 17.00 Outstanding at September 30, 2016 709,832 $ 19.42 8.4 $ 635 Vested or expected to vest as of September 30, 2016 689,724 $ 19.36 8.4 $ 624 Exercisable at September 30, 2016 318,906 $ 16.99 8.0 $ 407
Summary of Issued Restricted Stock Awards	A summary of our issued restricted stock unit awards is as follows: Number of Restricted Stock Units Weighted Average Grant-Date Fair Value Non-vested units at September 30, 2015 385,935 17.10 Granted 283,865 23.99 Forfeited 63,996 19.06 Vested 163,276 17.11 Non-vested units at September 30, 2016 442,528 $ 21.24
Schedule of Share-based Compensation, Restricted Stock Units Award Activity	A summary of PRSU activity for the year ended September 30, 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 19.84 Forfeited — — — — Vested — — — — Non-vested units at September 30, 2016 42,467 — 42,467 $ 19.84

Valuation and Qualifying Acco51

Valuation and Qualifying Accounts (Tables)	12 Months Ended
	Sep. 30, 2016
Valuation and Qualifying Accounts [Abstract]
Summary Information about Allowances for Doubtful Accounts and Sales Allowances	The following table summarizes information about the allowances for doubtful accounts and sales allowances for the years ended September 30, 2016 , 2015 and 2014 (in thousands): Balance at Beginning of Period Provision Write-Offs Balance at end of Period Fiscal year ended September 30, 2016 $ 11,207 $ 14,784 $ (14,128 ) $ 11,863 Fiscal year ended September 30, 2015 $ 11,491 $ 17,055 $ (17,339 ) $ 11,207 Fiscal year ended September 30, 2014 $ 12,494 $ 20,392 $ (21,395 ) $ 11,491

Quarterly Financial Data (una52

Quarterly Financial Data (unaudited) (Tables)	12 Months Ended
	Sep. 30, 2016
Quarterly Financial Information Disclosure [Abstract]
Consolidated Statement of Operations Data for Eight Quarters	The following table presents consolidated statement of operations data for each of the eight quarters in the period which began October 1, 2014 and ended September 30, 2016 . This information is derived from the Company’s unaudited financial statements, which in the opinion of management contain all adjustments necessary for a fair presentation of such financial data. Operating results for these periods are not necessarily indicative of the operating results for a full year. Historical results are not necessarily indicative of the results to be expected in future periods. For The Quarters Ended (in thousands, except share and per share amounts) September 30, June 30, March 31, December 31, September 30, June 30, March 31, December 31, Net revenue $ 362,194 $ 353,963 $ 345,683 $ 345,747 $ 351,182 $ 345,994 $ 335,180 $ 334,590 Income (loss) from continuing operations, net of tax 2,675 4,843 7,513 (5,574 ) 4,298 1,391 1,768 (3,385 ) Income (loss) from discontinued operations, net of tax (15 ) (27 ) (198 ) (30 ) (34 ) (841 ) (70 ) (55 ) Net income (loss) $ 2,660 $ 4,816 $ 7,315 $ (5,604 ) $ 4,264 $ 550 $ 1,698 $ (3,440 ) Loss per common share, basic Income (loss) from continuing operations $ 0.07 $ 0.13 $ 0.20 $ (0.15 ) $ 0.12 $ 0.04 $ 0.05 $ (0.09 ) Income (loss) from discontinued operations — — — — — (0.03 ) — — Net income (loss) $ 0.07 $ 0.13 $ 0.20 $ (0.15 ) $ 0.12 $ 0.01 $ 0.05 $ (0.09 ) Loss per common share, diluted Income (loss) from continuing operations $ 0.07 $ 0.13 $ 0.20 $ (0.15 ) $ 0.11 $ 0.04 $ 0.05 $ (0.09 ) Income (loss) from discontinued operations — — — — — (0.03 ) — — Net income (loss) $ 0.07 $ 0.13 $ 0.20 $ (0.15 ) $ 0.11 $ 0.01 $ 0.05 $ (0.09 ) Weighted average number of common shares outstanding, basic 37,145 37,108 37,102 37,095 36,990 36,950 36,950 36,950 Weighted average number of common shares outstanding, diluted 37,308 37,252 37,207 37,095 37,212 37,123 37,066 36,950

Business Overview - Additional

Business Overview - Additional Information (Detail)	Oct. 01, 2015shares	Sep. 30, 2016clientState
Product Information [Line Items]
Area of operations, number of states | State		35
Number of residential clients		11,500
Minimum
Product Information [Line Items]
Number of periodic clients (more than)		16,500
NMH Investment | Secondary Offering | Common Stock
Product Information [Line Items]
Shares sold by stockholders (shares) | shares	25,250,000

Significant Accounting Polici54

Significant Accounting Policies - Additional Information (Detail)	Oct. 01, 2015shares	Dec. 31, 2015USD ($)	Sep. 30, 2016USD ($)State	Sep. 30, 2015USD ($)	Sep. 30, 2014USD ($)
Significant Accounting Policies [Line Items]
Cash and cash equivalent insured by FDIC			$ 250,000
Cash and cash equivalents exceeding federally insured limits			$ 50,400,000
Area of operations, number of states | State			35
Amortized capitalized software development cost (in years)			3 years
Capitalized costs related to software development			$ 1,400,000	$ 1,400,000
Construction in progress			5,200,000	3,800,000
Stock based compensation expense			$ 17,100,000	$ 5,200,000	$ 900,000
Sales Revenue, Net | Government Contracts Concentration Risk
Significant Accounting Policies [Line Items]
Percentage of revenue from state and local government			88.00%
Common Stock
Significant Accounting Policies [Line Items]
Stock based compensation expense		$ 10,500,000	$ 10,500,000
MINNESOTA | Human Services | Sales Revenue, Segment | Geographic Concentration Risk
Significant Accounting Policies [Line Items]
Percentage of revenue from state and local government			15.00%	15.00%	14.00%
NMH Investment | Secondary Offering | Common Stock
Significant Accounting Policies [Line Items]
Shares sold by stockholders (shares) | shares	25,250,000

Significant Accounting Polici55

Significant Accounting Policies - Schedule of Cost and Depreciation for Property and Equipment (Detail)	12 Months Ended
	Sep. 30, 2016
Building
Property, Plant and Equipment [Line Items]
Property and equipment, useful life (years)	30 years
Vehicles
Property, Plant and Equipment [Line Items]
Property and equipment, useful life (years)	5 years
Computer hardware and software
Property, Plant and Equipment [Line Items]
Property and equipment, useful life (years)	3 years
Minimum | Furniture, fixtures and equipment
Property, Plant and Equipment [Line Items]
Property and equipment, useful life (years)	3 years
Maximum | Leasehold Improvements
Property, Plant and Equipment [Line Items]
Property and equipment, useful life (years)	7 years
Maximum | Furniture, fixtures and equipment
Property, Plant and Equipment [Line Items]
Property and equipment, useful life (years)	5 years

Recent Accounting Pronounceme56

Recent Accounting Pronouncements (Details) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Deferred tax assets, net	$ 18,013	$ 19,648
Change in Presentation of Debt Issuance Costs | Pro Forma | Prepaid Expenses and Other Current Assets
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Change in accounting principle, effect of adoption, quantification	$ 5,900
Change in Presentation of Debt Issuance Costs | Pro Forma | Other Current Assets
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Change in accounting principle, effect of adoption, quantification		$ 7,500

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 ($)

Apr. 30, 2015USD ($)

Apr. 01, 2015USD ($)

Mar. 23, 2015USD ($)

Jan. 13, 2015USD ($)

Dec. 29, 2014USD ($)

Oct. 31, 2014USD ($)

Sep. 08, 2014USD ($)facility

Jul. 23, 2014USD ($)

Jun. 30, 2014USD ($)

Apr. 07, 2014USD ($)

Feb. 07, 2014USD ($)

Jan. 02, 2014USD ($)

Nov. 29, 2013USD ($)

Sep. 30, 2016USD ($)Company

Sep. 30, 2015USD ($)Company

Sep. 30, 2014USD ($)Company

Jun. 30, 2015USD ($)

Business Acquisition [Line Items]

Number of companies acquired | Company

12

10

11

Fair value consideration of acquired companies

$ 45,200

$ 44,800

$ 56,100

Cost of acquisition

45,196

Recognized identifiable intangible assets acquired

34,474

27,470

32,352

Tangible Assets

1,331

480

1,639

Fair value of goodwill

9,391

16,888

22,107

Revenue

27,600

Contingent consideration

5,900

9,100

Net revenue

1,407,587

1,366,946

1,255,838

Goodwill

273,660

274,520

257,632

Human Services

Business Acquisition [Line Items]

Goodwill

191,751

193,286

190,658

Post-Acute Specialty Rehabilitation Services

Business Acquisition [Line Items]

Goodwill

81,909

81,234

66,974

Mother's Touch

Business Acquisition [Line Items]

Effective date of acquisition

Nov. 30, 2015

Cost of acquisition

$ 3,400

Recognized identifiable intangible assets acquired

2,741

Tangible Assets

9

Mother's Touch | Human Services

Business Acquisition [Line Items]

Fair value of goodwill

650

Mother's Touch | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 2,700

Weighted average useful life (in years)

12 years

Winways

Business Acquisition [Line Items]

Effective date of acquisition

Dec. 31, 2015

Cost of acquisition

$ 756

Recognized identifiable intangible assets acquired

619

Tangible Assets

29

Winways | Post-Acute Specialty Rehabilitation Services

Business Acquisition [Line Items]

Fair value of goodwill

108

Winways | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 500

Weighted average useful life (in years)

12 years

Triumph

Business Acquisition [Line Items]

Effective date of acquisition

Feb. 1, 2016

Cost of acquisition

$ 2,600

Recognized identifiable intangible assets acquired

2,335

Tangible Assets

0

Triumph | Post-Acute Specialty Rehabilitation Services

Business Acquisition [Line Items]

Cost of acquisition

2,600

Fair value of goodwill

265

Triumph | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 2,200

Triumph | Other Intangible Assets

Business Acquisition [Line Items]

Weighted average useful life (in years)

12 years

Brighton Worcester ADH

Business Acquisition [Line Items]

Effective date of acquisition

Feb. 1, 2016

Cost of acquisition

$ 13,600

Recognized identifiable intangible assets acquired

10,600

Tangible Assets

363

Brighton Worcester ADH | Human Services

Business Acquisition [Line Items]

Cost of acquisition

13,640

Fair value of goodwill

2,677

Brighton Worcester ADH | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 9,900

Weighted average useful life (in years)

12 years

Brighton Worcester ADH | Trade names

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 700

Weighted average useful life (in years)

5 years

TLC Duluth

Business Acquisition [Line Items]

Effective date of acquisition

Feb. 29, 2016

Cost of acquisition

$ 8,500

Recognized identifiable intangible assets acquired

7,132

Tangible Assets

26

TLC Duluth | Human Services

Business Acquisition [Line Items]

Cost of acquisition

8,500

Fair value of goodwill

1,342

TLC Duluth | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 6,200

Weighted average useful life (in years)

12 years

TLC Duluth | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 900

Weighted average useful life (in years)

10 years

Maryland ADH

Business Acquisition [Line Items]

Effective date of acquisition

Mar. 14, 2016

Cost of acquisition

$ 12,300

Recognized identifiable intangible assets acquired

7,680

Tangible Assets

769

Maryland ADH | Post-Acute Specialty Rehabilitation Services

Business Acquisition [Line Items]

Cost of acquisition

12,284

Fair value of goodwill

3,835

Maryland ADH | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 6,700

Maryland ADH | Other Intangible Assets

Business Acquisition [Line Items]

Weighted average useful life (in years)

12 years

Maryland ADH | Trade names

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 1,000

Weighted average useful life (in years)

5 years

Eagle Crest

Business Acquisition [Line Items]

Effective date of acquisition

Mar. 15, 2016

Cost of acquisition

$ 2,000

Recognized identifiable intangible assets acquired

1,698

Tangible Assets

0

Eagle Crest | Post-Acute Specialty Rehabilitation Services

Business Acquisition [Line Items]

Cost of acquisition

2,000

Fair value of goodwill

302

Eagle Crest | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 1,400

Eagle Crest | Other Intangible Assets

Business Acquisition [Line Items]

Weighted average useful life (in years)

12 years

CRM

Business Acquisition [Line Items]

Effective date of acquisition

Mar. 31, 2016

Cost of acquisition

$ 1,100

Recognized identifiable intangible assets acquired

934

Tangible Assets

87

CRM | Human Services

Business Acquisition [Line Items]

Cost of acquisition

1,140

Fair value of goodwill

119

CRM | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 800

CRM | Other Intangible Assets

Business Acquisition [Line Items]

Weighted average useful life (in years)

12 years

Fiscal 2015 Acquisitions

Business Acquisition [Line Items]

Net revenue

25,200

Capstone

Business Acquisition [Line Items]

Effective date of acquisition

Oct. 31, 2014

Cost of acquisition

$ 4,500

Recognized identifiable intangible assets acquired

3,539

Tangible Assets

178

Fair value of goodwill

758

Capstone | Human Services

Business Acquisition [Line Items]

Fair value of goodwill

800

Capstone | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 2,600

Weighted average useful life (in years)

12 years

Capstone | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 800

Weighted average useful life (in years)

10 years

Capstone | Non-Compete Agreements/Non-solicit Agreement

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 100

Weighted average useful life (in years)

5 years

Lakeview

Business Acquisition [Line Items]

Effective date of acquisition

Dec. 29, 2014

Cost of acquisition

$ 8,000

Recognized identifiable intangible assets acquired

6,664

Tangible Assets

48

Fair value of goodwill

1,272

Lakeview | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 6,000

Weighted average useful life (in years)

12 years

Lakeview | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 700

Weighted average useful life (in years)

10 years

Lakeview | Non-Compete Agreements/Non-solicit Agreement

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 31

Weighted average useful life (in years)

5 years

Cassell

Business Acquisition [Line Items]

Effective date of acquisition

Jan. 13, 2015

Cost of acquisition

$ 24,300

Recognized identifiable intangible assets acquired

11,600

Tangible Assets

37

Fair value of goodwill

12,633

Contingent consideration

6,100

6,100

Cassell | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 10,300

Weighted average useful life (in years)

12 years

Cassell | Trade names

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 1,100

Weighted average useful life (in years)

5 years

Cassell | Non-Compete Agreements/Non-solicit Agreement

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 200

Weighted average useful life (in years)

5 years

CPS

Business Acquisition [Line Items]

Effective date of acquisition

Mar. 23, 2015

Cost of acquisition

$ 1,300

Recognized identifiable intangible assets acquired

876

Tangible Assets

19

Fair value of goodwill

355

CPS | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 700

Weighted average useful life (in years)

12 years

CPS | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 200

Weighted average useful life (in years)

10 years

CPS | Non-Compete Agreements/Non-solicit Agreement

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 5

Weighted average useful life (in years)

5 years

Snug Harbor

Business Acquisition [Line Items]

Effective date of acquisition

Apr. 1, 2015

Cost of acquisition

$ 1,000

Recognized identifiable intangible assets acquired

938

Tangible Assets

28

Fair value of goodwill

34

Snug Harbor | Human Services

Business Acquisition [Line Items]

Fair value of goodwill

34

Snug Harbor | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 900

Weighted average useful life (in years)

12 years

Heritage

Business Acquisition [Line Items]

Effective date of acquisition

Apr. 30, 2015

Cost of acquisition

$ 2,200

Recognized identifiable intangible assets acquired

1,252

Tangible Assets

0

Fair value of goodwill

945

Heritage | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 1,100

Weighted average useful life (in years)

12 years

Heritage | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 200

Weighted average useful life (in years)

10 years

Heritage | Trade names

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 22

Weighted average useful life (in years)

1 year

Visions of N.E.W.

Business Acquisition [Line Items]

Effective date of acquisition

Apr. 30, 2015

Cost of acquisition

$ 3,000

Recognized identifiable intangible assets acquired

2,240

Tangible Assets

122

Fair value of goodwill

663

Visions of N.E.W. | Human Services

Business Acquisition [Line Items]

Fair value of goodwill

700

Visions of N.E.W. | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 1,800

Weighted average useful life (in years)

12 years

Visions of N.E.W. | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 400

Weighted average useful life (in years)

10 years

Fiscal 2014 Acquisitions

Business Acquisition [Line Items]

Net revenue

$ 19,700

Show-Me Health Care

Business Acquisition [Line Items]

Effective date of acquisition

Nov. 29, 2013

Cost of acquisition

$ 1,200

Recognized identifiable intangible assets acquired

895

Tangible Assets

9

Fair value of goodwill

336

Show-Me Health Care | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 700

Weighted average useful life (in years)

12 years

Show-Me Health Care | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 200

Weighted average useful life (in years)

10 years

Show-Me Health Care | Non-Compete Agreements/Non-solicit Agreement

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 14

Weighted average useful life (in years)

5 years

Occazio

Business Acquisition [Line Items]

Effective date of acquisition

Jan. 2, 2014

Cost of acquisition

$ 5,500

Recognized identifiable intangible assets acquired

3,863

Tangible Assets

216

Fair value of goodwill

1,421

Tangible assets

200

Occazio | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 2,900

Weighted average useful life (in years)

12 years

Occazio | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 700

Weighted average useful life (in years)

10 years

Occazio | Trade names

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 200

Weighted average useful life (in years)

5 years

Occazio | Non-Compete Agreements/Non-solicit Agreement

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 24

Weighted average useful life (in years)

5 years

Ann Arbor

Business Acquisition [Line Items]

Effective date of acquisition

Feb. 7, 2014

Cost of acquisition

$ 4,800

Recognized identifiable intangible assets acquired

3,801

Tangible Assets

50

Fair value of goodwill

972

Ann Arbor | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 3,700

Weighted average useful life (in years)

12 years

Ann Arbor | Trade names

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 100

Weighted average useful life (in years)

5 years

Ann Arbor | Non-Compete Agreements/Non-solicit Agreement

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 33

Weighted average useful life (in years)

5 years

Tender Loving Care

Business Acquisition [Line Items]

Effective date of acquisition

Apr. 7, 2014

Cost of acquisition

$ 3,000

Recognized identifiable intangible assets acquired

2,396

Tangible Assets

16

Fair value of goodwill

538

Tender Loving Care | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 2,000

Weighted average useful life (in years)

12 years

Tender Loving Care | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 300

Weighted average useful life (in years)

10 years

Tender Loving Care | Non-Compete Agreements/Non-solicit Agreement

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 100

Weighted average useful life (in years)

5 years

AmeriServe

Business Acquisition [Line Items]

Effective date of acquisition

Jun. 30, 2014

Cost of acquisition

$ 400

Recognized identifiable intangible assets acquired

$ 288

Tangible Assets

43

Fair value of goodwill

69

AmeriServe | Human Services

Business Acquisition [Line Items]

Fair value of goodwill

100

AmeriServe | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

200

Weighted average useful life (in years)

12 years

AmeriServe | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

39

Weighted average useful life (in years)

10 years

AmeriServe | Non-Compete Agreements/Non-solicit Agreement

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

12

Weighted average useful life (in years)

5 years

G&D

Business Acquisition [Line Items]

Effective date of acquisition

Jun. 30, 2014

Cost of acquisition

$ 1,500

Recognized identifiable intangible assets acquired

1,086

Tangible Assets

102

Fair value of goodwill

312

G&D | Human Services

Business Acquisition [Line Items]

Fair value of goodwill

300

G&D | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

900

Weighted average useful life (in years)

12 years

G&D | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

200

Weighted average useful life (in years)

10 years

G&D | Non-Compete Agreements/Non-solicit Agreement

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 6

Weighted average useful life (in years)

5 years

Life by Design

Business Acquisition [Line Items]

Effective date of acquisition

Jul. 23, 2014

Cost of acquisition

$ 2,100

Recognized identifiable intangible assets acquired

1,651

Tangible Assets

16

Fair value of goodwill

433

Life by Design | Human Services

Business Acquisition [Line Items]

Fair value of goodwill

400

Life by Design | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 1,300

Weighted average useful life (in years)

12 years

Life by Design | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 300

Weighted average useful life (in years)

10 years

Life by Design | Non-Compete Agreements/Non-solicit Agreement

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 33

Weighted average useful life (in years)

5 years

Adult Day Health

Business Acquisition [Line Items]

Effective date of acquisition

Sep. 8, 2014

Cost of acquisition

$ 37,100

Recognized identifiable intangible assets acquired

18,100

Tangible Assets

1,081

Fair value of goodwill

17,969

Contingent consideration

2,400

Tangible assets

$ 1,400

Number of health facilities | facility

8

Adult Day Health | Human Services

Business Acquisition [Line Items]

Fair value of goodwill

$ 18,000

Adult Day Health | Agency Contracts

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 12,400

Weighted average useful life (in years)

12 years

Adult Day Health | Licenses and permits

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 700

Weighted average useful life (in years)

10 years

Adult Day Health | Trade names

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 3,400

Weighted average useful life (in years)

5 years

Adult Day Health | Non-Compete Agreements/Non-solicit Agreement

Business Acquisition [Line Items]

Recognized identifiable intangible assets acquired

$ 1,600

Other acquisitions

Business Acquisition [Line Items]

Number of companies acquired | Company

3

Fair value consideration of acquired companies

$ 900

Cost of acquisition

600

$ 400

Recognized identifiable intangible assets acquired

361

272

Tangible Assets

48

106

Fair value of goodwill

$ 228

57

Goodwill

$ 100

Contingent Consideration, Earn-out | Adult Day Health

Business Acquisition [Line Items]

Contingent consideration cap

$ 3,300

Business Combinations - Schedul

Business Combinations - Schedule of Recognized Amounts of Identifiable Assets Acquired and Liabilities Assumed (Detail) - USD ($) $ in Thousands

Aug. 01, 2016

Mar. 31, 2016

Mar. 15, 2016

Mar. 14, 2016

Feb. 29, 2016

Feb. 01, 2016

Dec. 31, 2015

Nov. 30, 2015

Apr. 30, 2015

Apr. 01, 2015

Mar. 23, 2015

Jan. 13, 2015

Dec. 29, 2014

Oct. 31, 2014

Sep. 08, 2014

Jul. 23, 2014

Jun. 30, 2014

Apr. 07, 2014

Feb. 07, 2014

Jan. 02, 2014

Nov. 29, 2013

Sep. 30, 2016

Sep. 30, 2015

Sep. 30, 2014

Jun. 30, 2015

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 34,474

$ 27,470

$ 32,352

Tangible Assets

1,331

480

1,639

Total Identifiable Assets

35,805

27,950

33,991

Goodwill

9,391

16,888

22,107

Purchase Consideration

45,196

Mother's Touch

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 2,741

Tangible Assets

9

Total Identifiable Assets

2,750

Purchase Consideration

3,400

Winways

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 619

Tangible Assets

29

Total Identifiable Assets

648

Purchase Consideration

756

Triumph

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 2,335

Tangible Assets

0

Total Identifiable Assets

2,335

Purchase Consideration

2,600

Brighton Worcester ADH

Business Acquisition [Line Items]

Identifiable Intangible Assets

10,600

Tangible Assets

363

Total Identifiable Assets

10,963

Purchase Consideration

13,600

TLC Duluth

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 7,132

Tangible Assets

26

Total Identifiable Assets

7,158

Purchase Consideration

8,500

Maryland ADH

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 7,680

Tangible Assets

769

Total Identifiable Assets

8,449

Purchase Consideration

12,300

Eagle Crest

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 1,698

Tangible Assets

0

Total Identifiable Assets

1,698

Purchase Consideration

2,000

CRM

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 934

Tangible Assets

87

Total Identifiable Assets

1,021

Purchase Consideration

1,100

RHD

Business Acquisition [Line Items]

Identifiable Intangible Assets

18

Tangible Assets

43

Total Identifiable Assets

61

Learning Services

Business Acquisition [Line Items]

Identifiable Intangible Assets

100

Tangible Assets

0

Total Identifiable Assets

100

Pine Grove

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 407

Tangible Assets

0

Total Identifiable Assets

407

Milne

Business Acquisition [Line Items]

Identifiable Intangible Assets

210

Tangible Assets

5

Total Identifiable Assets

215

Capstone

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 3,539

Tangible Assets

178

Total Identifiable Assets

3,717

Goodwill

758

Purchase Consideration

4,500

Lakeview

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 6,664

Tangible Assets

48

Total Identifiable Assets

6,712

Goodwill

1,272

Purchase Consideration

$ 8,000

Cassell

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 11,600

Tangible Assets

37

Total Identifiable Assets

11,637

Goodwill

12,633

Purchase Consideration

$ 24,300

CPS

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 876

Tangible Assets

19

Total Identifiable Assets

895

Goodwill

355

Purchase Consideration

$ 1,300

Snug Harbor

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 938

Tangible Assets

28

Total Identifiable Assets

966

Goodwill

34

Purchase Consideration

1,000

Heritage

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 1,252

Tangible Assets

0

Total Identifiable Assets

1,252

Goodwill

945

Purchase Consideration

2,200

Visions of N.E.W.

Business Acquisition [Line Items]

Identifiable Intangible Assets

2,240

Tangible Assets

122

Total Identifiable Assets

2,362

Goodwill

663

Purchase Consideration

3,000

Other acquisitions

Business Acquisition [Line Items]

Identifiable Intangible Assets

361

272

Tangible Assets

48

106

Total Identifiable Assets

409

378

Goodwill

228

57

Purchase Consideration

$ 600

$ 400

Show-Me Health Care

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 895

Tangible Assets

9

Total Identifiable Assets

904

Goodwill

336

Purchase Consideration

$ 1,200

Occazio

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 3,863

Tangible Assets

216

Total Identifiable Assets

4,079

Goodwill

1,421

Purchase Consideration

$ 5,500

Ann Arbor

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 3,801

Tangible Assets

50

Total Identifiable Assets

3,851

Goodwill

972

Purchase Consideration

$ 4,800

Tender Loving Care

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 2,396

Tangible Assets

16

Total Identifiable Assets

2,412

Goodwill

538

Purchase Consideration

$ 3,000

AmeriServe

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 288

Tangible Assets

43

Total Identifiable Assets

331

Goodwill

69

Purchase Consideration

$ 400

G&D

Business Acquisition [Line Items]

Identifiable Intangible Assets

1,086

Tangible Assets

102

Total Identifiable Assets

1,188

Goodwill

312

Purchase Consideration

$ 1,500

Life by Design

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 1,651

Tangible Assets

16

Total Identifiable Assets

1,667

Goodwill

433

Purchase Consideration

2,100

Adult Day Health

Business Acquisition [Line Items]

Identifiable Intangible Assets

$ 18,100

Tangible Assets

1,081

Total Identifiable Assets

19,181

Goodwill

17,969

Purchase Consideration

37,100

Human Services | Mother's Touch

Business Acquisition [Line Items]

Goodwill

$ 650

Human Services | Brighton Worcester ADH

Business Acquisition [Line Items]

Goodwill

2,677

Purchase Consideration

13,640

Human Services | TLC Duluth

Business Acquisition [Line Items]

Goodwill

1,342

Purchase Consideration

$ 8,500

Human Services | CRM

Business Acquisition [Line Items]

Goodwill

119

Purchase Consideration

$ 1,140

Human Services | RHD

Business Acquisition [Line Items]

Goodwill

0

Purchase Consideration

61

Human Services | Learning Services

Business Acquisition [Line Items]

Goodwill

0

Purchase Consideration

100

Human Services | Pine Grove

Business Acquisition [Line Items]

Goodwill

93

Purchase Consideration

$ 500

Human Services | Milne

Business Acquisition [Line Items]

Goodwill

0

Purchase Consideration

$ 215

Human Services | Capstone

Business Acquisition [Line Items]

Goodwill

$ 800

Human Services | Snug Harbor

Business Acquisition [Line Items]

Goodwill

$ 34

Human Services | Visions of N.E.W.

Business Acquisition [Line Items]

Goodwill

$ 700

Human Services | AmeriServe

Business Acquisition [Line Items]

Goodwill

100

Human Services | G&D

Business Acquisition [Line Items]

Goodwill

$ 300

Human Services | Life by Design

Business Acquisition [Line Items]

Goodwill

$ 400

Human Services | Adult Day Health

Business Acquisition [Line Items]

Goodwill

$ 18,000

Post-Acute Specialty Rehabilitation Services | Winways

Business Acquisition [Line Items]

Goodwill

$ 108

Post-Acute Specialty Rehabilitation Services | Triumph

Business Acquisition [Line Items]

Goodwill

265

Purchase Consideration

$ 2,600

Post-Acute Specialty Rehabilitation Services | Maryland ADH

Business Acquisition [Line Items]

Goodwill

3,835

Purchase Consideration

$ 12,284

Post-Acute Specialty Rehabilitation Services | Eagle Crest

Business Acquisition [Line Items]

Goodwill

302

Purchase Consideration

$ 2,000

Proforma Results of Operation59

Proforma Results of Operations (Details) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Business Combinations [Abstract]
Net revenue	$ 1,428,219	$ 1,429,166	$ 1,324,122
Net income (loss)	$ 11,233	$ 9,779	$ (8,422)

Discontinued Operations - Addit

Discontinued Operations - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Sep. 30, 2015	Sep. 30, 2014
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Loss from discontinued operations, impairment charges of intangible assets	$ 10.4
REM Connecticut
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Loss from discontinued operations, impairment charges of intangible assets		$ 1.6
Loss from discontinued operations, impairment charges of owned buildings		0.7
Severance expense from discontinued operations		$ 0.1

Discontinued Operations - Net R

Discontinued Operations - Net Revenue and Loss Before Taxes for Company's Discontinued Operations (Detail) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Discontinued Operations and Disposal Groups [Abstract]
Net revenue	$ 146	$ 968	$ 13,425
Loss before income taxes	$ (441)	$ (1,634)	$ (2,259)

Disposition of Businesses (Deta

Disposition of Businesses (Details) - Disposal Group, Disposed of by Sale, Not Discontinued Operations - Human Services - USD ($) $ in Millions	Dec. 01, 2015	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Cash payment to buyer	$ 1.3
Loss on disposition of business	$ 1.3
Closure costs		$ 2
Severance costs		0.5
Lease termination costs		1.5
Pretax gain (loss) for disposal group		$ (5.6)	$ (13.9)	$ (11.3)

Goodwill and Intangible Asset63

Goodwill and Intangible Assets - Schedule of Changes in Goodwill (Detail) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015
Goodwill [Roll Forward]
Beginning Balance	$ 274,520	$ 257,632
Goodwill acquired through acquisitions	9,391	16,888
Impairment	(10,251)
Ending Balance	273,660	274,520
Human Services
Goodwill [Roll Forward]
Beginning Balance	193,286	190,658
Goodwill acquired through acquisitions	8,716	2,628
Impairment	(10,251)
Ending Balance	191,751	193,286
Post-Acute Specialty Rehabilitation Services
Goodwill [Roll Forward]
Beginning Balance	81,234	66,974
Goodwill acquired through acquisitions	675	14,260
Impairment	0
Ending Balance	$ 81,909	$ 81,234

Goodwill and Intangible Asset64

Goodwill and Intangible Assets - Schedule of Intangible Assets (Detail) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life (years)	3 years
Gross Carrying Value	$ 616,152	$ 581,697
Accumulated Amortization	313,923	275,841
Intangible Assets, Net	302,229	305,856
Trade names (indefinite life)
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Value	45,800	45,800
Intangible Assets, Net	$ 45,800	$ 45,800
Agency contracts
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life (years)	7 years	8 years
Gross Carrying Value	$ 499,652	$ 468,549
Accumulated Amortization	257,104	225,383
Intangible Assets, Net	$ 242,548	$ 243,166
Non-compete/non-solicit
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life (years)	2 years	2 years
Gross Carrying Value	$ 6,438	$ 6,097
Accumulated Amortization	4,432	3,477
Intangible Assets, Net	$ 2,006	$ 2,620
Relationship with contracted caregivers
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life (years)	0 years	1 year
Gross Carrying Value	$ 7,521	$ 7,521
Accumulated Amortization	7,505	6,915
Intangible Assets, Net	$ 16	$ 606
Trade names
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life (years)	2 years	2 years
Gross Carrying Value	$ 6,516	$ 4,883
Accumulated Amortization	4,014	3,343
Intangible Assets, Net	$ 2,502	$ 1,540
Licenses and permits
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life (years)	2 years	2 years
Gross Carrying Value	$ 49,773	$ 48,395
Accumulated Amortization	40,416	36,314
Intangible Assets, Net	$ 9,357	$ 12,081
Intellectual property
Finite-Lived Intangible Assets [Line Items]
Weighted Average Remaining Life (years)	0 years	1 year
Gross Carrying Value	$ 452	$ 452
Accumulated Amortization	452	409
Intangible Assets, Net	$ 0	$ 43

Goodwill and Intangible Asset65

Goodwill and Intangible Assets - Additional Information (Detail) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Goodwill And Intangible Assets Disclosure [Line Items]
Goodwill impairment loss	$ 10,251
Amortization expense	38,100	$ 38,700	$ 37,700
Intangible assets, impairment charge		10,400
REM Connecticut
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge			1,600
Human Services
Goodwill And Intangible Assets Disclosure [Line Items]
Goodwill impairment loss	10,251
Intangible assets, impairment charge		10,400	1,300
Human Services | Relationship with contracted caregivers
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge		400
Human Services | Agency Contracts
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge		9,800
Human Services | Other Intangible Assets
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge		$ 200
Human Services | REM Connecticut
Goodwill And Intangible Assets Disclosure [Line Items]
Intangible assets, impairment charge			$ 1,600
General and Administrative Expense
Goodwill And Intangible Assets Disclosure [Line Items]
Goodwill impairment loss	$ 10,300

Goodwill and Intangible Asset66

Goodwill and Intangible Assets - Schedule of Amortization Expense Related to Intangible Assets (Detail) $ in Thousands	Sep. 30, 2016USD ($)
Goodwill and Intangible Assets Disclosure [Abstract]
2,017	$ 35,709
2,018	35,217
2,019	35,286
2,020	34,231
2,021	30,624
Thereafter	85,362
Amortization expense related to intangible assets	$ 256,429

Property and Equipment - Schedu

Property and Equipment - Schedule of Property and Equipment (Detail) - USD ($) $ in Thousands	Sep. 30, 2016	Sep. 30, 2015
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 340,075	$ 309,963
Less accumulated depreciation	(165,067)	(141,736)
Property and equipment, net	175,008	168,227
Buildings and land
Property, Plant and Equipment [Line Items]
Property and equipment, gross	125,604	125,103
Vehicles
Property, Plant and Equipment [Line Items]
Property and equipment, gross	66,421	57,495
Computer hardware and software
Property, Plant and Equipment [Line Items]
Property and equipment, gross	33,053	31,165
Leasehold Improvements
Property, Plant and Equipment [Line Items]
Property and equipment, gross	83,533	65,757
Furniture and fixtures
Property, Plant and Equipment [Line Items]
Property and equipment, gross	18,148	16,687
Office and telecommunication equipment
Property, Plant and Equipment [Line Items]
Property and equipment, gross	6,236	6,133
Software for internal use
Property, Plant and Equipment [Line Items]
Property and equipment, gross	4,608	3,033
Construction in progress
Property, Plant and Equipment [Line Items]
Property and equipment, gross	$ 2,472	$ 4,590

Property and Equipment - Additi

Property and Equipment - Additional Information (Details) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Property, Plant and Equipment [Abstract]
Depreciation expense for continuing operations	$ 34,900	$ 32,800	$ 28,400
Depreciation expense for discontinued operations	$ 38	$ 100	$ 300

Certain Balance Sheet Account69

Certain Balance Sheet Accounts - Prepaid Expenses and Other Current Assets (Detail) - USD ($) $ in Thousands	Sep. 30, 2016	Sep. 30, 2015
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Prepaid business expense	$ 3,283	$ 2,300
Prepaid insurance	524	1,208
Anticipated insurance recoveries	8,067	7,245
Other	8,967	3,296
Prepaid expenses and other current assets	$ 20,841	$ 14,049

Certain Balance Sheet Account70

Certain Balance Sheet Accounts - Other Accrued Liabilities (Detail) - USD ($) $ in Thousands	Sep. 30, 2016	Sep. 30, 2015
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Accrued insurance	$ 19,374	$ 16,994
Overpayments	1,459	1,039
Due to third party payors	6,601	10,093
Accrued professional services	2,028	3,977
Accrued interest	86	86
Other	22,132	14,239
Other accrued liabilities	$ 51,680	$ 46,428

Certain Balance Sheet Account71

Certain Balance Sheet Accounts - Other Long-Term Liabilities (Detail) - USD ($) $ in Thousands	Sep. 30, 2016	Sep. 30, 2015
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Accrued self-insurance reserves	$ 60,080	$ 55,612
Other	21,386	23,558
Other long-term liabilities	$ 81,466	$ 79,170

Long-term Debt - Additional Inf

Long-term Debt - Additional Information (Detail)	Jan. 31, 2014USD ($)	Feb. 28, 2015USD ($)	Mar. 31, 2017	Sep. 30, 2016USD ($)	Sep. 30, 2015USD ($)	Sep. 30, 2014USD ($)	Jan. 20, 2015USD ($)Swap
Debt Instrument [Line Items]
Proceeds from lines of credit				$ 52,200,000	$ 210,700,000	$ 9,300,000
Proceeds from long-term debt				$ 0	54,450,000	598,500,000
Term Loan
Debt Instrument [Line Items]
Debt instrument term (in years)	7 years
Subsidiaries | Term Loan
Debt Instrument [Line Items]
Debt instrument, face amount	$ 655,000,000
NMH Investment
Debt Instrument [Line Items]
Percentage of capital stock of company and guarantor directly owned domestic restricted subsidiaries used to secure debt (percent)				100.00%
Percentage of capital stock of company and guarantor directly owned foreign restricted subsidiaries used to secure debt (percent)				65.00%
Line of credit facility, current borrowing capacity				$ 47,400,000
Consolidated first lien leverage ratio, maximum (not more than)				5.50
Debt instrument, basis spread on variable rate (percent)				0.50%
Line of credit facility, commitment fee (percent)				0.50%
Aggregate principle amount redeemed					$ 212,000,000	$ 38,000,000
Line of credit facility, commitment percentage				30.00%
NMH Investment | Term Loan
Debt Instrument [Line Items]
Annual excess cash flow for mandatory prepayments of debt (percent)					50.00%
Cash proceeds from sale of assets (percent)					100.00%
Cash proceeds from issuance of debt (percent)					100.00%
Principal amount to be repaid in quarterly installments (percent)					0.25%
Principal payments					$ 1,600,000
NMH Investment | Senior Revolver
Debt Instrument [Line Items]
Letters of credit, amount outstanding				$ 0
Proceeds from lines of credit				$ 125,000,000
NMH Investment | Senior Credit Agreement
Debt Instrument [Line Items]
Consolidated first lien leverage ratio, maximum (not more than)				4.50
NMH Investment | Senior Notes
Debt Instrument [Line Items]
Redemption price percentage of principal amount redeemed					106.25%	106.25%
Expense resulting from redemption					$ 17,100,000	$ 3,600,000
Letter of Credit
Debt Instrument [Line Items]
Cash collateral for borrowed securities	$ 50,000,000			$ 50,000,000
Senior Secured Credit Facilities
Debt Instrument [Line Items]
Debt instrument term (in years)	5 years
Senior Revolver | NMH Investment | Line of Credit
Debt Instrument [Line Items]
Proceeds from long-term debt		$ 55,000,000
Interest Rate Swap One | NMH Investment
Debt Instrument [Line Items]
Basis points for interest rate (percent)				1.00%
Debt instrument, basis spread on variable rate (percent)				2.25%
Eurodollar | NMH Investment
Debt Instrument [Line Items]
Debt instrument, basis spread on variable rate (percent)				3.25%
Letter of Credit | Senior Revolver | NMH Investment | Line of Credit
Debt Instrument [Line Items]
Debt instrument, face amount				$ 2,900,000
Revolving Credit Facility
Debt Instrument [Line Items]
Senior revolver borrowings				0	0
Revolving Credit Facility | Subsidiaries
Debt Instrument [Line Items]
Cash collateral for borrowed securities	$ 120,000,000
Scenario, Forecast | NMH Investment
Debt Instrument [Line Items]
Consolidated first lien leverage ratio, maximum (not more than)			5
Interest Rate Swap Agreements | NMH Investment
Debt Instrument [Line Items]
Number of interest swap agreements | Swap							2
Derivative, notional amount						$ 400,000,000	$ 375,000,000
Derivative, fixed interest rate (percent)						2.55%	1.795%
Other Accrued Liabilities | Interest Rate Swap Agreements | NMH Investment
Debt Instrument [Line Items]
Derivative liability, fair value				6,000,000	2,900,000
Derivative liability, fair value, net of tax				$ 3,600,000	$ 1,700,000
Minimum | Interest Rate Swap One | NMH Investment
Debt Instrument [Line Items]
Stated interest rate, minimum (not less than) (percent)				2.00%
Minimum | Eurodollar | NMH Investment
Debt Instrument [Line Items]
Stated interest rate, minimum (not less than) (percent)				1.00%
Minimum | Interest Rate Swap Agreements | NMH Investment
Debt Instrument [Line Items]
Derivative, lower variable interest rate range (percent)						1.75%	1.00%

Long-term Debt - Long-Term Debt

Long-term Debt - Long-Term Debt (Detail) - USD ($) $ in Thousands	Sep. 30, 2016	Sep. 30, 2015
Debt Instrument [Line Items]
Long-term debt, gross	$ 637,852	$ 644,128
Less current portion	6,554	6,554
Long-term debt	631,298	637,574
Term Loan Principal and Interest Due in Quarterly Installments Through January 31, 2021
Debt Instrument [Line Items]
Long-term debt, gross	639,030	645,585
Original Issue Discount on Term Loan, Net of Accumulated Amortization
Debt Instrument [Line Items]
Original issue discount on term loan, net of accumulated amortization	$ (1,178)	$ (1,457)

Long-term Debt - Schedule of An

Long-term Debt - Schedule of Annual Maturities of Company's Debt (Detail) $ in Thousands	Sep. 30, 2016USD ($)
Debt Disclosure [Abstract]
2,017	$ 6,554
2,018	6,554
2,019	6,554
2,020	6,554
2,021	612,814
Total	$ 639,030

Stockholders' Equity - Addition

Stockholders' Equity - Additional Information (Detail)	12 Months Ended
	Sep. 30, 2016USD ($)vote / shares$ / sharesshares	Sep. 30, 2015USD ($)	Sep. 30, 2014USD ($)
Related Party Transaction [Line Items]
Common stock, vote per share | vote / shares	1
Preferred stock, shares authorized	50,000,000
Preferred stock, par value (in dollars per share) | $ / shares	$ 0.01
Preferred stock, shares outstanding	0
Majority Shareholder | NMH Investment
Related Party Transaction [Line Items]
Dividend paid | $	$ 0	$ 0	$ 110,000

Employee Savings and Retireme76

Employee Savings and Retirement Plans - Additional Information (Detail) $ in Thousands	Aug. 19, 2015USD ($)	Sep. 30, 2016USD ($)compensation_plan	Sep. 30, 2015USD ($)	Sep. 30, 2014USD ($)
Employee Retirement Plans [Line Items]
Defined contribution, profit sharing, vesting period (in years)		3 years
Employer contribution to retirement plans		$ 6,400	$ 7,400	$ 5,500
Number of deferred compensation plans | compensation_plan		2
Employer contribution to deferred compensation plan		$ 600	600	500
Unfunded accrued liability		3,100	3,300
Employer contribution to deferral plan		1,300	1,400	900
Accrued liability		9,700	8,400
Deferred compensation plan and retirement agreement expense		1,600	2,200	$ 1,200
Company Owned Life Insurance Plan
Employee Retirement Plans [Line Items]
Cash surrender value		8,000	6,800
Deferred Compensation, Excluding Share-based Payments and Retirement Benefits | Chief Executive Officer
Employee Retirement Plans [Line Items]
Deferred compensation, expected payment	$ 800
Deferred compensation, contractual term (years)	2 years
Accrued liability		$ 1,400	$ 1,700
Deferred Health and Welfare Benefits | Chief Executive Officer
Employee Retirement Plans [Line Items]
Deferred compensation, expected payment	$ 48
Deferred compensation, contractual term (years)	2 years
Deferred compensation, expected monthly payment	$ 2
Deferred Bonus | Chief Executive Officer
Employee Retirement Plans [Line Items]
Deferred compensation, expected payment	$ 800
Deferred compensation, contractual term (years)	2 years
Target bonus, as a percentage of base salary	100.00%

Related Party Transactions - Ad

Related Party Transactions - Additional Information (Detail) - USD ($)	Feb. 09, 2011	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Related Party Transaction [Line Items]
Management fees and expenses		$ 0	$ (28,000)	$ 9,488,000
Related party lease expense		700,000	800,000	1,100,000
Vestar
Related Party Transaction [Line Items]
Management fee percentage of consolidated earnings before interest, taxes, depreciation, amortization and management fee	1.00%
One-time transaction advisory fees				8,000,000
Management fees and expenses				1,400,000
Vestar | Minimum
Related Party Transaction [Line Items]
Annual management fee for certain advisory and consulting services payable	$ 850,000
Management Fees and Expenses | Vestar
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party		$ 0	$ 0	$ 9,500,000

Fair Value Measurements - Fair

Fair Value Measurements - Fair Value of Assets and Liabilities on a Recurring Basis (Detail) - USD ($) $ in Thousands	Sep. 30, 2016	Sep. 30, 2015
Interest Rate Swap Agreements
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities	$ (5,979)	$ (2,861)
Interest Rate Swap Agreements | Quoted Market Prices (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities	0	0
Interest Rate Swap Agreements | Significant Other Observable Inputs (Level 2)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities	(5,979)	(2,861)
Interest Rate Swap Agreements | Significant Unobservable Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities	0	0
Contingent consideration
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities	(5,915)	(9,075)
Contingent consideration | Quoted Market Prices (Level 1)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities	0	0
Contingent consideration | Significant Other Observable Inputs (Level 2)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities	0	0
Contingent consideration | Significant Unobservable Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Liabilities	$ (5,915)	$ (9,075)

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	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Fair value adjustments	$ (405)	$ (575)	$ 0
Significant Unobservable Inputs (Level 3)
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Fair value of liabilities beginning balance	9,075	2,400
Present value accretion	(211)	575
Fair value adjustments	616
Payments	(3,565)
Fair value of liabilities ending balance	$ 5,915	9,075	$ 2,400
Significant Unobservable Inputs (Level 3) | Contingent consideration
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Acquisition date fair value of contingent consideration obligations recorded		$ 6,100

Fair Value Measurements - Addit

Fair Value Measurements - Additional Information (Detail) - USD ($)	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014	Jan. 13, 2015
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Contingent consideration	$ 5,900,000	$ 9,100,000
Fair value adjustment and reversal	405,000	575,000	$ 0
Payments for contingent consideration	3,565,000	0	0
Intangible assets, impairment charge		10,400,000
Asset impairment charge	10,251,000	10,660,000	3,605,000
Significant Unobservable Inputs (Level 3)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair value adjustment and reversal	(616,000)
Significant Unobservable Inputs (Level 3) | Measured at Fair Value on a Nonrecurring Basis
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Carrying value of long lived assets written off			2,900,000
Net assets realizable value			0
Significant Unobservable Inputs (Level 3) | Amortization Expense | Measured at Fair Value on a Nonrecurring Basis
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Asset impairment charge		10,400,000	$ 2,900,000
Other Accrued Liabilities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Contingent consideration	5,900,000	3,900,000
Maryland ADH
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Payments for contingent consideration	1,300,000
Cassell
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Contingent consideration		$ 6,100,000		$ 6,100,000
Payments for contingent consideration	$ 2,300,000

Leases - Additional Information

Leases - Additional Information (Detail) - USD ($) $ in Thousands	Sep. 23, 2015	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Operating Leased Assets [Line Items]
Operating lease expiration year		2,030
Total rent expense		$ 70,000	$ 65,100	$ 57,700
Total expected minimum lease commitment		$ 284,075
Capital leases expiration year		2,025
Assets acquired under capital leases		$ 7,800	7,800
Accumulated amortization on capital leases		3,400	2,800
Amortization expense		600	600	600
Interest expense on capital leases		600	700	700
Office Building
Operating Leased Assets [Line Items]
Operating lease agreement term	5 years
Total expected minimum lease commitment		15,700
Corporate office lease rent expense		$ 1,900	$ 1,700	$ 1,500

Leases - Schedule of Future Min

Leases - Schedule of Future Minimum Lease Payment for Noncancellable Operating Leases (Detail) $ in Thousands	Sep. 30, 2016USD ($)
Leases [Abstract]
2,017	$ 64,477
2,018	54,061
2,019	43,997
2,020	32,594
2,021	23,862
Thereafter	65,084
Total minimum lease payments	$ 284,075

Leases - Schedule of Future M83

Leases - Schedule of Future Minimum Lease Payments under Capital Leases (Detail) $ in Thousands	Sep. 30, 2016USD ($)
Leases [Abstract]
2,017	$ 1,124
2,018	1,124
2,019	1,124
2,020	1,124
2,021	1,124
Thereafter	2,633
Total minimum lease payments	8,253
Less: Interest payments	(2,692)
Total minimum leas payments, net of interest	$ 5,561

Accruals for Self-Insurance - A

Accruals for Self-Insurance - Additional Information (Details) - USD ($)	Oct. 01, 2015	Sep. 30, 2016	Sep. 30, 2015
Commitments and Contingencies Disclosure [Abstract]
Insured amount for professional and general liability, per claim	$ 3,000,000		$ 4,000,000
Aggregate self-insurance for professional and general liability	$ 28,000,000		$ 28,000,000
Claim retention with statutory limit, Workers' compensation		$ 350,000
Claim retention with statutory limit, automobile liability		100,000
Stop loss insurance coverage against extraordinary claims		$ 300,000

Income Taxes - Provision (Benef

Income Taxes - Provision (Benefit) for Income Taxes (Detail) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Current:
Federal	$ 5,382	$ 0	$ 0
State	3,549	2,333	1,385
Total current taxes payable	8,931	2,333	1,385
Deferred:
Federal	4,701	1,735	(10,338)
State	(342)	(1,379)	(2,510)
Net deferred tax provision (benefit)	4,359	356	(12,848)
Income tax provision (benefit)	$ 13,290	$ 2,689	$ (11,463)

Income Taxes - Additional Infor

Income Taxes - Additional Information (Detail) - USD ($)	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Income Tax Contingency [Line Items]
Income tax paid	$ 12,600,000	$ 1,900,000	$ 600,000
Valuation allowance	7,322,000	9,229,000
Unrecognized tax benefits	0	0	0
Interest and penalties	0	$ 0	$ 0
Federal Income Tax
Income Tax Contingency [Line Items]
Net operating loss carryforwards for state purposes	0
State Income Tax
Income Tax Contingency [Line Items]
Net operating loss carryforwards for state purposes	$ 151,700,000

Income Taxes - Significant Comp

Income Taxes - Significant Components of Company's Deferred Tax Assets and Liabilities (Detail) - USD ($) $ in Thousands	Sep. 30, 2016	Sep. 30, 2015
Gross deferred tax assets:
Deferred compensation	$ 1,371	$ 1,875
Interest rate swap agreements	2,418	1,157
Accrued workers’ compensation	11,196	12,335
Net operating loss carryforwards	7,330	15,145
Allowance for bad debts	4,797	3,828
Tax credits	0	4,933
Depreciation	0	3,067
Other	6,706	5,321
Deferred tax assets, Gross	33,818	47,661
Valuation allowance	(7,322)	(9,229)
Deferred tax assets	26,496	38,432
Deferred tax liabilities:
Depreciation	(994)	0
Amortization of goodwill and intangible assets	(67,175)	(74,477)
Other accrued liabilities	0	(2,530)
Net deferred tax liabilities	$ (41,673)	$ (38,575)

Income Taxes - Reconciliation B

Income Taxes - Reconciliation Between Statutory and Effective Income Tax Rates (Detail) - USD ($) $ in Millions	3 Months Ended	12 Months Ended
	Dec. 31, 2015	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Federal income tax at statutory rate (percent)		35.00%	35.00%	35.00%
State income taxes, net of federal tax benefit (percent)		9.30%	3.60%	2.00%
Nondeductible compensation (percent)		18.80%	0.80%	(0.80%)
Other nondeductible expenses (percent)		1.50%	9.10%	(1.10%)
Credits (percent)		(6.60%)	(3.00%)	(0.00%)
Other (percent)		0.40%	(5.70%)	(0.30%)
Effective tax rate (percent)		58.40%	39.80%	34.80%
Stock based compensation expense		$ 17.1	$ 5.2	$ 0.9
Common Stock
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock based compensation expense	$ 10.5	$ 10.5

Segment Information - Additiona

Segment Information - Additional Information (Detail)	12 Months Ended
	Sep. 30, 2016StateSegmentbusiness_unit	Sep. 30, 2015	Sep. 30, 2014
Segment Reporting Information [Line Items]
Number of reportable segments | Segment	2
Area of operations, number of states | State	35
Human Services
Segment Reporting Information [Line Items]
Number of business units | business_unit	3
Post-Acute Specialty Rehabilitation Services
Segment Reporting Information [Line Items]
Number of business units | business_unit	2
Number of operating segments | Segment	2
Sales Revenue, Segment | MINNESOTA | Geographic Concentration Risk | Human Services
Segment Reporting Information [Line Items]
Percent of revenue	15.00%	15.00%	14.00%

Segment Information - Performan

Segment Information - Performance of Operating Segments (Detail) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Segment Reporting Information [Line Items]
Net revenue	$ 1,407,587	$ 1,366,946	$ 1,255,838
EBITDA	129,619	126,876	103,758
Total assets	1,092,048	1,063,184	1,207,954
Depreciation and amortization	73,061	82,172	67,488
Purchases of property and equipment	43,356	42,793	35,295
Net revenue	146	968	13,425
Operating Segments | Human Services
Segment Reporting Information [Line Items]
Net revenue	1,118,494	1,103,026	1,025,672
EBITDA	157,122	165,741	143,492
Total assets	627,075	611,546	634,989
Depreciation and amortization	46,874	56,617	45,576
Purchases of property and equipment	26,992	22,972	15,907
Operating Segments | Post-Acute Specialty Rehabilitation Services
Segment Reporting Information [Line Items]
Net revenue	289,093	263,920	230,166
EBITDA	54,855	49,099	36,738
Total assets	250,695	254,529	222,475
Depreciation and amortization	23,412	23,033	19,177
Purchases of property and equipment	11,362	16,551	16,250
Corporate
Segment Reporting Information [Line Items]
Net revenue	0	0	0
EBITDA	(82,358)	(87,964)	(76,472)
Total assets	214,278	197,109	350,490
Depreciation and amortization	2,775	2,522	2,735
Purchases of property and equipment	5,002	3,270	3,138
ARY
Segment Reporting Information [Line Items]
Net revenue	$ 7,100	$ 53,900	$ 67,900

Segment Information - Reconcili

Segment Information - Reconciliation of EBITDA to Income from Continuing Operations (Details) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Segment Reporting [Abstract]
EBITDA	$ 129,619	$ 126,876	$ 103,758
Depreciation and amortization	73,061	82,172	67,488
Interest expense, net	33,811	37,943	69,166
Income (loss) from continuing operations before income taxes	$ 22,747	$ 6,761	$ (32,896)

Net Income (Loss) Per Share (De

Net Income (Loss) Per Share (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended								12 Months Ended
	Sep. 30, 2016	Jun. 30, 2016	Mar. 31, 2016	Dec. 31, 2015	Sep. 30, 2015	Jun. 30, 2015	Mar. 31, 2015	Dec. 31, 2014	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Numerator [Abstract]
Net income (loss)	$ 2,660	$ 4,816	$ 7,315	$ (5,604)	$ 4,264	$ 550	$ 1,698	$ (3,440)	$ 9,187	$ 3,072	$ (22,815)
Denominator [Abstract]
Weighted average number of common shares outstanding, basic	37,145,000	37,108,000	37,102,000	37,095,000	36,990,000	36,950,000	36,950,000	36,950,000	37,112,794	36,959,997	25,538,493
Weighted average common equivalent shares									150,121	128,635	0
Weighted average shares outstanding, diluted	37,308,000	37,252,000	37,207,000	37,095,000	37,212,000	37,123,000	37,066,000	36,950,000	37,262,915	37,088,632	25,538,493
Net income (loss) per share, basic and diluted (dollars per shares)	$ 0.07	$ 0.13	$ 0.20	$ (0.15)	$ 0.12	$ 0.01	$ 0.05	$ (0.09)	$ 0.25	$ 0.08	$ (0.89)
Stock options
Denominator [Abstract]
Equity instruments excluded from diluted net income (loss) per share calculation as the effect would have been anti-dilutive (shares)									534,312	1,758	559,327
Restricted stock units
Denominator [Abstract]
Equity instruments excluded from diluted net income (loss) per share calculation as the effect would have been anti-dilutive (shares)									83,793	5,664	550,481

Stock-Based Compensation - Addi

Stock-Based Compensation - Additional Information (Detail) - USD ($)	Oct. 01, 2015	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014	Dec. 31, 2015
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Award vesting period (years)		3 years
Stock based compensation expense		$ 17,100,000	$ 5,200,000	$ 900,000
Stock option issued (shares)		230,739	12,168	559,327
Intrinsic value		$ 35,000	$ 83,000	$ 0
Unrecognized stock based compensation expense		$ 2,800,000
Weighted average period (years)		1 year 8 months 4 days
Restricted Stock Units (RSUs)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unrecognized compensation expense		$ 7,200,000
Weighted average period (years)		1 year 8 months 7 days
Shares issued (shares)		283,865	39,393	550,481
Granted (dollars per share)		$ 23.99	$ 18	$ 17
Common Units vested upon grant (percent)		100.00%
Fair value of RSUs vested		$ 3,100,000	$ 5,300,000	$ 0
Performance Restricted Stock Units (PRSUs)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares issued (shares)		42,467
Granted (dollars per share)		$ 19.84
Performance Shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares issued (shares)		42,467
Share-based Compensation Arrangement by Share-based Payment Award, Award Requisite Service Period		3 years
Percent of increase or decrease		25.00%
2006 Unit Plan | Stock Compensation Plan | Common Class G
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock based compensation expense				$ 600,000
2006 Unit Plan | Performance Shares | Common Class H
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Unrecognized compensation expense					$ 10,500,000
2014 Omnibus Incentive Plan
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of units authorized				5,546,797
Share increase percent				3.00%
Number of shares available for grant		4,000,000
2014 Omnibus Incentive Plan | Incentive Stock Options and Non-Qualified Stock Options
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Award vesting period (years)				3 years
Option expiration period (years)				10 years
2014 Omnibus Incentive Plan | Restricted Stock Units (RSUs)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Award vesting period (years)				3 years
2014 Omnibus Incentive Plan | Performance Restricted Stock Units (PRSUs)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Award vesting period (years)				3 years
NMH Investment | Majority Shareholder | 2006 Unit Plan | Common Class B
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of units authorized		192,500
NMH Investment | Majority Shareholder | 2006 Unit Plan | Common Class C
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of units authorized		202,000
NMH Investment | Majority Shareholder | 2006 Unit Plan | Common Class D
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of units authorized		388,881
NMH Investment | Majority Shareholder | 2006 Unit Plan | Common Class E
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of units authorized		6,375
NMH Investment | Majority Shareholder | 2006 Unit Plan | Common Class F
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of units authorized		5,396,388
NMH Investment | Majority Shareholder | 2006 Unit Plan | Common Class G
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of units authorized		130,000
NMH Investment | Majority Shareholder | 2006 Unit Plan | Common Class H
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of units authorized		1,200,000
Secondary Offering | Common Stock | NMH Investment
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Shares sold by stockholders (shares)	25,250,000
Equity Option
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Expected dividend yield (percent)		0.00%	0.00%	0.00%
Employees
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Award vesting period (years)		3 years
Director
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Award vesting period (years)		1 year
Tranche One | Employee Stock Option
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common Units vested upon grant (percent)		33.33%		33.33%
Tranche One | Restricted Stock Units (RSUs)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common Units vested upon grant (percent)		33.33%		33.33%
Tranche Two | Employee Stock Option
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common Units vested upon grant (percent)		33.33%		33.33%
Tranche Two | Restricted Stock Units (RSUs)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common Units vested upon grant (percent)		33.33%		33.33%
Tranche Three | Employee Stock Option
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common Units vested upon grant (percent)		33.33%		33.33%
Tranche Three | Restricted Stock Units (RSUs)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common Units vested upon grant (percent)		33.33%		33.33%
Minimum | Performance Shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common Units vested upon grant (percent)		0.00%
Maximum | Performance Shares
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common Units vested upon grant (percent)		200.00%

Stock-Based Compensation - Assu

Stock-Based Compensation - Assumptions in Calculating the Fair Value of Options Granted (Detail) - Stock options - $ / shares	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Risk-free interest rate, minimum (percent)		1.32%	1.69%
Risk-free interest rate, maximum (percent)		1.92%	1.74%
Risk-free interest rate (percent)			1.88%
Expected term (years)	6 years	6 years	6 years
Expected volatility, minimum (percent)		34.65%	38.80%
Expected volatility, maximum (percent)		36.20%	40.40%
Expected volatility (percent)			45.00%
Expected dividend yield (percent)	0.00%	0.00%	0.00%
Weighted-average per share grant date fair value (in dollars per share)	$ 9.19	$ 6.54	$ 7.67

Stock-Based Compensation - Summ

Stock-Based Compensation - Summary of Stock Option Activity (Detail) - USD ($)	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Number of Shares
Outstanding at beginning of year (shares)	567,900
Granted (shares)	230,739	12,168	559,327
Forfeited (shares)	58,469
Exercised (shares)	28,480
Expired (shares)	1,858
Outstanding at end of year (shares)	709,832	567,900
Vested or expected to vest at end of year (shares)	689,724
Exercisable at end of year (shares)	318,906
Weighted- Average Exercise Price per Share
Outstanding at beginning of year (dollars per share)	$ 16.98
Granted (dollars per share)	24.75
Forfeited (dollars per share)	17.94
Exercised, Weighted-Average Exercise Price per Share	17.02
Expired (dollars per share)	17
Outstanding at end of year (dollars per share)	19.42	$ 16.98
Vested or expected to vest at end of year (dollars per share)	19.36
Exercisable at end of year (dollars per share)	$ 16.99
Outstanding- Weighted- Average Remaining Life (Years)	8 years 4 months 24 days
Vested or expected to vest- Weighted- Average Remaining Life (Years)	8 years 4 months 24 days
Exercisable- Weighted- Average Remaining Life (Years)	8 years
Outstanding at end of year, aggregate intrinsic value	$ 635,000
Vested or expected to vest at end of year, aggregate intrinsic value	624,248
Exercisable at end of year, aggregate intrinsic value	$ 406,720

Stock-Based Compensation - Su96

Stock-Based Compensation - Summary of Issued Restricted Stock Awards (Detail) - Restricted stock units - $ / shares	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
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)	385,935
Granted (shares)	283,865	39,393	550,481
Forfeited (shares)	63,996
Vested (shares)	163,276
Non-vested shares ending balance (shares)	442,528	385,935
Weighted Average Grant- Date Fair Value (dollars per share)
Non-vested balance at beginning balance of the year (dollars per share)	$ 17.10
Granted (dollars per share)	23.99	$ 18	$ 17
Forfeited (dollars per share)	19.06
Vested (dollars per share)	17.11
Non-vested balance at ending balance of the year (dollars per share)	$ 21.24	$ 17.10

Stock-Based Compensation - Su97

Stock-Based Compensation - Summary of PRSU Activity (Details) - Performance Restricted Stock Units (PRSUs)	12 Months Ended
	Sep. 30, 2016$ / sharesshares
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Initial Number of Performance Based Restricted Stock Units, Granted (shares)	42,467
Initial Number of Performance Based Restricted Stock Units, Forfeited (shares)	0
Initial Number of Performance Based Restricted Stock Units, Vested (shares)	0
Initial Number of Performance Based Restricted Stock Units, Ending balance (shares)	42,467
Adjustment, Beginning Balance (shares)	0
Adjustment, Granted (shares)	0
Adjustment, Forfeited (shares)	0
Adjustment, Vested (shares)	0
Adjustment, Ending Balance (shares)	0
Non-vested shares beginning balance (shares)	0
Granted (shares)	42,467
Forfeited (shares)	0
Vested (shares)	0
Non-vested shares ending balance (shares)	42,467
Weighted Average Grant- Date Fair Value (dollars per share)
Granted (dollars per share) | $ / shares	$ 19.84
Forfeited (dollars per share) | $ / shares	0
Vested (dollars per share) | $ / shares	0
Non-vested balance at ending balance of the year (dollars per share) | $ / shares	$ 19.84

Valuation and Qualifying Acco98

Valuation and Qualifying Accounts - Summary Information about Allowances for Doubtful Accounts and Sales Allowances (Detail) - USD ($) $ in Thousands	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Movement in Valuation Allowances and Reserves [Roll Forward]
Balance at Beginning of Period	$ 11,207	$ 11,491	$ 12,494
Provision	14,784	17,055	20,392
Write-Offs	(14,128)	(17,339)	(21,395)
Balance at end of Period	$ 11,863	$ 11,207	$ 11,491

Valuation and Qualifying Acco99

Valuation and Qualifying Accounts - Additional Information (Detail) - Allowance for Doubtful Accounts - USD ($) $ in Millions	Sep. 30, 2016	Sep. 30, 2015
Valuation and Qualifying Accounts Disclosure [Line Items]
Account receivable, collateralized by liens, net of allowances	$ 3.8	$ 6.7
Allowances for account receivable, collateralized by liens	$ 1	$ 1.6

Quarterly Financial Data (un100

Quarterly Financial Data (unaudited) - Consolidated Statement of Operations Data for Eight Quarters (Detail) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended								12 Months Ended
	Sep. 30, 2016	Jun. 30, 2016	Mar. 31, 2016	Dec. 31, 2015	Sep. 30, 2015	Jun. 30, 2015	Mar. 31, 2015	Dec. 31, 2014	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Quarterly Financial Information Disclosure [Abstract]
Net revenue	$ 362,194	$ 353,963	$ 345,683	$ 345,747	$ 351,182	$ 345,994	$ 335,180	$ 334,590
Income (loss) from continuing operations, net of tax	2,675	4,843	7,513	(5,574)	4,298	1,391	1,768	(3,385)	$ 9,457	$ 4,072	$ (21,433)
Income (loss) from discontinued operations, net of tax	(15)	(27)	(198)	(30)	(34)	(841)	(70)	(55)	(270)	(1,000)	(1,382)
Net income (loss)	$ 2,660	$ 4,816	$ 7,315	$ (5,604)	$ 4,264	$ 550	$ 1,698	$ (3,440)	$ 9,187	$ 3,072	$ (22,815)
Loss per common share, basic
Income (loss) from continuing operations, basic, (in dollars per share)	$ 0.07	$ 0.13	$ 0.20	$ (0.15)	$ 0.12	$ 0.04	$ 0.05	$ (0.09)	$ 0.25	$ 0.11	$ (0.84)
Income (loss) from discontinued operations, basic (dollars per shares)	0	0	0	0	0	(0.03)	0	0
Net income (loss), basic (dollars per shares)	0.07	0.13	0.20	(0.15)	0.12	0.01	0.05	(0.09)	0.25	0.08	(0.89)
Loss per common share, diluted
Income (loss) from continuing operations, diluted (in dollars per share)	0.07	0.13	0.20	(0.15)	0.11	0.04	0.05	(0.09)	0.25	0.11	(0.84)
Income (loss) from discontinued operations, diluted (dollars per share)	0	0	0	0	0	(0.03)	0	0
Net income (loss), diluted (dollars per share)	$ 0.07	$ 0.13	$ 0.20	$ (0.15)	$ 0.11	$ 0.01	$ 0.05	$ (0.09)	$ 0.25	$ 0.08	$ (0.89)
Weighted average number of common shares outstanding, basic	37,145,000	37,108,000	37,102,000	37,095,000	36,990,000	36,950,000	36,950,000	36,950,000	37,112,794	36,959,997	25,538,493
Weighted average number of common shares outstanding, diluted	37,308,000	37,252,000	37,207,000	37,095,000	37,212,000	37,123,000	37,066,000	36,950,000	37,262,915	37,088,632	25,538,493

Schedule I - Condensed Paren101

Schedule I - Condensed Parent Company Financial Information - Parent-Only Condensed Balance Sheets (Details) - USD ($) $ / shares in Units, $ in Thousands	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014	Sep. 30, 2013
ASSETS
Cash	$ 50,683	$ 41,690	$ 196,147	$ 19,440
Total assets	1,092,048	1,063,184	1,207,954
LIABILITIES AND STOCKHOLDERS' EQUITY
Other liabilities	21,386	23,558
Common stock, $0.01 par value; 350,000,000 shares authorized; and 37,214,758 and 37,093,237 shares issued and outstanding at September 30, 2016 and 2015, respectively	372	371
Additional paid-in capital	294,295	277,311
Accumulated loss on derivatives, net of taxes of $2,418 and $1,157 at September 30, 2016 and September 30, 2015, respectively	(3,561)	(1,704)
Accumulated deficit	(145,516)	(154,703)
Total stockholders' equity	145,590	121,275	115,538	(46,515)
Total liabilities and stockholders' equity	$ 1,092,048	$ 1,063,184
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized	350,000,000	350,000,000
Common stock, shares issued	37,214,758	37,093,237
Common stock, shares outstanding	37,214,758	37,093,237
Parent Company
ASSETS
Cash	$ 0	$ 0	$ 125	$ 125
Other assets	4,215	5,236
Deferred income taxes	0	9,793
Investment in subsidiaries	142,568	106,263
Total assets	146,783	121,292
LIABILITIES AND STOCKHOLDERS' EQUITY
Other liabilities	1,193	17
Total liabilities	1,193	17
Common stock, $0.01 par value; 350,000,000 shares authorized; and 37,214,758 and 37,093,237 shares issued and outstanding at September 30, 2016 and 2015, respectively	372	371
Additional paid-in capital	294,295	277,311
Accumulated loss on derivatives, net of taxes of $2,418 and $1,157 at September 30, 2016 and September 30, 2015, respectively	(3,561)	(1,704)
Accumulated deficit	(145,516)	(154,703)
Total stockholders' equity	145,590	121,275
Total liabilities and stockholders' equity	$ 146,783	$ 121,292
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized	350,000,000	350,000,000
Common stock, shares issued	37,093,237	36,950,000
Common stock, shares outstanding	37,093,237	36,950,000

Schedule I - Condensed Paren102

Schedule I - Condensed Parent Company Financial Information - Parent-Only Condensed Statements of Operations and Comprehensive Income (Loss) - USD ($) $ in Thousands	3 Months Ended								12 Months Ended
	Sep. 30, 2016	Jun. 30, 2016	Mar. 31, 2016	Dec. 31, 2015	Sep. 30, 2015	Jun. 30, 2015	Mar. 31, 2015	Dec. 31, 2014	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Condensed Income Statements, Captions [Line Items]
General and administrative expenses									$ (184,649)	$ (162,839)	$ (145,041)
Income (loss) from operations									57,696	62,571	60,266
Income (loss) before income taxes									22,747	6,761	(32,896)
Expense (benefit) for income taxes									13,290	2,689	(11,463)
Net income (loss)	$ 2,660	$ 4,816	$ 7,315	$ (5,604)	$ 4,264	$ 550	$ 1,698	$ (3,440)	9,187	3,072	(22,815)
Other comprehensive income (loss)									(1,857)	(1,704)	1,880
Comprehensive income (loss)									7,330	1,368	(20,935)
Parent Company
Condensed Income Statements, Captions [Line Items]
General and administrative expenses									0	0	(738)
Equity in net income (loss) of subsidiary									9,187	2,608	(22,402)
Income (loss) from operations									9,187	2,608	(23,140)
Income (loss) before income taxes									9,187	2,608	(23,140)
Expense (benefit) for income taxes									0	(464)	(325)
Net income (loss)									9,187	3,072	(22,815)
Other comprehensive income (loss)									(1,857)	(1,704)	1,880
Comprehensive income (loss)									$ 7,330	$ 1,368	$ (20,935)

Schedule I - Condensed Paren103

Schedule I - Condensed Parent Company Financial Information - Parent-Only Condensed Statements of Cash Flows - USD ($) $ in Thousands	Sep. 22, 2014	Sep. 30, 2016	Jun. 30, 2016	Mar. 31, 2016	Dec. 31, 2015	Sep. 30, 2015	Jun. 30, 2015	Mar. 31, 2015	Dec. 31, 2014	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Cash flows used in operating activities:
Net income (loss)		$ 2,660	$ 4,816	$ 7,315	$ (5,604)	$ 4,264	$ 550	$ 1,698	$ (3,440)	$ 9,187	$ 3,072	$ (22,815)
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Deferred income taxes										4,359	356	(13,266)
Other assets										(8,706)	(4,711)	4,369
Other accrued liabilities										5,028	(8,070)	9,079
Net cash provided by operating activities										107,122	90,478	83,916
Cash flows provided by (used in) investing activities:
Net cash used in investing activities										(87,426)	(79,004)	(88,924)
Cash flows provided by (used in) financing activities:
Net cash (used in)/provided by financing activities										(10,703)	(165,931)	181,715
Net increase (decrease) in cash and cash equivalents										8,993	(154,457)	176,707
Cash and cash equivalents at beginning of period					41,690				196,147	41,690	196,147	19,440
Cash and cash equivalents at end of period		50,683				41,690				50,683	41,690	196,147
Parent Company
Cash flows used in operating activities:
Net income (loss)										9,187	3,072	(22,815)
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Equity in net (income) loss of subsidiary										(9,187)	(2,608)	22,402
Deferred income taxes										11,004	3,413	130
Other assets										1,021	(1,754)	(2,711)
Other accrued liabilities										0	(2,248)	2,994
Net cash provided by operating activities										12,025	(125)	0
Cash flows provided by (used in) investing activities:
Investment in NMHI										(12,025)	0	(182,203)
Dividend from NMHI										0	0	110
Net cash used in investing activities										(12,025)	0	(182,093)
Cash flows provided by (used in) financing activities:
Net proceeds from IPO	$ 182,200									0	0	182,203
Dividend to NMH Investment, LLC										0	0	(110)
Net cash (used in)/provided by financing activities										0	0	182,093
Net increase (decrease) in cash and cash equivalents										0	(125)	0
Cash and cash equivalents at beginning of period					$ 0				$ 125	0	125	125
Cash and cash equivalents at end of period		$ 0				$ 0				$ 0	$ 0	$ 125

Schedule I - Condensed Paren104

Schedule I - Condensed Parent Company Financial Information - Initial Public Offering and Investment in NMHI (Details) - USD ($)	Sep. 22, 2014	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Parent Company
Related Party Transaction [Line Items]
Net proceeds from IPO	$ 182,200,000	$ 0	$ 0	$ 182,203,000
National Mentor Holdings Investment (NMHI)
Related Party Transaction [Line Items]
Capital contributions	182,200,000
Advisory fee	8,000,000
Senior Notes | National Mentor Holdings Investment (NMHI)
Related Party Transaction [Line Items]
Redeemed debt	$ 162,000,000
Redemption price percent	106.25%

Schedule I - Condensed Paren105

Schedule I - Condensed Parent Company Financial Information - Dividend from Subsidiaries (Details) - USD ($)	12 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2014
Parent Company
Entity Information [Line Items]
Dividends	$ 0	$ 0	$ 110,000