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Document And Entity Information - shares	9 Months Ended
Document And Entity Information - shares	Sep. 30, 2013	Oct. 31, 2013
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Sep. 30, 2013
Document Fiscal Period Focus	Q3
Document Fiscal Year Focus	2013
Entity Registrant Name	Addus HomeCare Corp
Entity Central Index Key	0001468328
Current Fiscal Year End Date	--12-31
Entity Filer Category	Smaller Reporting Company
Entity Common Stock, Shares Outstanding		10,912,973

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Sep. 30, 2013	Dec. 31, 2012
Assets
Cash	$ 29,464	$ 1,737
Accounts receivable, net of allowances of $4,026 and $4,466 at September 30, 2013 and December 31, 2012, respectively	54,516	71,303
Prepaid expenses and other current assets	6,167	7,293
Assets held for sale, net		245
Deferred tax assets	7,258	7,258
Total current assets	97,405	87,836
Property and equipment, net of accumulated depreciation and amortization	2,471	2,489
Other assets
Goodwill	50,416	50,536
Intangibles, net of accumulated amortization	5,352	6,370
Deferred tax assets		2,328
Investment in joint ventures	900
Other assets	173	298
Total other assets	56,841	59,532
Total assets	156,717	149,857
Current Liabilities
Accounts payable	4,379	4,117
Accrued expenses	36,401	32,717
Current maturities of long-term debt		208
Deferred revenue	19	2,148
Total current liabilities	40,799	39,190
Deferred tax liabilities	3,097
Long-term debt, less current maturities		16,250
Total liabilities	43,896	55,440
Commitments, contingencies and other matters
Stockholders' equity
Common stock-$.001 par value; 40,000 authorized and 10,913 and 10,823 shares issued and outstanding as of September 30, 2013 and December 31, 2012, respectively	11	11
Additional paid-in capital	82,922	82,778
Retained earnings	29,888	11,628
Total stockholders' equity	112,821	94,417
Total liabilities and stockholders' equity	$ 156,717	$ 149,857

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Sep. 30, 2013	Dec. 31, 2012
Condensed Consolidated Balance Sheets [Abstract]
Accounts receivable, allowance for doubtful accounts	$ 4,026	$ 4,466
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	40,000,000	40,000,000
Common stock, shares issued	10,913,000	10,823,000
Common stock, shares outstanding	10,913,000	10,823,000

Condensed Consolidated Statements Of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Condensed Consolidated Statements Of Income [Abstract]
Net service revenues	$ 67,306	$ 61,211	$ 196,059	$ 180,540
Cost of service revenues	50,080	45,528	146,422	134,026
Gross profit	17,226	15,683	49,637	46,514
General and administrative expenses	12,424	11,181	36,026	34,710
Gain on sale of agency				(495)
Depreciation and amortization	539	635	1,626	1,897
Total operating expenses	12,963	11,816	37,652	36,112
Operating income from continuing operations	4,263	3,867	11,985	10,402
Interest expense (income), net	(24)	407	326	1,237
Income from continuing operations before income taxes	4,287	3,460	11,659	9,165
Income tax expense	1,517	1,256	3,620	3,380
Net income from continuing operations	2,770	2,204	8,039	5,785
Discontinued operations
Loss from home health business, net of tax	(203)	(407)	(890)	(1,895)
Gain on sale of home health business, net of tax			11,111
Earnings (losses) from discontinued operations	(203)	(407)	10,221	(1,895)
Net income	$ 2,567	$ 1,797	$ 18,260	$ 3,890
Basic
Continuing operations	$ 0.26	$ 0.20	$ 0.75	$ 0.54
Discontinued operations	(0.02)	(0.04)	0.95	(0.18)
Basic income per share	0.24	0.16	1.70	0.36
Diluted
Continuing operations	0.25	0.20	0.73	0.54
Discontinued operations	(0.02)	(0.04)	0.93	(0.18)
Diluted income per share	$ 0.23	$ 0.16	$ 1.66	$ 0.36
Weighted average number of common shares and potential common shares outstanding:
Basic	10,787	10,761	10,783	10,761
Diluted	11,071	10,773	11,006	10,764

Condensed Consolidated Statements Of Stockholders' Equity - 9 months ended Sep. 30, 2013 - USD ($) shares in Thousands, $ in Thousands	Common Stock [Member]	Additional Paid-In Capital [Member]	Retained Earnings [Member]	Total
Balance at Dec. 31, 2012	$ 11	$ 82,778	$ 11,628	$ 94,417
Balance, shares at Dec. 31, 2012	10,823
Issuance of shares of common stock under restricted stock, Shares	63
Issuance of shares of common stock for exercised stock options, Shares	27
Stock-based compensation		365		365
Common shares withheld for withholding taxes on exercise of options		(221)		(221)
Net income			18,260	18,260
Balance at Sep. 30, 2013	$ 11	$ 82,922	$ 29,888	$ 112,821
Balance, shares at Sep. 30, 2013	10,913

- Definition

This element represents the amount of recognized equity-based compensation during the period, that is, the amount recognized as expense in the income statement (or as asset if compensation is capitalized). Alternate captions include the words "stock-based compensation".

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- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

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+ Details

- Definition

Amount of stockholders' equity (deficit), net of receivables from officers, directors, owners, and affiliates of the entity, attributable to both the parent and noncontrolling interests. Amount excludes temporary equity. Alternate caption for the concept is permanent equity.

+ References + Details

Condensed Consolidated Statements Of Cash Flows - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2013	Sep. 30, 2012
Cash flows from operating activities
Net income	$ 18,260	$ 3,890
Adjustments to reconcile net income to net cash provided by operating activities
Depreciation and amortization	1,627	1,908
Deferred income taxes	5,425
Stock-based compensation	365	279
Amortization of debt issuance costs	125	166
Provision for doubtful accounts	2,102	2,191
Gain on sale of home health business	(18,838)
Gain on sale of agency		(495)
Changes in operating assets and liabilities:
Accounts receivable	14,685	(1,223)
Prepaid expenses and other current assets	997	(465)
Accounts payable	262	(677)
Accrued expenses	234	3,887
Deferred revenue	(141)	(125)
Net cash provided by operating activities	25,103	9,336
Cash flows from investing activities
Net proceeds from sale of home health business	19,659
Net proceeds from sale of agency		495
Purchases of property and equipment	(577)	(1,013)
Net cash provided by (used in) investing activities	19,082	(518)
Cash flows from financing activities
Net payments on term loan	(208)	(1,875)
Net payments on credit facility	(16,250)	(4,250)
Payments on subordinated dividend notes		(3,000)
Net cash used in financing activities	(16,458)	(9,125)
Net change in cash	27,727	(307)
Cash, at beginning of period	1,737	2,020
Cash, at end of period	29,464	1,713
Supplemental disclosures of cash flow information
Cash paid for interest	437	1,233
Cash paid for income taxes	4,936	1,443
Supplemental disclosures of non-cash investing and financing activities
Tax benefit related to the amortization of tax goodwill in excess of book basis	$ 120	$ 119

Summary Of Significant Accounting Policies	9 Months Ended
Summary Of Significant Accounting Policies	Sep. 30, 2013
Summary Of Significant Accounting Policies [Abstract]
Summary Of Significant Accounting Policies	1. Summary of Significant Accounting Policies The consolidated financial statements include the accounts of Addus HomeCare Corporation ("Holdings") and its subsidiaries (together with Holdings, the "Company" or "we"). The Company provides home and community based services through a network of locations throughout the United States. These services are primarily performed in the homes of the consumers. The Company's home and community based services include assistance to the elderly, chronically ill and disabled with bathing, grooming, dressing, personal hygiene and medication reminders, and other activities of daily living. Home and community based services are primarily performed under agreements with state and local governmental agencies. *Discontinued Operations* On February 7, 2013, subsidiaries of Holdings entered into an Asset Purchase Agreement with LHC Group, Inc. and certain of its subsidiaries (the "Home Health Purchase Agreement"). Pursuant to the Home Health Purchase Agreement, effective March 1, 2013, the purchasers acquired substantially all the assets of the Company's home health business in Arkansas, Nevada and South Carolina and 90% of its home health business in California and Illinois, with the Company retaining 10% ownership in such locations, for cash consideration of $20,000. The Company's home health services were operated through licensed and Medicare certified offices that provided physical, occupational and speech therapy, as well as skilled nursing services to pediatric, adult infirm and elderly patients. Home health services were reimbursed from Medicare, Medicaid and Medicaid-waiver programs, commercial insurance and private payors (see note 2). *Principles of Consolidation* All intercompany balances and transactions have been eliminated in consolidation. Our investment in entities with less than 20% ownership or in which the Company does not have the ability to influence the operations of the investee are being accounted for using the cost method and are included in investments in joint ventures. *Revenue Recognition* The Company generates net service revenues by providing services directly to consumers. The Company receives payments for providing services from federal, state and local governmental agencies, commercial insurers and private individuals. Our continuing operations, which includes the results of operations previously included in our home and community segment and three agencies previously included in our home health segment, are principally provided based on authorized hours, determined by the relevant agency, at an hourly rate specified in agreements or fixed by legislation and recognized as revenues at the time services are rendered. Home and community based service revenues are reimbursed by state, local and other governmental programs which are partially funded by Medicaid or Medicaid waiver programs, with the remainder reimbursed through private duty and insurance programs. Laws and regulations governing the Medicaid and Medicare programs are complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates may change in the near term. The Company believes that it is in compliance in all material respects with all applicable laws and regulations. *Allowance for Doubtful Accounts* The Company establishes its allowance for doubtful accounts to the extent it is probable that a portion or all of a particular account will not be collected. The Company estimates its provision for doubtful accounts primarily by aging receivables utilizing eight aging categories, and applying its historical collection rates to each aging category, taking into consideration factors that might impact the use of historical collection rates or payor groups, with certain large payors analyzed separately from other payor groups. In the Company's evaluation of these estimates, it also considers delays in payment trends in individual states due to budget or funding issues, billing conversions related to acquisitions or internal systems, resubmission of bills with required documentation and disputes with specific payors. An allowance for doubtful accounts is maintained at a level management believes is sufficient to cover potential losses. However, actual collections could differ from our estimates. *Goodwill* The Company's carrying value of goodwill is the residual of the purchase price over the fair value of the net assets acquired from various acquisitions including the acquisition of Addus HealthCare, Inc. ("Addus HealthCare"). In accordance with Accounting Standards Codification ("ASC") Topic 350, "Goodwill and Other Intangible Assets," goodwill and intangible assets with indefinite useful lives are not amortized. The Company tests goodwill for impairment on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that an impairment may have occurred. Goodwill and indefinite lived intangible assets are required to be tested for impairment at least annually. The Company may use a qualitative test, known as "Step 0" or a two-step quantitative method to determine whether impairment has occurred. In 2012, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis. No impairment charge was recorded for the three and nine months ended September 30, 2013 or 2012. *Intangible Assets* The Company's identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two to 25 years. ASC Topic 350 requires that the fair value of intangible assets with indefinite lives be estimated and compared to the carrying value. The Company estimates the fair value of these intangible assets using the income approach. Intangible assets with finite lives are amortized using the estimated economic benefit method over the useful life and assessed for impairment whenever events or changes in circumstances indicate that the carrying amounts may not be recoverable based on estimated undiscounted cash flows. The Company recognizes an impairment loss when the estimated fair value of the intangible asset is less than the carrying value. No impairment charge was recorded for the three and nine months ended September 30, 2013 or 2012. The income approach, which the Company uses to estimate the fair value of its intangible assets (other than goodwill), is dependent on a number of factors including estimates of future market growth and trends, forecasted revenue and costs, expected periods the assets will be utilized, appropriate discount rates and other variables. The Company bases its fair value estimates on assumptions the Company believes to be reasonable but which are unpredictable and inherently uncertain. Actual future results may differ from those estimates. In addition, the Company makes certain judgments about the selection of comparable companies used in the market approach in determining valuation. *Long-Lived Assets* The Company reviews its long-lived assets and finite lived intangibles (except goodwill and finite lived intangible assets, as described above) for impairment whenever changes in circumstances indicate that the carrying amount of an asset may not be recoverable. To determine if impairment exists, the Company compares the estimated future undiscounted cash flows from the related long-lived assets to the net carrying amount of such assets. If the carrying amount of an asset exceeds its estimated future cash flows, an impairment charge is recognized for the amount by which the carrying amount of the asset exceeds the estimated fair value of the asset, generally determined by discounting the estimated future cash flows. No impairment charge was recorded for the three and nine months ended September 30, 2013 or 2012. *Income Taxes* The Company accounts for income taxes under the provisions of ASC Topic 740, "Income Taxes." The objective of accounting for income taxes is to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in its financial statements or tax returns. Deferred taxes, resulting from differences between the financial and tax basis of the Company's assets and liabilities, are also adjusted for changes in tax rates and tax laws when changes are enacted. ASC Topic 740 also requires that deferred tax assets be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized. ASC Topic 740, also prescribes a recognition threshold and measurement process for recording in the financial statements uncertain tax positions taken or expected to be taken in a tax return. In addition, ASC Topic 740 provides guidance on derecognition, classification, accounting in interim periods and disclosure requirements for uncertain tax positions. *Stock-based Compensation* The Company has two stock incentive plans, the 2006 Stock Incentive Plan (the "2006 Plan") and the 2009 Stock Incentive Plan (the "2009 Plan") that provide for stock-based employee compensation. The Company accounts for stock-based compensation in accordance with ASC Topic 718, " Stock Compensation ." Compensation expense is recognized on a graded method under the 2006 Plan and on a straight-line basis under the 2009 Plan over the vesting period of the awards based on the fair value of the options and restricted stock awards. Under the 2006 Plan, the Company historically used the Black-Scholes option pricing model to estimate the fair value of its stock based payment awards, but beginning October 28, 2009 under its 2009 Plan it began using an enhanced Hull-White Trinomial model. The determination of the fair value of stock-based payments utilizing the Black-Scholes model and the Enhanced Hull-White Trinomial model is affected by Holdings' stock price and a number of assumptions, including expected volatility, risk-free interest rate, expected term, expected dividends yield, expected forfeiture rate, expected turn-over rate, and the expected exercise multiple. *Net Income Per Common Share* Net income (loss) per common share, calculated on the treasury stock method, is based on the weighted average number of shares outstanding during the period. The Company's outstanding securities that may potentially dilute the common stock are stock options and restricted stock awards. Included in the Company's calculation for the three and nine months ended September 30, 2013 were 641 stock options outstanding, of which 242 and 183, respectively, were dilutive. In addition, there were 96 restricted stock awards outstanding, 42 and 40 of which were dilutive for the three and nine months ended September 30, 2013, respectively. Included in the Company's calculation for the three and nine months ended September 30, 2012 were 741 stock options outstanding of which 12 and 3, respectively, were dilutive. In addition, there were 57 restricted stock awards outstanding, of which none were dilutive for the three and nine months ended September 30, 2012, respectively. *Estimates* The financial statements are prepared by management in conformity with GAAP and include estimated amounts and certain disclosures based on assumptions about future events. Accordingly, actual results could differ from those estimates. *Recent Accounting Pronouncements* The Company does not believe any recently issued, but not yet effective, accounting standards will have a material effect on the Company's consolidated financial position, results of operations, or cash flows.

Discontinued Operations

9 Months Ended

Sep. 30, 2013

Discontinued Operations [Abstract]

Discontinued Operations

2. Discontinued Operations

During December 2012, in anticipation of the sale of substantially all of the assets used in its home health business (the "Home Health Business"), the Company reported the operating results of the Home Health Business as discontinued operations in accordance with ASC Topic 360-10-45, " Impairment or Disposal of Long-Lived Assets." On February 7, 2013, the Company entered into the Home Health Purchase Agreement, pursuant to which subsidiaries of LHC Group, Inc. agreed to acquire substantially all the assets of the Home Health Business in Arkansas, Nevada and South Carolina and 90% of the Home Health Business in California and Illinois, with the Company retaining 10% ownership in such locations, for cash consideration of $20,000. The transaction was consummated effective March 1, 2013. In addition, the results of discontinued operations include one home health agency being held for sale and one home health agency that closed in January of 2013.

The Company has included the financial results of the Home Health Business in discontinued operations for all periods presented. Assets sold to the purchasers are presented as assets held for sale, net, on the accompanying consolidated balance sheet as of December 31, 2012. In connection with the discontinued operations presentation, certain financial statement footnotes have also been updated to reflect the impact of discontinued operations.

The following table presents the net service revenues and earnings attributable to discontinued operations, which include the financial results for the three and nine months ended September 30, 2013 and 2012:


	For the Three Months ended						For the Nine Months ended
		September 30,						September 30,
		2013			2012			2013			2012
Net service revenues	$	—		$	9,795		$	6,475		$	28,671

Loss before income taxes		(344	)		(673	)		(1,509	)		(3,133	)
Income tax benefit		(141	)		(266	)		(619	)		(1,238	)

Net loss from discontinued operations	$	(203	)	$	(407	)	$	(890	)	$	(1,895	)

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


Gain before income taxes	$	18,838
Income tax expenses		7,727

Net income (loss) from discontinued operations	$	11,111

The only class of assets for discontinued operations reflected as assets held for sale, net, as of December 31, 2012 was as follows:


		December 31,
		2012
Property and equipment, net of accumulated depreciation and amortization	$	245

Pursuant to the Home Health Purchase Agreement, the Company retained $1,137 and $7,123 of accounts receivable, net as of September 30, 2013 and December 31, 2012. In addition, the Company retained the related accrued expenses and accounts payable associated with the Home Health Business as of December 31, 2012.

- Definition

The entire disclosure for the facts and circumstances leading to the completed or expected disposal, manner and timing of disposal, the gain (loss) recognized in the income statement and the income statement caption that includes that gain (loss), amounts of revenues and pretax profit or loss reported in discontinued operations, the segment in which the disposal group was reported, and the classification (whether sold or classified as held for sale) and carrying value of the assets and liabilities comprising the disposal group. Includes all disposal groups, including those classified as components of the entity (discontinued operations).

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-Name Accounting Standards Codification
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-Publisher FASB
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Reference 10: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
-Number 144
-Paragraph 43-48
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

+ Details

Sale Of Agency	9 Months Ended
Sale Of Agency	Sep. 30, 2013
Sale Of Agency [Abstract]
Sale Of Agency	3. Sale of Agency During February 2012, the Company completed its sale of a home health agency located in Portland, OR for approximately $525 with net proceeds of approximately $495 after the payment of closing related expenses. The Company recorded a $495 pre-tax gain on the sale of the agency.

Goodwill And Intangible Assets

9 Months Ended

Sep. 30, 2013

Goodwill And Intangible Assets [Abstract]

Goodwill And Intangible Assets

4. Goodwill and Intangible Assets

The Company's carrying value of goodwill is the residual of the purchase price over the fair value of the net assets acquired from various acquisitions including the acquisition of Addus HealthCare. In accordance with ASC Topic 350, "Goodwill and Other Intangible Assets," goodwill and intangible assets with indefinite useful lives are not amortized. The Company tests goodwill for impairment on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that impairment may have occurred.

Goodwill is required to be tested for impairment at least annually. The Company can elect to perform Step-0 an optional qualitative analysis and based on the results skip the remaining two steps. In 2012, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis.

In performing its goodwill assessment for 2012, the Company evaluated the following factors that affect future business performance: macroeconomic conditions, industry and market considerations, cost factors, overall financial performance, entity-specific events and company stock price. As a result of the assessment of these qualitative factors, the Company has concluded that it is more likely than not that the fair value of the Company as of December 31, 2012 exceeded its carrying value. Accordingly, the first and second steps of the goodwill impairment test as described in ASC Topic 350-20-35, which includes estimating the fair value of the Company, are not considered necessary for the Company.

The Company did not record any impairment charges for the nine months ended September 30, 2013 or 2012. The Company will perform its annual impairment test for fiscal 2013 during the fourth quarter of 2013.

The following is a summary of the goodwill activity for the nine months ended September 30, 2013:


Goodwill, at December 31, 2012	$	50,536
Adjustments to previously recorded goodwill		(120	)

Goodwill, at September 30, 2013	$	50,416

The Company's identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two to 25 years.

The Company also has indefinite-lived assets that are not subject to amortization expense such as certificates of need and licenses to conduct specific operations within geographic markets. The Company has concluded that certificates of need and licenses have indefinite lives, as management has determined that there are no legal, regulatory, contractual, economic or other factors that would limit the useful life of these intangible assets and the Company intends to renew and operate the certificates of need and licenses indefinitely. The certificates of need and licenses are tested annually for impairment using the cost approach. Under this method assumptions are made about the cost to replace the certificates of need. No impairment charges were recorded in the three and nine months ended September 30, 2013 and 2012.

The Company will perform its annual impairment test for fiscal 2013 during the fourth quarter of 2013.

The following is a summary of the intangible assets and indefinite-lived asset activity as of September 30, 2013:


		Gross
		Carrying		Accumulated		Net Carrying
		Amount		Amortization		Amount
Customer and referral relationships	$	24,908	$	20,870	$	4,038
Trade names and trademarks		4,081		2,942		1,139
State licenses		150		—		150
Non-competition agreements		408		383		25

	$	29,547	$	24,195	$	5,352

- Definition

The entire disclosure for the aggregate amount of goodwill and a description of intangible assets, which may include (a) for amortizable intangible assets (also referred to as finite-lived intangible assets), the carrying amount, the amount of any significant residual value, and the weighted-average amortization period, (b) for intangible assets not subject to amortization (also referred to as indefinite-lived intangible assets), the carrying amount, and (c) the amount of research and development assets acquired and written off in the period, including the line item in the income statement in which the amounts written off are aggregated, if not readily apparent from the income statement. Also discloses (a) for amortizable intangibles assets in total and by major class, the gross carrying amount and accumulated amortization, the total amortization expense for the period, and the estimated aggregate amortization expense for each of the five succeeding fiscal years, (b) for intangible assets not subject to amortization the carrying amount in total and by major class, and (c) for goodwill, in total and for each reportable segment, the changes in the carrying amount of goodwill during the period (including the aggregate amount of goodwill acquired, the aggregate amount of impairment losses recognized, and the amount of goodwill included in the gain (loss) on disposal of a reporting unit). If any part of goodwill has not been allocated to a reportable segment, discloses the unallocated amount and the reasons for not allocating. For each impairment loss recognized related to an intangible asset (excluding goodwill), discloses: (a) a description of the impaired intangible asset and the facts and circumstances leading to the impairment, (b) the amount of the impairment loss and the method for determining fair value, (c) the caption in the income statement or the statement of activities in which the impairment loss is aggregated, and (d) the segment in which the impaired intangible asset is reported. For each goodwill impairment loss recognized, discloses: (a) a description of the facts and circumstances leading to the impairment, (b) the amount of the impairment loss and the method of determining the fair value of the associated reporting unit, and (c) if a recognized impairment loss is an estimate not finalized and the reasons why the estimate is not final. May also disclose the nature and amount of any significant adjustments made to a previous estimate of an impairment loss.

+ References + Details

Details Of Certain Balance Sheet Accounts

9 Months Ended

Sep. 30, 2013

Details Of Certain Balance Sheet Accounts [Abstract]

Details Of Certain Balance Sheet Accounts

5. Details of Certain Balance Sheet Accounts

Prepaid expenses and other current assets consisted of the following:


		September 30,		December 31,
		2013		2012
Prepaid health insurance	$	2,219	$	4,062
Prepaid workers' compensation and liability insurance		1,432		1,056
Prepaid rent		220		181
Workers' compensation insurance receivable		1,531		953
Other		765		1,041

	$	6,167	$	7,293

Accrued expenses consisted of the following:


		September 30,		December 31,
		2013		2012
Accrued payroll	$	11,429	$	11,539
Accrued workers' compensation insurance		13,992		12,452
Accrued payroll taxes		1,802		1,481
Accrued health insurance		2,297		3,469
Accrued amounts to purchaser		1,832		—
Accrued taxes		1,437		1,223
Accrued interest		—		51
Current portion of contingent earn-out obligation (1)		534		689
Other		3,078		1,813

	$	36,401	$	32,717

(1) The Company acquired certain assets of Advantage Health Systems, Inc. ("Advantage") in July 2010. The purchase agreement for the acquisition of Advantage contained a provision for earn-out payments contingent upon the achievement of certain performance targets. The sellers of Advantage disagreed with the Company's calculation of the earn-out payment and the parties agreed to have an arbitrator determine the amount of the second earn-out payment. Based upon the arbitrator's ruling, the final earn-out payment of $534 was made in October 2013.

Long-Term Debt

9 Months Ended

Sep. 30, 2013

Long-Term Debt [Abstract]

Long-Term Debt

6. Long-Term Debt

Long-term debt consisted of the following:


		September 30,		December 31,
		2013		2012
Revolving credit loan	$	—	$	16,250
Term loan		—		208

Total		—		16,458
Less current maturities		—		(208	)

Long-term debt	$	—	$	16,250

Senior Secured Credit Facility

The Company's credit facility provides a $55.0 million revolving line of credit expiring November 2, 2014, includes a $15.0 million sublimit for the issuance of letters of credit and included a $5.0 million term loan that matured and was paid on January 5, 2013. Substantially all of the subsidiaries of Holdings are co-borrowers, and Holdings has guaranteed the borrowers' obligations under the credit facility. The credit facility is secured by a first priority security interest in all of Holdings' and the borrowers' current and future tangible and intangible assets, including the shares of stock of the borrowers.

On July 26, 2011, the Company entered into an amendment to its credit facility, which modified the Company's maximum senior leverage ratio from 3.00 to 1.00 to 3.25 to 1.00 for each twelve month period ending on the last of day of each fiscal quarter beginning with the twelve month period ended June 30, 2011 and increased the advance multiple used to determine the amount of the borrowing base from 3.0 to 1.0 to 3.25 to 1.0.

During the second quarter of 2012, the lenders under the Company's credit facility agreed to a modified interpretation of the credit facility as it relates to the calculation of the fixed charge ratio, which provides the Company with increased flexibility in meeting this covenant. The credit facility contains customary affirmative, negative and financial covenants with which the Company was in compliance at September 30, 2013.

The availability of funds under the revolving credit portion of the credit facility, as amended, is based on the lesser of (i) the product of adjusted EBITDA, as defined in the credit facility agreement, for the most recent 12-month period for which financial statements have been delivered under the credit facility agreement multiplied by the specified advance multiple, up to 3.25, less the outstanding senior indebtedness and letters of credit, and (ii) $55,000 less the outstanding revolving loans and letters of credit. Interest on the amounts outstanding under the revolving credit portion of the credit facility is payable either at a floating rate equal to the 30-day LIBOR, plus an applicable margin of 4.6% or the LIBOR rate for term periods of one, two, three or six months plus a margin of 4.6%. Interest will be paid monthly or at the end of the relevant interest period, as determined in accordance with the credit facility agreement. The borrowers will pay a fee equal to 0.5% per annum of the unused portion of the revolving portion of the credit facility. Issued stand-by letters of credit will be charged at a rate of 2.0% per annum payable monthly. On September 30, 2013 the interest rate on the revolving credit loan facility was 4.8% (30 day LIBOR rate was 0.2%). The total availability under the revolving credit loan facility was $42,579 at September 30, 2013 compared to $27,137 at December 31, 2012.

Income Taxes

9 Months Ended

Sep. 30, 2013

Income Taxes [Abstract]

Income Taxes

7. Income Taxes

A reconciliation of the continuing operations statutory federal tax rate of 35% for the three and nine months ended September 30, 2013 and 34% for the three and nine months ended September 30, 2012 is summarized as follows:


	Three Months Ended
	September 30,
	2013		2012
Federal income tax a statutory rate	35.0	%	34.1	%
State and local taxes, net of federal benefit	6.0		6.0
Jobs tax credits, net	(6.6	)	(4.2	)
Nondeductible meals and entertainment, other	1.0		0.4

Effective tax rate	35.4	%	36.3	%

	Nine Months Ended
	September 30,
	2013		2012
Federal income tax a statutory rate	35.0	%	34.1	%
State and local taxes, net of federal benefit	6.0		6.0
Jobs tax credits, net (1)	(10.8	)	(4.1	)
Nondeductible meals and entertainment, other	0.8		0.9

Effective tax rate	31.0	%	36.9	%

(1) Included in the jobs tax credit for the nine months ended September 30, 2013 was a one-time benefit of a 7.2% reduction from our statutory tax rate for the jobs tax credits earned in 2012 but not recorded until 2013. The Federal employment opportunity tax credits were reinstated in 2013 and were not an allowable deduction in 2012.

- Definition

The entire disclosure for income taxes. Disclosures may include net deferred tax liability or asset recognized in an enterprise's statement of financial position, net change during the year in the total valuation allowance, approximate tax effect of each type of temporary difference and carryforward that gives rise to a significant portion of deferred tax liabilities and deferred tax assets, utilization of a tax carryback, and tax uncertainties information.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08.(h))
-URI http://asc.fasb.org/extlink&oid=6881521&loc=d3e23780-122690

Reference 2: http://www.xbrl.org/2003/role/presentationRef
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-Name Accounting Standards Codification
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Reference 3: http://www.xbrl.org/2003/role/presentationRef
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Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
-Number 109
-Paragraph 136, 172
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Regulation S-X (SX)
-Number 210
-Section 08
-Paragraph h
-Article 4

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
-Number 109
-Paragraph 43, 44, 45, 46, 47, 48, 49
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

+ Details

Segment Data	9 Months Ended
Segment Data	Sep. 30, 2013
Segment Data [Abstract]
Segment Data	8. Segment Data The Company historically segregated its results into two distinct reporting segments: the home & community segment and the home health segment. As a result of the sale of the Home Health Business, the Company has reported the operating results for the Home Health Business in discontinued operations. Therefore, all of the Company's operations are reported as one operating segment.

- Definition

The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
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-Name Accounting Standards Codification
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Reference 3: http://www.xbrl.org/2003/role/presentationRef
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Reference 15: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
-Number 131
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

+ Details

Commitments And Contingencies	9 Months Ended
Commitments And Contingencies	Sep. 30, 2013
Commitments And Contingencies [Abstract]
Commitments And Contingencies	9. Commitments and Contingencies *Legal Proceedings* The Company is a party to legal and/or administrative proceedings arising in the ordinary course of its business. It is the opinion of management that the outcome of such proceedings will not have a material effect on the Company's financial position and results of operations. *Indemnification Obligations* Pursuant to the Home Health Purchase Agreement, the Company is obligated to indemnify the purchasers for, among other things, (i) penalties, fines, judgments and settlement amounts arising from a violation of certain specified statutes, including the False Claims Act, the Civil Monetary Penalties Law, the federal Anti-Kickback Statute, the Ethics in Patient Referral Act or any state law equivalent in connection with the operation of the Home Health Business prior to the closing, and (ii) any liability related to the failure of any reimbursement claim submitted to certain government programs for services rendered by the Home Health Business prior to the closing to meet the requirements of such government programs, or any violation prior to the closing of any health care laws. Such liabilities include amounts to be recouped by, or repaid to, such government programs as a result of improperly submitted claims for reimbursement or those discovered as a result of audits by investigative agencies. All services that the Company has provided that have been or may be reimbursed by Medicare are subject to retroactive adjustments and/or total denial of payments received from Medicare under various review and audit provisions included in the program regulations. The review period is generally described as six years from the date the services are provided but could be expanded to ten years under certain circumstances if fraud is found to have existed at the time of original billing. In the event that there are adjustments relating to the period prior to the closing, the Company may be required to reimburse the purchasers or the government for the amount of such adjustments, which could adversely affect the Company's business and financial condition. The Company has not established a liability reserve for these obligations and at this time cannot determine the probability of requiring the reserve nor the estimated value of such reserve. The Company anticipates it will be in position to establish the required reserve in the fourth quarter of 2013. *Employment Agreements* The Company has entered into employment agreements with certain members of senior management. The terms of these agreements are up to four years and include non-compete and nondisclosure provisions, as well as provide for defined severance payments in the event of termination.

- Definition

The entire disclosure for commitments and contingencies.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
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-Subparagraph (SX 210.5-02.25)
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Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name FASB Interpretation (FIN)
-Number 14
-Paragraph 3
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 7: http://www.xbrl.org/2003/role/presentationRef
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-Name Statement of Financial Accounting Standard (FAS)
-Number 5
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-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

+ Details

Significant Payors	9 Months Ended
Significant Payors	Sep. 30, 2013
Significant Payors [Abstract]
Significant Payors	10. Significant Payors A substantial portion of the Company's net service revenues and accounts receivables are derived from services performed for federal, state and local governmental agencies. One state governmental agency accounted for 58.9% and 57.6% of the Company's net service revenues for the three months ended September 30, 2013 and 2012, respectively. One state governmental agency accounted for 59.1% and 56.8% of the Company's net service revenues for the nine months ended September 30, 2013 and 2012, respectively. The related receivables due from Medicare and the state agency represented 2.8% and 65.2%, respectively, of the Company's accounts receivable at September 30, 2013, and 7.1% and 69.3%, respectively, of the Company's accounts receivable at December 31, 2012.

- Definition

The entire disclosure for any concentrations existing at the date of the financial statements that make an entity vulnerable to a reasonably possible, near-term, severe impact. This disclosure informs financial statement users about the general nature of the risk associated with the concentration, and may indicate the percentage of concentration risk as of the balance sheet date.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
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-URI http://asc.fasb.org/extlink&oid=6927468&loc=d3e6442-108592

Reference 5: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 275
-SubTopic 10
-Section 50
-Paragraph 18
-URI http://asc.fasb.org/extlink&oid=6927468&loc=d3e6351-108592

Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 825
-SubTopic 10
-Section 50
-Paragraph 21
-URI http://asc.fasb.org/extlink&oid=7491637&loc=d3e13537-108611

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher AICPA
-Name Statement of Position (SOP)
-Number 94-6
-Paragraph 21, 22, 24
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
-Number 107
-Paragraph 15A
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

+ Details

Subsequent Events	9 Months Ended
Subsequent Events	Sep. 30, 2013
Subsequent Events [Abstract]
Subsequent Events	11. Subsequent Events *Acquisitions* The Company entered into an asset purchase agreement to acquire all of the Private Duty operations of the Medi Home Private Care Division of Medical Services of America, Inc. on October 17, 2013. The acquisition includes two agencies located in South Carolina; four agencies located in Tennessee; and two agencies located in Ohio. The South Carolina business will be incorporated into the Company's existing operations in that state. The operations in Ohio and Tennessee represent the Company's initial entry into these two targeted states, as these states transition their long term care programs to managed care and begin their dual eligible demonstration pilots. The asset purchase agreement provides for separate closings with respect to the operations in each state. The closing related to the agencies in South Carolina took place effective November 1, 2013. The Company also entered into an asset purchase agreement to acquire the assets from Coordinated Home Health Care, LLC related to its personal care business in New Mexico on November 7, 2013. This acquisition includes sixteen offices located in Southern New Mexico and further expands the Company's presence in that state. New Mexico has led other states in the transition of its long term care services to managed care. The two acquisitions represent approximately $20 million to $22 million in projected annual revenues for the twelve month period ending December 31, 2013. These transactions are expected to close in the fourth quarter and are subject to customary closing conditions. There can be no assurance that either of these transactions will be completed. *Shelf Registration* The Company filed a universal shelf registration statement on Form S-3 with the Securities and Exchange Commission on November 7, 2013. Upon being declared effective, the shelf registration statement will provide the Company with the flexibility to offer and sell up to $150 million of common stock, preferred stock, warrants and units in one or more offerings and in any combination. In addition, the shelf registration statement covers up to 4,951,773 shares of the Company's common stock held by certain existing stockholders in accordance with the requirements of contractual agreements previously entered into with these stockholders. The Company currently has no specific plans to issue securities under the new shelf registration statement. The Company will not receive any proceeds from potential sales of the common stock by these stockholders. The Company currently has no specific plans to issue securities under the new shelf registration statement. Any offer of securities covered by the shelf registration statement may be made solely by means of the prospectus included in the shelf registration statement and a related prospectus supplement containing specific information about the terms of any such offering. This is neither an offer to sell nor a solicitation of any offer to buy, nor shall there be any sale of these securities in any state or jurisdiction in which such an offer, solicitation or sale would be unlawful prior to registration or qualification under the securities laws of any such state or jurisdiction.

Summary Of Significant Accounting Policies (Policy)	9 Months Ended
Summary Of Significant Accounting Policies (Policy)	Sep. 30, 2013
Summary Of Significant Accounting Policies [Abstract]
Basis Of Presentation And Description Of Business	The consolidated financial statements include the accounts of Addus HomeCare Corporation ("Holdings") and its subsidiaries (together with Holdings, the "Company" or "we"). The Company provides home and community based services through a network of locations throughout the United States. These services are primarily performed in the homes of the consumers. The Company's home and community based services include assistance to the elderly, chronically ill and disabled with bathing, grooming, dressing, personal hygiene and medication reminders, and other activities of daily living. Home and community based services are primarily performed under agreements with state and local governmental agencies.
Discontinued Operations	*Discontinued Operations* On February 7, 2013, subsidiaries of Holdings entered into an Asset Purchase Agreement with LHC Group, Inc. and certain of its subsidiaries (the "Home Health Purchase Agreement"). Pursuant to the Home Health Purchase Agreement, effective March 1, 2013, the purchasers acquired substantially all the assets of the Company's home health business in Arkansas, Nevada and South Carolina and 90% of its home health business in California and Illinois, with the Company retaining 10% ownership in such locations, for cash consideration of $20,000. The Company's home health services were operated through licensed and Medicare certified offices that provided physical, occupational and speech therapy, as well as skilled nursing services to pediatric, adult infirm and elderly patients. Home health services were reimbursed from Medicare, Medicaid and Medicaid-waiver programs, commercial insurance and private payors (see note 2).
Principles Of Consolidation	*Principles of Consolidation* All intercompany balances and transactions have been eliminated in consolidation. Our investment in entities with less than 20% ownership or in which the Company does not have the ability to influence the operations of the investee are being accounted for using the cost method and are included in investments in joint ventures.
Revenue Recognition	*Revenue Recognition* The Company generates net service revenues by providing services directly to consumers. The Company receives payments for providing services from federal, state and local governmental agencies, commercial insurers and private individuals. Our continuing operations, which includes the results of operations previously included in our home and community segment and three agencies previously included in our home health segment, are principally provided based on authorized hours, determined by the relevant agency, at an hourly rate specified in agreements or fixed by legislation and recognized as revenues at the time services are rendered. Home and community based service revenues are reimbursed by state, local and other governmental programs which are partially funded by Medicaid or Medicaid waiver programs, with the remainder reimbursed through private duty and insurance programs. Laws and regulations governing the Medicaid and Medicare programs are complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates may change in the near term. The Company believes that it is in compliance in all material respects with all applicable laws and regulations.
Allowance For Doubtful Accounts	*Allowance for Doubtful Accounts* The Company establishes its allowance for doubtful accounts to the extent it is probable that a portion or all of a particular account will not be collected. The Company estimates its provision for doubtful accounts primarily by aging receivables utilizing eight aging categories, and applying its historical collection rates to each aging category, taking into consideration factors that might impact the use of historical collection rates or payor groups, with certain large payors analyzed separately from other payor groups. In the Company's evaluation of these estimates, it also considers delays in payment trends in individual states due to budget or funding issues, billing conversions related to acquisitions or internal systems, resubmission of bills with required documentation and disputes with specific payors. An allowance for doubtful accounts is maintained at a level management believes is sufficient to cover potential losses. However, actual collections could differ from our estimates.
Goodwill	*Goodwill* The Company's carrying value of goodwill is the residual of the purchase price over the fair value of the net assets acquired from various acquisitions including the acquisition of Addus HealthCare, Inc. ("Addus HealthCare"). In accordance with Accounting Standards Codification ("ASC") Topic 350, "Goodwill and Other Intangible Assets," goodwill and intangible assets with indefinite useful lives are not amortized. The Company tests goodwill for impairment on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that an impairment may have occurred. Goodwill and indefinite lived intangible assets are required to be tested for impairment at least annually. The Company may use a qualitative test, known as "Step 0" or a two-step quantitative method to determine whether impairment has occurred. In 2012, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis. No impairment charge was recorded for the three and nine months ended September 30, 2013 or 2012.
Intangible Assets	*Intangible Assets* The Company's identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two to 25 years. ASC Topic 350 requires that the fair value of intangible assets with indefinite lives be estimated and compared to the carrying value. The Company estimates the fair value of these intangible assets using the income approach. Intangible assets with finite lives are amortized using the estimated economic benefit method over the useful life and assessed for impairment whenever events or changes in circumstances indicate that the carrying amounts may not be recoverable based on estimated undiscounted cash flows. The Company recognizes an impairment loss when the estimated fair value of the intangible asset is less than the carrying value. No impairment charge was recorded for the three and nine months ended September 30, 2013 or 2012. The income approach, which the Company uses to estimate the fair value of its intangible assets (other than goodwill), is dependent on a number of factors including estimates of future market growth and trends, forecasted revenue and costs, expected periods the assets will be utilized, appropriate discount rates and other variables. The Company bases its fair value estimates on assumptions the Company believes to be reasonable but which are unpredictable and inherently uncertain. Actual future results may differ from those estimates. In addition, the Company makes certain judgments about the selection of comparable companies used in the market approach in determining valuation.
Long-Lived Assets	*Long-Lived Assets* The Company reviews its long-lived assets and finite lived intangibles (except goodwill and finite lived intangible assets, as described above) for impairment whenever changes in circumstances indicate that the carrying amount of an asset may not be recoverable. To determine if impairment exists, the Company compares the estimated future undiscounted cash flows from the related long-lived assets to the net carrying amount of such assets. If the carrying amount of an asset exceeds its estimated future cash flows, an impairment charge is recognized for the amount by which the carrying amount of the asset exceeds the estimated fair value of the asset, generally determined by discounting the estimated future cash flows. No impairment charge was recorded for the three and nine months ended September 30, 2013 or 2012.
Income Taxes	*Income Taxes* The Company accounts for income taxes under the provisions of ASC Topic 740, "Income Taxes." The objective of accounting for income taxes is to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in its financial statements or tax returns. Deferred taxes, resulting from differences between the financial and tax basis of the Company's assets and liabilities, are also adjusted for changes in tax rates and tax laws when changes are enacted. ASC Topic 740 also requires that deferred tax assets be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized. ASC Topic 740, also prescribes a recognition threshold and measurement process for recording in the financial statements uncertain tax positions taken or expected to be taken in a tax return. In addition, ASC Topic 740 provides guidance on derecognition, classification, accounting in interim periods and disclosure requirements for uncertain tax positions.
Stock-Based Compensation	*Stock-based Compensation* The Company has two stock incentive plans, the 2006 Stock Incentive Plan (the "2006 Plan") and the 2009 Stock Incentive Plan (the "2009 Plan") that provide for stock-based employee compensation. The Company accounts for stock-based compensation in accordance with ASC Topic 718, " Stock Compensation ." Compensation expense is recognized on a graded method under the 2006 Plan and on a straight-line basis under the 2009 Plan over the vesting period of the awards based on the fair value of the options and restricted stock awards. Under the 2006 Plan, the Company historically used the Black-Scholes option pricing model to estimate the fair value of its stock based payment awards, but beginning October 28, 2009 under its 2009 Plan it began using an enhanced Hull-White Trinomial model. The determination of the fair value of stock-based payments utilizing the Black-Scholes model and the Enhanced Hull-White Trinomial model is affected by Holdings' stock price and a number of assumptions, including expected volatility, risk-free interest rate, expected term, expected dividends yield, expected forfeiture rate, expected turn-over rate, and the expected exercise multiple.
Net Income Per Common Share	*Net Income Per Common Share* Net income (loss) per common share, calculated on the treasury stock method, is based on the weighted average number of shares outstanding during the period. The Company's outstanding securities that may potentially dilute the common stock are stock options and restricted stock awards. Included in the Company's calculation for the three and nine months ended September 30, 2013 were 641 stock options outstanding, of which 242 and 183, respectively, were dilutive. In addition, there were 96 restricted stock awards outstanding, 42 and 40 of which were dilutive for the three and nine months ended September 30, 2013, respectively. Included in the Company's calculation for the three and nine months ended September 30, 2012 were 741 stock options outstanding of which 12 and 3, respectively, were dilutive. In addition, there were 57 restricted stock awards outstanding, of which none were dilutive for the three and nine months ended September 30, 2012, respectively.
Estimates	*Estimates* The financial statements are prepared by management in conformity with GAAP and include estimated amounts and certain disclosures based on assumptions about future events. Accordingly, actual results could differ from those estimates.
Recent Accounting Pronouncements	*Recent Accounting Pronouncements* The Company does not believe any recently issued, but not yet effective, accounting standards will have a material effect on the Company's consolidated financial position, results of operations, or cash flows.

Discontinued Operations (Tables)

9 Months Ended

Sep. 30, 2013

Discontinued Operations [Abstract]

Schedule Of Income Loss From Discontinued Operations


	For the Three Months ended						For the Nine Months ended
		September 30,						September 30,
		2013			2012			2013			2012
Net service revenues	$	—		$	9,795		$	6,475		$	28,671

Loss before income taxes		(344	)		(673	)		(1,509	)		(3,133	)
Income tax benefit		(141	)		(266	)		(619	)		(1,238	)

Net loss from discontinued operations	$	(203	)	$	(407	)	$	(890	)	$	(1,895	)

Schedule Of Gain On Sale Of Discontinued Operation


Gain before income taxes	$	18,838
Income tax expenses		7,727

Net income (loss) from discontinued operations	$	11,111

Schedule Of Disposal Group, Classes Of Assets


		December 31,
		2012
Property and equipment, net of accumulated depreciation and amortization	$	245

- Definition

Tabular disclosure of disposal groups, which may include the gain (loss) recognized in the income statement and the income statement caption that includes that gain (loss), amounts of revenues and pretax profit or loss reported in discontinued operations, the classification and carrying value of the assets and liabilities comprising the disposal group, and the segment in which the disposal group was reported. Also may include the amount of adjustments to amounts previously reported in discontinued operations such as resolution of contingencies arising from the disposal transaction or the operations of the component prior to disposal.

+ References + Details

Goodwill And Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2013

Goodwill And Intangible Assets [Abstract]

Changes In Goodwill By Segment


Goodwill, at December 31, 2012	$	50,536
Adjustments to previously recorded goodwill		(120	)

Goodwill, at September 30, 2013	$	50,416

Schedule Of Carrying Amount And Accumulated Amortization Of Intangible Asset


		Gross
		Carrying		Accumulated		Net Carrying
		Amount		Amortization		Amount
Customer and referral relationships	$	24,908	$	20,870	$	4,038
Trade names and trademarks		4,081		2,942		1,139
State licenses		150		—		150
Non-competition agreements		408		383		25

	$	29,547	$	24,195	$	5,352

- Definition

Tabular disclosure of goodwill by reportable segment and in total which includes a rollforward schedule.

+ References + Details

Details Of Certain Balance Sheet Accounts (Tables)

9 Months Ended

Sep. 30, 2013

Details Of Certain Balance Sheet Accounts [Abstract]

Schedule Of Prepaid Expenses And Other Current Assets


		September 30,		December 31,
		2013		2012
Prepaid health insurance	$	2,219	$	4,062
Prepaid workers' compensation and liability insurance		1,432		1,056
Prepaid rent		220		181
Workers' compensation insurance receivable		1,531		953
Other		765		1,041

	$	6,167	$	7,293

Schedule Of Accrued Expenses


		September 30,		December 31,
		2013		2012
Accrued payroll	$	11,429	$	11,539
Accrued workers' compensation insurance		13,992		12,452
Accrued payroll taxes		1,802		1,481
Accrued health insurance		2,297		3,469
Accrued amounts to purchaser		1,832		—
Accrued taxes		1,437		1,223
Accrued interest		—		51
Current portion of contingent earn-out obligation (1)		534		689
Other		3,078		1,813

	$	36,401	$	32,717

Long-Term Debt (Tables)

9 Months Ended

Sep. 30, 2013

Long-Term Debt [Abstract]

Schedule Of Long-Term Debt


		September 30,		December 31,
		2013		2012
Revolving credit loan	$	—	$	16,250
Term loan		—		208

Total		—		16,458
Less current maturities		—		(208	)

Long-term debt	$	—	$	16,250

- Definition

Tabular disclosure of long-debt instruments or arrangements, including identification, terms, features, collateral requirements and other information necessary to a fair presentation. These are debt arrangements that originally required repayment more than twelve months after issuance or greater than the normal operating cycle of the entity, if longer.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 210
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02.22)
-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 942
-SubTopic 470
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=6479336&loc=d3e64711-112823

Reference 3: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=6928386&loc=d3e21475-112644

Reference 4: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08.(e),(f))
-URI http://asc.fasb.org/extlink&oid=6881521&loc=d3e23780-122690

Reference 5: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 55
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=6584090&loc=d3e28878-108400

Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=6928386&loc=d3e21538-112644

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 1A
-URI http://asc.fasb.org/extlink&oid=6451184&loc=d3e28541-108399

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 6
-URI http://asc.fasb.org/extlink&oid=6928386&loc=d3e21506-112644

Reference 9: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=6451184&loc=d3e28551-108399

Reference 10: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 7
-URI http://asc.fasb.org/extlink&oid=6928386&loc=d3e21521-112644

Reference 11: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Regulation S-X (SX)
-Number 210
-Section 02
-Paragraph 22
-Article 5

+ Details

Income Taxes (Tables)

9 Months Ended

Sep. 30, 2013

Income Taxes [Abstract]

Reconciliation Of Effective Tax Rate


	Three Months Ended
	September 30,
	2013		2012
Federal income tax a statutory rate	35.0	%	34.1	%
State and local taxes, net of federal benefit	6.0		6.0
Jobs tax credits, net	(6.6	)	(4.2	)
Nondeductible meals and entertainment, other	1.0		0.4

Effective tax rate	35.4	%	36.3	%

	Nine Months Ended
	September 30,
	2013		2012
Federal income tax a statutory rate	35.0	%	34.1	%
State and local taxes, net of federal benefit	6.0		6.0
Jobs tax credits, net (1)	(10.8	)	(4.1	)
Nondeductible meals and entertainment, other	0.8		0.9

Effective tax rate	31.0	%	36.9	%

Summary Of Significant Accounting Policies (Details) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2013 USD ($) shares	Sep. 30, 2012 USD ($) shares	Sep. 30, 2013 USD ($) item shares	Sep. 30, 2012 USD ($) shares	Feb. 07, 2013 USD ($)
Summary Of Significant Accounting Policies [Line Items]
Percentage of segment sold					90.00%
Ownership percentage					10.00%
Business acquisition, cash paid \| $					$ 20,000
Number of agencies in continuing operations \| item			3
Allowances for doubtful accounts, number of aging categories \| item			8
Goodwill impairment \| $	$ 0	$ 0	$ 0	$ 0
Impairment of intangible assets excluding goodwill \| $	0	0	0	0
Impairment charges \| $	$ 0	$ 0	$ 0	$ 0
Number of stock options included in calculation \| shares	641	741	641	741
Anti-dilutive shares \| shares	242	12	183	3
Shares of restricted stock awards \| shares	96	57	96	57
Number of dilutive shares of outstanding stock options and restricted stock awards \| shares	42	0	40	0
Number of stock incentive plans \| item			2
Minimum [Member]
Summary Of Significant Accounting Policies [Line Items]
Intangible assets, estimated useful lives			2 years
Maximum [Member]
Summary Of Significant Accounting Policies [Line Items]
Intangible assets, estimated useful lives			25 years

Discontinued Operations (Narrative) (Details) $ in Thousands	Sep. 30, 2013 USD ($) segment	Feb. 07, 2013 USD ($)	Jan. 31, 2013 segment	Dec. 31, 2012 USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Percentage of segment sold		90.00%
Ownership percentage		10.00%
Business acquisition, cash paid		$ 20,000
Accounts receivable, net	$ 1,137			$ 7,123
Home Health Segment [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Number of held for sale agencies included in discontinued operations \| segment	1		1

Discontinued Operations (Schedule Of Income Loss From Discontinued Operations) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Discontinued Operations [Abstract]
Net service revenues		$ 9,795	$ 6,475	$ 28,671
Loss before income taxes	$ (344)	(673)	(1,509)	(3,133)
Income tax benefit	(141)	(266)	(619)	(1,238)
Net loss from discontinued operations	$ (203)	$ (407)	$ (890)	$ (1,895)

- Definition

Income tax expense or benefit attributable to Income or Loss from discontinued operations during the phase-out period.

+ References + Details

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

- Definition

Amount of tax expense or benefit on gain (loss), not previously recognized, resulting from the sale of a business component.

+ References + Details

Discontinued Operations (Schedule Of Disposal Group, Classes Of Assets) (Details) $ in Thousands	Dec. 31, 2012 USD ($)
Discontinued Operations [Abstract]
Property and equipment, net of accumulated depreciation and amortization	$ 245

Sale Of Agency (Details) - USD ($) $ in Thousands	1 Months Ended	9 Months Ended
Sale Of Agency (Details) - USD ($) $ in Thousands	Feb. 29, 2012	Sep. 30, 2012
Sale Of Agency [Abstract]
Gross proceeds from sale of agency	$ 525
Net proceeds from sale of agency	495	$ 495
Pre-tax gain on sale of agency	$ 495	$ 495

Goodwill And Intangible Assets (Narrative) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Impairment of intangible assets excluding goodwill	$ 0	$ 0	$ 0	$ 0
Minimum [Member]
Intangible assets, estimated useful lives			2 years
Maximum [Member]
Intangible assets, estimated useful lives			25 years

Goodwill And Intangible Assets (Changes In Goodwill By Segment) (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2013 USD ($)
Goodwill And Intangible Assets [Abstract]
Goodwill, at Beginning of Period	$ 50,536
Adjustments to previously recorded goodwill	(120)
Goodwill, at End of Period	$ 50,416

- Definition

Carrying amount as of the balance sheet date, which is the cumulative amount paid and (if applicable) the fair value of any noncontrolling interest in the acquiree, adjusted for any amortization recognized prior to the adoption of any changes in generally accepted accounting principles (as applicable) and for any impairment charges, in excess of the fair value of net assets acquired in one or more business combination transactions.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 350
-SubTopic 20
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=14024403&loc=d3e13816-109267

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 350
-SubTopic 20
-Section 45
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=6388280&loc=d3e13770-109266

Reference 3: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
-Number 142
-Paragraph 45
-Subparagraph e
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 4: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
-Number 142
-Paragraph 43
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 5: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
-Number 141R
-Paragraph 72
-Subparagraph d
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
-Number 142
-Paragraph 45
-Subparagraph e
-Clause 1
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
-Number 141R
-Paragraph 68
-Subparagraph l
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
-Number 141R
-Paragraph 34
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

+ Details

Goodwill And Intangible Assets (Schedule Of Carrying Amount And Accumulated Amortization Of Intangible Asset) (Details) - USD ($) $ in Thousands	Sep. 30, 2013	Dec. 31, 2012
Gross Carrying Amount	$ 29,547
Accumulated Amortization	24,195
Net Carrying Amount	5,352	$ 6,370
Customer And Referral Relationships [Member]
Gross Carrying Amount	24,908
Accumulated Amortization	20,870
Net Carrying Amount	4,038
Trade Names And Trademarks [Member]
Gross Carrying Amount	4,081
Accumulated Amortization	2,942
Net Carrying Amount	1,139
State Licenses [Member]
Gross Carrying Amount	150
Net Carrying Amount	150
Non-competition Agreements [Member]
Gross Carrying Amount	408
Accumulated Amortization	383
Net Carrying Amount	$ 25

Details Of Certain Balance Sheet Accounts (Schedule Of Prepaid Expenses And Other Current Assets) (Details) - USD ($) $ in Thousands	Sep. 30, 2013	Dec. 31, 2012
Details Of Certain Balance Sheet Accounts [Abstract]
Prepaid health insurance	$ 2,219	$ 4,062
Prepaid workers' compensation and liability insurance	1,432	1,056
Prepaid rent	220	181
Workers' compensation insurance receivable	1,531	953
Other	765	1,041
Prepaid expenses and other current assets	$ 6,167	$ 7,293

- Definition

Carrying amount as of the balance sheet date of unamortized costs of insurance coverage, which will be charged against earnings ratably over the period in which contractually agreed upon coverage's will be in effect; such periods expire within one year or the normal operating cycle, if longer.

+ References + Details

Details Of Certain Balance Sheet Accounts (Schedule Of Accrued Expenses) (Details) - USD ($)
$ in Thousands

Sep. 30, 2013

Dec. 31, 2012

Details Of Certain Balance Sheet Accounts [Abstract]

Accrued payroll

$ 11,429

$ 11,539

Accrued workers' compensation insurance

13,992

12,452

Accrued payroll taxes

1,802

1,481

Accrued health insurance

2,297

3,469

Accrued amounts to purchaser

1,832

Accrued taxes

1,437

1,223

Accrued interest

Current portion of contingent earn-out obligation

^[1]

534

689

Other

3,078

1,813

Accrued expenses

$ 36,401

$ 32,717

[1]

The Company acquired certain assets of Advantage Health Systems, Inc. ("Advantage") in July 2010. The purchase agreement for the acquisition of Advantage contained a provision for earn-out payments contingent upon the achievement of certain performance targets. The sellers of Advantage disagreed with the Company's calculation of the earn-out payment and the parties agreed to have an arbitrator determine the amount of the second earn-out payment. Based upon the arbitrator's ruling, the final earn-out payment of $534 was made in October 2013.

Long-Term Debt (Narrative) (Details)		9 Months Ended
Long-Term Debt (Narrative) (Details)	Jul. 26, 2011	Sep. 30, 2013 USD ($)	Dec. 31, 2012 USD ($)
Debt Instrument [Line Items]
Debt instrument, maturity date		Jan. 05, 2013
Revolving Credit Loan [Member] \| Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Maximum aggregate amount of revolving loans available		$ 55,000,000
Sublimit for issuance of letters of credit		$ 15,000,000
Specified advance multiple used to determine funds availability under credit facility		3.25
Interest rate margin over LIBOR		4.60%
Fee charged on unused portion of revolving credit facility		0.50%
Interest rate on revolving credit loan facility		4.80%
LIBOR rate		0.20%
Total availability under the revolving credit loan facility		$ 42,579,000	$ 27,137,000
Term Loan [Member]
Debt Instrument [Line Items]
Term loan available under revolving loans		$ 5,000,000
Before Amendment [Member] \| Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Maximum senior leverage ratio	3.00
Specified advance multiple used to determine funds availability under credit facility	3.0
After Amendment [Member] \| Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Maximum senior leverage ratio	3.25
Specified advance multiple used to determine funds availability under credit facility	3.25
Letters of Credit [Member] \| Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Interest rate		2.00%

Long-Term Debt (Schedule Of Long-Term Debt) (Details) - USD ($) $ in Thousands	Sep. 30, 2013	Dec. 31, 2012
Debt Instrument [Line Items]
Total		$ 16,458
Less current maturities		(208)
Long-term debt		16,250
Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Total		16,250
Term Loan [Member]
Debt Instrument [Line Items]
Total		$ 208

Income Taxes (Narrative) (Details)	3 Months Ended		9 Months Ended
Income Taxes (Narrative) (Details)	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Income Taxes [Abstract]
Statutory federal tax rate	35.00%	34.10%	35.00%	34.10%

Income Taxes (Reconciliation Of Effective Tax Rate, Percentage) (Details)

3 Months Ended

9 Months Ended

Sep. 30, 2013

Sep. 30, 2012

Sep. 30, 2013

Sep. 30, 2012

Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]

Federal income tax at statutory rate

35.00%

34.10%

35.00%

34.10%

State and local taxes, net of federal benefit

6.00%

Jobs tax credits, net

(6.60%)

(4.20%)

(10.80%)

^[1]

(4.10%)

^[1]

Nondeductible meals and entertainment

1.00%

0.40%

0.80%

0.90%

Effective income tax rate

35.40%

36.30%

31.00%

36.90%

One time jobs tax benefit

7.20%

[1]

Included in the jobs tax credit for the nine months ended September 30, 2013 was a one-time benefit of a 7.2% reduction from our statutory tax rate for the jobs tax credits earned in 2012 but not recorded until 2013. The Federal employment opportunity tax credits were reinstated in 2013 and were not an allowable deduction in 2012.

Segment Data (Details)	9 Months Ended
Segment Data (Details)	Sep. 30, 2013 segment
Segment Data [Abstract]
Number of operating segments	1

Commitments And Contingencies (Details)	9 Months Ended
Commitments And Contingencies (Details)	Sep. 30, 2013
Period for review of adjustments	6 years
Maximum term of employment agreements	4 years
Maximum [Member]
Period for review of adjustments	10 years

Significant Payors (Details) - item	3 Months Ended		9 Months Ended		12 Months Ended
Significant Payors (Details) - item	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012	Dec. 31, 2012
State Governmental Agency [Member]
Concentration Risk [Line Items]
Number of state government agency	1	1	1	1
Service Revenues, Net [Member] \| State Governmental Agency [Member]
Concentration Risk [Line Items]
Concentration risk, percentage	58.90%	57.60%	59.10%	56.80%
Accounts Receivable [Member] \| Medicare [Member]
Concentration Risk [Line Items]
Concentration risk, percentage			2.80%		7.10%
Accounts Receivable [Member] \| State Governmental Agency [Member]
Concentration Risk [Line Items]
Concentration risk, percentage			65.20%		69.30%

Subsequent Event (Details)	Nov. 07, 2013 USD ($) item shares	Oct. 17, 2013 item	Feb. 07, 2013 USD ($)
Business acquisition, cash paid \| $			$ 20,000,000
Shares currently held by shareholders included in registration \| shares	4,951,773
Subsequent Event [Member]
Value of common stock, preferred stock, warrants and units that can be issued \| $	$ 150,000,000
Subsequent Event [Member] \| Medical Services of America, Inc. [Member]
Business acquisition, projected annual revenues \| $	$ 20,000,000
Subsequent Event [Member] \| Medical Services of America, Inc. [Member] \| South Carolina [Member]
Number of agencies acquired \| item		2
Subsequent Event [Member] \| Medical Services of America, Inc. [Member] \| Tennessee [Member]
Number of agencies acquired \| item		4
Subsequent Event [Member] \| Medical Services of America, Inc. [Member] \| Ohio [Member]
Number of agencies acquired \| item		2
Subsequent Event [Member] \| Coordinated Home and Health Care, LLC [Member]
Number of offices \| item	16
Business acquisition, projected annual revenues \| $	$ 22,000,000

Subsequent Event (Details)	Nov. 07, 2013 USD ($) item shares	Oct. 17, 2013 item	Feb. 07, 2013 USD ($)
Business acquisition, cash paid \| $			$ 20,000,000
Shares currently held by shareholders included in registration \| shares	4,951,773
Subsequent Event [Member]
Value of common stock, preferred stock, warrants and units that can be issued \| $	$ 150,000,000
Subsequent Event [Member] \| Medical Services of America, Inc. [Member]
Business acquisition, projected annual revenues \| $	$ 20,000,000
Subsequent Event [Member] \| Medical Services of America, Inc. [Member] \| South Carolina [Member]
Number of agencies acquired \| item		2
Subsequent Event [Member] \| Medical Services of America, Inc. [Member] \| Tennessee [Member]
Number of agencies acquired \| item		4
Subsequent Event [Member] \| Medical Services of America, Inc. [Member] \| Ohio [Member]
Number of agencies acquired \| item		2
Subsequent Event [Member] \| Coordinated Home and Health Care, LLC [Member]
Number of offices \| item	16
Business acquisition, projected annual revenues \| $	$ 22,000,000