View Filing Data

Document And Entity Information - shares	6 Months Ended
Document And Entity Information - shares	Jun. 30, 2014	Jul. 31, 2014
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2014
Document Fiscal Period Focus	Q2
Document Fiscal Year Focus	2014
Entity Registrant Name	Addus HomeCare Corp
Entity Central Index Key	0001468328
Current Fiscal Year End Date	--12-31
Entity Filer Category	Accelerated Filer
Entity Common Stock, Shares Outstanding		10,981,688

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Jun. 30, 2014	Dec. 31, 2013
Current assets
Cash	$ 19,541	$ 15,565
Accounts receivable, net of allowances of $4,051 and $4,140 at June 30, 2014 and December 31, 2013, respectively	48,725	61,354
Prepaid expenses and other current assets	4,555	6,235
Deferred tax assets	8,326	8,326
Total current assets	81,147	91,480
Property and equipment, net of accumulated depreciation and amortization	6,958	2,634
Other assets
Goodwill	64,324	60,026
Intangibles, net of accumulated amortization	11,753	8,762
Investments in joint ventures	900	900
Other assets	53	132
Total other assets	77,030	69,820
Total assets	165,135	163,934
Current Liabilities
Accounts payable	4,769	4,633
Accrued expenses	37,438	41,945
Deferred revenue	3	59
Total current liabilities	42,210	46,637
Deferred tax liabilities	3,441	3,441
Total liabilities	45,651	50,078
Stockholders' equity
Common stock-$.001 par value; 40,000 authorized and 10,982 and 10,913 shares issued and outstanding as of June 30, 2014 and December 31, 2013, respectively	11	11
Additional paid-in capital	83,617	83,072
Retained earnings	35,856	30,773
Total stockholders' equity	119,484	113,856
Total liabilities and stockholders' equity	$ 165,135	$ 163,934

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Jun. 30, 2014	Dec. 31, 2013
Condensed Consolidated Balance Sheets [Abstract]
Accounts receivable, allowance for doubtful accounts	$ 4,051	$ 4,140
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	40,000,000	40,000,000
Common stock, shares issued	10,982,000	10,913,000
Common stock, shares outstanding	10,982,000	10,913,000

Condensed Consolidated Statements Of Operations - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013
Condensed Consolidated Statements Of Operations [Abstract]
Net service revenues	$ 76,965	$ 65,755	$ 148,648	$ 128,753
Cost of service revenues	56,385	49,142	109,400	96,342
Gross profit	20,580	16,613	39,248	32,411
General and administrative expenses	15,399	12,092	29,802	23,602
Depreciation and amortization	1,083	541	1,578	1,087
Total operating expenses	16,482	12,633	31,380	24,689
Operating income from continuing operations	4,098	3,980	7,868	7,722
Interest income	(5)		(7)
Interest expense	156	142	312	350
Total interest expense, net	151	142	305	350
Income from continuing operations before income taxes	3,947	3,838	7,563	7,372
Income tax expense	1,218	1,256	2,480	2,103
Net income from continuing operations	2,729	2,582	5,083	5,269
Discontinued operations:
Loss from home health business, net of tax		(150)		(687)
Gain on sale of home health business, net of tax				11,111
(Loss) earnings from discontinued operations		(150)		10,424
Net income	$ 2,729	$ 2,432	$ 5,083	$ 15,693
Basic income per share
Continuing operations	$ 0.25	$ 0.24	$ 0.47	$ 0.49
Discontinued operations		(0.01)		0.97
Basic income per share	0.25	0.23	0.47	1.46
Diluted income per share
Continuing operations	0.25	0.23	0.46	0.48
Discontinued operations		(0.01)		0.96
Diluted income per share	$ 0.25	$ 0.22	$ 0.46	$ 1.44
Weighted average number of common shares and potential common shares outstanding:
Basic	10,903	10,785	10,878	10,779
Diluted	11,138	11,016	11,121	10,920

Condensed Consolidated Statements Of Stockholders' Equity - 6 months ended Jun. 30, 2014 - USD ($) shares in Thousands, $ in Thousands	Common Stock [Member]	Additional Paid-In Capital [Member]	Retained Earnings [Member]	Total
Balance at Dec. 31, 2013	$ 11	$ 83,072	$ 30,773	$ 113,856
Balance, shares at Dec. 31, 2013	10,913
Stock-based compensation		331		331
Shares issued	$ 0	214		214
Shares issued, shares	69
Net income			5,083	5,083
Balance at Jun. 30, 2014	$ 11	$ 83,617	$ 35,856	$ 119,484
Balance, shares at Jun. 30, 2014	10,982

- Definition

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

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Glossary Net Income
-URI http://asc.fasb.org/extlink&oid=6518256

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 28
-URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3602-108585

Reference 3: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 225
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-04.19)
-URI http://asc.fasb.org/extlink&oid=6879464&loc=d3e573970-122913

Reference 4: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 260
-SubTopic 10
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=6371337&loc=d3e3550-109257

Reference 5: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 225
-SubTopic 10
-Section S99
-Paragraph 2
-Subparagraph (SX 210.5-03.18)
-URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688

Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 225
-Section S99
-Paragraph 1
-Subparagraph (SX 210.7-04.22)
-URI http://asc.fasb.org/extlink&oid=6879464&loc=d3e573970-122913

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Glossary Other Comprehensive Income
-URI http://asc.fasb.org/extlink&oid=6519514

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 220
-SubTopic 10
-Section 45
-Paragraph 6
-URI http://asc.fasb.org/extlink&oid=28358780&loc=d3e565-108580

Reference 9: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Regulation S-X (SX)
-Number 210
-Section 03
-Paragraph 19
-Article 5

Reference 10: http://www.xbrl.org/2003/role/presentationRef
-Publisher SEC
-Name Regulation S-X (SX)
-Number 210
-Section 04
-Paragraph 20
-Article 9

+ Details

Condensed Consolidated Statements Of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2014	Jun. 30, 2013
Cash flows from operating activities:
Net income	$ 5,083	$ 15,693
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	1,578	1,087
Deferred income taxes		5,425
Stock-based compensation	331	217
Amortization of debt issuance costs	79	86
Provision for doubtful accounts	1,734	1,218
Gain on sale of home health business		(18,838)
Changes in operating assets and liabilities, net of acquired businesses:
Accounts receivable	11,416	26,480
Prepaid expenses and other current assets	1,740	1,410
Accounts payable	(902)	1,298
Accrued expenses	(6,000)	320
Deferred revenue	(56)	(150)
Net cash provided by operating activities	15,003	34,246
Cash flows from investing activities:
Acquisition of business	(7,233)
Acquisition of customer list	(50)
Net proceeds from sale of Home Health Business		19,659
Purchases of property and equipment	(3,958)	(407)
Net cash (used in) provided by investing activities	(11,241)	19,252
Cash flows from financing activities:
Net repayments on term loan		(208)
Cash received from exercise of stock options	214
Net payments on revolving credit loan		(16,250)
Net cash provided by (used in) financing activities	214	(16,458)
Net change in cash	3,976	37,040
Cash, at beginning of period	15,565	1,737
Cash, at end of period	19,541	38,777
Supplemental disclosures of cash flow information:
Cash paid for interest	312	317
Cash paid for income taxes	2,601	3,074
Supplemental disclosures of non-cash investing and financing activities
Tax benefit related to the amortization of tax goodwill in excess of book basis	80	$ 80
Contingent and deferred consideration accrued for acquisitions	$ 1,020

Summary Of Significant Accounting Policies

6 Months Ended

Jun. 30, 2014

Summary Of Significant Accounting Policies [Abstract]

Summary Of Significant Accounting Policies

1. Summary of Significant Accounting Policies

Basis of Presentation and Description of Business

The consolidated financial statements include the accounts of Addus HomeCare Corporation ("Holdings") and its subsidiaries (together with Holdings, the "Company" or "we"). The Company is a comprehensive provider home and community based services to over 30,000 consumers through a network of 133 locations in 22 states. These services are primarily performed in the homes of the consumers and 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 and increasingly, managed care organizations.

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 $20,000,000.

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 consumers. Our continuing operations, which includes the results of operations previously included in our home and community segment and agencies in three states 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 the Company's estimates.

Property and Equipment

Property and equipment are recorded at cost and depreciated over the estimated useful lives of the related assets by use of the straight-line method except for internally developed software which is amortized by the sum-of-years digits method. Maintenance and repairs are charged to expense as incurred. The estimated useful lives of the property and equipment are as follows:


Computer equipment	3 – 5 years
Furniture and equipment	5 – 7 years
Transportation equipment	5 years
Computer software	5 – 10 years
Leasehold improvements	Lesser of useful life or lease term, unless probability of lease renewal is likely

Goodwill

The Company's carrying value of goodwill is the 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 at the reporting unit level on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that an impairment may have occurred. The Company may use a qualitative test, known as "Step 0" or a two-step quantitative method to determine whether impairment has occurred. In Step 0, the Company can elect to perform an optional qualitative analysis and based on the results skip the two step analysis. In 2013, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis. The results of the Company's Step 0 assessment indicated that it was more likely than not that the fair value of its reporting unit exceeded its carrying value and therefore the Company concluded that there were no impairments for the year ended December 31, 2013. No impairment charges were recorded for the three or six months ended June 30, 2013.

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.

Intangible assets with finite lives are amortized using the estimated economic benefit method over the useful life and assessed for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. The Company would recognize an impairment loss when the estimated future non-discounted cash flows associated with the intangible asset is less than the carrying value. An impairment change would then be recorded for the excess of the carrying value over the fair value. The Company estimates the fair value of these intangible assets using the income approach. No impairment charge was recorded for the three and six months ended June 30, 2014 or 2013.

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.

We also have indefinite-lived intangible assets that are not subject to amortization expense such as certificates of need and licenses to conduct specific operations within geographic markets. Our management has concluded that certificates of need and licenses have indefinite lives, as management has determined that there are no legal, regulatory, contractual, economic or other factors that would limit the useful life of these intangible assets and we intend to renew and operate the certificates of need and licenses indefinitely. The certificates of need and licenses are tested annually for impairment. No impairment was recorded for the three and six months ended June 30, 2014 or 2013.

Workers' Compensation Program

The Company's workers' compensation program has a $350,000 deductible component. The Company recognizes its obligations associated with this program in the period the claim is incurred. The cost of both the claims reported and claims incurred but not reported, up to the deductible, have been accrued based on historical claims experience, industry statistics and an actuarial analysis performed by an independent third party. The future claims payments related to the workers' compensation program are secured by letters of credit.

Interest Income

Legislation enacted in Illinois entitles designated service program providers to receive a prompt payment interest penalty based on qualifying services approved for payment that remain unpaid after a designated period of time. As the amount and timing of the receipt of these payments are not certain, the interest income is recognized when received and reported in the statement of operations as interest income. The Company did not receive any prompt payment interest for the three and six months ended June 30, 2014 or 2013.

Interest Expense

The Company's interest expense consists of interest costs on its credit facility and other debt instruments.

Income Tax Expense

The Company accounts for income taxes under the provisions of ASC Topic 740, "Income Taxes." The objective of accounting for income taxes is to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in its financial statements or tax returns. Deferred taxes, resulting from differences between the financial and tax basis of the Company's assets and liabilities, are also adjusted for changes in tax rates and tax laws when changes are enacted. ASC Topic 740 also requires that deferred tax assets be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized. ASC Topic 740, also prescribes a recognition threshold and measurement process for recording in the financial statements uncertain tax positions taken or expected to be taken in a tax return. In addition, ASC Topic 740 provides guidance on derecognition, classification, accounting in interim periods and disclosure requirements for uncertain tax positions.

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, 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 six months ended June 30, 2014 were 589,000 stock options outstanding, of which 218,000 and 225,000, respectively, were dilutive. In addition, there were 60,000 restricted stock awards outstanding, 18,000 of which were dilutive for the three and six months ended June 30, 2014, respectively.

Included in the Company's calculation for the three and six months ended June 30, 2013 were 677,000 stock options outstanding, of which 196,000 and 117,000, respectively, were dilutive. In addition, there were 99,000 restricted stock awards outstanding, 36,000 and 23,000 of which were dilutive for the three and six months ended June 30, 2013, respectively.

Estimates

The financial statements are prepared by management in conformity with Generally Accepted Accounting Principles ("GAAP"), and include estimated amounts and certain disclosures based on assumptions about future events. Accordingly, actual results could differ from those estimates.

Fair Value of Financial Instruments

The Company's financial instruments consist of cash, accounts receivable, payables and debt. The carrying amounts reported in the consolidated balance sheets for cash, accounts receivable, accounts payable and accrued expenses approximate fair value because of the short-term nature of these instruments. The carrying value of the Company's long-term debt with variable interest rates approximates fair value based on instruments with similar terms.

The Company applies fair value techniques on a non-recurring basis associated with valuing potential impairment losses related to goodwill and indefinite-lived intangible assets and also when determining the fair value of contingent considerations. To determine the fair value in these situations, the Company uses Level 3 inputs such as discounted cash flows or if available, what a market participant would pay on the measurement date.

The Company utilizes the income approach to estimate the fair value of its intangible assets derived from acquisitions. In addition, discounted cash flows were used to estimate the fair value of the Company's investment in joint ventures.

Recent Accounting Pronouncements

In May 2014, the FASB issued Accounting Standards Update No. 2014-09, Revenue from Contracts with Customers (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. The standard is effective for annual periods beginning after December 15, 2016, and interim periods therein, using either of the following transition methods: (i) a full retrospective approach reflecting the application of the standard in each prior reporting period with the option to elect certain practical expedients, or (ii) a retrospective approach with the cumulative effect of initially adopting ASU 2014-09 recognized at the date of adoption (which includes additional footnote disclosures). The Company is currently evaluating the impact of its pending adoption of ASU 2014-09 on its consolidated financial statements and has not yet determined the method by which it will adopt the standard in 2017.

Discontinued Operations

6 Months Ended

Jun. 30, 2014

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 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 $20,000,000. The transaction was consummated effective March 1, 2013. In addition, the results of operations for an agency in Pennsylvania that was sold on December 30, 2013 and an agency in Idaho that was closed on November 30, 2012 are included in discontinued operations.

The Company has included the financial results of the Home Health Business in discontinued operations for all periods presented. 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 six months ended June 30, 2014 and 2013:


	For the Three Months Ended June 30,					For the Six Months Ended June 30,
	(Amounts in Thousands)					(Amounts in Thousands)
		2014		2013			2014		2013
Net service revenues	$	—	$	—		$	—	$	6,476
Loss before income taxes		—		(254	)		—		(1,165	)
Income tax benefit		—		(104	)		—		(478	)
Net loss from discontinued operations	$	—	$	(150	)	$	—	$	(687	)

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


		Gain
		(Amounts in
		Thousands)
Gain before income taxes	$	18,838
Income tax benefit		(7,727	)
Net income from discontinued operations	$	11,111

Pursuant to the Home Health Purchase Agreement, the Company retained $0 and $625,000 of accounts receivable, net as of June 30, 2014 and December 31, 2013, respectively. In addition, the Company retained the related accrued expenses and accounts payable associated with the Home Health Business as of June 30, 2014 and December 31, 2013.

- 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).

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 50
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=6360339&loc=d3e1436-107760

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=6360339&loc=d3e1361-107760

Reference 3: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=6360339&loc=d3e1474-107760

Reference 4: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 50
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=6360339&loc=d3e1510-107760

Reference 5: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 45
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=6892542&loc=d3e957-107759

Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 45
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=6892542&loc=d3e1020-107759

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 205
-SubTopic 20
-Section 45
-Paragraph 4
-URI http://asc.fasb.org/extlink&oid=6892542&loc=d3e1012-107759

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 360
-SubTopic 10
-Section 45
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=8077374&loc=d3e2443-110228

Reference 9: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 360
-SubTopic 10
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=6391110&loc=d3e2941-110230

+ Details

Acquisitions

6 Months Ended

Jun. 30, 2014

Acquisitions [Abstract]

Acquisitions

3. Acquisitions

Effective June 1, 2014, the Company acquired Cura Partners, LLC, which conducts business under the name Aid & Assist at Home, LLC ("Aid & Assist"), in order to further expand the Company's presence in the State of Tennessee. The total consideration transferred in the transaction was $8,253,000, comprised of $7,233,000 in cash and $1,020,000 representing the estimated fair value subject to the achievement of certain performance targets set forth in an earn-out agreement. The related acquisition costs were $536,000 and were expensed as incurred. The results of operations from this acquired entity are included in the Company's statement of operations from the date of the acquisition.

The Company's acquisition of Aid & Assist has been accounted for in accordance with ASC Top 805, "Business Combination," and the resultant goodwill and other intangible assets will be accounted for under ASC Topic 350 "Goodwill and Other Intangible Assets". The acquisition was recorded at its fair value as of June 1, 2014. The total purchase price is $8,253,000 and is comprised of:


		Total
		(Amounts in
		Thousands)
Cash	$	7,233
Contingent earn-out obligation (net of $148 discount)		1,020
Total purchase price	$	8,253

The contingent earn-out obligation has been recorded at its fair value of $1,020,000, which is the present value of the Company's obligation to pay up to $1,168,000 based on probability-weighted estimates of the achievement of certain performance targets, as defined.

Under business combination accounting, the total purchase price will be allocated to Aid & Assist's net tangible and identifiable intangible assets based on their estimated fair values. Based upon management's preliminary valuation, the total purchase price has been allocated as follows:


		Total
		(Amounts in
		Thousands)
Goodwill	$	4,378
Identifiable intangible assets		3,950
Accounts receivable (net)		521
Furniture, fixtures and equipment		65
Other current assets		60
Accrued liabilities		(553	)
Accounts payable		(168	)
Total purchase price allocation	$	8,253

Identifiable intangible assets acquired consist of trade names and trademarks, customer relationships and non-compete agreements. The estimated fair value of identifiable intangible assets was determined by the Company's management. It is anticipated that the net intangible and identifiable intangible assets are deductible for tax purposes. These estimates are provisional and are subject to change.

The Aid & Assist acquisition accounted for $1,063,000 of net service revenues from continuing operations for the three and six months ended June 30, 2014.

The Company acquired two home and community based businesses during 2013 and the first quarter of 2014 to further its presence in both existing states and to expand into new states. On November 1, 2013, the Company acquired two agencies located in South Carolina from the Medi Home Private Care Division of Medical Services of America, Inc. On January 24, 2014, the Company acquired an additional four agencies located in Tennessee and two agencies located in Ohio from the Medi Home Private Care Division of Medical Services of America, Inc. On December 1, 2013, the Company acquired the assets of Coordinated Home Health Care, LLC, a personal care business located in New Mexico, which included sixteen offices located in southern New Mexico. The combined purchase price for the foregoing acquisitions was $12,325,000 paid at closing and a maximum of $2,250,000 in future cash consideration based on certain performance criteria. The related acquisition costs totaled $660,000 and were expensed as incurred. The results of operations from these acquired entities are included in the Company's statements of operations from the dates of the respective acquisitions.

The Company's acquisition of the assets of Coordinated Home Health Care, LLC has been accounted for in accordance with ASC Top 805, "Business Combinations" and the resultant goodwill and other intangible assets will be accounted for under ASC Topic 350 "Goodwill and Other Intangible Assets". Assets acquired and liabilities assumed were recorded at their fair values as of December 1, 2013. The total purchase price was $12,825,000 and is comprised of:


		Total
		(Amounts in
		Thousands)
Cash	$	11,725
Contingent earn-out obligation (net of discount of $1,125)		1,100
Total purchase price	$	12,825

The contingent earn-out obligation was recorded at its fair value of $1,100,000, which is the present value of the Company's obligation to up to $2,250,000 based on probability-weighted estimates of the achievement of certain performance targets, as defined.

Under business combination accounting, the total purchase price was allocated to Coordinated Home Health Care, LLC's net tangible and identifiable intangible assets based on their estimated fair values. Based upon our management's valuation, the total purchase price was allocated as follows:


		Total
		(Amounts in
		Thousands)
Goodwill	$	9,488
Identifiable intangible assets		3,300
Accounts receivable		888
Prepaid expenses		35
Furniture, fixtures and equipment		58
Deposits		15
Accounts payable		(81	)
Accrued liabilities		(864	)
Other liabilities		(14	)
Total purchase price allocation	$	12,825

Identifiable intangible assets acquired consist of trade names and trademarks, customer relationships and non-compete agreements. The estimated fair value of identifiable intangible assets was determined by our management. It is anticipated that the net intangible and identifiable intangible assets are deductible for tax purposes.

Acquisitions completed during the fourth quarter 2013 accounted for $5,446,000 and $10,911,000 of net service revenues from continuing operations for the three and six months ended June 30, 2014, respectively.

- Definition

The entire disclosure for a business combination (or series of individually immaterial business combinations) completed during the period, including background, timing, and recognized assets and liabilities. The disclosure may include leverage buyout transactions (as applicable).

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 50
-Paragraph 5
-URI http://asc.fasb.org/extlink&oid=25497992&loc=d3e1497-128463

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 50
-Paragraph 4
-URI http://asc.fasb.org/extlink&oid=25497992&loc=d3e1490-128463

Reference 3: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 50
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=25497992&loc=d3e1392-128463

Reference 4: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 50
-Paragraph 4
-URI http://asc.fasb.org/extlink&oid=7488404&loc=d3e7008-128479

Reference 5: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=25497992&loc=d3e1486-128463

Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=7488404&loc=d3e6927-128479

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 20
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=6910749&loc=d3e4845-128472

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 50
-Paragraph 6
-URI http://asc.fasb.org/extlink&oid=25497992&loc=d3e1500-128463

Reference 9: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 50
-Paragraph 7
-URI http://asc.fasb.org/extlink&oid=25497992&loc=d3e1524-128463

Reference 10: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=7488404&loc=d3e7000-128479

Reference 11: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 20
-Section 50
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=6910749&loc=d3e4922-128472

Reference 12: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 20
-Section 50
-Paragraph 4
-URI http://asc.fasb.org/extlink&oid=6910749&loc=d3e4934-128472

Reference 13: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 20
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=6910749&loc=d3e4926-128472

Reference 14: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=25497992&loc=d3e1383-128463

Reference 15: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 50
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=7488404&loc=d3e6996-128479

+ Details

Goodwill And Intangible Assets

6 Months Ended

Jun. 30, 2014

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.

The Company can elect to perform Step-0 an optional qualitative analysis and based on the results skip the remaining two steps. In 2013 and 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 2013 and 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, reporting unit factors and company stock price. As a result of these assessments of these qualitative factors, the Company concluded that it was more likely than not that the fair values of the reporting unit goodwill as of December 31, 2013 exceed the carrying values of the unit. Accordingly, the first and second steps of the goodwill impairment test as described in ASC 350-20-35, which includes estimating the fair values of the Company, were not considered necessary.

The Company did not record any impairment charges for the three and six months ended June 30, 2014 or 2013. The Company will perform its annual impairment test for fiscal 2014 during the fourth quarter of 2014.

The following is a summary of the goodwill activity for the six months ended June 30, 2014:


		Goodwill
		(Amounts in
		Thousands)
Goodwill, at December 31, 2013	$	60,026
Additions for Acquisitions		4,378
Adjustments to previously recorded goodwill		(80	)
Goodwill, at June 30, 2014	$	64,324

Adjustments to the previously recorded goodwill are primarily credits related to amortization of tax goodwill in excess of book basis.

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 six months ended June 30, 2014 and 2013.

The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following for continuing operations at June 30, 2014 and December 31, 2013:


		Customer and								Non-
		referral			Trade names and					competition
		relationships			trade marks			State Licenses		agreements			Total
		(Amounts in Thousands)
Gross balance at December 31, 2013	$	26,346		$	5,281		$	150	$	1,508		$	33,285
Accumulated amortization		(21,138	)		(2,995	)		—		(390	)		(24,523	)
Net Balance at December 31, 2013		5,208			2,286			150		1,118			8,762

Gross balance at January 1, 2014		26,346			5,281			150		1,508			33,285
Additions		50			—			—		—			50
Additions for acquisitions		1,500			1,900			—		550			3,950
Accumulated amortization		(21,736	)		(3,213	)		—		(583	)		(25,532	)
Net Balance at June 30, 2014	$	6,160		$	3,968		$	150	$	1,475		$	11,753

Amortization expense for continuing operations related to the identifiable intangible assets amounted to $735,000 and $1,009,000 for the three and six months ended June 30, 2014, respectively. Amortization expense for continuing and discontinued operations related to the identifiable intangible assets amounted to $339,000 and $678,000 for the three and six months ended June 30, 2013, respectively. Goodwill and state licenses are not amortized pursuant to ASC Topic 350.

- 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

6 Months Ended

Jun. 30, 2014

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:


		June 30,		December 31,
		2014		2013
		(Amounts in		(Amounts in
		Thousands)		Thousands)
Prepaid health insurance	$	1,623	$	3,192
Prepaid workers' compensation and liability
insurance		749		1,173
Prepaid rent		512		455
Workers' compensation insurance receivable		746		821
Other		925		594
	$	4,555	$	6,235

Accrued expenses consisted of the following:


		June 30,		December 31,
		2014		2013
		(Amounts in		(Amounts in
		Thousands)		Thousands)
Accrued payroll	$	12,665	$	12,932
Accrued workers' compensation insurance		13,076		13,347
Accrued health insurance		1,607		3,731
Indemnification reserve (1)		1,596		3,224
Accrued payroll taxes		2,497		1,755
Accrued professional fees		1,415		1,319
Amounts due to LHCG (2)		134		2,196
Current portion of contingent earn-out obligation
(3)		2,120		1,100
Other		2,328		2,341
	$	37,438	$	41,945

(1) As a condition of the sale of the Home Health Business to subsidiaries of LHC Group. Inc. ("LHCG") the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing. In connection with an internal evaluation of the Company's billing processes, it discovered documentation errors in a number of claims that it had submitted to Medicare. Consistent with applicable law, the Company voluntarily remitted $1,840,000 to the government in March 2014. The Company, using its best judgment, has estimated a total of $1,596,000 for billing adjustments remaining.

(2) Amounts due to LHCG pursuant to a billing services arrangement between the Company and LHCG.

(3) The Company acquired certain assets of Coordinated Home Health Care and Aid & Assist on December 1, 2013 and June 1, 2014, respectively. The purchase agreements for the acquisitions contained provisions for earn-out payments. The contingent earn-out obligations have been recorded at their fair values of $1,100,000 and $1,020,000, which is the present value of the Company's obligations of up to $2,250,000 and $1,168,000 for Coordinated Home Health Care and Aid & Assist, respectively, based on probability- weighted estimates of the achievement of certain performance targets.

The Company provides health insurance coverage to qualified union employees providing home and community based services in Illinois through a Taft-Hartley multi-employer health and welfare plan under Section 302(c)(5) of the Labor Management Relations Act of 1947. The Company's insurance contributions equal the amount reimbursed by the State of Illinois. Contributions are due within five business days from the date the funds are received from the State. Amounts due of $1,305,000 and $3,163,000 for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance at June 30, 2014 and December 31, 2013, respectively.

Long-Term Debt	6 Months Ended
Long-Term Debt	Jun. 30, 2014
Long-Term Debt [Abstract]
Long-Term Debt	6. Long-Term Debt The Company had no long-term debt outstanding as of June 30, 2014 and December 31, 2013. *Senior Secured Credit Facility* The Company's credit facility provides a $55,000,000 revolving line of credit expiring November 2, 2014 and includes a $15,000,000 sublimit for the issuance of letters of credit and previously included a $5,000,000 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. 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 agreement, for the most recent 12-month period for which financial statements have been delivered under the credit agreement multiplied by the specified advance multiple, up to 3.25, less the outstanding senior indebtedness and letters of credit, and (ii) $55,000,000 less the outstanding revolving loans and letters of credit. Interest on the revolving line of credit amounts outstanding under 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 on the credit facility is paid monthly on or at the end of the relevant interest period, as determined in accordance with the credit agreement. The Company pays 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 are charged at a rate of 2.0% per annum payable monthly. The Company did not have any amounts outstanding on the credit facility and the total availability under the revolving credit loan facility was $40,004,000 and $42,279,000, as of June 30, 2014 and December 31, 2013, respectively. The credit facility contains customary affirmative covenants regarding, among other things, the maintenance of records, compliance with laws, maintenance of permits, maintenance of insurance and property and payment of taxes. The credit facility also contains certain customary financial covenants and negative covenants that, among other things, include a requirement to maintain a minimum fixed charge coverage ratio, a requirement to stay below a maximum senior leverage ratio and a requirement to stay below a maximum permitted amount of capital expenditures, as well as restrictions on guarantees, indebtedness, liens, dividends, distributions, investments and loans, subject to customary carve outs, restrictions on the Company's ability to enter into transactions other than in the ordinary course of business, a restriction on the ability to consummate more than three acquisitions in any calendar year, or for the purchase price of any one acquisition to exceed $500,000, in each case without the consent of the lenders, restrictions on mergers, transfers of assets, acquisitions, equipment, subsidiaries and affiliate transactions, subject to customary carve outs, and restrictions on fundamental changes and lines of business. The Company was in compliance with all of its credit facility covenants at June 30, 2014 and December 31, 2013. On August 11, 2014, the Company renewed the credit facility for a period of five years on essentially the same terms as the expiring facility. See Note 12 to the Condensed Consolidated Financial Statements for additional information.

Income Taxes

6 Months Ended

Jun. 30, 2014

Income Taxes [Abstract]

Income Taxes

7. Income Taxes

A reconciliation of the continuing operations statutory federal tax rate of 35.0% for the three and six months ended June 30, 2014 and 2013 is summarized as follows:


	Three Months Ended
	June 30,
	2014		2013
Federal income tax at statutory rate	35.0	%	35.0	%
State and local taxes, net of federal benefit	5.9		6.0
Jobs tax credits, net ⁽¹⁾	(8.4	)	(10.2	)
Nondeductible meals and entertainment	0.3		1.9
Effective income tax rate	32.8	%	32.7	%


	Six Months Ended
	June 30,
	2014		2013
Federal income tax at statutory rate	35.0	%	35.0	%
State and local taxes, net of federal benefit	5.9		6.0
Jobs tax credits, net ⁽²⁾	(9.9	)	(14.4	)
Nondeductible meals and entertainment	(0.1	)	1.9
Effective income tax rate	30.9	%	28.5	%

(1) Included in the jobs tax credit for the three months ended June 30, 2013 was a one-time benefit of a 3.0% reduction from our statutory tax rate for the jobs tax credits estimated to be earned for the three months ended March 31, 2013, but recorded in the three months ended June 30, 2013.

(2) Included in the jobs tax credit for the six months ended June 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	6 Months Ended
Segment Data	Jun. 30, 2014
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
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 34
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8981-108599

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 41
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e9038-108599

Reference 3: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 33
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8971-108599

Reference 4: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 12
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8595-108599

Reference 5: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8380-108599

Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 32
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8933-108599

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 26
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8844-108599

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 35
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8984-108599

Reference 9: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 40
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e9031-108599

Reference 10: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 42
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e9054-108599

Reference 11: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 10
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8538-108599

Reference 12: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 29
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8864-108599

Reference 13: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 31
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8924-108599

Reference 14: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 30
-URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8906-108599

+ Details

Commitments And Contingencies	6 Months Ended
Commitments And Contingencies	Jun. 30, 2014
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. *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.

Significant Payors	6 Months Ended
Significant Payors	Jun. 30, 2014
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 54.2% and 59.1% of the Company's net service revenues for the three months ended June 30, 2014 and 2013, respectively. One state governmental agency accounted for 54.6% and 59.3% of the Company's net service revenues for the six months ended June 30, 2014 and 2013, respectively. The related receivables due from the state agency represented 54% of the Company's accounts receivable at June 30, 2014, and 66% of the Company's accounts receivable at December 31, 2013.

Concentration Of Cash	6 Months Ended
Concentration Of Cash	Jun. 30, 2014
Concentration Of Cash [Abstract]
Concentration Of Cash	11. Concentration of Cash Financial instruments that potentially subject the Company to significant concentrations of credit risk consist principally of cash. The Company maintains cash with financial institutions which, at times, may exceed federally insured limits. The Company believes it is not exposed to any significant credit risk on cash.

Subsequent Events	6 Months Ended
Subsequent Events	Jun. 30, 2014
Subsequent Events [Abstract]
Subsequent Events	12. Subsequent Event On July 12, 2014, the Company executed a 48-month capital lease agreement for $2,650,000 with First American Commercial Bancorp, Inc. to finance furniture and equipment at the Company's new corporate headquarters in Downers Grove, IL. On August 11, 2014, the Company entered into a new $55,000,000 revolving line of credit with Fifth Third Bank (the "New Credit Facility"), which will replace the credit facility in place at June 30, 2014 (the "Expiring Credit Facility"). The New Credit Facility matures on November 2, 2019 and has the same material terms as the Expiring Credit Facility described in Note 6 to the Condensed Consolidated Financial Statements, with the exception of an increase in the capital expenditures permitted without prior consent from the administrative agent from $1,250,000 annually to $5,000,000 for 2014 and $2,500,000 per year thereafter and an increase in the value of the acquisitions permitted without prior consent from the administrative agent from $500,000 to $2,000,000 per year and an increase in the sublimit for the issuance of letters of credit from $15,000,000 to $27,500,000. Further, interest on the revolving line of credit may be payable at (i) a floating rate equal to the 30-day LIBOR, plus a margin of 4.6%, (ii) the LIBOR rate for term periods of one, two or three months, plus a margin of 4.6% or (iii) the base rate, plus a margin of 1.6%, where the base rate is equal to the greatest of (a) the rate of interest last quoted by The Wall Street Journal as the "prime rate", (b) the sum of the federal funds rate, plus a margin of 0.5% and (c) the sum of the adjusted LIBOR that would be applicable to a loan with a one month interest period advanced on such day, plus a margin of 3%.

Summary Of Significant Accounting Policies (Policy)

6 Months Ended

Jun. 30, 2014

Summary Of Significant Accounting Policies [Abstract]

Basis Of Presentation And Description Of Business

Basis of Presentation and Description of Business

Discontinued Operations

Discontinued Operations

Principles Of Consolidation

Principles of Consolidation

Revenue Recognition

Revenue Recognition

Allowance For Doubtful Accounts

Allowance for Doubtful Accounts

Property And Equipment

Property and Equipment


Computer equipment	3 – 5 years
Furniture and equipment	5 – 7 years
Transportation equipment	5 years
Computer software	5 – 10 years
Leasehold improvements	Lesser of useful life or lease term, unless probability of lease renewal is likely

Goodwill

Goodwill

Intangible Assets

Intangible Assets

Workers' Compensation Program

Workers' Compensation Program

Interest Income

Interest Income

Interest Expense

Interest Expense

The Company's interest expense consists of interest costs on its credit facility and other debt instruments.

Income Tax Expense

Income Tax Expense

Stock-Based Compensation

Stock-based Compensation

Net Income Per Common Share

Net Income Per Common Share

Estimates

Estimates

Fair Value Of Financial Instruments

Fair Value of Financial Instruments

Recent Accounting Pronouncements

Recent Accounting Pronouncements

Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 2014

Summary Of Significant Accounting Policies [Abstract]

Schedule Of Property, Plant And Equipment Useful Life


Computer equipment	3 – 5 years
Furniture and equipment	5 – 7 years
Transportation equipment	5 years
Computer software	5 – 10 years
Leasehold improvements	Lesser of useful life or lease term, unless probability of lease renewal is likely

Discontinued Operations (Tables)

6 Months Ended

Jun. 30, 2014

Discontinued Operations [Abstract]

Schedule Of Income Loss From Discontinued Operations


	For the Three Months Ended June 30,					For the Six Months Ended June 30,
	(Amounts in Thousands)					(Amounts in Thousands)
		2014		2013			2014		2013
Net service revenues	$	—	$	—		$	—	$	6,476
Loss before income taxes		—		(254	)		—		(1,165	)
Income tax benefit		—		(104	)		—		(478	)
Net loss from discontinued operations	$	—	$	(150	)	$	—	$	(687	)

Schedule Of Gain On Sale Of Discontinued Operation


		Gain
		(Amounts in
		Thousands)
Gain before income taxes	$	18,838
Income tax benefit		(7,727	)
Net income from discontinued operations	$	11,111

Acquisitions (Tables)

6 Months Ended

Jun. 30, 2014

Coordinated Home Health Care, LLC [Member]

Business Acquisition [Line Items]

Schedule Of Purchase Price Components


		Total
		(Amounts in
		Thousands)
Cash	$	11,725
Contingent earn-out obligation (net of discount of $1,125)		1,100
Total purchase price	$	12,825

Schedule Of Purchase Price Allocation


		Total
		(Amounts in
		Thousands)
Goodwill	$	9,488
Identifiable intangible assets		3,300
Accounts receivable		888
Prepaid expenses		35
Furniture, fixtures and equipment		58
Deposits		15
Accounts payable		(81	)
Accrued liabilities		(864	)
Other liabilities		(14	)
Total purchase price allocation	$	12,825

Cura Partners, LLC [Member]

Business Acquisition [Line Items]

Schedule Of Purchase Price Components


		Total
		(Amounts in
		Thousands)
Cash	$	7,233
Contingent earn-out obligation (net of $148 discount)		1,020
Total purchase price	$	8,253

Schedule Of Purchase Price Allocation


		Total
		(Amounts in
		Thousands)
Goodwill	$	4,378
Identifiable intangible assets		3,950
Accounts receivable (net)		521
Furniture, fixtures and equipment		65
Other current assets		60
Accrued liabilities		(553	)
Accounts payable		(168	)
Total purchase price allocation	$	8,253

Goodwill And Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2014

Goodwill And Intangible Assets [Abstract]

Changes In Goodwill By Segment


		Goodwill
		(Amounts in
		Thousands)
Goodwill, at December 31, 2013	$	60,026
Additions for Acquisitions		4,378
Adjustments to previously recorded goodwill		(80	)
Goodwill, at June 30, 2014	$	64,324

Schedule Of Carrying Amount And Accumulated Amortization Of Intangible Asset


		Customer and								Non-
		referral			Trade names and					competition
		relationships			trade marks			State Licenses		agreements			Total
		(Amounts in Thousands)
Gross balance at December 31, 2013	$	26,346		$	5,281		$	150	$	1,508		$	33,285
Accumulated amortization		(21,138	)		(2,995	)		—		(390	)		(24,523	)
Net Balance at December 31, 2013		5,208			2,286			150		1,118			8,762

Gross balance at January 1, 2014		26,346			5,281			150		1,508			33,285
Additions		50			—			—		—			50
Additions for acquisitions		1,500			1,900			—		550			3,950
Accumulated amortization		(21,736	)		(3,213	)		—		(583	)		(25,532	)
Net Balance at June 30, 2014	$	6,160		$	3,968		$	150	$	1,475		$	11,753

Details Of Certain Balance Sheet Accounts (Tables)

6 Months Ended

Jun. 30, 2014

Details Of Certain Balance Sheet Accounts [Abstract]

Schedule Of Prepaid Expenses And Other Current Assets


		June 30,		December 31,
		2014		2013
		(Amounts in		(Amounts in
		Thousands)		Thousands)
Prepaid health insurance	$	1,623	$	3,192
Prepaid workers' compensation and liability
insurance		749		1,173
Prepaid rent		512		455
Workers' compensation insurance receivable		746		821
Other		925		594
	$	4,555	$	6,235

Schedule Of Accrued Expenses


		June 30,		December 31,
		2014		2013
		(Amounts in		(Amounts in
		Thousands)		Thousands)
Accrued payroll	$	12,665	$	12,932
Accrued workers' compensation insurance		13,076		13,347
Accrued health insurance		1,607		3,731
Indemnification reserve (1)		1,596		3,224
Accrued payroll taxes		2,497		1,755
Accrued professional fees		1,415		1,319
Amounts due to LHCG (2)		134		2,196
Current portion of contingent earn-out obligation
(3)		2,120		1,100
Other		2,328		2,341
	$	37,438	$	41,945

(2) Amounts due to LHCG pursuant to a billing services arrangement between the Company and LHCG.

Income Taxes (Tables)

6 Months Ended

Jun. 30, 2014

Income Taxes [Abstract]

Reconciliation Of Effective Tax Rate


	Three Months Ended
	June 30,
	2014		2013
Federal income tax at statutory rate	35.0	%	35.0	%
State and local taxes, net of federal benefit	5.9		6.0
Jobs tax credits, net ⁽¹⁾	(8.4	)	(10.2	)
Nondeductible meals and entertainment	0.3		1.9
Effective income tax rate	32.8	%	32.7	%


	Six Months Ended
	June 30,
	2014		2013
Federal income tax at statutory rate	35.0	%	35.0	%
State and local taxes, net of federal benefit	5.9		6.0
Jobs tax credits, net ⁽²⁾	(9.9	)	(14.4	)
Nondeductible meals and entertainment	(0.1	)	1.9
Effective income tax rate	30.9	%	28.5	%

Significant Accounting Policies (Details) shares in Thousands		3 Months Ended		6 Months Ended		12 Months Ended
	Feb. 07, 2013 USD ($)	Jun. 30, 2014 state shares	Jun. 30, 2013 USD ($) shares	Jun. 30, 2014 USD ($) state item shares	Jun. 30, 2013 USD ($) shares	Dec. 31, 2013 USD ($)
Summary Of Significant Accounting Policies [Line Items]
Percentage of segment sold	90.00%
Ownership percentage	10.00%
Acquisitions of businesses \| $	$ 20,000,000			$ 7,233,000
Number of states in which the company operates \| state		22		22
Number of consumers \| item				30,000
Number of locations \| item				133
Allowances for doubtful accounts, number of aging categories \| item				8
Goodwill impairment \| $			$ 0		$ 0	$ 0
Impairment of intangible assets excluding goodwill \| $				$ 0	$ 0
Deductible component of workers' compensation \| $				$ 350,000
Number of stock options included in calculation \| shares		589	677	589	677
Shares of restricted stock awards \| shares		60	99	60	99
Number of dilutive shares of outstanding stock options and restricted stock awards \| shares		218	196	225	117
Number of stock incentive plans \| item				2
Home & Community [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of states in which the company operates \| state		3		3
Restricted Stock [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of dilutive shares of outstanding stock options and restricted stock awards \| shares		18	36	18	23
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

Significant Accounting Policies (Schedule Of Property, Plant And Equipment Useful Life) (Details)	6 Months Ended
	Jun. 30, 2014
Transportation Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	5 years
Minimum [Member] \| Computer Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	3 years
Minimum [Member] \| Furniture And Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	5 years
Minimum [Member] \| Computer Software [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	5 years
Maximum [Member] \| Computer Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	5 years
Maximum [Member] \| Furniture And Equipment [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	7 years
Maximum [Member] \| Computer Software [Member]
Property, Plant and Equipment [Line Items]
Property and equipment useful life	10 years

Discontinued Operations (Narrative) (Details) - USD ($) $ in Thousands		6 Months Ended
	Feb. 07, 2013	Jun. 30, 2014	Dec. 31, 2013
Discontinued Operations [Abstract]
Percentage of segment sold	90.00%
Ownership percentage	10.00%
Acquisitions of businesses	$ 20,000	$ 7,233
Accounts receivable, net		$ 0	$ 625

Discontinued Operations (Schedule Of Income Loss From Discontinued Operations) (Details) - USD ($) $ in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2013	Jun. 30, 2013
Discontinued Operations [Abstract]
Net service revenues		$ 6,476
Loss before income taxes	$ (254)	(1,165)
Income tax benefit	(104)	(478)
Net loss from discontinued operations	$ (150)	$ (687)

Discontinued Operations (Schedule Of Gain On Sale Of Discontinued Operation) (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2013 USD ($)
Discontinued Operations [Abstract]
Gain before income taxes	$ 18,838
Income tax benefit	(7,727)
Net income from discontinued operations	$ 11,111

Acquisitions (Narrative) (Details)			3 Months Ended		6 Months Ended		12 Months Ended
Acquisitions (Narrative) (Details)	Jun. 01, 2014 USD ($)	Feb. 07, 2013 USD ($)	Jun. 30, 2014 USD ($)	Jun. 30, 2013 USD ($)	Jun. 30, 2014 USD ($) item	Jun. 30, 2013 USD ($)	Dec. 31, 2013 USD ($)
Business Acquisition [Line Items]
Acquisitions of businesses		$ 20,000,000			$ 7,233,000
Goodwill impairment				$ 0		$ 0	$ 0
Net service revenues			$ 76,965,000	$ 65,755,000	148,648,000	$ 128,753,000
Medical Services of America, Inc. and Coordinated Home and Health Care, LLC [Member]
Business Acquisition [Line Items]
Acquisitions of businesses					12,325,000
Cura Partners, LLC [Member]
Business Acquisition [Line Items]
Acquisitions of businesses	$ 7,233,000
Business acquisition, contingent earn-out obligation	1,020,000				1,020,000
Business acquisition, contingent earn-out obligation, present value			1,168,000		1,168,000
Total purchase price for business acquisition	8,253,000
Acquisition costs	$ 536,000
Net service revenues			1,063,000		1,063,000
Coordinated Home Health Care, LLC [Member]
Business Acquisition [Line Items]
Acquisitions of businesses					11,725,000
Business acquisition, contingent earn-out obligation					1,100,000
Business acquisition, contingent earn-out obligation, present value			2,250,000		2,250,000
Potential future consideration					2,250,000
Total purchase price for business acquisition					12,825,000
Acquisition costs			660,000		660,000
Net service revenues			$ 5,446,000		$ 10,911,000
South Carolina [Member] \| Medical Services of America, Inc. [Member]
Business Acquisition [Line Items]
Number of Agencies Acquired \| item					2
Tennessee [Member] \| Medical Services of America, Inc. [Member]
Business Acquisition [Line Items]
Number of Agencies Acquired \| item					4
Ohio [Member] \| Medical Services of America, Inc. [Member]
Business Acquisition [Line Items]
Number of Agencies Acquired \| item					2
New Mexico [Member] \| Coordinated Home Health Care, LLC [Member]
Business Acquisition [Line Items]
Number of Offices \| item					16

Acquisitions (Schedule Of Purchase Price Components) (Details) - USD ($) $ in Thousands			6 Months Ended
	Jun. 01, 2014	Feb. 07, 2013	Jun. 30, 2014
Business Acquisition [Line Items]
Cash		$ 20,000	$ 7,233
Coordinated Home Health Care, LLC [Member]
Business Acquisition [Line Items]
Cash			11,725
Contingent earn-out obligation (net of discount)			1,100
Total purchase price			12,825
Net discount of contingent earn out obligation			1,125
Cura Partners, LLC [Member]
Business Acquisition [Line Items]
Cash	$ 7,233
Contingent earn-out obligation (net of discount)	1,020		$ 1,020
Total purchase price	8,253
Net discount of contingent earn out obligation	$ 148

Acquisitions (Schedule Of Purchase Price Allocation) (Details) - USD ($) $ in Thousands	Jun. 30, 2014	Jun. 01, 2014	Dec. 31, 2013
Business Acquisition [Line Items]
Goodwill	$ 64,324		$ 60,026
Cura Partners, LLC [Member]
Business Acquisition [Line Items]
Goodwill		$ 4,378
Identifiable intangible assets		3,950
Accounts receivable (net)		521
Furniture, fixtures and equipment		65
Other current assets		60
Accrued liabilities		(553)
Accounts payable		(168)
Total purchase price allocation		$ 8,253
Coordinated Home Health Care, LLC [Member]
Business Acquisition [Line Items]
Goodwill	9,488
Identifiable intangible assets	3,300
Accounts receivable (net)	888
Prepaid expenses	35
Furniture, fixtures and equipment	58
Deposits	15
Accrued liabilities	(864)
Accounts payable	(81)
Other liabilities	(14)
Total purchase price allocation	$ 12,825

Goodwill And Intangible Assets (Narrative) (Details) - USD ($)	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013	Dec. 31, 2013
Goodwill [Line Items]
Impairment of intangible assets excluding goodwill			$ 0	$ 0
Amortization expense	$ 735,000	$ 339,000	$ 1,009,000	678,000
Impairment charge		$ 0		$ 0	$ 0
Minimum [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives			2 years
Maximum [Member]
Goodwill [Line Items]
Intangible assets, estimated useful lives			25 years

Goodwill And Intangible Assets (Changes In Goodwill By Segment) (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2014 USD ($)
Goodwill And Intangible Assets [Abstract]
Goodwill, at Beginning of Period	$ 60,026
Additions for Acquisitions	4,378
Adjustments to previously recorded goodwill	(80)
Goodwill, at End of Period	$ 64,324

Goodwill And Intangible Assets (Schedule Of Carrying Amount And Accumulated Amortization Of Intangible Asset) (Details) - USD ($) $ in Thousands	Jun. 30, 2014	Dec. 31, 2013
Finite-Lived Intangible Assets [Line Items]
Gross balance	$ 33,285	$ 33,285
Additions	50
Additions for acquisitions	3,950
Accumulated amortization	(25,532)	(24,523)
Net Balance	11,753	8,762
Customer And Referral Relationships [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	26,346	26,346
Additions	50
Additions for acquisitions	1,500
Accumulated amortization	(21,736)	(21,138)
Net Balance	6,160	5,208
Trade Names And Trademarks [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	5,281	5,281
Additions for acquisitions	1,900
Accumulated amortization	(3,213)	(2,995)
Net Balance	3,968	2,286
State Licenses [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	150	150
Net Balance	150	150
Non-competition Agreements [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	1,508	1,508
Additions for acquisitions	550
Accumulated amortization	(583)	(390)
Net Balance	$ 1,475	$ 1,118

Details Of Certain Balance Sheet Accounts (Narrative) (Details) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2014	Dec. 31, 2013
Details Of Certain Balance Sheet Accounts [Abstract]
Contributions due after fund received, period	5 days
Health insurance reimbursement and contribution due	$ 1,305	$ 3,163

Details Of Certain Balance Sheet Accounts (Schedule Of Prepaid Expenses And Other Current Assets) (Details) - USD ($) $ in Thousands	Jun. 30, 2014	Dec. 31, 2013
Details Of Certain Balance Sheet Accounts [Abstract]
Prepaid health insurance	$ 1,623	$ 3,192
Prepaid workers' compensation and liability insurance	749	1,173
Prepaid rent	512	455
Workers' compensation insurance receivable	746	821
Other	925	594
Prepaid expenses and other current assets	$ 4,555	$ 6,235

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

6 Months Ended

Jun. 30, 2014

Dec. 31, 2013

Details Of Certain Balance Sheet Accounts [Abstract]

Accrued payroll

$ 12,665

$ 12,932

Accrued workers' compensation insurance

13,076

13,347

Accrued health insurance

1,607

3,731

Indemnification reserve

^[1]

1,596

3,224

Accrued payroll taxes

2,497

1,755

Accrued professional fees

1,415

1,319

Amounts due to LHCG

^[2]

134

2,196

Current portion of contingent earn-out obligation

^[3]

2,120

1,100

Other

2,328

2,341

Accrued expenses

37,438

$ 41,945

Remittance payment

1,840

Estimated remaining remittance payment

1,596

Contingent earn-out obligation maximum

$ 2,250

[1]	As a condition of the sale of the Home Health Business to subsidiaries of LHC Group. Inc. ("LHCG") the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing. In connection with an internal evaluation of the Company's billing processes, it discovered documentation errors in a number of claims that it had submitted to Medicare. Consistent with applicable law, the Company voluntarily remitted $1,840,000 to the government in March 2014. The Company, using its best judgment, has estimated a total of $1,596,000 for billing adjustments remaining.
[2]	Amounts due to LHCG pursuant to a billing services arrangement between the Company and LHCG.
[3]	The Company acquired certain assets of Coordinated Home Health Care and Aid & Assist on December 1, 2013 and June 1, 2014, respectively. The purchase agreements for the acquisitions contained provisions for earn-out payments. The contingent earn-out obligations have been recorded at their fair values of $1,100,000 and $1,020,000, which is the present value of the Company's obligations of up to $2,250,000 and $1,168,000 for Coordinated Home Health Care and Aid & Assist, respectively, based on probability- weighted estimates of the achievement of certain performance targets.

Long-Term Debt (Details) $ in Thousands	6 Months Ended
Long-Term Debt (Details) $ in Thousands	Jun. 30, 2014 USD ($) item	Dec. 31, 2013 USD ($)
Debt Instrument [Line Items]
Debt instrument, maturity date	Jan. 05, 2013
Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Debt instrument, maturity date	Nov. 02, 2014
Annual principal payments	$ 1,250
Revolving Credit Loan [Member] \| Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Maximum aggregate amount of revolving loans available	55,000
Sublimit for issuance of letters of credit	$ 15,000
Specified advance multiple used to determine funds availability under credit facility	3.25
Interest rate margin	4.60%
Maximum number of acquisitions in a year \| item	3
Maximum single acquisition price	$ 500
Fee charged on unused portion of revolving credit facility	0.50%
Total availability under the revolving credit loan facility	$ 40,004	$ 42,279
Term Loan [Member]
Debt Instrument [Line Items]
Term loan available under revolving loans	$ 5,000
Letters of Credit [Member] \| Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Interest rate	2.00%

Income Taxes (Narrative) (Details)	3 Months Ended		6 Months Ended
Income Taxes (Narrative) (Details)	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013
Income Taxes [Abstract]
Statutory federal tax rate	35.00%	35.00%	35.00%	35.00%

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

3 Months Ended

6 Months Ended

Jun. 30, 2014

Jun. 30, 2013

Jun. 30, 2014

Jun. 30, 2013

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

Federal income tax at statutory rate

35.00%

State and local taxes, net of federal benefit

5.90%

6.00%

5.90%

6.00%

Jobs tax credits, net

(8.40%)

^[1]

(10.20%)

^[1]

(9.90%)

^[2]

(14.40%)

^[2]

Nondeductible meals and entertainment

0.30%

1.90%

(0.10%)

1.90%

Effective income tax rate

32.80%

32.70%

30.90%

28.50%

One time jobs tax benefit

3.00%

7.20%

[1]	Included in the jobs tax credit for the three months ended June 30, 2013 was a one-time benefit of a 3.0% reduction from our statutory tax rate for the jobs tax credits estimated to be earned for the three months ended March 31, 2013, but recorded in the three months ended June 30, 2013.
[2]	Included in the jobs tax credit for the six months ended June 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)	6 Months Ended
Segment Data (Details)	Jun. 30, 2014 segment
Segment Data [Abstract]
Number of reporting units	2
Number of operating segments	1

Commitments And Contingencies (Details)	6 Months Ended
Commitments And Contingencies (Details)	Jun. 30, 2014
Commitments And Contingencies [Abstract]
Maximum term of employment agreements	4 years

Significant Payors (Details) - State Governmental Agency [Member] - item	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014	Jun. 30, 2013	Dec. 31, 2013
Concentration Risk [Line Items]
Number of state government agency			1	1
Service Revenues, Net [Member]
Concentration Risk [Line Items]
Concentration risk, percentage	54.20%	59.10%	54.60%	59.30%
Accounts Receivable [Member]
Concentration Risk [Line Items]
Concentration risk, percentage			54.00%		66.00%

Subsequent Event (Details) - USD ($) $ in Thousands			6 Months Ended
Subsequent Event (Details) - USD ($) $ in Thousands	Aug. 11, 2014	Jul. 12, 2014	Jun. 30, 2014
Subsequent Event [Line Items]
Credit facility maturity date			Jan. 05, 2013
Subsequent Event [Member]
Subsequent Event [Line Items]
Capital lease term		48 months
Capital lease agreement		$ 2,650,000
Subsequent Event [Member] \| New Credit Facility [Member]
Subsequent Event [Line Items]
Credit facility maturity date	Nov. 02, 2019
Revolving Credit Loan [Member]
Subsequent Event [Line Items]
Annual principal payments			$ 1,250
Credit facility maturity date			Nov. 02, 2014
Revolving Credit Loan [Member] \| New Credit Facility [Member]
Subsequent Event [Line Items]
Maximum aggregate amount of revolving loans available	$ 55,000
Revolving Credit Loan [Member] \| Subsequent Event [Member] \| New Credit Facility [Member]
Subsequent Event [Line Items]
Annual principal payments	5,000
Annual principal payments after 2014	2,500
Maximum single acquisition price	2,000
Sublimit for issuance of letters of credit	$ 27,500
Revolving Credit Loan [Member] \| Subsequent Event [Member] \| London Interbank Offered Rate (LIBOR) [Member] \| New Credit Facility [Member]
Subsequent Event [Line Items]
Interest rate margin	4.60%
Interest rate margin over base rate	3.00%
Revolving Credit Loan [Member] \| Subsequent Event [Member] \| Base Rate [Member] \| New Credit Facility [Member]
Subsequent Event [Line Items]
Interest rate margin	1.60%
Revolving Credit Loan [Member] \| Subsequent Event [Member] \| Federal Funds Rate [Member] \| New Credit Facility [Member]
Subsequent Event [Line Items]
Interest rate margin over base rate	0.50%
Senior Secured Credit Facility [Member] \| Revolving Credit Loan [Member]
Subsequent Event [Line Items]
Interest rate margin			4.60%
Maximum aggregate amount of revolving loans available			$ 55,000
Fee charged on unused portion of revolving credit facility			0.50%
Maximum single acquisition price			$ 500
Sublimit for issuance of letters of credit			$ 15,000