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Document And Entity Information - shares	3 Months Ended
Document And Entity Information - shares	Mar. 31, 2015	May 01, 2015
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Mar. 31, 2015
Document Fiscal Period Focus	Q1
Document Fiscal Year Focus	2015
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		11,089,311

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Mar. 31, 2015	Dec. 31, 2014
Current assets
Cash	$ 7,396	$ 13,363
Accounts receivable, net of allowances of $3,715 and $3,881 at March 31, 2015 December 31, 2014, respectively	74,370	68,333
Prepaid expenses and other current assets	6,158	7,168
Deferred tax assets	8,508	8,508
Total current assets	96,432	97,372
Property and equipment, net of accumulated depreciation and amortization	8,075	7,695
Other assets
Goodwill	66,088	64,220
Intangibles, net of accumulated amortization	11,540	10,347
Investments in joint ventures	900	900
Other assets	255	269
Total other assets	78,783	75,736
Total assets	183,290	180,803
Current Liabilities
Accounts payable	2,995	3,951
Current portion of capital lease obligations	993	986
Current portion of contingent earn-out obligation	1,000	1,000
Accrued expenses	38,295	37,268
Total current liabilities	43,283	43,205
Long-term liabilities
Deferred tax liabilities	5,845	5,845
Capital lease obligations, less current portion	2,425	2,677
Contingent earn-out obligation, less current portion	1,120	1,120
Total long-term liabilities	9,390	9,642
Total liabilities	52,673	52,847
Stockholders' equity
Common stock-$.001 par value; 40,000 authorized and 11,091 and 11,010 shares issued and outstanding as of March 31, 2015 and December 31, 2014, respectively	11	11
Additional paid-in capital	85,428	84,929
Retained earnings	45,178	43,016
Total stockholders' equity	130,617	127,956
Total liabilities and stockholders' equity	$ 183,290	$ 180,803

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Mar. 31, 2015	Dec. 31, 2014
Condensed Consolidated Balance Sheets [Abstract]
Accounts receivable, allowance for doubtful accounts	$ 3,715	$ 3,881
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	40,000,000	40,000,000
Common stock, shares issued	11,091,000	11,010,000
Common stock, shares outstanding	11,091,000	11,010,000

Condensed Consolidated Statements Of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2015	Mar. 31, 2014
Condensed Consolidated Statements Of Income [Abstract]
Net service revenues	$ 81,915	$ 71,683
Cost of service revenues	59,989	53,015
Gross profit	21,926	18,668
General and administrative expenses	17,153	14,403
Depreciation and amortization	1,146	495
Total operating expenses	18,299	14,898
Operating income	3,627	3,770
Interest income	(4)	(2)
Interest expense	177	156
Total interest expense, net	173	154
Income before income taxes	3,454	3,616
Income tax expense	1,292	1,262
Net income	$ 2,162	$ 2,354
Net income per common share
Basic income per share	$ 0.20	$ 0.22
Diluted income per share	$ 0.19	$ 0.21
Weighted average number of common shares and potential common shares outstanding:
Basic	10,947	10,850
Diluted	11,612	11,110

Condensed Consolidated Statements Of Stockholders' Equity - 3 months ended Mar. 31, 2015 - USD ($) shares in Thousands, $ in Thousands	Common Stock [Member]	Additional Paid-In Capital [Member]	Retained Earnings [Member]	Total
Balance at Dec. 31, 2014	$ 11	$ 84,929	$ 43,016	$ 127,956
Balance, shares at Dec. 31, 2014	11,010
Issuance of shares of common stock under restricted stock award agreement, Shares	46
Stock-based compensation		336		336
Shares issued		163		163
Shares issued, shares	35
Net income			2,162	2,162
Balance at Mar. 31, 2015	$ 11	$ 85,428	$ 45,178	$ 130,617
Balance, shares at Mar. 31, 2015	11,091

- Definition

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

+ References

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+ Details

Condensed Consolidated Statements Of Cash Flows - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2015	Mar. 31, 2014
Cash flows from operating activities:
Net income	$ 2,162	$ 2,354
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	1,146	495
Stock-based compensation	336	123
Amortization of debt issuance costs	14	39
Provision for doubtful accounts	771	1,170
Changes in operating assets and liabilities, net of acqusitions:
Accounts receivable	(5,905)	1,142
Prepaid expenses and other current assets	1,020	1,440
Other Assets		(10)
Accounts payable	(1,176)	(918)
Accrued expenses	728	(3,165)
Net cash (used in) provided by operating activities	(904)	2,670
Cash flows from investing activities:
Acquisitions of businesses	(4,250)
Purchases of property and equipment	(731)	(1,484)
Net cash (used in) investing activities	(4,981)	(1,484)
Cash flows from financing activities:
Cash received from exercise of stock options	163	214
Payments on capital lease obligations	(245)
Net cash provided by (used in) financing activities	(82)	214
Net change in cash	(5,967)	1,400
Cash, at beginning of period	13,363	15,565
Cash, at end of period	7,396	16,965
Supplemental disclosures of cash flow information:
Cash paid for interest	177	156
Cash paid for income taxes	21	2,116
Supplemental disclosures of non-cash investing and financing activities
Tax benefit related to the amortization of tax goodwill in excess of book basis	$ 40	$ 40

Summary Of Significant Accounting Policies

3 Months Ended

Mar. 31, 2015

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 condensed consolidated financial statements include the accounts of Addus HomeCare Corporation ("Holdings") and its subsidiaries (together with Holdings, the "Company" or "we"). The Company operates as one business segment and is a provider of comprehensive home and community based services, which are provided primarily in the home, and focused on the dual eligible (Medicare/Medicaid) population. The Company's services include personal care and assistance with activities of daily living, and adult day care. The Company's consumers are primarily persons who are at risk of hospitalization or institutionalization, such as the elderly, chronically ill and disabled. The Company's payor clients include federal, state and local governmental agencies, managed care organizations, commercial insurers and private individuals. The Company currently provides home and community based services to over 32,000 consumers through 132 locations across 22 states, including 5 adult day centers in Illinois.

Principles of Consolidation

All intercompany balances and transactions have been eliminated in consolidation. The Company's 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. The Company's services 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 that the Company's 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 2014 and 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, 2014. No impairment charges were recorded for the three months ended March 31, 2015 or 2014.

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 twenty-five 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 months ended March 31, 2015 or 2014.

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.

The Company also has 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. The Company's 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 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. No impairment was recorded for the three months ended March 31, 2015 or 2014.

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. For the three months ended March 31, 2015 and 2014, the Company did not receive any prompt payment interest. While the Company may be owed additional prompt payment interest, the amount and timing of receipt of such payments remains uncertain, and the Company has determined that it will continue to recognize prompt payment interest income when received.

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 months ended March 31, 2015 were 719,000 stock options outstanding, of which 200,000 were dilutive. In addition, there were 112,000 restricted stock awards outstanding, 15,000 of which were dilutive for the three months ended March 31, 2015.

Included in the Company's calculation for the three months ended March 31, 2014 were 607,000 stock options outstanding, of which 239,000 were dilutive. In addition, there were 53,000 restricted stock awards outstanding, 21,000 of which were dilutive for the three months ended March 31, 2014.

Estimates

The financial statements are prepared by management in conformity with U.S. 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.

New 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 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 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.

Acquisitions

3 Months Ended

Mar. 31, 2015

Acquisitions [Abstract]

Acquisitions

2. Acquisitions

Effective January 1, 2015, the Company acquired Priority Home Health Care, Inc. ("PHHC"), in order to further expand the Company's presence in the State of Ohio. The total consideration for the transaction was comprised of $4,250,000 in cash. The related acquisition costs were $453,000 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 PHHC has been accounted for in accordance with ASC Topic 805, "Business Combinations," 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 January 1, 2015. The total purchase price is $4,250,000. Under business combination accounting, the total purchase price will be allocated to PHHC'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
Goodwill	$	1,908
Identifiable intangible assets		1,930
Accounts receivable (net)		903
Furniture, fixtures and equipment		58
Other current assets		10
Accrued liabilities		(339	)
Accounts payable		(220	)
Total purchase price allocation	$	4,250

Management's assessment of qualitative factors affecting goodwill for PHHC includes: estimates of market share at the date of purchase, ability to grow in the market, synergy with existing Company operations and the presence of managed care payors in the market.

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, including goodwill, are deductible for tax purposes. These estimates are provisional and are subject to change.

The PHHC acquisition accounted for $2,383,000 of net service revenues for the three months ended March 31, 2015.

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 for the transaction was $8,192,000, comprised of $7,172,000 in cash and $1,020,000, representing the estimated fair value of contingent earn-out obligation. The related acquisition costs were $508,000 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 Topic 805, "Business Combinations," 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 $8,192,000 and is comprised of:


		Total
		(Amounts in
		Thousands)
Cash	$	7,172
Contingent earn-out obligation		1,020
Total purchase price	$	8,192

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 in the earn-out agreement between the parties. As of December 31, 2014, the Company revalued this liability at $200,000. The balance remains unchanged as of March 31, 2015.

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 valuation, the total purchase price has been allocated as follows:


		Total
		(Amounts in
		Thousands)
Goodwill	$	4,317
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	$	8,192

Management's assessment of qualitative factors affecting goodwill for Aid & Assist includes: estimates of market share at the date of purchase, ability to grow in the market, synergy with existing Company operations and the presence of managed care payors in the market.

The Aid & Assist acquisition accounted for $2,945,000 of net service revenues for the three months ended March 31, 2015.

The Company entered into two definitive acquisition agreements to acquire home and community based businesses during 2013 to further its presence in both existing states and to expand into new states. On October 17, 2013 the Company entered into an asset purchase agreement to acquire the entire home and community based business of Medi Home Private Care Division of Medical Services of America, Inc. The acquisition included two agencies located in South Carolina which were closed effective November 1, 2013; four agencies located in Tennessee and two agencies located in Ohio which closed in January 2014. The Company also entered into an asset purchase agreement to acquire the assets of Coordinated Home Health Care, LLC a personal care business located in New Mexico ("CHHC"), on November 7, 2013. The combined consideration for these two acquisitions was $12,325,000 in cash at the close and a maximum of $2,250,000 in future cash based on certain performance. The purchase included sixteen offices located in Southern New Mexico. The transaction closed effective December 1, 2013. The related acquisitions costs were $735,000 for the Medi Home Private Care Division of Medical Services of America, Inc. and CHHC deals, and were expensed as incurred. The results of operations from these acquired entities are included in our statement of operations from the dates of the respective acquisitions.

The Company's acquisition of the assets of CHHC has been accounted for in accordance with ASC Topic 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 was comprised of:


		Total
		(Amounts in
		Thousands)
Cash	$	11,725
Contingent earn-out obligation		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 up to $2,250,000 based on probability-weighted estimates of the achievement of certain performance targets, as defined in the earn-out agreement between the parties. As of December 31, 2014, the Company recorded $1,000,000 as the current portion of contingent earn out obligation payable in 2015 and revalued the remaining liability at $920,000. The balance remains unchanged as of March 31, 2015.

Under business combination accounting, the total purchase price was allocated to CHHC's net tangible and identifiable intangible assets based on their estimated fair values. Based upon 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

Management's assessment of qualitative factors affecting goodwill for CHHC includes: estimates of market share at the date of purchase, ability to grow in the market, synergy with existing Company operations and the presence of managed care payors in the market.

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 management. It is anticipated that the net intangible and identifiable intangible assets, including goodwill, are deductible for tax purposes.

Acquisitions completed during the fourth quarter 2013 accounted for $5,809,000 and $4,873,000 of net service revenues for the three months ended March 31, 2015 and 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
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+ Details

Goodwill And Intangible Assets

3 Months Ended

Mar. 31, 2015

Goodwill And Intangible Assets [Abstract]

Goodwill And Intangible Assets

3. 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 2014 and 2013, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis. In performing its goodwill assessment for 2014 and 2013, 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 the 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, 2014 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 months ended March 31, 2015. The Company will perform its annual impairment test for fiscal 2015 during the fourth quarter of 2015.

A summary of the goodwill activity for the three months ended March 31, 2015 is provided below:


		Goodwill
		(Amounts in
		Thousands)
Goodwill, at December 31, 2014	$	64,220
Additions for acquisitions		1,908
Adjustments to previously recorded goodwill		(40	)
Goodwill, at March 31, 2015	$	66,088

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 licenses and in certain states certificates of need to conduct specific operations within geographic markets. The Company has concluded these assets 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 the licenses indefinitely. The licenses and certificates of need 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 months ended March 31, 2015 or 2014.

The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following at March 31, 2015 and December 31, 2014:


		Customer and
		referral			Trade names and					Non-competition
		relationships			trademarks			State Licenses		agreements			Total
		(Amounts in Thousands)
Gross balance at December 31, 2014	$	27,896		$	7,181		$	150	$	2,058		$	37,285
Accumulated amortization		(22,497	)		(3,619	)		—		(822	)		(26,938	)
Net Balance at December 31, 2014		5,399			3,562			150		1,236			10,347
Gross balance at January 1, 2015		27,896			7,181			150		2,058			37,285
Additions for acquisitions		910			980					40			1,930
Accumulated amortization		(22,876	)		(3,861	)		—		(938	)		(27,675	)
Net Balance at March 31, 2015	$	5,930		$	4,300		$	150	$	1,160		$	11,540

Amortization expense related to the identifiable intangible assets amounted to $737,000 and $274,000 for the three months ended March 31, 2015 and 2014, 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

3 Months Ended

Mar. 31, 2015

Details Of Certain Balance Sheet Accounts [Abstract]

Details Of Certain Balance Sheet Accounts

4. Details of Certain Balance Sheet Accounts

Prepaid expenses and other current assets consisted of the following:


		March 31, 2015		December 31, 2014
		(Amounts in		(Amounts in
		Thousands)		Thousands)
Prepaid health insurance	$	2,983	$	2,762
Prepaid workers' compensation and liability
insurance		645		1,326
Prepaid rent		592		595
Workers' compensation insurance receivable		986		1,457
Other		952		1,028
	$	6,158	$	7,168

Accrued expenses consisted of the following:


		March 31, 2015		December 31, 2014
		(Amounts in		(Amounts in
		Thousands)		Thousands)
Accrued payroll	$	15,108	$	12,703
Accrued workers' compensation insurance		14,127		14,081
Accrued health insurance (1)		3,627		3,540
Indemnification reserve (2)		1,263		1,263
Accrued payroll taxes		884		3,287
Accrued professional fees		1,060		1,500
Other		2,226		894
	$	38,295	$	37,268

(1) 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 $2,979,000 and $2,404,000 for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance at March 31, 2015 and December 31, 2014, respectively.

(2) As a condition of the sale of substantially all of the assets used in the Company's home health business to subsidiaries of LHC Group. Inc. ("LHCG") in March 2013, 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, the Company 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 U.S. Government in March 2014. The Company, using its best judgment, has estimated a total of $1,263,000 for billing adjustments remaining.

Long-Term Debt

3 Months Ended

Mar. 31, 2015

Long-Term Debt [Abstract]

Long-Term Debt

5. Long-Term Debt

Capital Leases

On July 12, 2014 and September 11, 2014, the Company executed two 48-month capital lease agreements for $2,650,000 and $1,428,000, respectively, with First American Commercial Bancorp, Inc. The capital leases were entered into to finance property and equipment at the Company's new corporate headquarters in Downers Grove, IL. The underlying assets are included in "Property and equipment, net of accumulated depreciation and amortization" in the accompanying Unaudited Condensed Consolidated Balance Sheets. These capital lease obligations require monthly payments through September 2018 and have implicit interest rates that range from 3.0% to 3.3%. At the end of the term, the Company has the option to purchase the assets for $1 per lease agreement.

The following is an analysis of the leased property under capital leases by major classes.


		Asset Balances at March 31,
		2015
Classes of Property		(Amounts in Thousands)
Leasehold Improvements	$	2,928
Furniture & Equipment		526
Computer Equipment		431
Computer Software		147
Less: Accumulated Depreciation		(334	)
	$	3,698

The future minimum payments for capital leases as of March 31, 2015 are as follows:


		Capital Lease
		(Amounts In Thousands)
2015	$	829
2016		1,105
2017		1,105
2018		628
Total minimum lease payments		3,667
Less: amount representing estimated
executory costs (such as taxes,
maintenance and insurance),
including profit thereon, included in
total minimum lease payments		(64	)
Net minimum lease payments		3,603
Less: amount representing interest (a)		(185	)
Present value of net minimum lease
payments (b)	$	3,418

(a) Amount necessary to reduce net minimum lease payments to present value calculated at the Company's incremental borrowing rate at lease inception.

(b) Reflected in the balance sheet as current and noncurrent obligations under capital leases of $993,000 and $2,425,000 respectively.

Senior Secured Credit Facility

On August 11, 2014, the Company renewed its credit facility. The Company's credit facility provides a $55,000,000 revolving line of credit expiring November 2, 2019 and includes a $27,500,000 sublimit for the issuance of letters of credit. On November 6, 2014, the Company amended its credit facility, with retroactive effect to September 30, 2014. The credit facility was amended to (i) reduce the floating interest rate from one-month LIBOR, plus a margin of 4.6% to one-month LIBOR, plus a margin of 3.5%, (ii) reduce the interest rate for loans based on term periods of one, two or three months from the LIBOR rate, plus a margin of 4.6% to the LIBOR rate, plus a margin of 3.5% and (iii) increase the allowed capital expenditures for the fiscal year ending 2014 from $5,000,000 to $7,000,000. 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 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 may be payable at (i) a floating rate equal to the one-month LIBOR, plus a margin of 3.5%, (ii) the LIBOR rate for term periods of one, two or three months, plus a margin of 3.5% 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%. 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 revolving portion of the credit facility as of March 31, 2015, and the total availability under the revolving credit loan facility was $39,555,000 and $39,536,000, as of March 31, 2015 and December 31, 2014, 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 $2,000,000, 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.

Income Taxes

3 Months Ended

Mar. 31, 2015

Income Taxes [Abstract]

Income Taxes

6. Income Taxes

A reconciliation of the statutory federal tax rate of 35.0% for the three months ended March 31, 2015 and 2014 is summarized as follows:


	Three Months Ended March 31,
	2015		2014
Federal income tax at statutory rate	35.0	%	35.0	%
State and local taxes, net of federal benefit	5.2		6.0
Jobs tax credits, net	(4.9	)	(6.7	)
Nondeductible meals and entertainment	0.7		0.6
Other	1.4		—
Effective income tax rate	37.4	%	34.9	%

Commitments And Contingencies	3 Months Ended
Commitments And Contingencies	Mar. 31, 2015
Commitments And Contingencies [Abstract]
Commitments And Contingencies	7. 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	3 Months Ended
Significant Payors	Mar. 31, 2015
Significant Payors [Abstract]
Significant Payors	8. 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. The Illinois Department on Aging accounted for 47.7% and 55.1% of the Company's net service revenues for the three months ended March 31, 2015 and 2014, respectively. The related receivables due from the Illinois Department on Aging represented 56.0 % of the Company's accounts receivable at March 31, 2015 and 54.2% of the Company's accounts receivable at December 31, 2014.

Concentration Of Cash	3 Months Ended
Concentration Of Cash	Mar. 31, 2015
Concentration Of Cash [Abstract]
Concentration Of Cash	9. 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	3 Months Ended
Subsequent Events	Mar. 31, 2015
Subsequent Events [Abstract]
Subsequent Events	10. Subsequent Events On April 13, 2015, the Company executed a 48-month capital lease agreement for $378,000 with First American Commercial Bancorp, Inc. to finance capital expenditures for investments in information technology infrastructure. On April 24, 2015, the Company entered into a purchase agreement to acquire South Shore Home Health Service, Inc. and Acaring Home Care, LLC for approximately $18,000,000 to expand into the State of New York. The purchase agreement has been filed as Exhibit 10.1 to the Quarterly Report on Form 10-Q. Statements made herein with respect to the purchase agreement are not complete and you should refer to Exhibit 10.1 hereto for a copy of the actual agreement.

Summary Of Significant Accounting Policies (Policy)

3 Months Ended

Mar. 31, 2015

Summary Of Significant Accounting Policies [Abstract]

Basis Of Presentation And Description Of Business

Basis of Presentation and Description of Business

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

New Accounting Pronouncements

Summary Of Significant Accounting Policies (Tables)

3 Months Ended

Mar. 31, 2015

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

Acquisitions (Tables)

3 Months Ended

Mar. 31, 2015

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		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	$	7,172
Contingent earn-out obligation		1,020
Total purchase price	$	8,192

Schedule Of Purchase Price Allocation


		Total
		(Amounts in
		Thousands)
Goodwill	$	4,317
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	$	8,192

Priority Home Health Care, Inc [Member]

Business Acquisition [Line Items]

Schedule Of Purchase Price Allocation


		Total
Goodwill	$	1,908
Identifiable intangible assets		1,930
Accounts receivable (net)		903
Furniture, fixtures and equipment		58
Other current assets		10
Accrued liabilities		(339	)
Accounts payable		(220	)
Total purchase price allocation	$	4,250

Goodwill And Intangible Assets (Tables)

3 Months Ended

Mar. 31, 2015

Goodwill And Intangible Assets [Abstract]

Changes In Goodwill By Segment


		Goodwill
		(Amounts in
		Thousands)
Goodwill, at December 31, 2014	$	64,220
Additions for acquisitions		1,908
Adjustments to previously recorded goodwill		(40	)
Goodwill, at March 31, 2015	$	66,088

Schedule Of Carrying Amount And Accumulated Amortization Of Intangible Asset


		Customer and
		referral			Trade names and					Non-competition
		relationships			trademarks			State Licenses		agreements			Total
		(Amounts in Thousands)
Gross balance at December 31, 2014	$	27,896		$	7,181		$	150	$	2,058		$	37,285
Accumulated amortization		(22,497	)		(3,619	)		—		(822	)		(26,938	)
Net Balance at December 31, 2014		5,399			3,562			150		1,236			10,347
Gross balance at January 1, 2015		27,896			7,181			150		2,058			37,285
Additions for acquisitions		910			980					40			1,930
Accumulated amortization		(22,876	)		(3,861	)		—		(938	)		(27,675	)
Net Balance at March 31, 2015	$	5,930		$	4,300		$	150	$	1,160		$	11,540

Details Of Certain Balance Sheet Accounts (Tables)

3 Months Ended

Mar. 31, 2015

Details Of Certain Balance Sheet Accounts [Abstract]

Schedule Of Prepaid Expenses And Other Current Assets


		March 31, 2015		December 31, 2014
		(Amounts in		(Amounts in
		Thousands)		Thousands)
Prepaid health insurance	$	2,983	$	2,762
Prepaid workers' compensation and liability
insurance		645		1,326
Prepaid rent		592		595
Workers' compensation insurance receivable		986		1,457
Other		952		1,028
	$	6,158	$	7,168

Schedule Of Accrued Expenses


		March 31, 2015		December 31, 2014
		(Amounts in		(Amounts in
		Thousands)		Thousands)
Accrued payroll	$	15,108	$	12,703
Accrued workers' compensation insurance		14,127		14,081
Accrued health insurance (1)		3,627		3,540
Indemnification reserve (2)		1,263		1,263
Accrued payroll taxes		884		3,287
Accrued professional fees		1,060		1,500
Other		2,226		894
	$	38,295	$	37,268

Long-Term Debt (Tables)

3 Months Ended

Mar. 31, 2015

Long-Term Debt [Abstract]

Schedule Of Property Under Capital Leases


		Asset Balances at March 31,
		2015
Classes of Property		(Amounts in Thousands)
Leasehold Improvements	$	2,928
Furniture & Equipment		526
Computer Equipment		431
Computer Software		147
Less: Accumulated Depreciation		(334	)
	$	3,698

Schedule Of Future Minimum Payments For Capital Leases


		Capital Lease
		(Amounts In Thousands)
2015	$	829
2016		1,105
2017		1,105
2018		628
Total minimum lease payments		3,667
Less: amount representing estimated
executory costs (such as taxes,
maintenance and insurance),
including profit thereon, included in
total minimum lease payments		(64	)
Net minimum lease payments		3,603
Less: amount representing interest (a)		(185	)
Present value of net minimum lease
payments (b)	$	3,418

(a) Amount necessary to reduce net minimum lease payments to present value calculated at the Company's incremental borrowing rate at lease inception.

(b) Reflected in the balance sheet as current and noncurrent obligations under capital leases of $993,000 and $2,425,000 respectively.

Income Taxes (Tables)

3 Months Ended

Mar. 31, 2015

Income Taxes [Abstract]

Reconciliation Of Effective Tax Rate


	Three Months Ended March 31,
	2015		2014
Federal income tax at statutory rate	35.0	%	35.0	%
State and local taxes, net of federal benefit	5.2		6.0
Jobs tax credits, net	(4.9	)	(6.7	)
Nondeductible meals and entertainment	0.7		0.6
Other	1.4		—
Effective income tax rate	37.4	%	34.9	%

Summary Of Significant Accounting Policies (Narrative) (Details) shares in Thousands	3 Months Ended		12 Months Ended
	Mar. 31, 2015 USD ($) state segment item shares	Mar. 31, 2014 USD ($) shares	Dec. 31, 2014 USD ($)
Summary Of Significant Accounting Policies [Line Items]
Number of business segments \| segment	1
Number of states in which the company operates \| state	22
Number of consumers	32,000
Number of locations	132
Number of adult day centers	5
Allowances for doubtful accounts, number of aging categories	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	719	607
Shares of restricted stock awards \| shares	112	53
Number of dilutive shares of outstanding stock options and restricted stock awards \| shares	200	239
Number of stock incentive plans	2
Restricted Stock [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of dilutive shares of outstanding stock options and restricted stock awards \| shares	15	21
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

Summary Of Significant Accounting Policies (Schedule Of Property, Plant And Equipment Useful Life) (Details)	3 Months Ended
	Mar. 31, 2015
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

Acquisitions (Narrative) (Details)			3 Months Ended		12 Months Ended
Acquisitions (Narrative) (Details)	Jan. 01, 2015 USD ($)	Jun. 01, 2014 USD ($)	Mar. 31, 2015 USD ($) item	Mar. 31, 2014 USD ($)	Dec. 31, 2014 USD ($)
Business Acquisition [Line Items]
Acquisitions of businesses			$ 4,250,000
Current portion of contingent earn-out obligation			1,000,000		$ 1,000,000
Contingent earn-out obligation, less current portion			1,120,000		1,120,000
Goodwill impairment			0	$ 0	0
Impairment of Intangible Assets (Excluding Goodwill)			0	0
Net service revenues			81,915,000	71,683,000
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		$ 7,172,000
Acquisition related costs		508,000
Business acquisition, contingent earn-out obligation		1,020,000
Business acquisition, contingent earn-out obligation, present value		1,168,000
Contingent earn-out obligation, less current portion			200,000		200,000
Total purchase price for business acquisition		8,192,000
Acquisition costs		$ 1,020,000
Net service revenues			2,945,000
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
Potential future consideration			2,250,000
Current portion of contingent earn-out obligation					1,000,000
Contingent earn-out obligation, less current portion			920,000		$ 920,000
Total purchase price for business acquisition			12,825,000
Acquisition costs			735,000
Net service revenues			5,809,000	$ 4,873,000
Priority Home Health Care, Inc [Member]
Business Acquisition [Line Items]
Acquisitions of businesses	$ 4,250,000
Acquisition related costs	453,000
Total purchase price for business acquisition	$ 4,250,000
Net service revenues			$ 2,383,000
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 ($)		3 Months Ended
	Jun. 01, 2014	Mar. 31, 2015
Business Acquisition [Line Items]
Cash		$ 4,250,000
Coordinated Home Health Care, LLC [Member]
Business Acquisition [Line Items]
Cash		11,725,000
Contingent earn-out obligation (net of discount)		1,100,000
Total purchase price		$ 12,825,000
Cura Partners, LLC [Member]
Business Acquisition [Line Items]
Cash	$ 7,172,000
Contingent earn-out obligation (net of discount)	1,020,000
Total purchase price	$ 8,192,000

Acquisitions (Schedule Of Purchase Price Allocation) (Details) - USD ($) $ in Thousands	Mar. 31, 2015	Jan. 01, 2015	Dec. 31, 2014	Jun. 01, 2014
Business Acquisition [Line Items]
Goodwill	$ 66,088		$ 64,220
Cura Partners, LLC [Member]
Business Acquisition [Line Items]
Goodwill				$ 4,317
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				$ 8,192
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
Priority Home Health Care, Inc [Member]
Business Acquisition [Line Items]
Goodwill		$ 1,908
Identifiable intangible assets		1,930
Accounts receivable (net)		903
Furniture, fixtures and equipment		58
Other current assets		10
Accrued liabilities		(339)
Accounts payable		(220)
Total purchase price allocation		$ 4,250

Goodwill And Intangible Assets (Narrative) (Details) - USD ($)	3 Months Ended		12 Months Ended
	Mar. 31, 2015	Mar. 31, 2014	Dec. 31, 2014
Goodwill [Line Items]
Goodwill	$ 66,088,000		$ 64,220,000
Impairment of intangible assets excluding goodwill	0	$ 0
Amortization expense	737,000	274,000
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	3 Months Ended
	Mar. 31, 2015 USD ($)
Goodwill And Intangible Assets [Abstract]
Goodwill, at Beginning of Period	$ 64,220
Additions for Acquisitions	1,908
Adjustments to previously recorded goodwill	(40)
Goodwill, at End of Period	$ 66,088

Goodwill And Intangible Assets (Schedule Of Carrying Amount And Accumulated Amortization Of Intangible Asset) (Details) - USD ($) $ in Thousands	Mar. 31, 2015	Dec. 31, 2014
Finite-Lived Intangible Assets [Line Items]
Gross balance	$ 37,285	$ 37,285
Additions for acquisitions	1,930
Accumulated amortization	(27,675)	(26,938)
Net Balance	11,540	10,347
Customer And Referral Relationships [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	27,896	27,896
Additions for acquisitions	910
Accumulated amortization	(22,876)	(22,497)
Net Balance	5,930	5,399
Trade Names And Trademarks [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	7,181	7,181
Additions for acquisitions	980
Accumulated amortization	(3,861)	(3,619)
Net Balance	4,300	3,562
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	2,058	2,058
Additions for acquisitions	40
Accumulated amortization	(938)	(822)
Net Balance	$ 1,160	$ 1,236

Details Of Certain Balance Sheet Accounts (Schedule Of Prepaid Expenses And Other Current Assets) (Details) - USD ($) $ in Thousands	Mar. 31, 2015	Dec. 31, 2014
Details Of Certain Balance Sheet Accounts [Abstract]
Prepaid health insurance	$ 2,983	$ 2,762
Prepaid workers' compensation and liability insurance	645	1,326
Prepaid rent	592	595
Workers' compensation insurance receivable	986	1,457
Other	952	1,028
Prepaid expenses and other current assets	$ 6,158	$ 7,168

Details Of Certain Balance Sheet Accounts (Schedule Of Accrued Expenses) (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2015	Dec. 31, 2014
Details Of Certain Balance Sheet Accounts [Abstract]
Accrued payroll	$ 15,108	$ 12,703
Accrued workers' compensation insurance	14,127	14,081
Accrued health insurance	3,627	3,540
Indemnification reserve	1,263	1,263
Accrued payroll taxes	884	3,287
Accrued professional fees	1,060	1,500
Other	2,226	894
Accrued expenses	38,295	37,268
Remittance payment	$ 1,840
Contributions due after fund received, period	5 days
Health insurance reimbursement and contribution due	$ 2,979	$ 2,404
Estimated remaining remittance payment	$ 1,263

Long-Term Debt (Narrative) (Details) $ in Thousands				3 Months Ended
Long-Term Debt (Narrative) (Details) $ in Thousands	Nov. 06, 2014 USD ($)	Sep. 11, 2014 USD ($)	Jul. 12, 2014 USD ($)	Mar. 31, 2015 USD ($) item	Dec. 31, 2014 USD ($)
Debt Instrument [Line Items]
Capital lease term		48 months	48 months
Capital lease agreement		$ 1,428	$ 2,650
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				$ 27,500
Specified advance multiple used to determine funds availability under credit facility				3.25
Maximum number of acquisitions in a year \| item				3
Maximum single acquisition price				$ 2,000
Allowed capital expenditures	$ 5,000
Fee charged on unused portion of revolving credit facility				0.50%
Total availability under the revolving credit loan facility				$ 39,555	$ 39,536
Revolving Credit Loan [Member] \| Amended Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Allowed capital expenditures	$ 7,000
Minimum [Member]
Debt Instrument [Line Items]
Interest rate				3.00%
Maximum [Member]
Debt Instrument [Line Items]
Interest rate				3.30%
Letters of Credit [Member] \| Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Interest rate				2.00%
One Month LIBOR [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Interest rate margin				3.50%
Interest rate margin over base rate				3.00%
One Month LIBOR [Member] \| Revolving Credit Loan [Member] \| Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Interest rate margin	4.60%
One Month LIBOR [Member] \| Revolving Credit Loan [Member] \| Amended Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Interest rate margin	3.50%
Base Rate [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Interest rate margin				1.60%
Federal Funds Rate [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Interest rate margin over base rate				0.50%

Long-Term Debt (Schedule Of Property Under Capital Leases) (Details) $ in Thousands	Mar. 31, 2015 USD ($)
Capital Leased Assets [Line Items]
Less: Accumulated Depreciation	$ (334)
Capital leased assets, net	3,698
Leasehold Improvements [Member]
Capital Leased Assets [Line Items]
Capital leased assets	2,928
Furniture And Equipment [Member]
Capital Leased Assets [Line Items]
Capital leased assets	526
Computer Equipment [Member]
Capital Leased Assets [Line Items]
Capital leased assets	431
Computer Software [Member]
Capital Leased Assets [Line Items]
Capital leased assets	$ 147

Long-Term Debt (Schedule Of Future Minimum Payments For Capital Leases) (Details) - USD ($) $ in Thousands	Mar. 31, 2015	Dec. 31, 2014
Long-Term Debt [Abstract]
2015	$ 829
2016	1,105
2017	1,105
2018	628
Total minimum lease payments	3,667
Less: amount representing estimated executory costs (such as taxes, maintenance and insurance), including profit thereon, included in total minimum lease payments	(64)
Net minimum lease payments	3,603
Less: amount representing interest	(185)
Present value of net minimum lease payments	3,418
Current obligations under capital leases	993	$ 986
Noncurrent obligations under capital leases	$ 2,425	$ 2,677

Income Taxes (Narrative) (Details)	3 Months Ended
Income Taxes (Narrative) (Details)	Mar. 31, 2015	Mar. 31, 2014
Income Taxes [Abstract]
Statutory federal tax rate	35.00%	35.00%

Income Taxes (Reconciliation Of Effective Tax Rate) (Details)	3 Months Ended
	Mar. 31, 2015	Mar. 31, 2014
Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]
Federal income tax at statutory rate	35.00%	35.00%
State and local taxes, net of federal benefit	5.20%	6.00%
Jobs tax credits, net	(4.90%)	(6.70%)
Nondeductible meals and entertainment	0.70%	0.60%
Other	1.40%
Effective income tax rate	37.40%	34.90%

Commitments And Contingencies (Details)	3 Months Ended
Commitments And Contingencies (Details)	Mar. 31, 2015
Commitments And Contingencies [Abstract]
Maximum term of employment agreements	4 years

Significant Payors (Details) - State Governmental Agency [Member]	3 Months Ended		12 Months Ended
	Mar. 31, 2015	Mar. 31, 2014	Dec. 31, 2014
Service Revenues, Net [Member]
Concentration Risk [Line Items]
Concentration risk, percentage	47.70%	55.10%
Accounts Receivable [Member]
Concentration Risk [Line Items]
Concentration risk, percentage	56.00%		54.20%

Subsequent Event (Details) - USD ($)			3 Months Ended
Subsequent Event (Details) - USD ($)	Apr. 24, 2015	Apr. 13, 2015	Mar. 31, 2015	Sep. 11, 2014	Jul. 12, 2014
Subsequent Event [Line Items]
Acquisitions of businesses			$ 4,250,000
Capital Leases, Contingent Rental Payments Due				$ 1,428,000	$ 2,650,000
Subsequent Event [Member]
Subsequent Event [Line Items]
Length of lease		48 months
Capital Leases, Contingent Rental Payments Due		$ 378,000
South Shore Home Health Service, Inc [Member] \| Subsequent Event [Member]
Subsequent Event [Line Items]
Acquisitions of businesses	$ 18,000,000