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Document And Entity Information - shares	6 Months Ended
Document And Entity Information - shares	Jun. 30, 2016	Jul. 31, 2016
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2016
Document Fiscal Period Focus	Q2
Document Fiscal Year Focus	2016
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		11,463,501

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Jun. 30, 2016	Dec. 31, 2015
Current assets
Cash	$ 8,240	$ 4,104
Accounts receivable, net of allowances of $6,147 and $4,850 at June 30, 2016 and December 31, 2015, respectively	121,124	84,959
Prepaid expenses and other current assets	4,520	4,858
Deferred tax assets	8,640	8,640
Total current assets	142,524	102,561
Property and equipment, net of accumulated depreciation and amortization	7,634	8,619
Other assets
Goodwill	73,891	68,844
Intangibles, net of accumulated amortization	17,953	10,351
Investment in joint venture	900	900
Other assets		1,337
Total other assets	92,744	81,432
Total assets	242,902	192,612
Current Liabilities
Accounts payable	4,590	4,748
Current portion of long-term debt, net of debt issuance costs	2,286	1,109
Current portion of contingent earn-out obligation		1,250
Accrued expenses	40,715	35,082
Total current liabilities	47,591	42,189
Long-term liabilities
Deferred tax liabilities	6,815	6,815
Long-term debt, less current portion, net of debt issuance costs	40,178	1,882
Total long-term liabilities	46,993	8,697
Total liabilities	94,584	50,886
Stockholders' equity
Common stock-$.001 par value; 40,000 authorized and 11,455 and 11,108 shares issued and outstanding as of June 30, 2016 and December 31, 2015, respectively	12	11
Additional paid-in capital	90,910	87,076
Retained earnings	57,396	54,639
Total stockholders' equity	148,318	141,726
Total liabilities and stockholders' equity	$ 242,902	$ 192,612

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands	Jun. 30, 2016	Dec. 31, 2015
Condensed Consolidated Balance Sheets [Abstract]
Accounts receivable, allowance for doubtful accounts	$ 6,147	$ 4,850
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	40,000,000	40,000,000
Common stock, shares issued	11,455,000	11,108,000
Common stock, shares outstanding	11,455,000	11,108,000

Condensed Consolidated Statements Of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015
Condensed Consolidated Statements Of Income [Abstract]
Net service revenues	$ 100,927	$ 85,809	$ 193,529	$ 167,724
Cost of service revenues	75,232	62,127	143,515	122,116
Gross profit	25,695	23,682	50,014	45,608
General and administrative expenses	19,557	17,423	41,746	34,576
Depreciation and amortization	1,744	1,161	3,222	2,307
Total operating expenses	21,301	18,584	44,968	36,883
Operating income	4,394	5,098	5,046	8,725
Interest income	(23)	(6)	(30)	(10)
Interest expense	686	175	1,112	352
Total interest expense, net	663	169	1,082	342
Income before income taxes	3,731	4,929	3,964	8,383
Income tax expense	1,131	1,676	1,207	2,968
Net income	$ 2,600	$ 3,253	$ 2,757	$ 5,415
Net income per common share
Basic income per share	$ 0.23	$ 0.30	$ 0.25	$ 0.49
Diluted income per share	$ 0.23	$ 0.29	$ 0.25	$ 0.48
Weighted average number of common shares and potential common shares outstanding:
Basic	11,361	10,989	11,192	10,970
Diluted	11,385	11,212	11,217	11,188

Condensed Consolidated Statement Of Stockholders' Equity - 6 months ended Jun. 30, 2016 - USD ($) shares in Thousands, $ in Thousands	Common Stock [Member]	Additional Paid-In Capital [Member]	Retained Earnings [Member]	Total
Balance at Dec. 31, 2015	$ 11	$ 87,076	$ 54,639	$ 141,726
Balance, shares at Dec. 31, 2015	11,108
Stock-based compensation		819		819
Shares issued	$ 1	3,015		3,016
Shares issued, shares	347
Net income			2,757	2,757
Balance at Jun. 30, 2016	$ 12	$ 90,910	$ 57,396	$ 148,318
Balance, shares at Jun. 30, 2016	11,455

Condensed Consolidated Statements Of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015
Cash flows from operating activities:
Net income	$ 2,757	$ 5,415
Adjustments to reconcile net income to net cash (used in) provided by operating activities:
Depreciation and amortization	4,117	2,307
Stock-based compensation	819	750
Amortization of debt issuance costs	165	29
Provision for doubtful accounts	3,181	2,025
Changes in operating assets and liabilities, net of acquisition:
Accounts receivable	(33,222)	20,196
Prepaid expenses and other current assets	1,101	2,927
Accounts payable	(255)	(664)
Accrued expenses	3,072	2,059
Net cash (used in) provided by operating activities	(18,265)	35,044
Cash flows from investing activities:
Acquisitions of businesses	(20,449)	(4,250)
Acquisition of customer list		(146)
Purchases of property and equipment	(711)	(761)
Net cash used in investing activities	(21,160)	(5,157)
Cash flows from financing activities:
Cash received from exercise of stock options	3,016	305
Borrowings on revolver	17,000
Borrowings on term loan	25,000
Payments for debt issuance costs	(492)	(21)
Payments on capital leases	(550)	(510)
Payments on term loan	(313)
Payment on contingent earn-out obligation	(100)	(1,000)
Net cash provided by (used in) financing activities	43,561	(1,226)
Net change in cash	4,136	28,661
Cash, at beginning of period	4,104	13,363
Cash, at end of period	8,240	42,024
Supplemental disclosures of cash flow information:
Cash paid for interest	1,015	352
Cash paid for income taxes	1,748	59
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
Property and equipment acquired through capital lease obligations		$ 378

Summary Of Significant Accounting Policies

6 Months Ended

Jun. 30, 2016

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 reportable business segment and is a provider of comprehensive home and community-based personal care services, which are provided primarily in the home, and focused on the dual eligible (Medicare/Medicaid) population. The Company's personal care services provide 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 34,000 consumers through 121 locations across 24 states, including 6 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 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, managed care organizations, commercial insurers and private consumers. The Company's operations 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.

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 establishes its provision for doubtful accounts primarily by analyzing historical trends and the aging of receivables. In its evaluation, the Company considers other factors including: 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	5years
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 2015, 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, 2015. No impairment charges were recorded for the three and six months ended June 30, 2016 or 2015.

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 and six months ended June 30, 2016 or 2015.

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 and six months ended June 30, 2016 or 2015.

Debt Issuance Costs

The Company amortizes debt issuance costs on a straight-line method over the term of the related debt. This method approximates the effective interest method.

Workers' Compensation Program

The Company's workers' compensation program has a $0.4 million 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 income as interest income. For the three and six months ended June 30, 2016 and 2015, 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 and six months ended June 30, 2016 were 469,000 stock options outstanding, of which 24,000 and 25,000, respectively, were dilutive. In addition, there were 98,000 restricted stock awards outstanding, none of which were dilutive for the three and six months ended June 30, 2016, respectively.

Included in the Company's calculation for the three and six months ended June 30, 2015 were 650,000 stock options outstanding, of which 205,000 and 189,000, respectively, were dilutive. In addition, there were 99,000 restricted stock awards outstanding, 18,000 and 29,000 of which were dilutive for the three and six months ended June 30, 2015, respectively.

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 condensed 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. At the date of acquisition, a contingent earn-out obligation is recorded at its fair value, which is calculated as the present value of the Company's maximum obligation based on probability-weighted estimates of achievement of performance targets defined in the earn-out agreements. The Company reviews the fair valuation periodically and adjusts the fair value for any changes in the maximum earn-out obligation based on probability-weighted estimates of achievement of certain performance targets defined in the earn-out agreements. 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 Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") 2014-09, Revenue from Contracts with Customers (Topic 606) , which requires an entity to recognize the amount of revenue for which it expects to be entitled for the transfer of promised goods or services to customers. The ASU will replace most existing revenue recognition guidance in GAAP. In July 2015, the FASB agreed to defer the effective date of the standard from January 1, 2017, to January 1, 2018, with an option that permits companies to adopt the standard as early as the original effective date. Early application prior to the original effective date is not permitted. The standard permits the use of either the retrospective or cumulative effect transition method. The Company is evaluating the effect that ASU 2014-09 will have on its condensed consolidated financial statements and related disclosures. The Company has not yet selected a transition method nor has it determined the effect of the standard on its ongoing financial reporting.

In August 2014, the FASB issued ASU 2014-15, Disclosure of Uncertainties about an Entity's Ability to Continue as a Going Concern, which will explicitly require management to assess an entity's ability to continue as a going concern and to provide related footnote disclosures in certain circumstances. Currently, there is no guidance in GAAP about management's responsibility to evaluate whether there is substantial doubt about an entity's ability to continue as a going concern or to provide related footnote disclosures. The amendments in this update provide that guidance. In doing so, the amendments should reduce diversity in the timing and content of footnote disclosures. The amendments require management to assess an entity's ability to continue as a going concern by incorporating and expanding upon certain principles that are currently in U.S. auditing standards. Specifically, the amendments (1) provide a definition of the term "substantial doubt", (2) require an evaluation every reporting period including interim periods, (3) provide principles for considering the mitigating effect of management's plans, (4) require certain disclosures when substantial doubt is alleviated as a result of consideration of management's plans, (5) require an express statement and other disclosures when substantial doubt is not alleviated and (6) require an assessment for a period of one year after the date that the financial statements are issued (or available to be issued). The amendments in this update are effective for the first annual period ending after December 15, 2016, and for annual periods and interim periods thereafter. Early application is permitted. The Company is currently evaluating the impact of adopting this update on its consolidated financial statements.

In November 2015, the FASB issued ASU 2015-17, Balance Sheet Classification of Deferred Taxes, which simplifies the presentation of deferred income taxes by eliminating the need for entities to separate deferred income tax liabilities and assets into current and noncurrent amounts in a classified statement of financial position. This amendment is effective for annual periods beginning after December 15, 2016. The Company is currently evaluating the potential impact that ASU 2015-17 may have on its financial position and results of operations. The adoption of this standard is not expected to have an impact on the Company's financial position, results of operations or financial statement disclosures.

In February 2016, the FASB issued ASU No. 2016-02, Leases. The new standard establishes a right-of-use ("ROU") model that requires a lessee to record a ROU asset and a lease liability on the balance sheet for all leases with terms longer than 12 months. Leases will be classified as either finance or operating, with classification affecting the pattern of expense recognition in the income statement. The new standard is effective for fiscal years beginning after December 15, 2018, including interim periods within those fiscal years. A modified retrospective transition approach is required for lessees for capital and operating leases existing at, or entered into after, the beginning of the earliest comparative period presented in the financial statements, with certain practical expedients available. The Company is currently evaluating the impact of its pending adoption of the new standard on its consolidated financial statements.

In March 2016, the FASB issued ASU No. 2016-09, "Compensation - Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting." ASU 2016-09 allows for simplification of several aspects of the accounting for share-based payment transactions including the income tax consequences, classification of awards as either equity or liabilities, and classification on the statement of cash flows. Under ASU 2016-09, all excess tax benefits and tax deficiencies (including tax benefits of dividends on share-based payment awards) should be recognized as income tax expense or benefit in the income statement. ASU 2016-09 also requires recognition of excess tax benefits regardless of whether the benefit reduces taxes payable in the current period. ASU 2016-09 further permits the withholding of an amount up to employees' maximum individual tax rate in the relevant jurisdiction without resulting in a liability classification. ASU 2016-09 also requires any excess tax benefits be classified along with other income tax cash flows as an operating activity and cash paid by an employer when directly withholding shares for tax-withholding purposes to be classified as a financing activity. ASU 2016-09 is effective for public companies for interim and annual periods beginning after December 15, 2016. The Company is currently evaluating the impact of ASU 2016-09 on its consolidated financial statements.

Acquisitions

6 Months Ended

Jun. 30, 2016

Acquisitions [Abstract]

Acquisitions

2. Acquisitions

Effective February 23, 2016, the Company acquired certain assets of Lutheran Social Services of Illinois ("LSSI") for approximately $0.1 million, in order to expand its adult day care business within the State of Illinois. The results of operations from the acquisition of LSSI is included in the Company's statement of income from the date of the acquisition. The LSSI acquisition accounted for $0.3 million and $0.4 million of net service revenues for the three and six months ended June 30, 2016, respectively.

On April 24, 2015, Addus HealthCare entered into a Securities Purchase Agreement with Margaret Coffey and Carol Kolar (the "South Shore Sellers"), South Shore Home Health Service Inc. ("South Shore") and Acaring Home Care, LLC ("Acaring"), pursuant to which Addus HealthCare agreed to acquire all of the issued and outstanding securities of each of South Shore and Acaring. On February 5, 2016, Addus HealthCare completed its acquisition of all the outstanding securities of South Shore and Acaring for a total purchase price of $20.4 million (the "South Shore Purchase Price"). A portion of the South Shore Purchase Price was deposited into escrow to serve as a source of recovery for certain indemnification obligations of the South Shore Sellers. The related acquisition costs were $1.2 million and were expensed as incurred. The results of operations from South Shore and Acaring are included in the Company's statements of income from the date of the acquisition. Acaring was dissolved on March 1, 2016, and its assets were transferred to South Shore.

The Company's acquisition of South Shore and Acaring has been accounted for in accordance with ASC Topic 805, "Business Combinations," and the resulting 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 February 5, 2016. Under business combination accounting, the South Shore Purchase Price was $20.4 million and will be allocated to South Shore's net tangible and identifiable intangible assets based on their estimated fair values. Management has preliminarily valued and allocated the purchase price as shown below. These preliminary estimates and assumptions could change during the purchase price measurement period as the Company finalizes the valuation, primarily related to working capital adjustments. Management anticipates this will be completed during the third quarter of 2016.


	Total
	(Amounts in
	Thousands)
Goodwill	$	5,127
Identifiable intangible assets		9,957
Accounts receivable (net)		6,124
Furniture, fixtures and equipment		66
Other current assets		763
Accrued liabilities		(1,491	)
Accounts payable		(97	)
Total purchase price allocation	$	20,449

Management's assessment of qualitative factors affecting goodwill for South Shore 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.

The South Shore acquisition accounted for $13.5 million and $21.7 million of net service revenues for the three and six months ended June 30, 2016, respectively.

Effective November 9, 2015, the Company acquired certain assets of Five Points Healthcare of Virginia, LLC ("Five Points"), in order to further expand the Company's presence in the State of Virginia. The total consideration for the transaction was comprised of $4.1 million in cash. The related acquisition costs were $0.4 million and were expensed as incurred. The results of operations from the acquisition is included in the Company's statement of income from the date of the acquisition.

The Company's acquisition of Five Points has been accounted for in accordance with ASC Topic 805, "Business Combinations," and the resulting goodwill and other intangible assets was accounted for under ASC Topic 350 "Goodwill and Other Intangible Assets ." The acquisition of Five Points was recorded at its fair value as of November 9, 2015. The total purchase price was $4.1 million. Under business combination accounting, the total purchase price was allocated to Five Points' 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	$	2,885
Identifiable intangible assets		920
Accounts receivable (net)		472
Accrued liabilities		(155	)
Accounts payable		(7	)
Total purchase price allocation	$	4,115

Management's assessment of qualitative factors affecting goodwill for Five Points 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. The net intangible and identifiable intangible assets, including goodwill, are deductible for tax purposes.

The Five Points acquisition accounted for $1.0 million and $2.2 million of net service revenues for the three and six months ended June 30, 2016, respectively.

The following table contains unaudited pro forma condensed consolidated income statement information assuming the Five Points and the South Shore and Acaring acquisitions closed on January 1, 2015.


	For the Three Months
	Ended June 30,
	(Amounts in Thousands)
	2016		2015
Net service revenues	$	100,927	$	99,866
Operating income		4,394		6,291
Net income		2,600		4,040
Net income per common share
Basic income per share	$	0.23	$	0.37
Diluted income per share		0.23		0.36

	For the Six Months
	Ended June 30,
	(Amounts in Thousands)
	2016		2015
Net service revenues	$	198,365	$	195,233
Operating income		5,428		11,401
Net income		2,813		7,144
Net income per common share
Basic income per share	$	0.25	$	0.65
Diluted income per share		0.25		0.64

The pro forma disclosures in the table above include adjustments for amortization of intangible assets and tax expense and acquisition costs to reflect results that are more representative of the combined results of the transactions as if South Shore and Acaring and Five Points had been acquired effective January 1, 2015. This pro forma information is presented for illustrative purposes only and may not be indicative of the results of operations that would have actually occurred. In addition, future results may vary significantly from the results reflected in the pro forma information. The unaudited pro forma financial information does not reflect the impact of future events that may occur after the acquisition, such as anticipated cost savings from operating synergies.

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 $4.3 million in cash. The related acquisition costs were $0.5 million and were expensed as incurred. The results of operations from this acquired entity are included in the Company's statement of income 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 resulting goodwill and other intangible assets were 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 was $4.3 million. Under business combination accounting, the total purchase price was allocated to PHHC'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	$	1,862
Identifiable intangible assets		1,930
Accounts receivable (net)		951
Furniture, fixtures and equipment		58
Other current assets		8
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 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. The net intangible and identifiable intangible assets, including goodwill, are deductible for tax purposes.

The PHHC acquisition accounted for $1.9 million and $3.9 million of net service revenues for the three and six months ended June 30, 2016 and $2.3 million and $4.7 million of net service revenues for the three and six months ended June 30, 2015, respectively.

The Company had recorded a $1.3 million contingent earn-out obligation as a current liability related to its December 1, 2013 acquisition of Coordinated Home Health Care, LLC. This obligation was paid during the second quarter of 2016.

- 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=65885119&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=65885119&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
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Reference 4: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
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-URI http://asc.fasb.org/extlink&oid=35744584&loc=d3e7008-128479

Reference 5: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
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Reference 6: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
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-URI http://asc.fasb.org/extlink&oid=35744584&loc=d3e6927-128479

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 20
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-URI http://asc.fasb.org/extlink&oid=73530397&loc=d3e4845-128472

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
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-URI http://asc.fasb.org/extlink&oid=65885119&loc=d3e1524-128463

Reference 9: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
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-URI http://asc.fasb.org/extlink&oid=35744584&loc=d3e7000-128479

Reference 10: http://www.xbrl.org/2003/role/presentationRef
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Reference 13: http://www.xbrl.org/2003/role/presentationRef
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Reference 14: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
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Reference 15: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
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+ Details

Goodwill And Intangible Assets

6 Months Ended

Jun. 30, 2016

Goodwill And Intangible Assets [Abstract]

Goodwill And Intangible Assets

3. Goodwill and Intangible Assets

A summary of the goodwill activity for the six months ended June 30, 2016 is provided below:


		Goodwill
		(Amounts in
		Thousands)
Goodwill, at December 31, 2015	$	68,844
Additions for acquisitions		5,127
Adjustments to previously recorded goodwill		(80	)
Goodwill, at June 30, 2016	$	73,891

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

The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following as of June 30, 2016 and December 31, 2015:


		Customer and								Non-
		referral			Trade names and					competition
		relationships			trademarks			State licenses		agreements			Total
	(Amounts in Thousands)
Gross balance at December 31, 2015	$	29,872		$	8,161		$	150	$	2,098		$	40,281
Accumulated amortization		(24,055	)		(4,587	)		—		(1,288	)		(29,930	)
Net Balance at December 31, 2015		5,817			3,574			150		810			10,351
Gross balance at January 1, 2016		29,872			8,161			150		2,098			40,281
Additions for acquisitions		4,800			5,100			—		57			9,957
Accumulated amortization		(25,354	)		(5,406	)		—		(1,525	)		(32,285	)
Net Balance at June 30, 2016	$	9,318		$	7,855		$	150	$	630		$	17,953

Amortization expense related to the identifiable intangible assets amounted to $1.3 million and $2.4 million for the three and six months ended June 30, 2016, respectively and $0.7 million and $1.5 million for the three and six months ended June 30, 2015, 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, 2016

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:


		June 30, 2016		December 31, 2015
		(Amounts in		(Amounts in
		Thousands)		Thousands)
Prepaid health insurance	$	448	$	490
Prepaid workers' compensation and liability insurance		1,235		1,526
Prepaid rent		635		578
Workers' compensation insurance receivable		982		1,303
Other		1,220		961
	$	4,520	$	4,858


Accrued expenses consisted of the following:

		June 30, 2016		December 31, 2015
		(Amounts in		(Amounts in
		Thousands)		Thousands)
Accrued payroll	$	18,754	$	13,304
Accrued workers' compensation insurance		13,452		14,116
Accrued health insurance (1)		1,306		950
Indemnification reserve (2)		582		754
Accrued payroll taxes		1,090		1,805
Accrued professional fees		1,377		1,084
Accrued severance (3)		1,829		—
Other		2,325		3,069
	$	40,715	$	35,082

(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 $0.4 million and $0.5 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance as of June 30, 2016 and December 31, 2015, 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 February 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 $1.8 million to the U.S. government in March 2014. The Company, using its best judgment, has estimated a total of $0.8 million for billing adjustments for 2013, 2012, 2011 and 2010 services which may be subject to Medicare audits. For the year ended December 31, 2015, the Company reduced the indemnification reserve accrual by the amounts accrued for periods no longer subject to Medicare audits of $0.4 million. This amount was reflected as a reduction in general and administrative expense.
(3)	Accrued severance represents amounts payable to terminated employees with employment and/or separation agreements with the Company in the amount of $1.8 million as of June 30, 2016.

Long-Term Debt

6 Months Ended

Jun. 30, 2016

Long-Term Debt [Abstract]

Long-Term Debt

5.	Long-Term Debt

Long-term debt consisted of the following:


		June 30, 2016			December 31, 2015
		(Amounts in Thousands)
Revolving credit loan	$	17,000		$	—
Term loan		24,688			—
Capital leases		2,440			2,991
Less unamortized debt issuance costs		(1,664	)		—
Total	$	42,464		$	2,991
Less current maturities		(2,286	)		(1,109	)
Long-term debt	$	40,178		$	1,882

In April 2015, the FASB issued ASU 2015-03, "Simplifying the Presentation of Debt Issuance Costs" (ASU 2015-03) which amends the current presentation of debt issuance costs in the financial statements. ASU 2015-03 requires an entity to present debt issuance costs related to a recognized debt liability in the balance sheet as a direct deduction from the carrying amount of the debt liability, consistent with debt discounts. The recognition and measurement guidance for debt issuance costs are not affected by the amendments in this update. ASU 2015-03 is effective on a retrospective basis for financial statements issued for fiscal years beginning after December 15, 2015 and interim periods within those annual periods. The Company adopted this standard on January 1, 2016 and has classified the debt issuance costs as long term debt, less current portion as of June 30, 2016. For the year ended December 31, 2015, debt issuance costs are included in Other Assets on the Condensed Consolidated Balance Sheets as the Company had no long-term debt outstanding during the year to offset the debt issuance costs.

Capital Leases

On July 12, 2014, September 11, 2014 and April 13, 2015, the Company executed three 48-month capital lease agreements for $2.7 million, $1.4 million and $0.4 million, 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, Illinois. 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 2019 and have implicit interest rates that range from 3.0% to 3.6%. At the end of the term of each lease agreement, the Company has the option to purchase the assets covered by such lease agreement for $1.

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


		Asset Balances at June 30,
		2016
Classes of Property		(Amounts in Thousands)
Leasehold Improvements	$	2,928
Furniture & Equipment		526
Computer Equipment		635
Computer Software		303
Less: Accumulated Depreciation		(916	)
	$	3,476

The future minimum payments for capital leases as of June 30, 2016 are as follows:
		Capital Lease
		(Amounts In Thousands)
2016		605
2017		1,213
2018		737
2019		30
Total minimum lease payments		2,585
Less: amount representing estimated executory costs (such as
taxes, maintenance and insurance), including profit thereon,
included in total minimum lease payments		(57	)
Net minimum lease payments		2,528
Less: amount representing interest (a)		(88	)
Present value of net minimum lease payments (b)	$	2,440

(a)	Amount necessary to reduce net minimum lease payments to present value calculated at the Company's incremental borrowing rate at lease inception.
(b)	Included in the balance sheet as $1.1 million of the current portion of long-term debt and $1.3 million of the long-term debt, less current portion.

Senior Secured Credit Facility

On May 24, 2016, the Company entered into an amendment to its credit facility with certain lenders and Fifth Third Bank, as agent and letters of credit issuer. The Company's amended credit facility provides a $100.0 million revolving line of credit, a delayed draw term loan facility of up to $25.0 million and an uncommitted incremental term loan facility of up to $50.0 million, expiring November 10, 2020 and includes a $35.0 million sublimit for the issuance of letters of credit. The amended credit facility increased the specified advance multiple from 3.25 to 3.75 to 1.00 and the maximum permitted senior leverage ratio from 3.50 to 4.00 to 1.00. Except as modified by the May 24, 2016 amendment, the amended credit facility has the same material terms as the previous agreement dated November 10, 2015. 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 Company's credit facility, 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 3.75, less the outstanding senior indebtedness and letters of credit, and (ii) $100.0 million less the outstanding revolving loans and letters of credit. Interest on the revolving credit portion of our credit facility may be payable at (x) the sum of (i) an applicable margin ranging from 2.00% to 2.50% based on the applicable leverage ratio plus (ii) a base rate 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 0.50% and (c) the sum of the adjusted LIBOR that would be applicable to a loan with an interest period of one month advanced on the applicable day plus a margin of 3.00% or (y) the sum of (i) an applicable margin ranging from 3.00% to 3.50% based on the applicable leverage ratio plus (ii) the adjusted LIBOR that would be applicable to a loan with an interest period of one, two or three months advanced on the applicable day or (z) the sum of (i) an applicable margin ranging from 3.00% to 3.50% based on the applicable leverage ratio plus (ii) the daily floating LIBOR that would be applicable to a loan with an interest period of one month advanced on the applicable day. The Company pays a fee ranging from 0.25% to 0.50% per annum based on the applicable leverage ratio times the unused portion of the revolving portion of the credit facility. Issued stand-by letters of credit are charged at a rate equal to the applicable margin for LIBOR loans payable quarterly. On January 12, 2016 and on May 5, 2016, the Company drew $10.0 million and $10.0 million, respectively, of its revolving credit line to fund growth and on-going operations. On February 5, 2016, the Company drew $22.0 million on its delayed draw term loan to fund the acquisition of South Shore. As a result of a provision in the Company's amended credit facility, the Company was able to transfer $3.0 million of it's revolving credit line debt to the Company's term loan debt on May 24, 2016. As of June 30, 2016, the Company had a total of $41.7 million outstanding on the credit facility and the total availability under the revolving credit loan facility was $46.4 million. The Company did not have any amounts outstanding on the credit facility as of December 31, 2015 and the total availability under the revolving credit loan facility was $58.3 million.

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, distributions, investments and loans, subject to customary carve outs, a restriction on dividends (unless no default then exists or would occur as a result thereof, the Company is in pro forma compliance with the financial covenants contained in the credit facility after giving effect thereto, the Company has an excess availability of at least 40% of the revolving credit commitment under the credit facility and the aggregate amount of dividends and distributions paid in any fiscal year does not exceed $5.0 million), 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, consummate any individual acquisition with a purchase price in excess of $25.0 million and consummate acquisitions with total purchase price in excess of $40.0 million in the aggregate over the term of the credit facility, 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

6 Months Ended

Jun. 30, 2016

Income Taxes [Abstract]

Income Taxes

6. Income Taxes

A reconciliation of the statutory federal tax rate of 34.9% for the three and six months ended June 30, 2016 and 35.0% for the three and six months ended 2015 is summarized as follows:


	Three Months Ended June 30,
	2016		2015
Federal income tax at statutory rate	34.9	%	35.0	%
State and local taxes, net of federal benefit	5.2		5.2
Jobs tax credits, net	(10.8	)	(7.8	)
Nondeductible expenses	1.0		0.5
Other	0.0		1.1
Effective income tax rate	30.3	%	34.0	%

	Six Months Ended June 30,
	2016		2015
Federal income tax at statutory rate	34.9	%	35.0	%
State and local taxes, net of federal benefit	5.2		5.2
Jobs tax credits, net	(11.8	)	(6.6	)
Nondeductible meals and entertainment	2.1		0.6
Other	0.0		1.2
Effective income tax rate	30.4	%	35.4	%

Commitments And Contingencies	6 Months Ended
Commitments And Contingencies	Jun. 30, 2016
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. On January 20, 2016, the Company was served with a lawsuit filed in the United States District Court for the Northern District of Illinois against the Company and Cigna Corporation by Stop Illinois Marketing Fraud, LLC, a qui tam relator formed for the purpose of bringing this action. In the action, the plaintiff alleges, inter alia, violations of the Federal False Claims Act relating primarily to allegations of violations of the federal anti-kickback statute and allegedly improper referrals of patients from our home care division to our Home Health Business which was sold in 2013. The plaintiff seeks to recover damages, fees and costs under the Federal False Claims Act including treble damages, civil penalties and its attorneys' fees. The U.S. government has declined to intervene at this time. Plaintiff amended its complaint on April 4, 2016 to include additional allegations in support of its False Claims Act claims, including alleged violations of the Federal Anti-Kickback statute. The Company intends to defend the litigation vigorously. The Company filed a motion to dismiss the amended complaint on June 6, 2016. Plaintiff filed its opposition to the Company's motion on July 22, 2016. The Company's reply in further support of the motion to dismiss is due by August 23, 2016. The Court has stayed discovery in the action pending resolution of defendants' motion to dismiss. Under the current schedule, hearing on the plaintiffs' motion for a permanent injunction is set for August 31, 2016. We believe the case will not have a material adverse effect on our business, financial condition or results of operations. On May 4, 2016, the Company, together with 59 other social service and healthcare providers in the State of Illinois, filed an action in the Circuit Court of Cook County, Illinois against certain individuals in their official capacities as agents of the Illinois Department of Human Services, the Illinois Department on Aging, the Illinois Department of Public Health, the Illinois Department of HealthCare and Family Services, the Illinois Criminal Justice Information Authority, the Illinois Department of Corrections and the Illinois Department of Central Management Services, including the Governor of Illinois. On July 20, 2016, a third amended complaint was filed by the plaintiffs, who now comprise 97 similarly situated providers and provider organizations. In the action, the plaintiffs, including the Company, allege that they entered into contracts with the various defendants based in part on the Governor's proposed budget, which provided for funding for the services to be provided by plaintiffs thereunder. The Governor subsequently vetoed all of the relevant appropriations bills on June 25, 2015 and again vetoed an appropriations bill that included funding for the contracts on June 10, 2016. While the defendant officer and agency heads have continued to enforce such contracts, the Company received $16.2 million in payments from the State of Illinois in August 2016 from the short-term budget enacted on June 30, 2016. The plaintiffs are seeking declaratory and injunctive relief against the defendant officers and agency heads for acting beyond the scope of their legal authority in entering into and enforcing contracts with no intent to perform under such contracts by failing to pay amounts due there under when due. The action also alleges that the Governor of Illinois' vetoes of appropriations for such contracts violates the Illinois Constitution. Plaintiffs seek injunctive relief to payment of overdue bills to prevent irreparable harm, including imperiling the State's infrastructure for delivery of human services. *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. A substantial percentage of the Company's workforce is represented by the Service Employees International Union ("SEIU"). The Company has a national agreement with the SEIU. Wages and benefits are negotiated at the local level at various times throughout the year. These negotiations are often initiated when the Company receives increases in hourly rates from various state agencies. Upon expiration of these collective bargaining agreements, the Company may not be able to negotiate labor agreements on satisfactory terms with these labor unions.

Severance and Restructuring

6 Months Ended

Jun. 30, 2016

Severance and Restructuring [Abstract]

Severance and Restructuring

8. Severance and Restructuring

The following provides the components of and changes in our severance and restructuring accruals:


		Employee
		Termination			Restructuring
		Costs			and Other
	(Amounts in Thousands)
Balance, at December 31, 2015	$	—		$	—
Provision		2,772			1,553
Utilization		(943	)		(984	)
Balance, at June 30, 2016	$	1,829		$	569

Employee termination costs represent accrued severance payable to terminated employees with employment and/or separation agreements with the Company. The employees affected were mainly from the closure of the Contact Center and other changes made to the Executive Leadership Team made during the six months ended June 30, 2016.

Restructuring and other costs comprised of the accrual of a discontinued internally developed software product as well as fees related to the termination of various contracts with outside vendors during the six months ended June 30, 2016.

The aforementioned accruals are included in Accrued Liabilities.

Significant Payors	6 Months Ended
Significant Payors	Jun. 30, 2016
Significant Payors [Abstract]
Significant Payors	9. Significant Payors A substantial portion of the Company's net service revenues and accounts receivable are derived from services performed for federal, state and local governmental agencies. The Illinois Department on Aging accounted for 43.5% and 48.0% of the Company's net service revenues for the three months ended June 30, 2016 and 2015, respectively and 44.1% and 47.9% of the Company's net service revenues for the six months ended June 30, 2016 and 2015, respectively. The related receivables due from the Illinois Department on Aging represented 60.3 % and 54.9% of the Company's accounts receivable at June 30, 2016 and December 31, 2015, respectively.

Concentration Of Cash	6 Months Ended
Concentration Of Cash	Jun. 30, 2016
Concentration Of Cash [Abstract]
Concentration Of Cash	10. 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.

Summary Of Significant Accounting Policies (Policy)

6 Months Ended

Jun. 30, 2016

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	5years
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

Debt Issuance Costs

Debt Issuance Costs

The Company amortizes debt issuance costs on a straight-line method over the term of the related debt. This method approximates the effective interest method.

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 Expenses

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

New Accounting Pronouncements

New Accounting Pronouncements

Summary Of Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 2016

Summary Of Significant Accounting Policies [Abstract]

Estimated Useful Lives of Property and Equipment


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

Acquisitions (Tables)

6 Months Ended

Jun. 30, 2016

South Shore Home Health Service, Inc and Acaring Home Care, LLC [Member]

Business Acquisition [Line Items]

Schedule Of Purchase Price Allocation


	Total
	(Amounts in
	Thousands)
Goodwill	$	5,127
Identifiable intangible assets		9,957
Accounts receivable (net)		6,124
Furniture, fixtures and equipment		66
Other current assets		763
Accrued liabilities		(1,491	)
Accounts payable		(97	)
Total purchase price allocation	$	20,449

Five Points Healthcare of Virginia, LLC ("Five Points") [Member]

Business Acquisition [Line Items]

Schedule Of Purchase Price Allocation


	Total
	(Amounts in
	Thousands)
Goodwill	$	2,885
Identifiable intangible assets		920
Accounts receivable (net)		472
Accrued liabilities		(155	)
Accounts payable		(7	)
Total purchase price allocation	$	4,115

Priority Home Health Care, Inc [Member]

Business Acquisition [Line Items]

Schedule Of Purchase Price Allocation


	Total
	(Amounts in
	Thousands)
Goodwill	$	1,862
Identifiable intangible assets		1,930
Accounts receivable (net)		951
Furniture, fixtures and equipment		58
Other current assets		8
Accrued liabilities		(339	)
Accounts payable		(220	)
Total purchase price allocation	$	4,250

Five Points And South Shore And Acaring [Member]

Business Acquisition [Line Items]

Unaudited Pro Forma Condensed Consolidated Income Statement Information


	For the Three Months
	Ended June 30,
	(Amounts in Thousands)
	2016		2015
Net service revenues	$	100,927	$	99,866
Operating income		4,394		6,291
Net income		2,600		4,040
Net income per common share
Basic income per share	$	0.23	$	0.37
Diluted income per share		0.23		0.36

	For the Six Months
	Ended June 30,
	(Amounts in Thousands)
	2016		2015
Net service revenues	$	198,365	$	195,233
Operating income		5,428		11,401
Net income		2,813		7,144
Net income per common share
Basic income per share	$	0.25	$	0.65
Diluted income per share		0.25		0.64

Goodwill And Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2016

Goodwill And Intangible Assets [Abstract]

Summary Of Goodwill Activity


		Goodwill
		(Amounts in
		Thousands)
Goodwill, at December 31, 2015	$	68,844
Additions for acquisitions		5,127
Adjustments to previously recorded goodwill		(80	)
Goodwill, at June 30, 2016	$	73,891

Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset


		Customer and								Non-
		referral			Trade names and					competition
		relationships			trademarks			State licenses		agreements			Total
	(Amounts in Thousands)
Gross balance at December 31, 2015	$	29,872		$	8,161		$	150	$	2,098		$	40,281
Accumulated amortization		(24,055	)		(4,587	)		—		(1,288	)		(29,930	)
Net Balance at December 31, 2015		5,817			3,574			150		810			10,351
Gross balance at January 1, 2016		29,872			8,161			150		2,098			40,281
Additions for acquisitions		4,800			5,100			—		57			9,957
Accumulated amortization		(25,354	)		(5,406	)		—		(1,525	)		(32,285	)
Net Balance at June 30, 2016	$	9,318		$	7,855		$	150	$	630		$	17,953

Details Of Certain Balance Sheet Accounts (Tables)

6 Months Ended

Jun. 30, 2016

Details Of Certain Balance Sheet Accounts [Abstract]

Schedule of Prepaid Expenses and Other Current Assets


		June 30, 2016		December 31, 2015
		(Amounts in		(Amounts in
		Thousands)		Thousands)
Prepaid health insurance	$	448	$	490
Prepaid workers' compensation and liability insurance		1,235		1,526
Prepaid rent		635		578
Workers' compensation insurance receivable		982		1,303
Other		1,220		961
	$	4,520	$	4,858

Schedule of Accrued Expenses


		June 30, 2016		December 31, 2015
		(Amounts in		(Amounts in
		Thousands)		Thousands)
Accrued payroll	$	18,754	$	13,304
Accrued workers' compensation insurance		13,452		14,116
Accrued health insurance (1)		1,306		950
Indemnification reserve (2)		582		754
Accrued payroll taxes		1,090		1,805
Accrued professional fees		1,377		1,084
Accrued severance (3)		1,829		—
Other		2,325		3,069
	$	40,715	$	35,082

(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 $0.4 million and $0.5 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance as of June 30, 2016 and December 31, 2015, 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 February 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 $1.8 million to the U.S. government in March 2014. The Company, using its best judgment, has estimated a total of $0.8 million for billing adjustments for 2013, 2012, 2011 and 2010 services which may be subject to Medicare audits.
	For the year ended December 31, 2015, the Company reduced the indemnification reserve accrual by the amounts accrued for periods no longer subject to Medicare audits of $0.4 million. This amount was reflected as a reduction in general and administrative expense.
(3)	Accrued severance represents amounts payable to terminated employees with employment and/or separation agreements with the Company in the amount of $1.8 million as of June 30, 2016.

Long-Term Debt (Tables)

6 Months Ended

Jun. 30, 2016

Long-Term Debt [Abstract]

Schedule Of Long-Term Debt


		June 30, 2016			December 31, 2015
		(Amounts in Thousands)
Revolving credit loan	$	17,000		$	—
Term loan		24,688			—
Capital leases		2,440			2,991
Less unamortized debt issuance costs		(1,664	)		—
Total	$	42,464		$	2,991
Less current maturities		(2,286	)		(1,109	)
Long-term debt	$	40,178		$	1,882

Schedule Of Leased Property Under Capital Leases


		Asset Balances at June 30,
		2016
Classes of Property		(Amounts in Thousands)
Leasehold Improvements	$	2,928
Furniture & Equipment		526
Computer Equipment		635
Computer Software		303
Less: Accumulated Depreciation		(916	)
	$	3,476

Schedule Of Future Minimum Payments For Capital Leases

Capital Lease
		(Amounts In Thousands)
2016		605
2017		1,213
2018		737
2019		30
Total minimum lease payments		2,585
Less: amount representing estimated executory costs (such as
taxes, maintenance and insurance), including profit thereon,
included in total minimum lease payments		(57	)
Net minimum lease payments		2,528
Less: amount representing interest (a)		(88	)
Present value of net minimum lease payments (b)	$	2,440

(a)	Amount necessary to reduce net minimum lease payments to present value calculated at the Company's incremental borrowing rate at lease inception.
(b)	Included in the balance sheet as $1.1 million of the current portion of long-term debt and $1.3 million of the long-term debt, less current portion.

- Definition

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

+ References

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

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=6928386&loc=d3e21475-112644

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

Reference 4: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 235
-SubTopic 10
-Section S99
-Paragraph 1
-Subparagraph (SX 210.4-08.(e),(f))
-URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690

Reference 5: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 55
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=64930739&loc=d3e28878-108400

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

Reference 7: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 6
-URI http://asc.fasb.org/extlink&oid=6928386&loc=d3e21506-112644

Reference 8: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 1A
-URI http://asc.fasb.org/extlink&oid=64930785&loc=d3e28541-108399

Reference 9: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=64930785&loc=d3e28551-108399

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

+ Details

Income Taxes (Tables)

6 Months Ended

Jun. 30, 2016

Income Taxes [Abstract]

Reconciliation Of Statutory Federal Tax Rate


	Three Months Ended June 30,
	2016		2015
Federal income tax at statutory rate	34.9	%	35.0	%
State and local taxes, net of federal benefit	5.2		5.2
Jobs tax credits, net	(10.8	)	(7.8	)
Nondeductible expenses	1.0		0.5
Other	0.0		1.1
Effective income tax rate	30.3	%	34.0	%

	Six Months Ended June 30,
	2016		2015
Federal income tax at statutory rate	34.9	%	35.0	%
State and local taxes, net of federal benefit	5.2		5.2
Jobs tax credits, net	(11.8	)	(6.6	)
Nondeductible meals and entertainment	2.1		0.6
Other	0.0		1.2
Effective income tax rate	30.4	%	35.4	%

Severance and Restructuring (Tables)

6 Months Ended

Jun. 30, 2016

Severance and Restructuring [Abstract]

Components of and Changes in Severance and Restructuring Accruals


		Employee
		Termination			Restructuring
		Costs			and Other
	(Amounts in Thousands)
Balance, at December 31, 2015	$	—		$	—
Provision		2,772			1,553
Utilization		(943	)		(984	)
Balance, at June 30, 2016	$	1,829		$	569

Summary Of Significant Accounting Policies (Narrative) (Details) shares in Thousands, $ in Millions	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2016 USD ($) state shares	Jun. 30, 2015 USD ($) shares	Jun. 30, 2016 USD ($) state segment item shares	Jun. 30, 2015 USD ($) shares	Dec. 31, 2015 USD ($)
Summary Of Significant Accounting Policies [Line Items]
Number of reporting segments \| segment			1
Number of states in which the company operates \| state	24		24
Number of consumers \| item			34,000
Number of locations \| item			121
Number of adult day centers \| item			6
Goodwill impairment charge	$ 0.0	$ 0.0	$ 0.0	$ 0.0	$ 0.0
Impairment of finite-lived intangible assets	0.0	0.0	0.0	0.0
Impairment of intangible assets, indefinite-lived (Excluding Goodwill)	0.0	0.0	0.0	0.0
Deductible component of workers' compensation			0.4
Interest income received	$ 0.0	$ 0.0	$ 0.0	$ 0.0
Number of stock incentive plans \| item			2
Stock Options [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of stock options included in calculation \| shares	469	650	469	650
Number of dilutive shares of outstanding stock options and restricted stock awards \| shares	24	205	25	189
Restricted Stock [Member]
Summary Of Significant Accounting Policies [Line Items]
Shares of restricted stock awards \| shares	98	99	98	99
Number of dilutive shares of outstanding stock options and restricted stock awards \| shares	0	18	0	29
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 (Estimated Useful Lives of Property and Equipment) (Details)	6 Months Ended
	Jun. 30, 2016
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) - USD ($) $ in Thousands					3 Months Ended		6 Months Ended		12 Months Ended
Acquisitions (Narrative) (Details) - USD ($) $ in Thousands	Feb. 23, 2016	Feb. 05, 2016	Nov. 09, 2015	Jan. 01, 2015	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015	Dec. 31, 2013	Dec. 31, 2015
Business Acquisition [Line Items]
Acquisitions of businesses							$ 20,449	$ 4,250
Current portion of contingent earn-out obligation										$ 1,250
Net service revenues					$ 100,927	$ 85,809	193,529	167,724
Coordinated Home Health Care, LLC [Member]
Business Acquisition [Line Items]
Business acquisition, contingent earn-out obligation									$ 1,300
Priority Home Health Care, Inc [Member] \| Ohio [Member]
Business Acquisition [Line Items]
Acquisitions of businesses				$ 4,300
Acquisition related costs				$ 500
Net service revenues					1,900	$ 2,300	3,900	$ 4,700
South Shore Home Health Service, Inc and Acaring Home Care, LLC [Member]
Business Acquisition [Line Items]
Acquisitions of businesses		$ 20,400
Acquisition related costs		$ 1,200
Net service revenues					13,500		21,700
Five Points Healthcare of Virginia, LLC ("Five Points") [Member] \| Virginia [Member]
Business Acquisition [Line Items]
Acquisitions of businesses			$ 4,100
Acquisition related costs			$ 400
Net service revenues					1,000		2,200
Lutheran Social Services of Illinois ("LSSI") [Member] \| Illinois [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition	$ 100
Net service revenues					$ 300		$ 400

Acquisitions (Schedule Of Purchase Price Allocation) (Details) - USD ($) $ in Thousands	Jun. 30, 2016	Feb. 05, 2016	Dec. 31, 2015	Nov. 09, 2015	Jan. 01, 2015
Business Acquisition [Line Items]
Goodwill	$ 73,891		$ 68,844
South Shore Home Health Service, Inc and Acaring Home Care, LLC [Member]
Business Acquisition [Line Items]
Goodwill		$ 5,127
Identifiable intangible assets		9,957
Accounts receivable (net)		6,124
Furniture, fixtures and equipment		66
Other current assets		763
Accrued liabilities		(1,491)
Accounts payable		(97)
Total purchase price allocation		$ 20,449
Five Points Healthcare of Virginia, LLC ("Five Points") [Member]
Business Acquisition [Line Items]
Goodwill				$ 2,885
Identifiable intangible assets				920
Accounts receivable (net)				472
Accrued liabilities				(155)
Accounts payable				(7)
Total purchase price allocation				$ 4,115
Priority Home Health Care, Inc [Member]
Business Acquisition [Line Items]
Goodwill					$ 1,862
Identifiable intangible assets					1,930
Accounts receivable (net)					951
Furniture, fixtures and equipment					58
Other current assets					8
Accrued liabilities					(339)
Accounts payable					(220)
Total purchase price allocation					$ 4,250

Acquisitions (Unaudited Pro Forma Condensed Consolidated Income Statement Information) (Details) - Five Points And South Shore And Acaring [Member] - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015
Business Acquisition [Line Items]
Net service revenues	$ 100,927	$ 99,866	$ 198,365	$ 195,233
Operating income	4,394	6,291	5,428	11,401
Net income	$ 2,600	$ 4,040	$ 2,813	$ 7,144
Basic income per share	$ 0.23	$ 0.37	$ 0.25	$ 0.65
Diluted income per share	$ 0.23	$ 0.36	$ 0.25	$ 0.64

Goodwill And Intangible Assets (Narrative) (Details) - USD ($) $ in Millions	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015	Dec. 31, 2015
Goodwill [Line Items]
Goodwill impairment charge	$ 0.0	$ 0.0	$ 0.0	$ 0.0	$ 0.0
Impairment of intangible assets, indefinite-lived (Excluding Goodwill)	0.0	0.0	0.0	0.0
Amortization expense	$ 1.3	$ 0.7	$ 2.4	$ 1.5
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 (Summary Of Goodwill Activity) (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2016 USD ($)
Goodwill And Intangible Assets [Abstract]
Goodwill, at Beginning of Period	$ 68,844
Additions for Acquisitions	5,127
Adjustments to previously recorded goodwill	(80)
Goodwill, at End of Period	$ 73,891

Goodwill And Intangible Assets (Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset) (Details) - USD ($) $ in Thousands	Jun. 30, 2016	Dec. 31, 2015
Finite-Lived Intangible Assets [Line Items]
Gross balance	$ 40,281	$ 40,281
Additions for acquisitions	9,957
Accumulated amortization	(32,285)	(29,930)
Net Balance	17,953	10,351
Customer And Referral Relationships [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	29,872	29,872
Additions for acquisitions	4,800
Accumulated amortization	(25,354)	(24,055)
Net Balance	9,318	5,817
Trade Names And Trademarks [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	8,161	8,161
Additions for acquisitions	5,100
Accumulated amortization	(5,406)	(4,587)
Net Balance	7,855	3,574
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	2,098	2,098
Additions for acquisitions	57
Accumulated amortization	(1,525)	(1,288)
Net Balance	$ 630	$ 810

Details Of Certain Balance Sheet Accounts (Schedule Of Prepaid Expenses And Other Current Assets) (Details) - USD ($) $ in Thousands	Jun. 30, 2016	Dec. 31, 2015
Details Of Certain Balance Sheet Accounts [Abstract]
Prepaid health insurance	$ 448	$ 490
Prepaid workers' compensation and liability insurance	1,235	1,526
Prepaid rent	635	578
Workers' compensation insurance receivable	982	1,303
Other	1,220	961
Prepaid expenses and other current assets	$ 4,520	$ 4,858

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

3 Months Ended

6 Months Ended

12 Months Ended

Mar. 31, 2014

Jun. 30, 2016

Dec. 31, 2015

Details Of Certain Balance Sheet Accounts [Abstract]

Accrued payroll

$ 18,754

$ 13,304

Accrued workers' compensation insurance

13,452

14,116

Accrued health insurance

^[1]

1,306

950

Indemnification reserve

^[2]

582

754

Accrued payroll taxes

1,090

1,805

Accrued professional fees

1,377

1,084

Accrued severance

^[3]

1,829

Other

2,325

3,069

Accrued expenses

$ 40,715

35,082

Contributions due after fund received, period

5 days

Health insurance reimbursement and contribution due

$ 400

500

Remittance payment

$ 1,800

Estimated billing adjustments for remittance payment

$ 800

Reduction of indemnification reserve accrual

$ 400

[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 $0.4 million and $0.5 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance as of June 30, 2016 and December 31, 2015, 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 February 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 $1.8 million to the U.S. government in March 2014. The Company, using its best judgment, has estimated a total of $0.8 million for billing adjustments for 2013, 2012, 2011 and 2010 services which may be subject to Medicare audits. For the year ended December 31, 2015, the Company reduced the indemnification reserve accrual by the amounts accrued for periods no longer subject to Medicare audits of $0.4 million. This amount was reflected as a reduction in general and administrative expense.
[3]	Accrued severance represents amounts payable to terminated employees with employment and/or separation agreements with the Company in the amount of $1.8 million as of June 30, 2016.

Long-Term Debt (Narrative) (Details) $ in Thousands						6 Months Ended
Long-Term Debt (Narrative) (Details) $ in Thousands	May 24, 2016 USD ($)	May 23, 2016	May 05, 2016 USD ($)	Feb. 05, 2016 USD ($)	Jan. 12, 2016 USD ($)	Jun. 30, 2016 USD ($) agreement item $ / agreement	Dec. 31, 2015 USD ($)	Nov. 10, 2015 USD ($)	Apr. 13, 2015 USD ($)	Sep. 11, 2014 USD ($)	Jul. 12, 2014 USD ($)
Debt Instrument [Line Items]
Capital lease agreements term						48 months
Number of capital lease agreements \| agreement						3
Proceeds from line of credit						$ 17,000
Long-term debt outstanding							$ 0
Capital Leases [Member]
Debt Instrument [Line Items]
Capital lease agreements amount									$ 400	$ 1,400	$ 2,700
Option to purchase assets per lease agreement \| $ / agreement						1
Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Line of credit outstanding amount							0
Minimum [Member] \| Capital Leases [Member]
Debt Instrument [Line Items]
Debt instrument interest rate						3.00%
Maximum [Member] \| Capital Leases [Member]
Debt Instrument [Line Items]
Debt instrument interest rate						3.60%
Amended Credit Facility [Member]
Debt Instrument [Line Items]
Amount of debt transferred from revolving credit line to term loan	$ 3,000
Line of credit outstanding amount						$ 41,700
Amended Credit Facility [Member] \| Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Line of credit facility, expiration date						Nov. 10, 2020
Amended Credit Facility [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	$ 100,000					$ 46,400	$ 58,300	$ 100,000
Proceeds from line of credit			$ 10,000		$ 10,000
Specified advance multiple used to determine funds availability under credit facility	3.75	3.25				3.75
Maximum single acquisition price						$ 25,000
Maximum total purchase price allowed over term of credit facility						$ 40,000
Maximum senior leverage ratio	4.00	3.50
Amended Credit Facility [Member] \| Revolving Credit Loan [Member] \| Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Maximum number of acquisitions in a year \| item						3
Amended Credit Facility [Member] \| Delayed Draw Term Loan [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	$ 25,000
Proceeds from line of credit				$ 22,000
Amended Credit Facility [Member] \| Uncommitted Incremental Term Loan [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	$ 50,000
Amended Credit Facility [Member] \| Letters of Credit [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available						$ 35,000
Amended Credit Facility [Member] \| Minimum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Fee charged on unused portion of revolving credit facility						0.25%
Amended Credit Facility [Member] \| Maximum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Fee charged on unused portion of revolving credit facility						0.50%
Amended Credit Facility [Member] \| Federal Funds Rate [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Interest rate margin						0.50%
Basis for availability of Funds Debt Covenant One [Member] \| Amended Credit Facility [Member] \| Minimum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Interest rate margin						2.00%
Basis for availability of Funds Debt Covenant One [Member] \| Amended Credit Facility [Member] \| Maximum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Interest rate margin						2.50%
Basis for availability of Funds Debt Covenant Two [Member] \| Amended Credit Facility [Member] \| Minimum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Interest rate margin						3.00%
Basis for availability of Funds Debt Covenant Two [Member] \| Amended Credit Facility [Member] \| Maximum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Interest rate margin						3.50%
Basis for availability of Funds Debt Covenant Three [Member] \| Amended Credit Facility [Member] \| Minimum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Interest rate margin						3.00%
Basis for availability of Funds Debt Covenant Three [Member] \| Amended Credit Facility [Member] \| Maximum [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Interest rate margin						3.50%
Restriction on Dividends [Member] \| Amended Credit Facility [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Aggregate amount of dividends and distributions						$ 5,000

Long-Term Debt (Schedule Of Long-Term Debt) (Details) - USD ($) $ in Thousands	Jun. 30, 2016	Dec. 31, 2015
Debt Instrument [Line Items]
Less unamortized debt issuance costs	$ (1,664)
Total	42,464	$ 2,991
Less current maturities	(2,286)	(1,109)
Long-term debt	40,178	1,882
Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Total	17,000
Term Loan [Member]
Debt Instrument [Line Items]
Total	24,688
Capital Leases [Member]
Debt Instrument [Line Items]
Total	$ 2,440	$ 2,991

Long-Term Debt (Schedule Of Leased Property Under Capital Leases) (Details) $ in Thousands	Jun. 30, 2016 USD ($)
Capital Leased Assets [Line Items]
Less: Accumulated Depreciation	$ (916)
Capital leased assets, net	3,476
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	635
Computer Software [Member]
Capital Leased Assets [Line Items]
Capital leased assets	$ 303

Long-Term Debt (Schedule Of Future Minimum Payments For Capital Leases) (Details)
$ in Thousands

Jun. 30, 2016

USD ($)

Long-Term Debt [Abstract]

$ 605

1,213

737

Total minimum lease payments

2,585

Less: amount representing estimated executory costs (such as taxes, maintenance and insurance), including profit thereon, included in total minimum lease payments

(57)

Net minimum lease payments

2,528

Less: amount representing interest

(88)

^[1]

Present value of net minimum lease payments

2,440

^[2]

Current obligations under capital leases

1,100

Noncurrent obligations under capital leases

$ 1,300

[1]	Amount necessary to reduce net minimum lease payments to present value calculated at the Company's incremental borrowing rate at lease inception.
[2]	Included in the balance sheet as $1.1 million of the current portion of long-term debt and $1.3 million of the long-term debt, less current portion.

Income Taxes (Reconciliation Of Statutory Federal Tax Rate) (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015
Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]
Federal income tax at statutory rate	34.90%	35.00%	34.90%	35.00%
State and local taxes, net of federal benefit	5.20%	5.20%	5.20%	5.20%
Jobs tax credits, net	(10.80%)	(7.80%)	(11.80%)	(6.60%)
Nondeductible expenses	1.00%	0.50%
Nondeductible meals and entertainment			2.10%	0.60%
Other		1.10%	0.00%	1.20%
Effective income tax rate	30.30%	34.00%	30.40%	35.40%

Commitments And Contingencies (Narrative) (Details) - USD ($) $ in Millions		6 Months Ended
	Aug. 08, 2016	Jun. 30, 2016
Commitments And Contingencies [Line Items]
Maximum term of employment agreements		4 years
Subsequent Event [Member]
Commitments And Contingencies [Line Items]
Payments received from the State of Illinois	$ 16.2

Severance and Restructuring (Components of and Changes in Severance and Restructuring Accruals) (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2016 USD ($)
Employee Termination Costs [Member]
Restructuring Cost and Reserve [Line Items]
Balance
Provision	2,772
Utilization	(943)
Balance	1,829
Restructuring and Other [Member]
Restructuring Cost and Reserve [Line Items]
Balance
Provision	1,553
Utilization	(984)
Balance	$ 569

Significant Payors (Narrative) (Details) - Illinois Department On Aging [Member]	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015	Dec. 31, 2015
Service Revenues, Net [Member]
Concentration Risk [Line Items]
Concentration risk, percentage	43.50%	48.00%	44.10%	47.90%
Accounts Receivable [Member]
Concentration Risk [Line Items]
Concentration risk, percentage			60.30%		54.90%