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Document And Entity Information - shares	6 Months Ended
Document And Entity Information - shares	Jun. 30, 2018	Jul. 31, 2018
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2018
Document Fiscal Period Focus	Q2
Document Fiscal Year Focus	2018
Entity Registrant Name	Addus HomeCare Corp
Entity Central Index Key	0001468328
Trading Symbol	adus
Current Fiscal Year End Date	--12-31
Entity Filer Category	Accelerated Filer
Entity Common Stock, Shares Outstanding		11,697,345

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Jun. 30, 2018	Dec. 31, 2017
Current assets
Cash	$ 69,217	$ 53,754
Accounts receivable, net	98,721	88,952
Prepaid expenses and other current assets	5,918	8,379
Total current assets	173,856	151,085
Property and equipment, net of accumulated depreciation and amortization	8,398	7,489
Other assets
Goodwill	133,082	90,339
Intangibles, net of accumulated amortization	28,090	16,596
Deferred tax assets, net		1,601
Total other assets	161,172	108,536
Total assets	343,426	267,110
Current liabilities
Accounts payable	7,094	4,271
Current portion of long-term debt, net of debt issuance costs	2,494	3,099
Contingent earn-out obligation	847
Accrued expenses	45,901	44,354
Total current liabilities	56,336	51,724
Long-term liabilities
Long-term debt, less current portion, net of debt issuance costs	99,358	39,860
Deferred tax liabilities, net	946
Other long-term liabilities	427	446
Total long-term liabilities	100,731	40,306
Total liabilities	157,067	92,030
Stockholders' equity
Common stock-$.001 par value; 40,000 authorized and 11,697 and 11,632 shares issued and outstanding as of June 30, 2018 and December 31, 2017, respectively	12	12
Additional paid-in capital	98,087	95,963
Retained earnings	88,260	79,105
Total stockholders' equity	186,359	175,080
Total liabilities and stockholders' equity	$ 343,426	$ 267,110

Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares	Jun. 30, 2018	Dec. 31, 2017
Condensed Consolidated Balance Sheets [Abstract]
Common stock, par value	$ 0.001	$ 0.001
Common stock, shares authorized	40,000,000	40,000,000
Common stock, shares issued	11,697,000	11,632,000
Common stock, shares outstanding	11,697,000	11,632,000

Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017
Condensed Consolidated Statements of Income [Abstract]
Net service revenues	$ 131,237	$ 103,559	$ 240,684	$ 205,165
Cost of service revenues	95,515	75,048	177,059	149,337
Gross profit	35,722	28,511	63,625	55,828
General and administrative expenses	26,408	19,006	47,866	37,879
Gain on sale of assets				(2,065)
Provision for doubtful accounts	87	2,070	165	4,102
Depreciation and amortization	2,335	1,514	4,141	3,030
Total operating expenses	28,830	22,590	52,172	42,946
Operating income	6,892	5,921	11,453	12,882
Interest income	(32)	(13)	(2,355)	(20)
Interest expense	1,382	2,108	2,293	2,759
Total interest (income) expense, net	1,350	2,095	(62)	2,739
Other income		44		101
Income before income taxes	5,542	3,870	11,515	10,244
Income tax expense	1,245	1,170	2,360	3,285
Net income	$ 4,297	$ 2,700	$ 9,155	$ 6,959
Net income per common share
Basic income per share	$ 0.37	$ 0.24	$ 0.79	$ 0.61
Diluted income per share	$ 0.36	$ 0.23	$ 0.78	$ 0.60
Weighted average number of common shares and potential common shares outstanding:
Basic	11,533	11,470	11,517	11,452
Diluted	11,838	11,622	11,767	11,604

Condensed Consolidated Statement of Stockholders' Equity - 6 months ended Jun. 30, 2018 - USD ($) shares in Thousands, $ in Thousands	Common Stock [Member]	Additional Paid-in Capital [Member]	Retained Earnings [Member]	Total
Balance at Dec. 31, 2017	$ 12	$ 95,963	$ 79,105	$ 175,080
Balance, shares at Dec. 31, 2017	11,632
Issuance of shares of common stock under restricted stock award agreements, Shares	69
Forfeiture of shares of common stock under restricted stock award agreements, shares	(16)
Stock-based compensation		1,856		1,856
Shares issued for exercise of stock options		268		268
Shares issued for exercise of stock options, shares	12
Net income			9,155	9,155
Balance at Jun. 30, 2018	$ 12	$ 98,087	$ 88,260	$ 186,359
Balance, shares at Jun. 30, 2018	11,697

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017
Cash flows from operating activities:
Net income	$ 9,155	$ 6,959
Adjustments to reconcile net income to net cash provided by operating activities, net of acquisitions:
Depreciation and amortization	4,141	3,030
Deferred income taxes	245
Stock-based compensation	1,856	1,091
Amortization of debt issuance costs under the terminated credit facility		1,484
Amortization of debt issuance costs under the credit facility	298	93
Provision for doubtful accounts	165	4,102
Gain on sale of assets		(2,065)
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	2,628	(25,070)
Prepaid expenses and other current assets	3,287	2,080
Accounts payable	2,458	(1,056)
Accrued expenses and other long-term liabilities	(4,069)	(2,023)
Net cash provided by (used in) operating activities	20,164	(11,375)
Cash flows from investing activities:
Proceeds from the sale of assets		2,400
Acquisitions of businesses, net of cash acquired	(61,809)
Purchases of property and equipment	(1,662)	(1,771)
Net cash (used in) provided by investing activities	(63,471)	629
Cash flows from financing activities:
Borrowings on revolver - credit facility		45,000
Borrowings on revolver - terminated credit facility		20,000
Borrowings on term loan - credit facility	60,420
Payments on revolver-terminated credit facility		(20,000)
Payments on term loan- credit facility	(1,125)
Payments on term loan - terminated credit facility		(24,063)
Payments for debt issuance costs under the credit facility	(52)	(2,781)
Payments on capital lease obligations	(741)	(708)
Cash received from exercise of stock options	268	1,158
Net cash provided by financing activities	58,770	18,606
Net change in cash	15,463	7,860
Cash, at beginning of period	53,754	8,013
Cash, at end of period	69,217	15,873
Supplemental disclosures of cash flow information:
Cash paid for interest	1,827	938
Cash paid for income taxes	2,993	$ 2,977
Supplemental disclosures of non-cash investing and financing activities
Contingent and deferred consideration accrued for acquisition	$ 847

Nature of Operations, Consolidation, and Presentation of Financial Statements	6 Months Ended
	Jun. 30, 2018
Nature of Operations, Consolidation, and Presentation of Financial Statements [Abstract]
Nature of Operations, Consolidation, and Presentation of Financial Statements	1. Nature of Operations, Consolidation, and Presentation of Financial Statements Addus HomeCare Corporation ("Holdings") and its subsidiaries (together with Holdings, the "Company", "we", "us," or "our") operate as three segments as a multi-state provider of personal care, hospice and home health services in the home. The Company's personal care segment provides non-medical assistance with activities of daily living, primarily to persons who are at risk of hospitalization or institutionalization, such as the elderly, chronically ill and disabled. The Company's hospice segment provides physical, emotional and spiritual care for people who are terminally ill and their families. The Company's home health segment provides services that are primarily medical in nature to individuals who may require assistance during an illness or after surgery and include skilled nursing and physical, occupational and speech therapy. *Basis of Presentation* The accompanying unaudited condensed consolidated financial statements and related notes have been prepared in accordance with the rules and regulations of the U.S. Securities and Exchange Commission ("SEC") for Quarterly Reports on Form 10-Q. Accordingly, these financial statements do not include all of the information and note disclosures required by accounting principles generally accepted in the United States of America ("GAAP") for annual financial statements and should be read in conjunction with our consolidated financial statements and notes thereto for the year ended December 31, 2017 included in our Annual Report on Form 10-K, which includes information and disclosures not included herein. In the opinion of management, these financial statements reflect all adjustments of a normal, recurring nature necessary for the fair statement of our financial position, results of operations, and cash flows for the interim periods presented in conformity with GAAP. Our results for any interim period are not necessarily indicative of results for a full year or any other interim period and have not been audited by our independent auditors. *Principles of Consolidation* These unaudited condensed consolidated financial statements include the accounts of Addus HomeCare Corporation, and its subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation. The Company used the cost method to account for its investment in joint ventures in which it owned 10% equity interests. The Company sold such investments on October 1, 2017. See Note 3 "Gain on Sale of Assets" for additional information. *Reclassification of Prior Period Balances* Certain reclassifications have been made to prior period amounts to conform to the current-year presentation including the reporting of other long-term liabilities as a separate line item on the Unaudited Condensed Consolidated Balance Sheets. These reclassifications have no effect on the reported net income. *Recently Issued Accounting Pronouncements* In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842), which replaces existing leasing rules with a comprehensive lease measurement and recognition standard and expanded disclosure requirements. ASU 2016-02 will require lessees to recognize most leases on their balance sheets as liabilities, with corresponding "right-of-use" assets and is effective for annual reporting periods beginning after December 15, 2018, subject to early adoption. For income statement recognition purposes, leases will be classified as either a finance or an operating lease. The Company will be required to recognize and measure leases at the beginning of the earliest period presented using a modified retrospective approach. Upon initial evaluation, the Company believes that the new standard will have a material impact on its consolidated balance sheets but it will not affect its liquidity. It has been determined that the Company will need to secure new software to account for the change in accounting for leases and is currently reviewing the software options available. In June 2016, the FASB issued ASU 2016-13, Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments. ASU 2016-13 changes the impairment model for most financial assets and certain other instruments. Under the new standard, entities holding financial assets and net investment in leases that are not accounted for at fair value through net income are to be presented at the net amount expected to be collected. An allowance for credit losses will be a valuation account that will be deducted from the amortized cost basis of the financial asset to present the net carrying value at the amount expected to be collected on the financial asset. ASU 2016-13 is effective as of January 1, 2020. Early adoption is permitted. The Company is currently evaluating the impact of ASU 2016-13. In January 2017, the FASB issued ASU 2017-04, Intangibles—Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment. The new guidance eliminates the requirement to calculate the implied fair value of goodwill (i.e., Step 2 of the current goodwill impairment test) to measure a goodwill impairment charge. Instead, entities will record an impairment charge based on the excess of a reporting unit's carrying amount over its fair value (i.e., measure the charge based on the current Step 1). ASU 2017-04 is effective for annual and any interim impairment tests for periods beginning after December 15, 2019. The Company is currently evaluating the provisions of ASU 2017-04 to determine how its goodwill impairment testing will be impacted and whether it may elect to adopt ASU 2017-04 prior to the stated effective date. In August 2016, the FASB issued ASU 2016-15, Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments. This standard amends and adjusts how cash receipts and cash payments are presented and classified in the statement of cash flows. We adopted the standard on a retrospective basis on January 1, 2018. ASU 2016-15 did not have an impact on our Condensed Consolidated Statements of Cash Flows.

Summary of Significant Accounting Policies

6 Months Ended

Jun. 30, 2018

Summary of Significant Accounting Policies [Abstract]

Summary of Significant Accounting Policies

2. Summary of Significant Accounting Policies

Revenue Recognition

On January 1, 2018, the Company adopted the Financial Accounting Standards Board's ("FASB") Accounting Standard Codification ("ASC") Topic 606, Revenue from Contracts with Customers ("ASC 606") which requires an entity to recognize the amount of revenue to which it expects to be entitled for the transfer of promised goods or services to customers. The Company adopted the standard using the modified retrospective approach and did not record a cumulative catch-up adjustment as the timing and measurement of revenue for the Company's customers is similar to its prior revenue recognition model. However, the majority of what historically was classified as provision for doubtful accounts expense under operating expenses is now treated as an implicit price concession factored into net service revenues.

Personal Care and Hospice Revenue

The majority of the Company's net service revenues are generated from providing personal care and hospice services directly to consumers under contracts with state, local and other governmental agencies, managed care organizations, commercial insurers and private consumers. Generally, these contracts, which are negotiated based on current contracting practices as appropriate for the payor, establish the terms of a customer relationship and set the broad range of terms for services to be performed at a stated rate. However, the contracts do not give rise to rights and obligations until an order is placed with the Company. When an order is placed, it creates the performance obligation to provide a defined quantity of service hours, or authorized hours, per consumer. The Company satisfies its performance obligations over time, given that consumers simultaneously receive and consume the benefits provided by the Company as the services are performed. As the Company has a right to consideration from customers commensurate with the value provided to customers from the performance completed over a given invoice period, the Company has elected to use the practical expedient for measuring progress toward satisfaction of performance obligations and recognizes patient service revenue in the amount to which the Company has a right to invoice.

Home Health Revenue

The Company also generates net service revenues from providing home healthcare services directly to consumers under contracts with Medicare. Generally, these contracts, which are negotiated based on current contracting practices as appropriate for the payor, establish the terms of a customer relationship and set the broad range of terms for services to be performed on an episodic basis at a stated rate. Home health Medicare services are paid under the Medicare Home Health Prospective Payment System ("HHPPS"), which is based on 60 day episodes of care. The HHPPS permits multiple, continuous episodes per patient. Medicare payment rates for episodes under HHPPS vary based on the severity of the patient's condition as determined by the Company's assessment of a patient's Home Health Resource Group score. The Company elects to use the same 60-day length of episode that Medicare recognizes as standard but accelerates revenue upon discharge to align with a patient's episode length if less than the expected 60 days, which depicts the transfer of services and related benefits received by the patient over the term of the contract necessary to satisfy the obligations. The Company recognizes revenue based on the number of days elapsed during an episode of care within the reporting period. The Company satisfies its performance obligations as consumers receive and consume the benefits provided by the Company as the services are performed. As the Company has a right to consideration from Medicare commensurate with the value provided to customers from the performance completed over a given episodic period, the Company has elected to use the practical expedient for measuring progress toward satisfaction of performance obligations. Under this method recognizing revenue ratably over the episode based on beginning and ending dates is a reasonable proxy for the transfer of benefit of the service.

Allowance for Doubtful Accounts

For 2017, the Company established its allowance for doubtful accounts to the extent it was probable that a portion or all of a particular account will not be collected. The Company established its provision for doubtful accounts primarily by reviewing the creditworthiness of significant customers and through evaluations over the collectability of the receivables. An allowance for doubtful accounts was maintained at a level that the Company's management believed was sufficient to cover potential losses.

In 2018, subsequent adjustments that are determined to be the result of an adverse change in the payor's ability to pay are recognized as bad debt expense due to the adoption of ASC 606-10. The Company recorded $2.3 million and $4.3 million for the three and six months ended June 30, 2018 as a reduction to revenue that would have been recorded as bad debt expense under the prior revenue recognition guidance.

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. Maintenance and repairs are charged to expense as incurred. The estimated useful lives of the property and equipment are as follows:


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

Goodwill

The Company's carrying value of goodwill is the excess of the purchase price over the fair value of the net assets acquired from various acquisitions. In accordance with ASC Topic 350, Goodwill and Other Intangible Assets, goodwill and intangible assets with indefinite useful lives are not amortized. The Company tests goodwill for impairment 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 2017, 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 assessments 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, 2017. No impairment charges were recorded for the three and six months ended June 30, 2018 or 2017.

Intangible Assets

The Company's identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, non-competition agreements and state licenses. 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 charge 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, 2018 and 2017.

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 over which 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.

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. The Company has classified the debt issuance costs as current portion of long-term debt or long-term debt, less current portion as of June 30, 2018 and December 31, 2017.

Workers' Compensation Program

The Company's workers' compensation insurance 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 Company monitors its claims quarterly and adjusts its reserves accordingly. These costs are recorded primarily as the cost of services on the Unaudited Condensed Consolidated Statements of Income. As of June 30, 2018 and December 31, 2017, the Company recorded $14.2 million and $12.6 million, respectively, in accrued workers' compensation insurance. The accrued workers' compensation insurance is included in accrued expenses on the Company's Unaudited Condensed Consolidated Balance Sheets. As of June 30, 2018 and December 31, 2017, the Company recorded $1.3 million and $0.5 million, respectively, in workers' compensation insurance recovery receivables. The workers' compensation insurance recovery receivable is included in prepaid expenses and other current assets on the Company's Unaudited Condensed Consolidated Balance Sheets.

Interest Income

Illinois law 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. The Company accounted for the interest income in accordance with ASC 606. The amount and intent of the State of Illinois to provide payment was not certain, as such, the interest income was recognized when the State of Illinois approved a prompt payment interest penalty during the six months ended June 30, 2018, removing the constraint related to the amount and intent to pay the prompt payment interest. For the three months ended June 30, 2018, the Company did not receive any prompt payment interest. For the six months ended June 30, 2018, the Company received $2.3 million in prompt payment interest and reported it in its Unaudited Condensed Consolidated Statements of Income as interest income. For the three and six months ended June 30, 2017, the Company did not receive any prompt payment interest. While the Company may be owed additional prompt payment interest in the future, the amount, timing, and intent to provide receipt of such payments remains uncertain, and the Company will continue to recognize prompt payment interest income upon satisfaction of these constraints.

Interest Expense

The Company's interest expense consists of interest and unused credit line fees on its credit facilities, interest on its capital lease obligations, and amortization and write-off of debt issuance costs, which is reported in the statement of income when incurred.

Other Income

Other income consisted of income distributions received from investments in joint ventures. The Company accounted for this income in accordance with ASC Topic 325, Investments—Other. The Company recognized the net accumulated earnings only to the extent distributed by the joint ventures on the date received. The Company subsequently sold these equity investments on October 1, 2017 (see Note 3).

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 currently has one stock incentive plan, the 2017 Omnibus Incentive Plan (the "2017 Plan"), under which new grants of stock-based employee compensation may be made. In addition, the Company has outstanding awards under its 2009 Stock Incentive Plan, as amended and restated. The Company accounts for stock-based compensation in accordance with ASC Topic 718, Stock Compensation. Under the 2017 Plan, compensation expense is recognized on a straight-line basis over the vesting period of the equity awards based on the grant date fair value of the options and restricted stock awards. The Company uses the Black-Scholes Option Pricing Model to value the Company's options. The determination of the fair value of stock-based payments utilizing the Black-Scholes Model is affected by the Company's stock price and a number of assumptions, including expected volatility, risk-free interest rate, expected term, and expected dividends yield. Stock-based compensation expense was $1.0 million and $0.7 million for the three months ended June 30, 2018 and 2017, respectively and $1.9 million and $1.1 million for the six months ended June 30, 2018 and 2017, respectively.

Diluted Net Income Per Common Share

Diluted 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 of diluted earnings per share for the three and six months ended June 30, 2018 were approximately 707,000 stock options outstanding, of which approximately 230,000 and 172,000 respectively, were dilutive. In addition, there were approximately 146,000 restricted stock awards outstanding 75,000 and 77,000 of which were dilutive for the three and six months ended June 30, 2018, respectively.

Included in the Company's calculation of diluted earnings per share for the three and six months ended June 30, 2017 were approximately 461,000 stock options outstanding, of which approximately 105,000 and 101,000 respectively, were dilutive. In addition, there were approximately 139,000 restricted stock awards outstanding 47,000 and 51,000 of which were dilutive for the three and six months ended June 30, 2017, 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. The Company's critical accounting estimates include the following areas: the implicit price concessions factored into net service revenues, allowance for doubtful accounts, reserve for self-insurance claims, accounting for stock-based compensation, accounting for income taxes, business combinations and when required, the quantitative assessment of goodwill. Actual results could differ from those estimates.

Fair Value Measurements

The Company's financial instruments consist of cash, accounts receivable, payables and debt. The carrying amounts reported on the Company's Unaudited 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 using level 2 inputs as defined under ASC Topic 820 Fair Value Measurement.

The Company applies fair value techniques on a non-recurring basis associated with valuing potential impairment losses related to goodwill, if required, and indefinite-lived intangible assets and also when determining the fair value of contingent consideration, if applicable. To determine the fair value in these situations, the Company uses Level 3 inputs, under ASC Topic 820 and defined as unobservable inputs in which little or no market data exists; therefore requiring an entity to develop its own assumptions, 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.

Going Concern

In connection with the preparation of the financial statements for the three and six months ended June 30, 2018 and 2017, the Company conducted an evaluation as to whether there were conditions and events, considered in the aggregate, which raised substantial doubt as to the entity's ability to continue as a going concern within one year after the date of the issuance, or the date of availability, of the financial statements to be issued. The evaluation concluded that there did not appear to be evidence of substantial doubt of the entity's ability to continue as a going concern.

Gain on Sale of Assets	6 Months Ended
Gain on Sale of Assets	Jun. 30, 2018
Gain on Sale of Assets [Abstract]
Gain on Sale of Assets	3. Gain on Sale of Assets Given the Company's focus on providing services to consumers in their homes, effective March 1, 2017, the Company ceased the adult day services business and completed its sale of substantially all of the assets used in three adult day services centers in Illinois. The Company received proceeds of approximately $2.4 million and recorded a pre-tax gain of $2.1 million on the sale of the three adult day services centers. On October 1, 2017, the Company sold its 10% membership interests in two joint ventures with LHC Group, Inc., which were previously reported as Investments in joint ventures on the Company's Unaudited Condensed Consolidated Balance Sheets at June 30, 2017. The Company received proceeds of approximately $1.3 million and recorded a pre-tax gain of $0.4 million on the sale of its membership interest.

Acquisitions

6 Months Ended

Jun. 30, 2018

Acquisitions [Abstract]

Acquisitions

4. Acquisitions

On May 1, 2018, the Company completed its acquisition of all the outstanding securities of Ambercare Corporation ("Ambercare"). The purchase price was approximately $39.6 million plus the amount of excess cash held by Ambercare at closing (approximately $12.0 million). The purchase of Ambercare was funded by a delayed draw term loan under the Company's credit facility. With the purchase of Ambercare, the Company expanded its personal care operations and acquired hospice and home health operations in the State of New Mexico. Following this acquisition the Company operates a hospice segment and home health segment. The related acquisition costs, included in general and administrative expenses on the Company's Unaudited Condensed Consolidated Statements of Income, were $0.6 million and were expensed as incurred. The results of Ambercare are included on the Company's Unaudited Condensed Consolidated Statements of Income from the date of the acquisition.

The Company's acquisition of Ambercare 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 was recorded at its fair value as of May 1, 2018. Under business combination accounting, the Ambercare Purchase Price was $51.6 million and was allocated to Ambercare's net tangible and identifiable intangible assets based on their estimated fair values. Based upon management's valuation, which is preliminary and subject to completion of working capital adjustments, the total purchase price has been allocated as follows:


		(Amounts in
		Thousands)
Goodwill	$	27,818
Cash		12,008
Identifiable intangible assets		10,413
Accounts receivable		6,671
Other assets		679
Property and equipment		197
Accrued liabilities		(3,766	)
Deferred tax liability		(2,302	)
Capital lease		(93	)
Accounts payable		(3	)
Total purchase price allocation	$	51,622

Management's assessment of qualitative factors affecting goodwill for Ambercare includes estimates of market share at the date of purchase, ability to grow in the market, synergy with existing Company operations, and the payor profile in the market.

Identifiable intangible assets acquired consist of trade names, customer relationships and state licenses (see Note 2 for estimated useful lives of the Company's identifiable intangible assets). The estimated fair value of identifiable intangible assets was determined, using Level 3 inputs as defined under ASC Topic 820, with the assistance of a valuation specialist. It is anticipated that the goodwill and intangible assets acquired are deductible for tax purposes.

The Ambercare acquisition accounted for $9.2 million of net service revenues and $1.8 million of net income prior to corporate allocation for the three and six months ended June 30, 2018.

On April 1, 2018, the Company acquired certain assets of Arcadia Home Care & Staffing ("Arcadia"), expanding its personal care services. The total consideration for the transaction was $18.9 million and was funded by a delayed draw term loan under the Company's credit facility. The related acquisition costs, included in general and administrative expenses on the Company's Unaudited Condensed Consolidated Statements of Income, were $0.6 million and were expensed as incurred. The results of operations from this acquired entity are included in the Company's Unaudited Condensed Consolidated Statements of Income from the date of the acquisition.

The Company's acquisition of Arcadia has been accounted for in accordance with ASC Topic 805 and the resulting goodwill and other intangible assets was accounted for under ASC Topic 350. The acquisition was recorded at its fair value as of April 1, 2018. Under business combination accounting, the Arcadia Purchase Price was $18.9 million and was allocated to Arcadia's net tangible and identifiable intangible assets based on their estimated fair values. Based upon management's valuation, which is preliminary and subject to completion of working capital and other adjustments, the total purchase price has been allocated as follows:


		(Amounts in
		Thousands)
Goodwill	$	12,174
Accounts receivable		5,318
Identifiable intangible assets		2,947
Property and equipment		155
Other assets		115
Accrued liabilities		(1,540	)
Accounts payable		(257	)
Total purchase price allocation	$	18,912

Management's assessment of qualitative factors affecting goodwill for Arcadia includes estimates of market share at the date of purchase, ability to grow in the market, synergy with existing Company operations, and the payor profile in the market.

Identifiable intangible assets acquired consist of trade name, customer relationships and state licenses (see Note 2 for estimated useful lives of the Company's identifiable intangible assets). The estimated fair value of identifiable intangible assets was determined, using Level 3 inputs as defined under ASC Topic 820, with the assistance of a valuation specialist. It is anticipated that the goodwill and intangible assets acquired are deductible for tax purposes.

The Arcadia acquisition accounted for $10.8 million of net service revenues and $1.6 million of net income prior to corporate allocation for the three and six months ended June 30, 2018.

Effective January 1, 2018, the Company acquired certain assets of LifeStyle Options, Inc. ("LifeStyle") in order to expand private pay services in Illinois. The total consideration for the transaction was $4.1 million, comprised of $3.3 million in cash and $0.8 million, representing the estimated fair value of contingent consideration, subject to the achievement of certain performance targets set forth in an earn-out agreement. The related acquisition costs, included in general and administrative expenses on the Company's Unaudited Condensed Consolidated Statements of Income, were $48,000 and were expensed as incurred. The results of operations from this acquired entity are included in the Company's Unaudited Condensed Consolidated Statements of Income from the date of the acquisition.

The Company's acquisition of LifeStyle has been accounted for in accordance with ASC Topic 805 and the resulting goodwill and other intangible assets was accounted for under ASC Topic 350. The acquisition was recorded at its fair value as of January 1, 2018. Under business combination accounting, the LifeStyle Purchase Price was $4.1 million and was allocated to LifeStyle'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	$	2,751
Identifiable intangible assets		1,152
Accounts receivable		573
Other assets		32
Property and equipment		18
Accrued liabilities		(291	)
Accounts payable		(105	)
Total purchase price allocation	$	4,130

Management's assessment of qualitative factors affecting goodwill for LifeStyle includes estimates of market share at the date of purchase, ability to grow in the market, synergy with existing Company operations, and the payor profile in the market.

Identifiable intangible assets acquired consist of trade name and customer relationships (see Note 2 for estimated useful lives of the Company's identifiable intangible assets). The estimated fair value of identifiable intangible assets was determined, using Level 3 inputs as defined under ASC Topic 820, with the assistance of a valuation specialist. It is anticipated that the goodwill and intangible assets acquired are deductible for tax purposes.

The LifeStyle acquisition accounted for $1.5 million of net service revenues and $0.1 million of net income prior to corporate allocation for the three months ended June 30, 2018 and accounted for $3.0 million of net service revenues and $0.3 million of net income prior to corporate allocation for the six months ended June 30, 2018.

Effective October 1, 2017, the Company acquired certain assets of Community Partnered Resources, Inc. d/b/a Sun Cities Caregivers and d/b/a Sun Cities Homecare ("Sun Cities"), in the State of Arizona, to enhance operations in a target market. The total consideration for the transaction was comprised of $2.3 million in cash. The related acquisition costs, included in general and administrative expenses on the Company's Unaudited Condensed Consolidated Statements of Income, were $0.2 million and were expensed as incurred. The results of operations from this acquired entity are included in the Company's Unaudited Condensed Consolidated Statements of Income from the date of the acquisition.

The Company's acquisition of Sun Cities has been accounted for in accordance with ASC Topic 805 and the resulting goodwill and other intangible assets was accounted for under ASC Topic 350. The acquisition was recorded at its fair value as of October 1, 2017. Under business combination accounting, the Sun Cities purchase price was $2.3 million and was allocated to net tangible and identifiable intangible assets of Sun Cities 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	$	1,103
Identifiable intangible assets		682
Accounts receivable		240
Cash		321
Other assets		10
Accrued liabilities		(86	)
Accounts payable		(14	)
Total purchase price allocation	$	2,256

Management's assessment of qualitative factors affecting goodwill for Sun Cities includes estimates of market share at the date of purchase, ability to grow in the market, synergy with existing Company operations, and the payor profile in the market.

Identifiable intangible assets acquired consist of trade name and customer relationships (see Note 2 for estimated useful lives of the Company's identifiable intangible assets). The estimated fair value of identifiable intangible assets was determined, using Level 3 inputs as defined under ASC Topic 820, with the assistance of a valuation specialist. The goodwill and intangible assets acquired are deductible for tax purposes.

The Sun Cities acquisition accounted for $0.6 million of net service revenues and $35,000 of net income prior to corporate allocation for the three months ended June 30, 2018 and accounted for $1.1 million of net service revenues and $59,000 of net income prior to corporate allocation for the six months ended June 30, 2018.

On April 24, 2017, the Company entered into a definitive securities purchase agreement with HB Management Group, Inc. to purchase Options Services, Inc. d/b/a Options Home Care ("Options Home Care"). On August 1, 2017, the Company completed its acquisition of all the outstanding securities of Options Home Care for a total purchase price of $22.6 million (the "Options Purchase Price"). Options Home Care was a provider of personal care services in more than 20 counties in New Mexico and the acquisition expanded the footprint of the Company's existing operations in the state. The related acquisition costs, included in general and administrative expenses on the Company's Unaudited Condensed Consolidated Statements of Income, were $0.8 million and were expensed as incurred. The results of Options Home Care are included on the Company's Unaudited Condensed Consolidated Statements of Income from the date of the acquisition.

The Company's acquisition of Options Home Care has been accounted for in accordance with ASC Topic 805 and the resulting goodwill and other intangible assets was accounted for under ASC Topic 350. The acquisition was recorded at its fair value as of August 1, 2017. Under business combination accounting, the Options Purchase Price was $22.6 million and was allocated to Options Home Care'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	$	16,754
Identifiable intangible assets		5,324
Accounts receivable		995
Cash		205
Other assets		41
Accrued liabilities		(695	)
Total purchase price allocation	$	22,624

Management's assessment of qualitative factors affecting goodwill for Options Home Care includes estimates of market share at the date of purchase, ability to grow in the market, synergy with existing Company operations, and the payor profile in the market.

Identifiable intangible assets acquired consist of trade names and customer relationships (see Note 2 for estimated useful lives of the Company's identifiable intangible assets). The estimated fair value of identifiable intangible assets was determined with the assistance of a valuation specialist. The goodwill and intangible assets acquired are deductible for tax purposes.

The Options Home Care acquisition accounted for $4.4 million of net service revenues and $0.8 million of net income prior to corporate allocation for the three months ended June 30, 2018 and accounted for $8.9 million of net service revenues and $1.6 million of net income prior to corporate allocation for the six months ended June 30, 2018.

The following table contains unaudited pro forma condensed consolidated income statement information of the Company had the acquisitions of Ambercare, Arcadia, LifeStyle, Sun Cities and Options Home Care closed on January 1, 2017.


		For the Three Months Ended June 30,
		(Amounts in Thousands)
		2018		2017
Net service revenues	$	135,556	$	133,969
Operating income		9,169		7,730
Net income	$	4,989	$	1,835
Net income per common share
Basic income per share	$	0.43	$	0.16
Diluted income per share	$	0.42	$	0.16
		For the Six Months Ended June 30,
		(Amounts in Thousands)
		2018		2017
Net service revenues	$	272,891	$	263,508
Operating income		21,075		16,918
Net income	$	13,083	$	5,801
Net income per common share
Basic income per share	$	1.14	$	0.51
Diluted income per share	$	1.11	$	0.50

The pro forma disclosures in the table above include adjustments for amortization of intangible assets, tax expense and acquisition costs to reflect results that are more representative of the combined results of the transactions as if Ambercare, Arcadia, LifeStyle, Sun Cities and Options Home Care had been acquired effective January 1, 2017. 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.

Goodwill and Intangible Assets

6 Months Ended

Jun. 30, 2018

Goodwill and Intangible Assets [Abstract]

Goodwill and Intangible Assets

5. Goodwill and Intangible Assets

A summary of the goodwill activity for the six months ended June 30, 2018 is provided below:


	Goodwill
		Personal Care		Hospice		Home Health		Total
				(Amounts in Thousands)
Goodwill as of December 31, 2017	$	90,339	$	—	$	—	$	90,339
Additions for acquisitions		21,428		18,861		2,454		42,743
Goodwill as of June 30, 2018	$	111,767	$	18,861	$	2,454	$	133,082

The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following as of June 30, 2018 and December 31, 2017:


		Customer			Trade
		and referral			names and			Non-competition			State
		relationships			trademarks			agreements			Licenses			Total
	(Amounts in Thousands)
Gross balance at December 31, 2017	$	39,017		$	14,641		$	2,155		$	—		$	55,813
Accumulated amortization		(29,147	)		(8,198	)		(1,872	)		—			(39,217	)
Net Balance at December 31, 2017		9,870			6,443			283			—			16,596

Gross balance at January 1, 2018		39,017			14,641			2,155			—			55,813
Additions for acquisitions		5,209			6,927			—			2,376			14,512
Accumulated amortization		(30,944	)		(9,323	)		(1,927	)		(41	)		(42,235	)
Net Balance at June 30, 2018	$	13,282		$	12,245		$	228		$	2,335		$	28,090

Amortization expense related to the identifiable intangible assets amounted to $1.8 million and $3.0 million for the three and six months ended June 30, 2018, respectively, and $1.0 million and $2.1 million for the three and six months ended June 30, 2017, respectively. Goodwill is 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, 2018

Details of Certain Balance Sheet Accounts [Abstract]

Details of Certain Balance Sheet Accounts

6. Details of Certain Balance Sheet Accounts

Prepaid expenses and other current assets consisted of the following:


		June 30, 2018		December 31, 2017
		(Amounts in Thousands)
Prepaid health insurance	$	1,627	$	2,901
Workers' compensation insurance receivable		1,312		543
Prepaid rent		1,088		555
Prepaid workers' compensation and liability
insurance		419		1,332
Other		1,472		3,048
	$	5,918	$	8,379

Accrued expenses consisted of the following:


		June 30, 2018		December 31, 2017
		(Amounts in Thousands)
Accrued payroll	$	21,859	$	19,783
Accrued workers' compensation insurance		14,245		12,574
Accrued health insurance (1)		3,661		6,471
Accrued professional fees		1,491		1,312
Accrued payroll taxes		1,162		1,065
Accrued restructuring (2)		1,033		1,077
Accrued severance		625		562
Other		1,825		1,510
	$	45,901	$	44,354

(1)

The Company provides health insurance coverage to qualified union employees providing personal care 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 of Illinois. Amounts due of $1.8 million and $2.3 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance as of June 30, 2018 and December 31, 2017, respectively.

(2)

Accrued restructuring includes reserves for lease commitments related to the closure of three adult day services centers in Illinois during the third quarter of 2016.

Long-Term Debt

6 Months Ended

Jun. 30, 2018

Long-Term Debt [Abstract]

Long-Term Debt

7. Long-Term Debt

Long-term debt consisted of the following:


		June 30, 2018			December 31, 2017
		(Amounts in Thousands)
Term loan under the credit facility	$	103,732		$	44,438
Capital leases		354			1,002
Less unamortized issuance costs		(2,234	)		(2,481	)
Total	$	101,852		$	42,959
Less current maturities		(2,494	)		(3,099	)
Long-term debt	$	99,358		$	39,860

Capital Leases

On May 1, 2018, with the acquisition of Ambercare, the Company acquired the remainder of a capital lease with Ford Motor Credit Company LLC. The 48-month capital lease was originally entered into on June 27, 2016. The underlying assets are included in "Property and equipment, net of accumulated depreciation and amortization" in the accompanying Unaudited Condensed Consolidated Balance Sheets. This capital lease obligation requires monthly payments through August 2020 and has an implicit interest rate of 6.88%.

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 support center in Downers Grove, IL. The underlying assets are included in "Property and equipment, net of accumulated depreciation and amortization" in the accompanying Unaudited Condensed Consolidated Balance Sheets. These capital lease obligations require monthly payments through September 2019 and have implicit interest rates that range from 3.0% to 3.6%. At the end of the term, the Company has the option to purchase the assets for $1 per lease agreement.

Effective October 1, 2016, the Company entered into a 25-month capital lease agreement for $0.6 million with Meridian Leasing Corporation. The capital lease was entered into to finance property and equipment for the Company's telephone system. The underlying assets are included in "Property and equipment, net of accumulated depreciation and amortization" in the accompanying Unaudited Condensed Consolidated Balance Sheets. This capital lease obligation requires monthly payments through October 2018 and has an implicit interest rate of 11.1%. At the end of the term, the Company has the option to purchase the assets for $1 per lease agreement.

An analysis of the leased property under capital leases by major classes is as follows.


		Asset Balances at
		June 30, 2018
Classes of Property		(Amounts in Thousands)
Leasehold improvements	$	1,484
Furniture and equipment		868
Computer equipment		635
Computer software		303
Transportation equipment		107
Total		3,397
Less: accumulated depreciation		(1,601	)
	$	1,796

The future minimum payments for capital leases as of June 30, 2018 are as follows:


		Capital Lease
		(Amounts In
		Thousands)
2018	$	278
2019		75
2020		22
Total minimum lease payments		375
Less: amount representing estimated executory costs (such as taxes,
maintenance and insurance), including profit thereon, included in
total minimum lease payments		(11	)
Net minimum lease payments		364
Less: amount representing interest ⁽¹⁾		(10	)
Present value of net minimum lease payments ⁽²⁾	$	354

(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 $293,000 of the current portion of long-term debt and $61,000 of the long-term debt, less current portion.

Senior Secured Credit Facility

On May 8, 2017, the Company entered into a credit agreement (the "Credit Agreement") to obtain a credit facility with certain lenders and Capital One, N.A., as a lender and swing lender and as agent for all lenders. This credit facility totals $250.0 million, replaces the Company's previous senior secured credit facility totaling $125.0 million ("Terminated Senior Secured Credit Facility", see description below for more details), and terminates the Second Amended and Restated Credit and Guaranty Agreement, dated as of November 10, 2015, as modified by the May 24, 2016 amendment (as amended, the "Terminated Senior Secured Credit Agreement"), between the Company, certain lenders and Fifth Third Bank, as agent, which evidenced the Terminated Senior Secured Credit Facility. The credit facility includes a $125.0 million revolving loan, a $45.0 million term loan and an $80.0 million delayed draw term loan. The maturity of the credit facility is five years, although the delayed draw term loan is only available until November 8, 2018. Under the terms of an accordion feature of the Credit Agreement, $100.0 million is also available for incremental term loans. Borrowings under the delayed draw term loans and the incremental term loans are limited to financing or refinancing Permitted Acquisitions (as defined in the Credit Agreement). The availability of additional draws under the revolving credit portion of the Company's credit facility is conditioned, among other things, upon (after giving effect to such draws) the ratio of Consolidated Total Indebtedness (as defined in the Credit Agreement), less subordinated indebtedness, to Consolidated Adjusted EBITDA (as defined in the Credit Agreement) not exceeding 4.25:1.00. In connection with the credit facility, the Company incurred $2.9 million of debt issuance costs.

Addus HealthCare, Inc. ("Addus HealthCare") is the borrower, with its parent, Holdings, and substantially all of Holdings' subsidiaries are guarantors under the credit facility. The credit facility is secured by a first priority security interest in all of the Company's and the other credit parties' current and future tangible and intangible assets, including the shares of stock of the borrower and subsidiaries.

Interest on the Company's credit facility may be payable at (x) the sum of (i) an applicable margin ranging from 1.50% to 2.25% based on the applicable senior 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 (not to be less than 0.00%) plus a margin of 1.00% or (y) the sum of (i) an applicable margin ranging from 2.50% to 3.25% based on the applicable leverage ratio plus (ii) the offered rate per annum for the applicable interest period that appears on Reuters Screen LIBOR01 Page. Swing loans may not be LIBOR loans.

The Company pays a fee ranging from 0.25% to 0.50% based on the applicable leverage ratio times the unused portion of the revolving portion of the credit facility.

During the second quarter of 2018, the Company drew a total of approximately $60.4 million on its delayed draw term loan under the credit facility to fund the acquisitions of Ambercare and Arcadia.

As of June 30, 2018, the Company had a total of $103.7 million of term loans outstanding with an interest rate of 4.48% on the credit facility and the total availability under the revolving credit loan facility was $90.4 million.

As of December 31, 2017, the Company had a total of $44.4 million of term loans outstanding with an interest rate of 3.86% on the credit facility and the total availability under the revolving credit loan facility was $105.1 million.

The Credit Agreement 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 Agreement 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, investments and loans, subject to customary carve outs, a restriction on dividends (provided that Addus HealthCare may make distributions to the Company in an amount that does not exceed $5.0 million in any year absent of an event of default, plus limited exceptions for tax and administrative distributions), a restriction on the ability to consummate acquisitions in amounts exceeding $60.0 million individually and $80.0 million in the aggregate each year (in each case, without the consent of the lenders), restrictions on mergers, dispositions of assets, and affiliate transactions, and restrictions on fundamental changes and lines of business. As of June 30, 2018, the Company was in compliance with all of its Credit Agreement covenants.

Terminated Senior Secured Credit Facility

Prior to May 8, 2017, the Company was a party to the Terminated Senior Secured Credit Agreement with certain lenders and Fifth Third Bank, as agent and letters of credit issuer. The Terminated Senior Secured Credit Facility provided 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, which was to expire on November 10, 2020 and included a $35.0 million sublimit for the issuance of letters of credit. Substantially all of the subsidiaries of Holdings were co-borrowers, and Holdings had guaranteed the borrowers' obligations under the Terminated Senior Secured Credit Facility. The Terminated Senior Secured Credit Facility was 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.

Income Taxes

6 Months Ended

Jun. 30, 2018

Income Taxes [Abstract]

Income Taxes

8. Income Taxes

A reconciliation of the statutory federal tax rate of 21.0% for the three and six months ended June 30, 2018 and 35.0% for the three and six months ended June 30, 2017 is summarized as follows:


	Three Months Ended June 30,
	2018		2017
Federal income tax at statutory rate	21.0	%	35.0	%
State and local taxes, net of federal benefit	7.1		5.2
Jobs tax credits, net	(6.9	)	(8.1	)
Nondeductible permanent items	1.6		0.5
Other	(0.3	)	(2.4	)
Effective income tax rate	22.5	%	30.2	%

	Six Months Ended June 30,
	2018		2017
Federal income tax at statutory rate	21.0	%	35.0	%
State and local taxes, net of federal benefit	7.0		5.2
Jobs tax credits, net	(9.0	)	(7.4	)
Nondeductible permanent items	1.3		0.5
Other	0.2		(1.2	)
Effective income tax rate	20.5	%	32.1	%

On December 22, 2017, the President of the United States signed into law the Tax Cuts and Jobs Act ("Tax Reform Act"). The legislation significantly changes U.S. tax law by, among other things, lowering corporate income tax rates. The Tax Reform Act permanently reduces the U.S. corporate income tax rate from a maximum of 35.0% to a flat 21.0% rate, effective January 1, 2018. The effective income tax rate was 22.5% and 30.2% for the three months ended June 30, 2018 and 2017, respectively. The difference between our federal statutory and effective income tax rates are principally due to the inclusion of state taxes and the use of federal employment tax credits. A provisional valuation allowance increased $0.1 million and $0.2 million in the three and six months ended June 30, 2018, respectively, as a result of the elimination of a performance based equity exception in calculating the $1.0 million limitation for 162(m) under the Tax Reform Act.

In December 2017, the Securities and Exchange Commission issued Staff Accounting Bulletin No. 118, Income Tax Accounting Implications of the Tax Cuts and Job Act, ("SAB 118") to address the application of GAAP in situations when a registrant does not have the necessary information available, prepared, or analyzed (including computations) in reasonable detail to complete the accounting for certain income tax effects of the Tax Reform Act. Additional work is necessary for a more detailed analysis of our deferred tax assets and liabilities as well as potential correlative adjustments. During the measurement period, impacts of the law are expected to be recorded at the time a reasonable estimate for all or a portion of the effects can be made and provisional amounts can be recognized and adjusted as information becomes available, prepared or analyzed. No additional estimated amounts were finalized during the quarter ending June 30, 2018.

Commitments and Contingencies	6 Months Ended
Commitments and Contingencies	Jun. 30, 2018
Commitments and Contingencies [Abstract]
Commitments and Contingencies	9. Commitments and Contingencies *Legal Proceedings* From time to time, the Company is subject to legal and/or administrative proceedings incidental to its business. It is the opinion of management that the outcome of pending legal and/or administrative proceedings will not have a material effect on the Company's Unaudited Condensed Consolidated Balance Sheets and Unaudited Condensed Consolidated Statements of Income. 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 the Company's home care division to the Company's home health business, substantially all of 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 and Cigna Corporation filed a motion to dismiss the amended complaint on June 6, 2016. On February 3, 2017, the Court granted Cigna Corporation's motion to dismiss in full, and granted the Company's motion to dismiss in part, allowing Plaintiff another chance to amend its complaint. Plaintiff timely filed a second amended complaint on March 10, 2017, withdrawing its conspiracy claim under the Federal False Claims Act and adding an explicit claim under the Illinois False Claims Act for the same underlying kickback allegations. On April 7, 2017, the Company filed a partial motion to dismiss the Second Amended Complaint. On May 24, 2017, the State of Illinois filed notice that it was declining to intervene in the plaintiff's claim under the Illinois False Claims Act. On March 21, 2018, the Court granted the Company's motion to dismiss the Second Amended Complaint in part and narrowed the lawsuit to whether the federal False Claims Act was violated with respect to home health services provided at three senior living facilities in Illinois. The Company intends to defend the litigation vigorously and believes the case will not have a material adverse effect on its business, financial condition or results of operations. *Employment Agreements* The Company has entered into employment agreements with certain members of senior management. The terms of these agreements are up to four years with the potential to auto-renew and include non-competition 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, 2018

Severance and Restructuring [Abstract]

Severance and Restructuring

10. Severance and Restructuring

In 2016, the Company initiated steps to streamline its operations. The Company incurred total expenses related to these initiatives of approximately $0.6 million and $50,000 for the three months ended June 30, 2018 and 2017, respectively, and $1.1 million and $0.9 million for the six months ended June 30, 2018 and 2017, respectively. These costs are included in general and administrative expenses on the Unaudited Condensed Consolidated Statements of Income. The expenses recorded for the three and six months ended June 30, 2018 included costs related to terminated employees and other professional fees. The expenses recorded for the three and six months ended June 30, 2017 included costs related to terminated employees and fees related to the termination of professional service relationships. The Company expects some additional restructuring and other costs to occur, however, the amount and timing cannot be determined at this time.

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, 2017	$	562		$	1,077
Provision		579			492
Utilization		(516	)		(536	)
Balance at June 30, 2018	$	625		$	1,033

Employee termination costs represent accrued severance payable to terminated employees with employment and/or separation agreements with the Company.

Restructuring and other costs consists of the accrual related to lease commitments and write-offs of leasehold improvements and unused office space and property and equipment resulting from the closure of three adult day services centers in Illinois.

The aforementioned accruals are included in Accrued Expenses on the Unaudited Condensed Consolidated Balance Sheets and the aforementioned expenses are included in General and Administrative Expenses on the Unaudited Condensed Consolidated Statements of Income.

Segment Information

6 Months Ended

Jun. 30, 2018

Segment Information [Abstract]

Segment Information

11. Segment Information

Operating segments are defined as components of a company that engage in business activities from which it may earn revenues and incur expenses, and for which separate financial information is available and is regularly reviewed by our chief operating decision makers, to assess the performance of the individual segments and make decisions about resources to be allocated to the segments. Our operations involve servicing patients through our three reportable business segments: personal care, hospice and home health. As a result of the acquisition of Ambercare on May 1, 2018, we began reporting the hospice and home health segments.

Our personal care segment provides non-medical assistance with activities of daily living, primarily to persons who are at risk of hospitalization or institutionalization, such as the elderly, chronically ill and disabled. Our hospice segment provides physical, emotional and spiritual care for people who are terminally ill and their families. Our home health segment provides services that are primarily medical in nature to those individuals who may require assistance during an illness or after surgery and include skilled nursing and physical, occupational and speech therapy.

The tables below set forth information about our reportable segments for the three and six months ended June 30, 2018 and 2017 along with the items necessary to reconcile the segment information to the totals reported in the accompanying consolidated financial statements. Segment assets are not reviewed by the company's chief decision makers and therefore are not disclosed below.

Segment operating income consists of the net service revenues generated by a segment, less the direct costs of service revenues and general and administrative expenses that are incurred directly by the segment. Unallocated general and administrative costs are those costs for functions performed in a centralized manner and therefore not attributable to a particular segment. These costs include accounting, finance, human resources, legal, information technology, corporate office support and facility costs and overall corporate management.


		For the Three Months Ended June 30, 2018
	(Amounts in Thousands)
		Personal Care		Hospice		Home Health		Total
Net service revenues	$	125,065	$	4,649	$	1,523	$	131,237
Cost of services revenues		91,843		2,574		1,098		95,515
Gross profit		33,222		2,075		425		35,722
Provision for doubtful accounts		84		2		1		87
General and administrative expenses		10,225		852		342		11,419
Segment operating income	$	22,913	$	1,221	$	82	$	24,216


		For the Six Months Ended June 30, 2018
	(Amounts in Thousands)
		Personal Care		Hospice		Home Health		Total
Net service revenues	$	234,512	$	4,649	$	1,523	$	240,684
Cost of services revenues		173,387		2,574		1,098		177,059
Gross profit		61,125		2,075		425		63,625
Provision for doubtful accounts		162		2		1		165
General and administrative expenses		18,627		852		342		19,821
Segment operating income	$	42,336	$	1,221	$	82	$	43,639


		For the Three			For the Six
		Months Ended			Months Ended
Segment Reconciliation:		June 30, 2018			June 30, 2018
	(Amounts in Thousands)
Total segment operating income	$	24,216		$	43,639
Items not allocated at segment level:
Other general and administrative expenses		14,989			28,045
Depreciation and amortization		2,335			4,141
Interest income		(32	)		(2,355	)
Interest expense		1,382			2,293
Income before income taxes	$	5,542		$	11,515


	For the Three Months Ended June 30, 2017
	(Amounts in Thousands)
		Personal Care		Hospice		Home Health		Total
Net service revenues	$	103,559	$	—	$	—	$	103,559
Cost of services revenues		75,048		—		—		75,048
Gross profit		28,511		—		—		28,511
Provision for doubtful accounts		2,070		—		—		2,070
General and administrative expenses		8,673		—		—		8,673
Segment operating income	$	17,768	$	—	$	—	$	17,768


	For the Six Months Ended June 30, 2017
	(Amounts in Thousands)
		Personal Care		Hospice		Home Health		Total
Net service revenues	$	205,165	$	—	$	—	$	205,165
Cost of services revenues		149,337		—		—		149,337
Gross profit		55,828		—		—		55,828
Provision for doubtful accounts		4,102		—		—		4,102
General and administrative expenses		17,591		—		—		17,591
Segment operating income	$	34,135	$	—	$	—	$	34,135


		For the Three			For the Six
		Months Ended			Months Ended
Segment Reconciliation:		June 30, 2017			June 30, 2017
		(Amounts in Thousands)
Total segment operating income	$	17,768		$	34,135
Items not allocated at segment level:
Other general and administrative expenses		10,333			20,288
Gain on sale of assets		—			(2,065	)
Depreciation and amortization		1,514			3,030
Interest income		(13	)		(20	)
Interest expense		2,108			2,759
Other income		(44	)		(101	)
Income before income taxes	$	3,870		$	10,244

Significant Payors

6 Months Ended

Jun. 30, 2018

Significant Payors [Abstract]

Significant Payors

12. Significant Payors

For the three and six months ended June 30, 2018 and 2017 the Company's revenue mix by payor type was as follows:


							Personal Care
		For the Three Months Ended June 30,									For the Six Months Ended June 30,
		2018				2017				2018				2017
			% of				% of				% of				% of
			Segment				Segment				Segment				Segment
		Amount	Net Service			Amount	Net Service			Amount	Net Service			Amount	Net Service
		(in Thousands)	Revenues			(in Thousands)	Revenues			(in Thousands)	Revenues			(in Thousands)	Revenues
State, local and
other
government
al programs	$	72,499	57.9	%	$	68,393	66.0	%	$	139,405	59.4	%	$	134,337	65.4	%
Managed care
organizatio
ns		43,295	34.6			32,363	31.3			81,538	34.8			65,189	31.8
Private pay		5,571	4.5			2,116	2.0			9,312	4.0			4,270	2.1
Commercial
insurance		1,845	1.5			687	0.7			2,402	1.0			1,369	0.7
Other		1,855	1.5			—	—			1,855	0.8			—	—
Total personal
care
segment net
service
revenues	$	125,065	100.0	%	$	103,559	100.0	%	$	234,512	100.0	%	$	205,165	100.0	%


			Hospice
		For the Three and Six Months Ended June 30,
			2018
		Amount	% of Segment Net
		(in Thousands)	Service Revenues
Medicare	$	4,353	93.7	%
Managed care organizations		295	6.3
Other		1	0.0
Total hospice segment net service revenues	$	4,649	100.0	%

			Home Health
		For the Three and Six Months Ended June 30,
			2018
		Amount	% of Segment Net
		(in Thousands)	Service Revenues
Medicare	$	1,404	92.2	%
Managed care organizations		108	7.1
Other		11	0.7
Total home health segment net service revenues	$	1,523	100.0	%

The percentages of segment revenue for each of the Company's significant states for the three and six months ended June 30, 2018 and 2017 were as follows:


	Personal Care
	For the Three Months Ended June 30,									For the Six Months Ended June 30,
	2018				2017				2018				2017
			% of				% of				% of				% of
			Segment				Segment				Segment				Segment
		Amount	Net Service			Amount	Net Service			Amount	Net Service			Amount	Net Service
		(in Thousands)	Revenues			(in Thousands)	Revenues			(in Thousands)	Revenues			(in Thousands)	Revenues
Illinois	$	58,314	46.7	%	$	54,562	52.7	%	$	115,594	49.3	%	$	108,557	52.9	%
New York		15,800	12.6			14,391	13.9			31,185	13.3			28,658	14.0
New Mexico		14,794	11.8			7,264	7.0			26,581	11.3			14,208	6.9
All other
states		36,157	28.9			27,342	26.4			61,152	26.1			53,742	26.2
Total personal
care
segment net
service
revenues	$	125,065	100.0	%	$	103,559	100.0	%	$	234,512	100.0	%	$	205,165	100.0	%


	Hospice
	For the Three and Six Months Ended June 30,
	2018
		Amount	% of Segment Net
		(in Thousands)	Service Revenues
New Mexico	$	4,649	100.0	%
Total hospice segment net service revenues	$	4,649	100.0	%


	Home Health
	For the Three and Six Months Ended June 30,
	2018
		Amount	% of Segment Net
		(in Thousands)	Service Revenues
New Mexico	$	1,523	100.0	%
Total home health segment net service revenues	$	1,523	100.0	%

A substantial portion of the Company's net service revenues and accounts receivable are derived from services performed for state and local governmental agencies. The Illinois Department on Aging, which is the largest payor program for our Illinois personal care operations, accounted for 30.4% and 36.7% of the Company's net service revenues for the three months ended June 30, 2018 and 2017, respectively and accounted for 33.1% and 36.6% of the Company's net service revenues for the six months ended June 30, 2018 and 2017, respectively.

The related receivables due from the Illinois Department on Aging represented 24.0% and 37.5% of the Company's net accounts receivable at June 30, 2018 and December 31, 2017, respectively.

Concentration of Cash	6 Months Ended
Concentration of Cash	Jun. 30, 2018
Concentration of Cash [Abstract]
Concentration of Cash	13. 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.

Nature of Operations, Consolidation, and Presentation of Financial Statements (Policy)	6 Months Ended
	Jun. 30, 2018
Nature of Operations, Consolidation, and Presentation of Financial Statements [Abstract]
Basis of Presentation	*Basis of Presentation* The accompanying unaudited condensed consolidated financial statements and related notes have been prepared in accordance with the rules and regulations of the U.S. Securities and Exchange Commission ("SEC") for Quarterly Reports on Form 10-Q. Accordingly, these financial statements do not include all of the information and note disclosures required by accounting principles generally accepted in the United States of America ("GAAP") for annual financial statements and should be read in conjunction with our consolidated financial statements and notes thereto for the year ended December 31, 2017 included in our Annual Report on Form 10-K, which includes information and disclosures not included herein. In the opinion of management, these financial statements reflect all adjustments of a normal, recurring nature necessary for the fair statement of our financial position, results of operations, and cash flows for the interim periods presented in conformity with GAAP. Our results for any interim period are not necessarily indicative of results for a full year or any other interim period and have not been audited by our independent auditors.
Principles of Consolidation	*Principles of Consolidation* These unaudited condensed consolidated financial statements include the accounts of Addus HomeCare Corporation, and its subsidiaries. All significant intercompany accounts and transactions have been eliminated in consolidation. The Company used the cost method to account for its investment in joint ventures in which it owned 10% equity interests. The Company sold such investments on October 1, 2017. See Note 3 "Gain on Sale of Assets" for additional information.
Reclassification of Prior Period Balances	*Reclassification of Prior Period Balances* Certain reclassifications have been made to prior period amounts to conform to the current-year presentation including the reporting of other long-term liabilities as a separate line item on the Unaudited Condensed Consolidated Balance Sheets. These reclassifications have no effect on the reported net income.
Recently Issued Accounting Pronouncements	*Recently Issued Accounting Pronouncements* In February 2016, the FASB issued ASU 2016-02, Leases (Topic 842), which replaces existing leasing rules with a comprehensive lease measurement and recognition standard and expanded disclosure requirements. ASU 2016-02 will require lessees to recognize most leases on their balance sheets as liabilities, with corresponding "right-of-use" assets and is effective for annual reporting periods beginning after December 15, 2018, subject to early adoption. For income statement recognition purposes, leases will be classified as either a finance or an operating lease. The Company will be required to recognize and measure leases at the beginning of the earliest period presented using a modified retrospective approach. Upon initial evaluation, the Company believes that the new standard will have a material impact on its consolidated balance sheets but it will not affect its liquidity. It has been determined that the Company will need to secure new software to account for the change in accounting for leases and is currently reviewing the software options available. In June 2016, the FASB issued ASU 2016-13, Financial Instruments—Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments. ASU 2016-13 changes the impairment model for most financial assets and certain other instruments. Under the new standard, entities holding financial assets and net investment in leases that are not accounted for at fair value through net income are to be presented at the net amount expected to be collected. An allowance for credit losses will be a valuation account that will be deducted from the amortized cost basis of the financial asset to present the net carrying value at the amount expected to be collected on the financial asset. ASU 2016-13 is effective as of January 1, 2020. Early adoption is permitted. The Company is currently evaluating the impact of ASU 2016-13. In January 2017, the FASB issued ASU 2017-04, Intangibles—Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment. The new guidance eliminates the requirement to calculate the implied fair value of goodwill (i.e., Step 2 of the current goodwill impairment test) to measure a goodwill impairment charge. Instead, entities will record an impairment charge based on the excess of a reporting unit's carrying amount over its fair value (i.e., measure the charge based on the current Step 1). ASU 2017-04 is effective for annual and any interim impairment tests for periods beginning after December 15, 2019. The Company is currently evaluating the provisions of ASU 2017-04 to determine how its goodwill impairment testing will be impacted and whether it may elect to adopt ASU 2017-04 prior to the stated effective date. In August 2016, the FASB issued ASU 2016-15, Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments. This standard amends and adjusts how cash receipts and cash payments are presented and classified in the statement of cash flows. We adopted the standard on a retrospective basis on January 1, 2018. ASU 2016-15 did not have an impact on our Condensed Consolidated Statements of Cash Flows.

Summary of Significant Accounting Policies (Policy)

6 Months Ended

Jun. 30, 2018

Summary of Significant Accounting Policies [Abstract]

Revenue Recognition

Revenue Recognition

Personal Care and Hospice Revenue

Home Health Revenue

Allowance for Doubtful Accounts

Allowance for Doubtful Accounts

Property and Equipment

Property and Equipment


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

Goodwill

Goodwill

Intangible Assets

Intangible Assets

Debt Issuance Costs

Debt Issuance Costs

Workers' Compensation Program

Workers' Compensation Program

Interest Income

Interest Income

Interest Expense

Interest Expense

Other Income

Other Income

Income Tax Expenses

Income Tax Expense

Stock-Based Compensation

Stock-based Compensation

Diluted Net Income Per Common Share

Diluted Net Income Per Common Share

Estimates

Estimates

Fair Value Measurements

Fair Value Measurements

The Company utilizes the income approach to estimate the fair value of its intangible assets derived from acquisitions.

Going Concern

Going Concern

Summary of Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 2018

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	5 years
Computer software	5 – 10 years
Leasehold improvements	Lesser of useful life or lease term, unless
	probability of lease renewal is likely

Acquisitions (Tables)

6 Months Ended

Jun. 30, 2018

Ambercare Corporation [Member]

Business Acquisition [Line Items]

Schedule of Purchase Price Allocation


		(Amounts in
		Thousands)
Goodwill	$	27,818
Cash		12,008
Identifiable intangible assets		10,413
Accounts receivable		6,671
Other assets		679
Property and equipment		197
Accrued liabilities		(3,766	)
Deferred tax liability		(2,302	)
Capital lease		(93	)
Accounts payable		(3	)
Total purchase price allocation	$	51,622

Arcadia Home Care And Staffing [Member]

Business Acquisition [Line Items]

Schedule of Purchase Price Allocation


		(Amounts in
		Thousands)
Goodwill	$	12,174
Accounts receivable		5,318
Identifiable intangible assets		2,947
Property and equipment		155
Other assets		115
Accrued liabilities		(1,540	)
Accounts payable		(257	)
Total purchase price allocation	$	18,912

Lifestyle Options, Inc. [Member]

Business Acquisition [Line Items]

Schedule of Purchase Price Allocation


		Total
		(Amounts in
		Thousands)
Goodwill	$	2,751
Identifiable intangible assets		1,152
Accounts receivable		573
Other assets		32
Property and equipment		18
Accrued liabilities		(291	)
Accounts payable		(105	)
Total purchase price allocation	$	4,130

Sun Cities Homecare [Member]

Business Acquisition [Line Items]

Schedule of Purchase Price Allocation


		Total
		(Amounts in
		Thousands)
Goodwill	$	1,103
Identifiable intangible assets		682
Accounts receivable		240
Cash		321
Other assets		10
Accrued liabilities		(86	)
Accounts payable		(14	)
Total purchase price allocation	$	2,256

Options Home Care [Member]

Business Acquisition [Line Items]

Schedule of Purchase Price Allocation


		Total
		(Amounts in
		Thousands)
Goodwill	$	16,754
Identifiable intangible assets		5,324
Accounts receivable		995
Cash		205
Other assets		41
Accrued liabilities		(695	)
Total purchase price allocation	$	22,624

Ambercare, Arcadia, LifeStyle, Sun Cities And Options Home Care [Member]

Business Acquisition [Line Items]

Unaudited Pro Forma Condensed Consolidated Income Statement Information


		For the Three Months Ended June 30,
		(Amounts in Thousands)
		2018		2017
Net service revenues	$	135,556	$	133,969
Operating income		9,169		7,730
Net income	$	4,989	$	1,835
Net income per common share
Basic income per share	$	0.43	$	0.16
Diluted income per share	$	0.42	$	0.16
		For the Six Months Ended June 30,
		(Amounts in Thousands)
		2018		2017
Net service revenues	$	272,891	$	263,508
Operating income		21,075		16,918
Net income	$	13,083	$	5,801
Net income per common share
Basic income per share	$	1.14	$	0.51
Diluted income per share	$	1.11	$	0.50

Goodwill and Intangible Assets (Tables)

6 Months Ended

Jun. 30, 2018

Goodwill and Intangible Assets [Abstract]

Summary of Goodwill and Related Adjustments


	Goodwill
		Personal Care		Hospice		Home Health		Total
				(Amounts in Thousands)
Goodwill as of December 31, 2017	$	90,339	$	—	$	—	$	90,339
Additions for acquisitions		21,428		18,861		2,454		42,743
Goodwill as of June 30, 2018	$	111,767	$	18,861	$	2,454	$	133,082

Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset


		Customer			Trade
		and referral			names and			Non-competition			State
		relationships			trademarks			agreements			Licenses			Total
	(Amounts in Thousands)
Gross balance at December 31, 2017	$	39,017		$	14,641		$	2,155		$	—		$	55,813
Accumulated amortization		(29,147	)		(8,198	)		(1,872	)		—			(39,217	)
Net Balance at December 31, 2017		9,870			6,443			283			—			16,596

Gross balance at January 1, 2018		39,017			14,641			2,155			—			55,813
Additions for acquisitions		5,209			6,927			—			2,376			14,512
Accumulated amortization		(30,944	)		(9,323	)		(1,927	)		(41	)		(42,235	)
Net Balance at June 30, 2018	$	13,282		$	12,245		$	228		$	2,335		$	28,090

Details of Certain Balance Sheet Accounts (Tables)

6 Months Ended

Jun. 30, 2018

Details of Certain Balance Sheet Accounts [Abstract]

Schedule of Prepaid Expenses and Other Current Assets


		June 30, 2018		December 31, 2017
		(Amounts in Thousands)
Prepaid health insurance	$	1,627	$	2,901
Workers' compensation insurance receivable		1,312		543
Prepaid rent		1,088		555
Prepaid workers' compensation and liability
insurance		419		1,332
Other		1,472		3,048
	$	5,918	$	8,379

Schedule of Accrued Expenses


		June 30, 2018		December 31, 2017
		(Amounts in Thousands)
Accrued payroll	$	21,859	$	19,783
Accrued workers' compensation insurance		14,245		12,574
Accrued health insurance (1)		3,661		6,471
Accrued professional fees		1,491		1,312
Accrued payroll taxes		1,162		1,065
Accrued restructuring (2)		1,033		1,077
Accrued severance		625		562
Other		1,825		1,510
	$	45,901	$	44,354

(1)

(2)

Accrued restructuring includes reserves for lease commitments related to the closure of three adult day services centers in Illinois during the third quarter of 2016.

Long-Term Debt (Tables)

6 Months Ended

Jun. 30, 2018

Long-Term Debt [Abstract]

Schedule of Long-Term Debt


		June 30, 2018			December 31, 2017
		(Amounts in Thousands)
Term loan under the credit facility	$	103,732		$	44,438
Capital leases		354			1,002
Less unamortized issuance costs		(2,234	)		(2,481	)
Total	$	101,852		$	42,959
Less current maturities		(2,494	)		(3,099	)
Long-term debt	$	99,358		$	39,860

Schedule of Leased Property Under Capital Leases


		Asset Balances at
		June 30, 2018
Classes of Property		(Amounts in Thousands)
Leasehold improvements	$	1,484
Furniture and equipment		868
Computer equipment		635
Computer software		303
Transportation equipment		107
Total		3,397
Less: accumulated depreciation		(1,601	)
	$	1,796

Schedule of Future Minimum Payments for Capital Leases


		Capital Lease
		(Amounts In
		Thousands)
2018	$	278
2019		75
2020		22
Total minimum lease payments		375
Less: amount representing estimated executory costs (such as taxes,
maintenance and insurance), including profit thereon, included in
total minimum lease payments		(11	)
Net minimum lease payments		364
Less: amount representing interest ⁽¹⁾		(10	)
Present value of net minimum lease payments ⁽²⁾	$	354

(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 $293,000 of the current portion of long-term debt and $61,000 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=84159872&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=75038535&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=84159872&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=84159872&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=84159872&loc=d3e21521-112644

+ Details

Income Taxes (Tables)

6 Months Ended

Jun. 30, 2018

Income Taxes [Abstract]

Reconciliation of Statutory Federal Tax Rate


	Three Months Ended June 30,
	2018		2017
Federal income tax at statutory rate	21.0	%	35.0	%
State and local taxes, net of federal benefit	7.1		5.2
Jobs tax credits, net	(6.9	)	(8.1	)
Nondeductible permanent items	1.6		0.5
Other	(0.3	)	(2.4	)
Effective income tax rate	22.5	%	30.2	%

	Six Months Ended June 30,
	2018		2017
Federal income tax at statutory rate	21.0	%	35.0	%
State and local taxes, net of federal benefit	7.0		5.2
Jobs tax credits, net	(9.0	)	(7.4	)
Nondeductible permanent items	1.3		0.5
Other	0.2		(1.2	)
Effective income tax rate	20.5	%	32.1	%

Severance and Restructuring (Tables)

6 Months Ended

Jun. 30, 2018

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, 2017	$	562		$	1,077
Provision		579			492
Utilization		(516	)		(536	)
Balance at June 30, 2018	$	625		$	1,033

Segment Information (Tables)

6 Months Ended

Jun. 30, 2018

Segment Information [Abstract]

Summary Of Segment Information


		For the Three Months Ended June 30, 2018
	(Amounts in Thousands)
		Personal Care		Hospice		Home Health		Total
Net service revenues	$	125,065	$	4,649	$	1,523	$	131,237
Cost of services revenues		91,843		2,574		1,098		95,515
Gross profit		33,222		2,075		425		35,722
Provision for doubtful accounts		84		2		1		87
General and administrative expenses		10,225		852		342		11,419
Segment operating income	$	22,913	$	1,221	$	82	$	24,216


		For the Six Months Ended June 30, 2018
	(Amounts in Thousands)
		Personal Care		Hospice		Home Health		Total
Net service revenues	$	234,512	$	4,649	$	1,523	$	240,684
Cost of services revenues		173,387		2,574		1,098		177,059
Gross profit		61,125		2,075		425		63,625
Provision for doubtful accounts		162		2		1		165
General and administrative expenses		18,627		852		342		19,821
Segment operating income	$	42,336	$	1,221	$	82	$	43,639


		For the Three			For the Six
		Months Ended			Months Ended
Segment Reconciliation:		June 30, 2018			June 30, 2018
	(Amounts in Thousands)
Total segment operating income	$	24,216		$	43,639
Items not allocated at segment level:
Other general and administrative expenses		14,989			28,045
Depreciation and amortization		2,335			4,141
Interest income		(32	)		(2,355	)
Interest expense		1,382			2,293
Income before income taxes	$	5,542		$	11,515


	For the Three Months Ended June 30, 2017
	(Amounts in Thousands)
		Personal Care		Hospice		Home Health		Total
Net service revenues	$	103,559	$	—	$	—	$	103,559
Cost of services revenues		75,048		—		—		75,048
Gross profit		28,511		—		—		28,511
Provision for doubtful accounts		2,070		—		—		2,070
General and administrative expenses		8,673		—		—		8,673
Segment operating income	$	17,768	$	—	$	—	$	17,768


	For the Six Months Ended June 30, 2017
	(Amounts in Thousands)
		Personal Care		Hospice		Home Health		Total
Net service revenues	$	205,165	$	—	$	—	$	205,165
Cost of services revenues		149,337		—		—		149,337
Gross profit		55,828		—		—		55,828
Provision for doubtful accounts		4,102		—		—		4,102
General and administrative expenses		17,591		—		—		17,591
Segment operating income	$	34,135	$	—	$	—	$	34,135


		For the Three			For the Six
		Months Ended			Months Ended
Segment Reconciliation:		June 30, 2017			June 30, 2017
		(Amounts in Thousands)
Total segment operating income	$	17,768		$	34,135
Items not allocated at segment level:
Other general and administrative expenses		10,333			20,288
Gain on sale of assets		—			(2,065	)
Depreciation and amortization		1,514			3,030
Interest income		(13	)		(20	)
Interest expense		2,108			2,759
Other income		(44	)		(101	)
Income before income taxes	$	3,870		$	10,244

Significant Payors (Tables)

6 Months Ended

Jun. 30, 2018

Significant Payors [Abstract]

Revenue Mix by Payor Type


	Personal Care
	For the Three Months Ended June 30,								For the Six Months Ended June 30,
	2018				2017				2018				2017
			% of				% of				% of				% of
			Segment				Segment				Segment				Segment
		Amount	Net Service			Amount	Net Service			Amount	Net Service			Amount	Net Service
		(in Thousands)	Revenues			(in Thousands)	Revenues			(in Thousands)	Revenues			(in Thousands)	Revenues
State, local and other
governmental
programs	$	72,499	57.9	%	$	68,393	66.0	%	$	139,405	59.4	%	$	134,337	65.4	%
Managed care
organizations		43,295	34.6			32,363	31.3			81,538	34.8			65,189	31.8
Private pay		5,571	4.5			2,116	2.0			9,312	4.0			4,270	2.1
Commercial insurance		1,845	1.5			687	0.7			2,402	1.0			1,369	0.7
Other		1,855	1.5			—	—			1,855	0.8			—	—
Total personal care
segment net service
revenues	$	125,065	100.0	%	$	103,559	100.0	%	$	234,512	100.0	%	$	205,165	100.0	%


	Hospice
	For the Three and Six Months Ended June 30,
	2018
		Amount	% of Segment Net
		(in Thousands)	Service Revenues
Medicare	$	4,353	93.7	%
Managed care organizations		295	6.3
Other		1	0.0
Total hospice segment net service revenues	$	4,649	100.0	%

	Home Health
	For the Three and Six Months Ended June 30,
	2018
		Amount	% of Segment Net
		(in Thousands)	Service Revenues
Medicare	$	1,404	92.2	%
Managed care organizations		108	7.1
Other		11	0.7
Total home health segment net service revenues	$	1,523	100.0	%

Percentage of Total Revenue by Geographic Location


	Personal Care
	For the Three Months Ended June 30,									For the Six Months Ended June 30,
	2018				2017				2018				2017
			% of				% of				% of				% of
			Segment				Segment				Segment				Segment
		Amount	Net Service			Amount	Net Service			Amount	Net Service			Amount	Net Service
		(in Thousands)	Revenues			(in Thousands)	Revenues			(in Thousands)	Revenues			(in Thousands)	Revenues
Illinois	$	58,314	46.7	%	$	54,562	52.7	%	$	115,594	49.3	%	$	108,557	52.9	%
New York		15,800	12.6			14,391	13.9			31,185	13.3			28,658	14.0
New Mexico		14,794	11.8			7,264	7.0			26,581	11.3			14,208	6.9
All other
states		36,157	28.9			27,342	26.4			61,152	26.1			53,742	26.2
Total personal
care
segment net
service
revenues	$	125,065	100.0	%	$	103,559	100.0	%	$	234,512	100.0	%	$	205,165	100.0	%


	Hospice
	For the Three and Six Months Ended June 30,
	2018
		Amount	% of Segment Net
		(in Thousands)	Service Revenues
New Mexico	$	4,649	100.0	%
Total hospice segment net service revenues	$	4,649	100.0	%

	Home Health
	For the Three and Six Months Ended June 30,
	2018
		Amount	% of Segment Net
		(in Thousands)	Service Revenues
New Mexico	$	1,523	100.0	%
Total home health segment net service revenues	$	1,523	100.0	%

Nature of Operations, Consolidation, and Presentation of Financial Statements (Narrative) (Details) - segment		6 Months Ended
	Oct. 01, 2017	Jun. 30, 2018
Number of operating segments		3
LHC Group, Inc. [Member]
Equity ownership percentage sold in joint venture	10.00%

Summary of Significant Accounting Policies (Narrative) (Details) shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2018 USD ($) shares	Jun. 30, 2017 USD ($) shares	Jun. 30, 2018 USD ($) item shares	Jun. 30, 2017 USD ($) shares	Dec. 31, 2017 USD ($)
Summary Of Significant Accounting Policies [Line Items]
Revenues	$ 131,237	$ 103,559	$ 240,684	$ 205,165
Goodwill impairment charge	0	0	0	0	$ 0
Impairment of finite-lived intangible assets	0	0	0	0
Deductible component of workers' compensation			400
Accrued workers' compensation insurance	14,245		14,245		12,574
Workers' compensation insurance recovery receivable	419		419		$ 1,332
Interest income received	0	0	$ 2,300	0
Number of stock incentive plans \| item			1
Stock based compensation expense	1,000	$ 700	$ 1,900	$ 1,100
Accounting Standards Update 2014-09 [Member]
Summary Of Significant Accounting Policies [Line Items]
Revenues	$ 2,300		$ 4,300
Stock Options [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of stock options included in calculation \| shares	707	461	707	461
Number of dilutive shares outstanding \| shares	230	105	172	101
Restricted Stock [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of dilutive shares outstanding \| shares	75	47	77	51
Shares of restricted stock awards included in calculation \| shares			146	139
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, 2018
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

Gain on Sale of Assets (Details) $ in Thousands			6 Months Ended
Gain on Sale of Assets (Details) $ in Thousands	Oct. 01, 2017 USD ($) entity	Mar. 01, 2017 USD ($) item	Jun. 30, 2017 USD ($)
Gain on sale of adult day services centers			$ 2,065
Illinois [Member]
Number of adult day centers sold \| item		3
Proceeds from sale of adult day service centers		$ 2,400
Gain on sale of adult day services centers		$ 2,100
LHC Group, Inc. [Member]
Equity ownership percentage sold in joint venture with LHCG	10.00%
Number of joint ventures where 10% membership interest is sold \| entity	2
Proceeds from the sale of investments in joint ventures	$ 1,300
Pre-tax gain from sale of the investments in joint ventures	$ 400

Acquisitions (Narrative) (Details) $ in Thousands						3 Months Ended		6 Months Ended
Acquisitions (Narrative) (Details) $ in Thousands	May 01, 2018 USD ($)	Apr. 01, 2018 USD ($)	Jan. 01, 2018 USD ($)	Oct. 01, 2017 USD ($)	Aug. 01, 2017 USD ($) item	Jun. 30, 2018 USD ($)	Jun. 30, 2017 USD ($)	Jun. 30, 2018 USD ($)	Jun. 30, 2017 USD ($)
Business Acquisition [Line Items]
Net service revenues						$ 131,237	$ 103,559	$ 240,684	$ 205,165
Ambercare Corporation [Member]
Business Acquisition [Line Items]
Net service revenues						9,200		9,200
Net income from continuing operations						1,800		1,800
Ambercare Corporation [Member] \| New Mexico [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition	$ 39,600
Purchase price credit estimated excess cash held at closing	12,000
Acquisition related costs	$ 600
Arcadia Home Care And Staffing [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition		$ 18,900
Acquisition related costs		$ 600
Net service revenues						10,800		10,800
Net income from continuing operations						1,600		1,600
Lifestyle Options, Inc. [Member] \| Illinois [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition			$ 4,100
Acquisitions of business cash consideration			3,300
Business acquisition, contingent earn-out obligation			800
Acquisition related costs			$ 48
Net service revenues						1,500		3,000
Net income from continuing operations						100		300
Sun Cities Homecare [Member] \| Arizona [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition				$ 2,300
Acquisition related costs				$ 200
Net service revenues						600		1,100
Net income from continuing operations						35		59
Options Home Care [Member] \| New Mexico [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition					$ 22,600
Acquisition related costs					$ 800
Net service revenues						4,400		8,900
Net income from continuing operations						$ 800		$ 1,600
Options Home Care [Member] \| Minimum [Member] \| New Mexico [Member]
Business Acquisition [Line Items]
Number of counties under personal care services \| item					20

Acquisitions (Schedule of Purchase Price Allocation) (Details) - USD ($) $ in Thousands	Jun. 30, 2018	May 01, 2018	Apr. 01, 2018	Jan. 01, 2018	Dec. 31, 2017	Oct. 01, 2017	Aug. 01, 2017
Business Acquisition [Line Items]
Goodwill	$ 133,082				$ 90,339
Ambercare Corporation [Member]
Business Acquisition [Line Items]
Goodwill		$ 27,818
Identifiable intangible assets		10,413
Accounts receivable		6,671
Cash		12,008
Other assets		679
Property and equipment		197
Accrued liabilities		(3,766)
Deferred tax liability		(2,302)
Capital lease		(93)
Accounts payable		(3)
Total purchase price allocation		$ 51,622
Arcadia Home Care And Staffing [Member]
Business Acquisition [Line Items]
Goodwill			$ 12,174
Identifiable intangible assets			2,947
Accounts receivable			5,318
Other assets			115
Property and equipment			155
Accrued liabilities			(1,540)
Accounts payable			(257)
Total purchase price allocation			$ 18,912
Lifestyle Options, Inc. [Member]
Business Acquisition [Line Items]
Goodwill				$ 2,751
Identifiable intangible assets				1,152
Accounts receivable				573
Other assets				32
Property and equipment				18
Accrued liabilities				(291)
Accounts payable				(105)
Total purchase price allocation				$ 4,130
Sun Cities Homecare [Member]
Business Acquisition [Line Items]
Goodwill						$ 1,103
Identifiable intangible assets						682
Accounts receivable						240
Cash						321
Other assets						10
Accrued liabilities						(86)
Accounts payable						(14)
Total purchase price allocation						$ 2,256
Options Home Care [Member]
Business Acquisition [Line Items]
Goodwill							$ 16,754
Identifiable intangible assets							5,324
Accounts receivable							995
Cash							205
Other assets							41
Accrued liabilities							(695)
Total purchase price allocation							$ 22,624

Acquisitions (Unaudited Pro Forma Condensed Consolidated Income Statement Information) (Details) - Ambercare, Arcadia, LifeStyle, Sun Cities And Options Home Care [Member] - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017
Business Acquisition [Line Items]
Net service revenues	$ 135,556	$ 133,969	$ 272,891	$ 263,508
Operating income	9,169	7,730	21,075	16,918
Net income	$ 4,989	$ 1,835	$ 13,083	$ 5,801
Basic income per share	$ 0.43	$ 0.16	$ 1.14	$ 0.51
Diluted income per share	$ 0.42	$ 0.16	$ 1.11	$ 0.50

Goodwill and Intangible Assets (Narrative) (Details) - USD ($) $ in Millions	3 Months Ended		6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017
Goodwill [Line Items]
Amortization expense	$ 1.8	$ 1.0	$ 3.0	$ 2.1
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 and Related Adjustments) (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2018 USD ($)
Goodwill [Line Items]
Goodwill, at Beginning of Period	$ 90,339
Additions for acquisitions	42,743
Goodwill, at End of Period	133,082
Personal Care [Member]
Goodwill [Line Items]
Goodwill, at Beginning of Period	90,339
Additions for acquisitions	21,428
Goodwill, at End of Period	111,767
Hospice [Member]
Goodwill [Line Items]
Additions for acquisitions	18,861
Goodwill, at End of Period	18,861
Home Health [Member]
Goodwill [Line Items]
Additions for acquisitions	2,454
Goodwill, at End of Period	$ 2,454

Goodwill and Intangible Assets (Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset) (Details) - USD ($) $ in Thousands	Jun. 30, 2018	Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]
Gross balance	$ 55,813	$ 55,813
Additions for acquisitions	14,512
Accumulated amortization	(42,235)	(39,217)
Net Balance	28,090	16,596
Customer And Referral Relationships [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	39,017	39,017
Additions for acquisitions	5,209
Accumulated amortization	(30,944)	(29,147)
Net Balance	13,282	9,870
Trade Names And Trademarks [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	14,641	14,641
Additions for acquisitions	6,927
Accumulated amortization	(9,323)	(8,198)
Net Balance	12,245	6,443
State Licenses [Member]
Finite-Lived Intangible Assets [Line Items]
Additions for acquisitions	2,376
Accumulated amortization	(41)
Net Balance	2,335
Non-competition Agreements [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance	2,155	2,155
Accumulated amortization	(1,927)	(1,872)
Net Balance	$ 228	$ 283

Details of Certain Balance Sheet Accounts (Schedule of Prepaid Expenses and Other Current Assets) (Details) - USD ($) $ in Thousands	Jun. 30, 2018	Dec. 31, 2017
Details of Certain Balance Sheet Accounts [Abstract]
Prepaid health insurance	$ 1,627	$ 2,901
Workers' compensation insurance receivable	1,312	543
Prepaid rent	1,088	555
Prepaid workers' compensation and liability insurance	419	1,332
Other	1,472	3,048
Prepaid expenses and other current assets	$ 5,918	$ 8,379

Details of Certain Balance Sheet Accounts (Schedule of Accrued Expenses) (Details)
$ in Thousands

3 Months Ended

6 Months Ended

Sep. 30, 2016

item

Jun. 30, 2018

USD ($)

Dec. 31, 2017

USD ($)

Accrued payroll

$ 21,859

$ 19,783

Accrued workers' compensation insurance

14,245

12,574

Accrued health insurance

^[1]

3,661

6,471

Accrued professional fees

1,491

1,312

Accrued payroll taxes

1,162

1,065

Accrued restructuring

^[2]

1,033

1,077

Accrued severance

625

562

Other

1,825

1,510

Accrued expenses

45,901

44,354

Health insurance reimbursement and contribution due

$ 1,800

$ 2,300

Illinois [Member]

Contributions due after fund received, period

5 days

Number of adult day centers closed | item

[1]

[2]

Accrued restructuring includes reserves for lease commitments related to the closure of three adult day services centers in Illinois during the third quarter of 2016.

Long-Term Debt (Narrative) (Details) $ in Thousands		3 Months Ended	6 Months Ended
Long-Term Debt (Narrative) (Details) $ in Thousands	May 08, 2017 USD ($)	Jun. 30, 2018 USD ($)	Jun. 30, 2018 USD ($) agreement	Jun. 30, 2017 USD ($)	May 01, 2018	Dec. 31, 2017 USD ($)	May 07, 2017 USD ($)	Oct. 01, 2016 USD ($)	Apr. 13, 2015 USD ($)	Sep. 11, 2014 USD ($)	Jul. 12, 2014 USD ($)
Debt Instrument [Line Items]
Proceeds from line of credit				$ 20,000
Ford Motor Credit Company LLC [Member]
Debt Instrument [Line Items]
Capital lease agreements term			48 months
Debt instrument stated interest rate					6.88%
First American Commercial Bancorp [Member]
Debt Instrument [Line Items]
Number of capital lease agreements \| agreement			3
Capital lease agreements term			48 months
Capital lease agreements amount									$ 400	$ 1,400	$ 2,700
Meridian Leasing Corporation [Member]
Debt Instrument [Line Items]
Capital lease agreements term			25 months
Capital lease agreements amount								$ 600
Debt instrument stated interest rate								11.10%
Minimum [Member] \| First American Commercial Bancorp [Member]
Debt Instrument [Line Items]
Debt instrument stated interest rate		3.00%	3.00%
Maximum [Member] \| First American Commercial Bancorp [Member]
Debt Instrument [Line Items]
Debt instrument stated interest rate		3.60%	3.60%
Senior Secured Credit Facility [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	$ 250,000
Credit facility maturity period			5 years
Debt issuance costs	2,900
Senior Secured Credit Facility [Member] \| Revolving Credit Loan [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	125,000	$ 90,400	$ 90,400			$ 105,100
Senior Secured Credit Facility [Member] \| Term Loan [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument stated interest rate		4.48%	4.48%			3.86%
Maximum aggregate loan amount available	45,000
Line of credit outstanding amount		$ 103,700	$ 103,700			$ 44,400
Proceeds from line of credit		$ 60,400
Senior Secured Credit Facility [Member] \| Delayed Draw Term Loan [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	80,000
Senior Secured Credit Facility [Member] \| Uncommitted Incremental Term Loan [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	$ 100,000
Senior Secured Credit Facility [Member] \| Minimum [Member] \| Revolving Credit Loan [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Fee charged on unused portion of revolving credit facility			0.25%
Senior Secured Credit Facility [Member] \| Maximum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Maximum ratio used to determine availability of additional draws	4.25%
Senior Secured Credit Facility [Member] \| Maximum [Member] \| Revolving Credit Loan [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Fee charged on unused portion of revolving credit facility			0.50%
Senior Secured Credit Facility [Member] \| One Month LIBOR [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin			1.00%
Senior Secured Credit Facility [Member] \| One Month LIBOR [Member] \| Minimum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin			0.00%
Senior Secured Credit Facility [Member] \| Federal Funds Rate [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin			0.50%
Terminated Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	$ 125,000
Debt instrument, maturity date			Nov. 10, 2020
Terminated Senior Secured Credit Facility [Member] \| Revolving Credit Loan [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available							$ 100,000
Terminated Senior Secured Credit Facility [Member] \| Delayed Draw Term Loan [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available							25,000
Terminated Senior Secured Credit Facility [Member] \| Uncommitted Incremental Term Loan [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available							50,000
Terminated Senior Secured Credit Facility [Member] \| Letters of Credit [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available							$ 35,000
Restriction on Dividends [Member] \| Senior Secured Credit Facility [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Aggregate amount of dividends and distributions			$ 5,000
Restriction on Ability to Consummate Acquisitions [Member] \| Senior Secured Credit Facility [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Maximum single acquisition price			60,000
Maximum total purchase price allowed			$ 80,000
Based On Applicable Senior Leverage Ratio [Member] \| Senior Secured Credit Facility [Member] \| Minimum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin			1.50%
Based On Applicable Senior Leverage Ratio [Member] \| Senior Secured Credit Facility [Member] \| Maximum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin			2.25%
Based On Applicable Leverage Ratio [Member] \| Senior Secured Credit Facility [Member] \| Minimum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin			2.50%
Based On Applicable Leverage Ratio [Member] \| Senior Secured Credit Facility [Member] \| Maximum [Member] \| Capital One, N.A. [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin			3.25%

Long-Term Debt (Schedule of Long-Term Debt) (Details) - USD ($) $ in Thousands	Jun. 30, 2018	Dec. 31, 2017
Debt Instrument [Line Items]
Less unamortized issuance costs	$ (2,234)	$ (2,481)
Total	101,852	42,959
Less current maturities	(2,494)	(3,099)
Long-term debt	99,358	39,860
Term Loan [Member] \| Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Long-term debt gross	103,732	44,438
Capital Leases [Member]
Debt Instrument [Line Items]
Long-term debt gross	$ 354	$ 1,002

Long-Term Debt (Schedule of Leased Property Under Capital Leases) (Details) $ in Thousands	Jun. 30, 2018 USD ($)
Capital Leased Assets [Line Items]
Leased property under capital leases	$ 3,397
Less: accumulated depreciation	(1,601)
Net Leased Property Under Capital Leases	1,796
Leasehold Improvements [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	1,484
Furniture and Equipment [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	868
Computer Equipment [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	635
Computer Software [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	303
Transportation Equipment [Member]
Capital Leased Assets [Line Items]
Leased property under capital leases	$ 107

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

Jun. 30, 2018

USD ($)

Long-Term Debt [Abstract]

2018

$ 278

2019

2020

Total minimum lease payments

375

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

(11)

Net minimum lease payments

364

Less: amount representing interest

(10)

^[1]

Present value of net minimum lease payments

354

^[2]

Current obligations under capital leases

293

Noncurrent obligations under capital leases

$ 61

[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 $293,000 of the current portion of long-term debt and $61,000 of the long-term debt, less current portion.

Income Taxes (Narrative) (Details) - USD ($) $ in Millions	3 Months Ended		6 Months Ended
Income Taxes (Narrative) (Details) - USD ($) $ in Millions	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017
Income Taxes [Abstract]
Statutory federal tax rate	21.00%	35.00%	21.00%	35.00%
Effective income tax rate	22.50%	30.20%	20.50%	32.10%
Increase in provisional valuation allowance related to Tax Cuts and Jobs Act	$ 0.1		$ 0.2

Income Taxes (Reconciliation of Statutory Federal Tax Rate) (Details)	3 Months Ended		6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017
Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]
Federal income tax at statutory rate	21.00%	35.00%	21.00%	35.00%
State and local taxes, net of federal benefit	7.10%	5.20%	7.00%	5.20%
Jobs tax credits, net	(6.90%)	(8.10%)	(9.00%)	(7.40%)
Nondeductible permanent items	1.60%	0.50%	1.30%	0.50%
Other	(0.30%)	(2.40%)	0.20%	(1.20%)
Effective income tax rate	22.50%	30.20%	20.50%	32.10%

Commitments and Contingencies (Narrative) (Details)	6 Months Ended
Commitments and Contingencies (Narrative) (Details)	Jun. 30, 2018
Commitments and Contingencies [Abstract]
Maximum term of employment agreements	4 years

Severance and Restructuring (Narrative) (Details) $ in Thousands	3 Months Ended			6 Months Ended
	Jun. 30, 2018 USD ($)	Jun. 30, 2017 USD ($)	Sep. 30, 2016 item	Jun. 30, 2018 USD ($)	Jun. 30, 2017 USD ($)
Total expenses related to streamlining initiatives \| $	$ 600	$ 50		$ 1,100	$ 900
Illinois [Member]
Number of adult day centers closed \| item			3

Severance and Restructuring (Components of and Changes in Severance and Restructuring Accruals) (Details) $ in Thousands	6 Months Ended
	Jun. 30, 2018 USD ($)
Employee Termination Costs [Member]
Restructuring Cost and Reserve [Line Items]
Balance at beginning of period	$ 562
Provision	579
Utilization	(516)
Balance at end of period	625
Restructuring and Other [Member]
Restructuring Cost and Reserve [Line Items]
Balance at beginning of period	1,077
Provision	492
Utilization	(536)
Balance at end of period	$ 1,033

Segment Information (Narrative) (Details)	6 Months Ended
Segment Information (Narrative) (Details)	Jun. 30, 2018 segment
Segment Information [Abstract]
Number of reportable business segments	3

Segment Information (Summary Of Segment Information) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017
Segment Reporting Information [Line Items]
Net service revenues	$ 131,237	$ 103,559	$ 240,684	$ 205,165
Cost of service revenues	95,515	75,048	177,059	149,337
Gross Profit	35,722	28,511	63,625	55,828
Provision for doubtful accounts	87	2,070	165	4,102
General and administrative expenses	26,408	19,006	47,866	37,879
Operating income	6,892	5,921	11,453	12,882
Other general and administrative expenses	14,989	10,333	28,045	20,288
Gain on sale of assets				(2,065)
Depreciation and amortization	2,335	1,514	4,141	3,030
Interest income	(32)	(13)	(2,355)	(20)
Interest Expense	1,382	2,108	2,293	2,759
Other income		(44)		(101)
Income before income taxes	5,542	3,870	11,515	10,244
Operating Segments [Member]
Segment Reporting Information [Line Items]
General and administrative expenses	11,419	8,673	19,821	17,591
Operating income	24,216	17,768	43,639	34,135
Personal Care [Member]
Segment Reporting Information [Line Items]
Net service revenues	125,065	103,559	234,512	205,165
Cost of service revenues	91,843	75,048	173,387	149,337
Gross Profit	33,222	28,511	61,125	55,828
Provision for doubtful accounts	84	2,070	162	4,102
Personal Care [Member] \| Operating Segments [Member]
Segment Reporting Information [Line Items]
General and administrative expenses	10,225	8,673	18,627	17,591
Operating income	22,913	$ 17,768	42,336	$ 34,135
Hospice [Member]
Segment Reporting Information [Line Items]
Net service revenues	4,649		4,649
Cost of service revenues	2,574		2,574
Gross Profit	2,075		2,075
Provision for doubtful accounts	2		2
Hospice [Member] \| Operating Segments [Member]
Segment Reporting Information [Line Items]
General and administrative expenses	852		852
Operating income	1,221		1,221
Home Health [Member]
Segment Reporting Information [Line Items]
Net service revenues	1,523		1,523
Cost of service revenues	1,098		1,098
Gross Profit	425		425
Provision for doubtful accounts	1		1
Home Health [Member] \| Operating Segments [Member]
Segment Reporting Information [Line Items]
General and administrative expenses	342		342
Operating income	$ 82		$ 82

Significant Payors (Narrative) (Details) - Illinois Department On Aging [Member]	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017	Dec. 31, 2017
Revenues [Member]
Concentration Risk [Line Items]
Concentration risk, percentage	30.40%	36.70%	33.10%	36.60%
Accounts Receivable [Member]
Concentration Risk [Line Items]
Concentration risk, percentage			24.00%		37.50%

Significant Payors (Revenue Mix by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017
Net service revenues	$ 131,237	$ 103,559	$ 240,684	$ 205,165
Personal Care [Member]
Net service revenues	125,065	103,559	234,512	205,165
Personal Care [Member] \| Revenues [Member] \| Customer Concentration Risk [Member]
Net service revenues	$ 125,065	$ 103,559	$ 234,512	$ 205,165
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Personal Care [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| State, Local And Other Governmental Programs [Member]
Net service revenues	$ 72,499	$ 68,393	$ 139,405	$ 134,337
Concentration risk, percentage	57.90%	66.00%	59.40%	65.40%
Personal Care [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Managed Care Organizations [Member]
Net service revenues	$ 43,295	$ 32,363	$ 81,538	$ 65,189
Concentration risk, percentage	34.60%	31.30%	34.80%	31.80%
Personal Care [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Private Pay [Member]
Net service revenues	$ 5,571	$ 2,116	$ 9,312	$ 4,270
Concentration risk, percentage	4.50%	2.00%	4.00%	2.10%
Personal Care [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Commercial Insurance [Member]
Net service revenues	$ 1,845	$ 687	$ 2,402	$ 1,369
Concentration risk, percentage	1.50%	0.70%	1.00%	0.70%
Personal Care [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Other [Member]
Net service revenues	$ 1,855		$ 1,855
Concentration risk, percentage	1.50%		0.80%
Hospice [Member]
Net service revenues	$ 4,649		$ 4,649
Hospice [Member] \| Revenues [Member] \| Customer Concentration Risk [Member]
Net service revenues	$ 4,649		$ 4,649
Concentration risk, percentage	100.00%		100.00%
Hospice [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Medicare [Member]
Net service revenues	$ 4,353		$ 4,353
Concentration risk, percentage	93.70%		93.70%
Hospice [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Managed Care Organizations [Member]
Net service revenues	$ 295		$ 295
Concentration risk, percentage	6.30%		6.30%
Hospice [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Other [Member]
Net service revenues	$ 1		$ 1
Concentration risk, percentage	0.00%		0.00%
Home Health [Member]
Net service revenues	$ 1,523		$ 1,523
Home Health [Member] \| Revenues [Member] \| Customer Concentration Risk [Member]
Net service revenues	$ 1,523		$ 1,523
Concentration risk, percentage	100.00%		100.00%
Home Health [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Medicare [Member]
Net service revenues	$ 1,404		$ 1,404
Concentration risk, percentage	92.20%		92.20%
Home Health [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Managed Care Organizations [Member]
Net service revenues	$ 108		$ 108
Concentration risk, percentage	7.10%		7.10%
Home Health [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Other [Member]
Net service revenues	$ 11		$ 11
Concentration risk, percentage	0.70%		0.70%

Significant Payors (Percentage of Total Revenue by Geographic Location) (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017
Net service revenues	$ 131,237	$ 103,559	$ 240,684	$ 205,165
Personal Care [Member]
Net service revenues	125,065	103,559	234,512	205,165
Personal Care [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member]
Net service revenues	$ 125,065	$ 103,559	$ 234,512	$ 205,165
Concentration risk, percentage	100.00%	100.00%	100.00%	100.00%
Personal Care [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member] \| Illinois [Member]
Net service revenues	$ 58,314	$ 54,562	$ 115,594	$ 108,557
Concentration risk, percentage	46.70%	52.70%	49.30%	52.90%
Personal Care [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member] \| New York [Memebr]
Net service revenues	$ 15,800	$ 14,391	$ 31,185	$ 28,658
Concentration risk, percentage	12.60%	13.90%	13.30%	14.00%
Personal Care [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member] \| New Mexico [Member]
Net service revenues	$ 14,794	$ 7,264	$ 26,581	$ 14,208
Concentration risk, percentage	11.80%	7.00%	11.30%	6.90%
Personal Care [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member] \| All Other States [Member]
Net service revenues	$ 36,157	$ 27,342	$ 61,152	$ 53,742
Concentration risk, percentage	28.90%	26.40%	26.10%	26.20%
Hospice [Member]
Net service revenues	$ 4,649		$ 4,649
Hospice [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member]
Net service revenues	$ 4,649		$ 4,649
Concentration risk, percentage	100.00%		100.00%
Hospice [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member] \| New Mexico [Member]
Net service revenues	$ 4,649		$ 4,649
Concentration risk, percentage	100.00%		100.00%
Home Health [Member]
Net service revenues	$ 1,523		$ 1,523
Home Health [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member]
Net service revenues	$ 1,523		$ 1,523
Concentration risk, percentage	100.00%		100.00%
Home Health [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member] \| New Mexico [Member]
Net service revenues	$ 1,523		$ 1,523
Concentration risk, percentage	100.00%		100.00%