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Document And Entity Information - shares	9 Months Ended
Document And Entity Information - shares	Sep. 30, 2018	Oct. 31, 2018
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Sep. 30, 2018
Document Fiscal Period Focus	Q3
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 Small Business	false
Entity Emerging Growth Company	false
Entity Common Stock, Shares Outstanding		13,098,355

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Current assets
Cash	$ 147,477	$ 53,754
Accounts receivable, net	106,653	88,952
Prepaid expenses and other current assets	6,935	8,379
Total current assets	261,065	151,085
Property and equipment, net of accumulated depreciation and amortization	9,453	7,489
Other assets
Goodwill	134,063	90,339
Intangibles, net of accumulated amortization	26,197	16,596
Deferred tax assets, net		1,601
Total other assets	160,260	108,536
Total assets	430,778	267,110
Current liabilities
Accounts payable	6,737	4,271
Current portion of long-term debt, net of debt issuance costs	2,318	3,099
Contingent earn-out obligation	847
Accrued expenses	52,436	44,354
Total current liabilities	62,338	51,724
Long-term liabilities
Long-term debt, less current portion, net of debt issuance costs	98,891	39,860
Deferred tax liabilities, net	1,098
Other long-term liabilities	641	446
Total long-term liabilities	100,630	40,306
Total liabilities	162,968	92,030
Stockholders' equity
Common stock-$.001 par value; 40,000 authorized and 13,097 and 11,632 shares issued and outstanding as of September 30, 2018 and December 31, 2017, respectively	13	12
Additional paid-in capital	175,991	95,963
Retained earnings	91,806	79,105
Total stockholders' equity	267,810	175,080
Total liabilities and stockholders' equity	$ 430,778	$ 267,110

Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares	Sep. 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	13,097,000	11,632,000
Common stock, shares outstanding	13,097,000	11,632,000

Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Condensed Consolidated Statements of Income [Abstract]
Net service revenues	$ 137,631	$ 108,592	$ 378,315	$ 313,758
Cost of service revenues	100,926	79,539	277,985	228,877
Gross profit	36,705	29,053	100,330	84,881
General and administrative expenses	28,218	19,359	76,084	57,239
Gain on sale of assets				(2,065)
Provision for doubtful accounts	49	2,106	214	6,208
Depreciation and amortization	2,535	1,781	6,676	4,811
Total operating expenses	30,802	23,246	82,974	66,193
Operating income	5,903	5,807	17,356	18,688
Interest income	(113)	(30)	(2,468)	(50)
Interest expense	1,543	870	3,836	3,629
Total interest expense, net	1,430	840	1,368	3,579
Other income		64		165
Income before income taxes	4,473	5,031	15,988	15,274
Income tax expense	927	1,623	3,287	4,908
Net income	$ 3,546	$ 3,408	$ 12,701	$ 10,366
Net income per common share
Basic income per share	$ 0.29	$ 0.30	$ 1.08	$ 0.90
Diluted income per share	$ 0.28	$ 0.29	$ 1.06	$ 0.89
Weighted average number of common shares and potential common shares outstanding:
Basic	12,179	11,486	11,740	11,464
Diluted	12,569	11,631	12,037	11,616

Condensed Consolidated Statement of Stockholders' Equity - 9 months ended Sep. 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	74
Forfeiture of shares of common stock under restricted stock award agreements, shares	(16)
Stock-based compensation		2,961		2,961
Shares issued for exercise of stock options		450		450
Shares issued for exercise of stock options, shares	17
Shares issued in secondary offering, net of offering costs	$ 1	76,617		76,618
Shares issued in secondary offering, net of offering costs, shares	1,390
Net income			12,701	12,701
Balance at Sep. 30, 2018	$ 13	$ 175,991	$ 91,806	$ 267,810
Balance, shares at Sep. 30, 2018	13,097

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Cash flows from operating activities:
Net income	$ 12,701	$ 10,366
Adjustments to reconcile net income to net cash provided by operating activities, net of acquisitions:
Depreciation and amortization	6,676	4,811
Deferred income taxes	397
Non-cash restructuring		383
Stock-based compensation	2,961	1,818
Amortization of debt issuance costs under the terminated credit facility		1,484
Amortization of debt issuance costs under the credit facility	450	235
Provision for doubtful accounts	214	6,208
Gain on sale of assets		(2,065)
Changes in operating assets and liabilities, net of acquisitions:
Accounts receivable	(5,284)	15,451
Prepaid expenses and other current assets	2,007	(281)
Accounts payable	1,844	418
Accrued expenses and other long-term liabilities	2,713	3,750
Net cash provided by operating activities	24,679	42,578
Cash flows from investing activities:
Proceeds from the sale of assets		2,400
Acquisitions of businesses, net of cash acquired	(62,347)	(22,419)
Purchases of property and equipment	(3,384)	(3,089)
Net cash used in investing activities	(65,731)	(23,108)
Cash flows from financing activities:
Borrowings on revolver - credit facility		30,000
Proceeds from issuance of common stock, net of offering costs	76,618
Borrowings on revolver - terminated credit facility		20,000
Borrowings on term loan - credit facility	60,420	45,000
Payments on revolver-terminated credit facility		(20,000)
Payments on revolver-credit facility		(30,000)
Payments on term loan- credit facility	(1,688)
Payments on term loan - terminated credit facility		(24,063)
Payments for debt issuance costs under the credit facility	(73)	(2,823)
Payments on capital lease obligations	(952)	(1,067)
Cash received from exercise of stock options	450	1,158
Net cash provided by financing activities	134,775	18,205
Net change in cash	93,723	37,675
Cash, at beginning of period	53,754	8,013
Cash, at end of period	147,477	45,688
Supplemental disclosures of cash flow information:
Cash paid for interest	3,202	1,538
Cash paid for income taxes	4,234	$ 5,357
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	9 Months Ended
	Sep. 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 or disabled. The Company's hospice segment provides physical, emotional and spiritual care for people who are terminally ill as well as for 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 Adopted Accounting Pronouncements In May 2014, the Financial Accounting Standards Board ("FASB") issued Accounting Standard Update ("ASU") 2014-09, Revenue from Contracts with Customers, 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. ASU 2014-09 replaced most existing revenue recognition guidance in GAAP. The Company adopted the new standard on January 1, 2018, and elected to adopt using the modified retrospective method. See Note 2 for additional information regarding the adoption. 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. *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. In July 2018, the FASB issued ASU 2018-11, Leases (Topic 842) Targeted Improvements, which amends ASU 2016-02 to provide an additional transition method option. Under the new transition method, an entity initially applies the new lease standard at the adoption date, versus at the beginning of the earliest period presented, and recognizes a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. 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. The Company has secured new software to account for the change in accounting for leases and is currently assessing the impact of adopting this standard. 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. Early adoption is permitted. The Company is currently assessing the impact of adopting this standard. In August 2018, the FASB issued ASU 2018-15, Intangibles-Goodwill and Other-Internal-Use Software (Subtopic 350-40): Customer's Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That is a Service Contract. ASU 2018-15 requires customers in a hosting arrangement that is a service contract to follow the internal-use software guidance in Accounting Standards Codification ("ASC") 350-40 to determine which implementation costs to capitalize as assets or expense as incurred. The ASU is effective for annual periods, including interim periods within those annual periods, beginning after December 15, 2019. Early adoption is permitted. The Company is currently assessing the impact of adopting this standard.

Summary of Significant Accounting Policies

9 Months Ended

Sep. 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 ASU 2014-09, Revenue from Contracts with Customers, 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

The majority of the Company's net service revenues are generated from providing personal care 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.

Hospice Revenue

The Company generates net service revenues from providing hospice services to consumers who are terminally ill as well as for their families. Net service revenues are recognized as services are provided and costs for delivery of such services are incurred. The estimated payment rates are daily rates for each of the levels of care the Company delivers. Hospice companies are subject to two specific payment limit caps under the Medicare program each federal fiscal year: the inpatient cap and the aggregate cap. The inpatient cap limits the number of inpatient care days provided to no more than 20% of the total days of hospice care provided for the year. The aggregate cap limits the amount of Medicare reimbursement a hospice may receive, based on the number of Medicare patients served. For federal fiscal year 2018, which ended September 30, 2018, the Company was below the payment limits and did not record a cap liability.

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 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 services 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 ASU 2014-09, Revenue from Contracts with Customers. The Company recorded $2.4 million and $6.8 million for the three and nine months ended September 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 nine months ended September 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. No impairment charge was recorded for the three and nine months ended September 30, 2018 and 2017.

The Company uses various valuation techniques to determine fair value of its intangible assets, including relief-from-royalty, income approach, discounted cash flow analysis, and multi-period excess earnings, which use significant unobservable inputs, or Level 3 inputs, as defined by the fair value hierarchy. Under these valuation approaches, we are required to make estimates and assumptions about 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 September 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 Company's Unaudited Condensed Consolidated Statements of Income. As of September 30, 2018 and December 31, 2017, the Company recorded $14.8 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 September 30, 2018 and December 31, 2017, the Company recorded $1.4 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 interest income was recognized when the State of Illinois approved a prompt payment interest penalty during the nine months ended September 30, 2018, removing the constraint related to the amount and intent to pay the prompt payment interest. For the three months ended September 30, 2018, the Company did not receive any prompt payment interest. For the nine months ended September 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 nine months ended September 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 $1.1 million and $0.7 million for the three months ended September 30, 2018 and 2017, respectively and $3.0 million and $1.8 million for the nine months ended September 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 nine months ended September 30, 2018 were approximately 708,000 stock options outstanding, of which approximately 307,000 and 213,000 respectively, were dilutive. In addition, there were approximately 148,000 restricted stock awards outstanding 83,000 and 83,000 of which were dilutive for the three and nine months ended September 30, 2018, respectively.

Included in the Company's calculation of diluted earnings per share for the three and nine months ended September 30, 2017 were approximately 479,000 stock options outstanding, of which approximately 102,000 and 102,000 respectively, were dilutive. In addition, there were approximately 148,000 restricted stock awards outstanding 43,000 and 50,000 of which were dilutive for the three and nine months ended September 30, 2017, respectively.

Shareholders' Equity

On August 20, 2018, the Company, together with Eos Capital Partners III, L.P. (the "Selling Stockholder") completed a secondary public offering of an aggregate 2,100,000 shares of common stock, par value $0.001 per share at a purchase price per share to the public of $59.00. Pursuant to the terms and conditions of the Underwriting Agreement, 1,075,267 shares of Common Stock were issued and sold by the Company (the "Primary Shares") and 1,024,733 shares of Common Stock were sold by the Selling Stockholder (the "Secondary Shares"). The Company received net proceeds of approximately $59.1 million from the sale of 1,075,267 Primary Shares. On August 22, 2018, the underwriters exercised their full over-allotment option in connection with the offering and, as a result, the Company issued and sold an additional 315,000 shares of common stock to the underwriters at the Public Offering Price, less the underwriting discount. The over-allotment resulted in additional net proceeds to the Company of approximately $17.5 million. The Company intends to use the net proceeds from the offering for general corporate purposes, including to potentially fund a portion of any future acquisitions that the Company may complete. The Company did not receive any of the proceeds from the sale of the Secondary Shares. The secondary offering resulted in an increase to additional paid in capital of approximately $76.6 million, net of issuance costs of $5.4 million, on the Company's Unaudited Condensed Consolidated Balance Sheets at September 30, 2018.

Estimates

The financial statements are prepared by management in conformity with GAAP and include estimated amounts and certain disclosures based on assumptions about future events. 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.

Going Concern

In connection with the preparation of the financial statements for the three and nine months ended September 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	9 Months Ended
Gain on Sale of Assets	Sep. 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 September 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 interests.

Acquisitions

9 Months Ended

Sep. 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 $0.8 million and $1.4 million, for the three and nine months ending September 30, 2018, respectively, 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	$	28,082
Cash		12,008
Identifiable intangible assets		10,413
Accounts receivable		6,638
Other assets		440
Property and equipment		171
Accrued liabilities		(3,732	)
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.

The Company acquired the outstanding stock of Ambercare. 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 preliminary 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 non-deductible for tax purposes.

The Ambercare acquisition accounted for $13.4 million and $22.6 million of net service revenues and $2.0 million and $3.8 million of net income prior to corporate allocation for the three and nine months ended September 30, 2018, respectively.

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 $0.8 million and $1.4 million for the three and nine months ending September 30, 2018, respectively, 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	$	12,389
Accounts receivable		5,317
Identifiable intangible assets		2,947
Property and equipment		155
Other assets		92
Accrued liabilities		(1,540	)
Accounts payable		(508	)
Total purchase price allocation	$	18,852

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 preliminary 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 Arcadia acquisition accounted for $10.9 million and $21.7 million of net service revenues and $1.6 million and $3.2 million of net income prior to corporate allocation for the three and nine months ended September 30, 2018, respectively.

In September 2018, the Company acquired certain assets of affiliate branches of Arcadia for $0.6 million using cash on hand, the Company recorded goodwill of $0.6 million on the Company's Unaudited Condensed Consolidated Balance Sheets. Goodwill generated from the acquisition is primarily attributable to expected synergies with existing Company operations and the goodwill and intangible assets acquired are deductible for tax purposes. Pro forma results of the operations related to the acquisition are not included in the pro forma presentation as they are not material to the Company's Unaudited Condensed Consolidated Statements of Income.

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 preliminary 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. The goodwill and intangible assets acquired are deductible for tax purposes.

The LifeStyle acquisition accounted for $1.5 million and $4.5 million of net service revenues and $0.1 million and $0.4 million of net income prior to corporate allocation for the three and nine months ended September 30, 2018, respectively.

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	$	1,089
Identifiable intangible assets		682
Accounts receivable		254
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.

The Sun Cities acquisition accounted for $0.7 million and $1.8 million of net service revenues and $0.1 million of net income prior to corporate allocation for both the three and nine months ended September 30, 2018, respectively.

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. 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	$	16,671
Identifiable intangible assets		5,324
Accounts receivable		1,084
Cash		205
Other assets		41
Accrued liabilities		(701	)
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 $4.5 million and $3.3 million of net service revenues and $0.9 million and $0.2 million of net income prior to corporate allocation for the three months ended September 30, 2018 and 2017, respectively and accounted for $13.4 million and $3.3 million of net service revenues and $2.4 million and $0.2 million of net income prior to corporate allocation for the nine months ended September 30, 2018 and 2017.

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 September 30,
		(Amounts in Thousands)
		2018		2017
Net service revenues	$	137,631	$	135,440
Operating income		7,758		8,418
Net income	$	5,332	$	3,317
Net income per common share
Basic income per share	$	0.44	$	0.29
Diluted income per share	$	0.42	$	0.29
		For the Nine Months Ended September 30,
		(Amounts in Thousands)
		2018		2017
Net service revenues	$	410,552	$	398,948
Operating income		28,833		25,336
Net income	$	18,415	$	9,118
Net income per common share
Basic income per share	$	1.57	$	0.80
Diluted income per share	$	1.53	$	0.78

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

9 Months Ended

Sep. 30, 2018

Goodwill and Intangible Assets [Abstract]

Goodwill and Intangible Assets

5. Goodwill and Intangible Assets

A summary of the goodwill activity for the nine months ended September 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		22,185		19,040		2,499		43,724
Goodwill as of September 30, 2018	$	112,524	$	19,040	$	2,499	$	134,063

The carrying amount and accumulated amortization of each identifiable intangible asset category consisted of the following as of September 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		(32,131	)		(9,942	)		(1,954	)		(101	)		(44,128	)
Net balance at September 30, 2018	$	12,095		$	11,626		$	201		$	2,275		$	26,197

Amortization expense related to the identifiable intangible assets amounted to $1.9 million and $4.9 million for the three and nine months ended September 30, 2018, respectively, and $1.2 million and $3.3 million for the three and nine months ended September 30, 2017, respectively. Goodwill is not amortized pursuant to ASC Topic 350.

Details of Certain Balance Sheet Accounts

9 Months Ended

Sep. 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:


		September 30, 2018		December 31, 2017
		(Amounts in Thousands)
Prepaid health insurance	$	1,457	$	2,901
Workers' compensation insurance receivable		1,375		543
Prepaid rent		1,208		555
Prepaid workers' compensation and liability
insurance		1,251		1,332
Other		1,644		3,048
	$	6,935	$	8,379

Accrued expenses consisted of the following:

		September 30, 2018		December 31, 2017
		(Amounts in Thousands)
Accrued payroll	$	27,236	$	19,783
Accrued workers' compensation insurance		14,846		12,574
Accrued health insurance (1)		4,165		6,471
Accrued professional fees		1,242		1,312
Accrued payroll taxes		1,540		1,065
Other		3,407		3,149
	$	52,436	$	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 $1.2 million and $2.3 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance as of September 30, 2018 and December 31, 2017, respectively.

Long-Term Debt

9 Months Ended

Sep. 30, 2018

Long-Term Debt [Abstract]

Long-Term Debt

7. Long-Term Debt

Long-term debt consisted of the following:


		September 30, 2018			December 31, 2017
		(Amounts in Thousands)
Term loan under the credit facility	$	103,170		$	44,438
Capital leases		142			1,002
Less unamortized issuance costs		(2,103	)		(2,481	)
Total	$	101,209		$	42,959
Less current maturities		(2,318	)		(3,099	)
Long-term debt	$	98,891		$	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
		September 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 and amortization		(1,772	)
	$	1,625

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


			Capital Lease
			(Amounts In
			Thousands)
2018		$	65
2019			67
2020			20
Total minimum lease payments			152
Less: amount representing estimated executory
costs (such as taxes, maintenance and
insurance), including profit thereon,
included in total minimum lease payments			(5	)
Net minimum lease payments			147
Less: amount representing interest⁽¹⁾			(5	)
Present value of net minimum lease payments
(2	)	$	142

(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 $114,000 of the current portion of long-term debt and $28,000 of the long-term debt, less current portion.

Amended and Restated Senior Secured Credit Facility

On October 31, 2018, the Company amended and restated its existing Credit Agreement (the "New Credit Agreement") with certain lenders and Capital One, National Association as a lender and swing line lender and as agent for all lenders. This amended and restated credit facility totals $269.6 million, inclusive of a $250.0 million revolving loan and a $19.6 million delayed draw term loan, and amends and restates the Company's previous senior secured credit facility totaling $250.0 million. The maturity of this amended and restated credit facility is May 8, 2023, with borrowing under the delayed draw term loan available until January 31, 2019. Interest on the Company's amended and restated credit facility may be payable at (x) the sum of (i) an applicable margin ranging from 0.75% to 1.50% based on the applicable senior net 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 1.75% to 2.50% based on the applicable senior net leverage ratio plus (ii) the offered rate per annum for similar dollar deposits for the applicable interest period that appears on Reuters Screen LIBOR01 page (not to be less than zero). Swing loans may not be LIBOR loans. The availability of additional draws under this amended and restated credit facility is conditioned, among other things, upon (after giving effect to such draws) the Total Net Leverage Ratio (as defined in the New Credit Agreement) not exceeding 3.75:1.00. In certain circumstances, in connection with a Material Acquisition (as defined in the New Credit Agreement), the Company can elect to increase its Total Net Leverage Ratio compliance covenant to 4.25:1.00 for the then current fiscal quarter and the three succeeding fiscal quarters. In connection with this amended and restated credit facility, the Company incurred approximately $1.1 million of debt issuance costs.

Addus HealthCare, Inc. ("Addus HealthCare") is the borrower, and its parent, Holdings, and substantially all of Holdings' subsidiaries are guarantors under this amended and restated credit facility, and it 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. The New Credit Agreement contains affirmative and negative covenants customary for credit facilities of this type, including limitations on the Company with respect to liens, indebtedness, guaranties, investments, distributions, mergers and acquisitions and dispositions of assets.

The Company pays a fee ranging from 0.20% to 0.35% based on the applicable senior net leverage ratio times the unused portion of the revolving portion of the amended and restated credit facility.

The New 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 New Credit Agreement also contains certain customary financial covenants and negative covenants that, among other things, include a requirement to maintain a minimum Interest Coverage Ratio (as defined in the New Credit Agreement), a requirement to stay below a maximum Total Net Leverage Ratio (as defined in the New Credit Agreement) 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 $7.5 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 (without the consent of the lenders) subject to compliance with the Total Net Leverage Ratio (as defined in the New Credit Agreement), restrictions on mergers, dispositions of assets, and affiliate transactions, and restrictions on fundamental changes and lines of business.

Senior Secured Credit Facility

Prior to October 31, 2018, the Company was party to a credit agreement (the "Credit Agreement") with certain lenders and Capital One, N.A., as a lender and swing lender and as agent for all lenders. This credit facility totaled $250.0 million, replaced the Company's previous senior secured credit facility totaling $125.0 million ("Terminated Senior Secured Credit Facility", see description below for more details), and terminated 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 included a $125.0 million revolving loan, a $45.0 million term loan and an $80.0 million delayed draw term loan. The credit facility was to mature on May 8, 2022. Addus HealthCare was the borrower, with its parent, Holdings, and substantially all of Holdings' subsidiaries being guarantors under the credit facility. The credit facility was 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. The availability of additional draws under the revolving credit portion of the Company's credit facility was 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.

Interest on the Company's credit facility was 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 paid 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 nine months ended September 30, 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. The Company did not draw on the term loan during the three months ended September 30, 2018.

As of September 30, 2018, the Company had a total of $103.2 million of term loans outstanding with an interest rate of 4.60% on the credit facility and the total availability under the revolving credit loan facility was $88.6 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.

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

9 Months Ended

Sep. 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 nine months ended September 30, 2018 and 35.0% for the three and nine months ended September 30, 2017 is summarized as follows:


	Three Months Ended September 30,
	2018		2017
Federal income tax at statutory rate	21.0	%	35.0	%
State and local taxes, net of federal benefit	5.3		4.4
Jobs tax credits, net	(10.0	)	(7.7	)
Nondeductible permanent items	2.0		0.5
Other	2.4		—
Effective income tax rate	20.7	%	32.2	%

	Nine Months Ended September 30,
	2018		2017
Federal income tax at statutory rate	21.0	%	35.0	%
State and local taxes, net of federal benefit	6.5		4.9
Jobs tax credits, net	(9.3	)	(7.5	)
Nondeductible permanent items	1.5		0.5
Other	0.9		(0.8	)
Effective income tax rate	20.6	%	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 20.7% and 32.2% for the three months ended September 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 $0.2 million and $0.4 million in the three and nine months ended September 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 September 30, 2018.

Commitments and Contingencies	9 Months Ended
Commitments and Contingencies	Sep. 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

9 Months Ended

Sep. 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 $0.3 million and $0.6 million for the three months ended September 30, 2018 and 2017, respectively, and $1.4 million and $1.5 million for the nine months ended September 30, 2018 and 2017, respectively. These costs are included in general and administrative expenses on the Company's Unaudited Condensed Consolidated Statements of Income. The expenses recorded for the three and nine months ended September 30, 2018 included costs related to terminated employees and other professional fees. The expenses recorded for the three and nine months ended September 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		610			285
Utilization		(856	)		(755	)
Balance at September 30, 2018	$	316		$	607

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

9 Months Ended

Sep. 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 or disabled. Our hospice segment provides physical, emotional and spiritual care for people who are terminally ill as well as for their families. Our 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.

The tables below set forth information about our reportable segments for the three and nine months ended September 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 September 30, 2018
		(Amounts in Thousands)
		Personal Care	Hospice			Home Health		Total
Net service revenues	$	128,094	$	7,116	$	2,421	$	137,631
Cost of services revenues		95,428		3,777		1,721		100,926
Gross profit		32,666		3,339		700		36,705
Provision for doubtful accounts		48		1		—		49
General and administrative expenses		10,446		1,474		604		12,524
Segment operating income	$	22,172	$	1,864	$	96	$	24,132

		For the Nine Months Ended September 30, 2018
		(Amounts in Thousands)
		Personal Care	Hospice			Home Health		Total
Net service revenues	$	362,606	$	11,765	$	3,944	$	378,315
Cost of services revenues		268,815		6,351		2,819		277,985
Gross profit		93,791		5,414		1,125		100,330
Provision for doubtful accounts		210		3		1		214
General and administrative expenses		29,073		2,326		946		32,345
Segment operating income	$	64,508	$	3,085	$	178	$	67,771


		For the Three			For the Nine
		Months Ended			Months Ended
Segment Reconciliation:		September 30, 2018		September 30, 2018
		(Amounts in Thousands)
Total segment operating income	$	24,132		$	67,771
Items not allocated at segment level:
Other general and administrative expenses		15,694			43,739
Depreciation and amortization		2,535			6,676
Interest income		(113	)		(2,468	)
Interest expense		1,543			3,836
Income before income taxes	$	4,473		$	15,988


		For the Three Months Ended September 30, 2017
		(Amounts in thousands)
		Personal Care		Hospice		Home Health		Total
Net service revenues	$	108,592	$	—	$	—	$	108,592
Cost of services revenues		79,539		—		—		79,539
Gross profit		29,053		—		—		29,053
Provision for doubtful accounts		2,106		—		—		2,106
General and administrative expenses		7,957		—		—		7,957
Segment operating income	$	18,990	$	—	$	—	$	18,990

		For the Nine Months Ended September 30, 2017
		(Amounts in thousands)
		Personal Care		Hospice		Home Health		Total
Net service revenues	$	313,758	$	—	$	—	$	313,758
Cost of services revenues		228,877		—		—		228,877
Gross profit		84,881		—		—		84,881
Provision for doubtful accounts		6,208		—		—		6,208
General and administrative expenses		24,129		—		—		24,129
Segment operating income	$	54,544	$	—	$	—	$	54,544


		For the Three			For the Nine
		Months Ended			Months Ended
Segment Reconciliation:		September 30, 2017		September 30, 2017
		(Amounts in thousands)
Total segment operating income	$	18,990		$	54,544
Items not allocated at segment level:
Other general and administrative expenses		11,402			33,110
Gain on sale of assets		—			(2,065	)
Depreciation and amortization		1,781			4,811
Interest income		(30	)		(50	)
Interest expense		870			3,629
Other income		(64	)		(165	)
Income before income taxes	$	5,031		$	15,274

Significant Payors

9 Months Ended

Sep. 30, 2018

Significant Payors [Abstract]

Significant Payors

12. Significant Payors

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


		Personal Care
		For the Three Months Ended September 30,								For the Nine Months Ended September 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	$	73,606	57.5	%	$	69,073	63.6	%	$	213,011	58.7	%	$	203,409	64.8	%
Managed care
organizations		45,271	35.3			36,866	34.0			126,809	35.0			102,055	32.5
Private pay		5,549	4.3			1,959	1.8			14,861	4.1			6,230	2.0
Commercial
insurance		1,869	1.5			694	0.6			4,271	1.2			2,064	0.7
Other		1,799	1.4			—	—			3,654	1.0			—	—
Total personal
care segment
net service
revenues	$	128,094	100.0	%	$	108,592	100.0	%	$	362,606	100.0	%	$	313,758	100.0	%


Hospice
	For the Three Months Ended				For the Nine Months Ended
	September 30,				September 30,
	2018				2018
	Amount		% of Segment Net		Amount		% of Segment Net
	(in Thousands)		Service Revenues		(in Thousands)		Service Revenues
Medicare	$	6,677	93.8	%	$	11,030	93.8	%
Managed care organizations		426	6.0			721	6.1
Other		13	0.2			14	0.1
Total hospice segment net service revenues	$	7,116	100.0	%	$	11,765	100.0	%

	Home Health
	For the Three Months Ended				For the Three Months Ended
	September 30,				September 30,
	2018				2018
	Amount		% of Segment Net		Amount		% of Segment Net
	(in Thousands)		Service Revenues		(in Thousands)		Service Revenues
Medicare	$	2,184	90.2	%	$	3,588	91.0	%
Managed care organizations		221	9.1			329	8.3
Other		16	0.7			27	0.7
Total home health segment net service revenues	$	2,421	100.0	%	$	3,944	100.0	%

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


					Personal Care
	For the Three Months Ended September 30,							For the Nine Months Ended September 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
$	58,863	46.0	$	56,813	52.3	$	174,457		48.2	$	165,370	52.7
New York	16,814	13.1		14,904	13.7		47,999		13.2		43,562	13.9
New
Mexico	16,013	12.5		10,645	9.8		42,594		11.7		24,854	7.9
All other
states	36,404	28.4		26,230	24.2		97,556		26.9		79,972	25.5
Total
personal
care
segment
net
service
revenues $	128,094	100.0	$	108,592	100.0	$	362,606		100.0	$	313,758	100.0


	Hospice
	For the Three Months Ended				For the Nine Months Ended
	September 30,				September 30,
	2018				2018
	Amount		% of Segment Net		Amount		% of Segment Net
	(in Thousands)		Service Revenues		(in Thousands)		Service Revenues
New Mexico		7,116	100.0	%		11,765	100.0	%
Total hospice segment net service revenues	$	7,116	100.0	%	$	11,765	100.0	%


Home Health
	For the Three Months Ended				For the Nine Months Ended
	September 30,				September 30,
	2018				2018
	Amount		% of Segment Net		Amount		% of Segment Net
	(in Thousands)		Service Revenues		(in Thousands)		Service Revenues
New Mexico		2,421	100.0	%		3,944	100.0	%
Total home health segment net service revenues	$	2,421	100.0	%	$	3,944	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, the largest payor program for our Illinois personal care operations, accounted for 29.5% and 36.6% of the Company's net service revenues for the three months ended September 30, 2018 and 2017, respectively and accounted for 31.8% and 36.6% of the Company's net service revenues for the nine months ended September 30, 2018 and 2017, respectively.

The related receivables due from the Illinois Department on Aging represented 27.4% and 37.5% of the Company's net accounts receivable at September 30, 2018 and December 31, 2017, respectively

Concentration of Cash	9 Months Ended
Concentration of Cash	Sep. 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.

Subsequent Events	9 Months Ended
Subsequent Events	Sep. 30, 2018
Subsequent Events [Abstract]
Subsequent Events	14. Subsequent Events On October 31, 2018, the Company amended and restated its existing Credit Agreement with certain lenders and Capital One, N.A as a lender and swing line lender and as agent for all lenders. See Note 7, "Amended and Restated Senior Secured Credit Facility" for additional information. Effective October 31, 2018, the Company entered into a definitive agreement to acquire the assets of VIP Health Care Services for approximately $28.0 million. The Company expects to complete this transaction in the first or second quarter of 2019, contingent on the timing of certain regulatory approvals. The Company expects to fund this acquisition through the delayed draw term loan portion of its new credit facility and available cash on hand. On November 5, 2018 we amended and restated the employment agreements of each of our named executive officers in order to: (i) increase the amount of severance that would be payable on certain terminations of employment in connection with a change in control (as defined in the employment agreements), from two times annual compensation to three times annual compensation (as defined in the employment agreements) in the case of our chief executive officer, and from one times annual compensation to two times annual compensation (as defined in the employment agreements) in the case of our other named executive officers; (ii) provide that the enhanced severance for terminations of employment in connection with a change in control would be payable if the named executive officers self-terminated for good reason (as defined in the employment agreements); (iii) stipulate that severance for terminations of employment in connection with a change in control would include any unpaid bonus for a performance period completed prior to termination (the chief executive officer already had this right); and (iv) adjust the duration of non-competition and non-solicitation periods to match the number of years of annual compensation that the named executive officer would receive in severance. Copies of these employment agreements are attached to this Quarterly Report on 10-Q as Exhibits 10.3 through 10.8, and are incorporated herein by reference.

Nature of Operations, Consolidation, and Presentation of Financial Statements (Policy)	9 Months Ended
	Sep. 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 and Adopted Accounting Pronouncements	Recently Adopted Accounting Pronouncements In May 2014, the Financial Accounting Standards Board ("FASB") issued Accounting Standard Update ("ASU") 2014-09, Revenue from Contracts with Customers, 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. ASU 2014-09 replaced most existing revenue recognition guidance in GAAP. The Company adopted the new standard on January 1, 2018, and elected to adopt using the modified retrospective method. See Note 2 for additional information regarding the adoption. 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. *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. In July 2018, the FASB issued ASU 2018-11, Leases (Topic 842) Targeted Improvements, which amends ASU 2016-02 to provide an additional transition method option. Under the new transition method, an entity initially applies the new lease standard at the adoption date, versus at the beginning of the earliest period presented, and recognizes a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. 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. The Company has secured new software to account for the change in accounting for leases and is currently assessing the impact of adopting this standard. 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. Early adoption is permitted. The Company is currently assessing the impact of adopting this standard. In August 2018, the FASB issued ASU 2018-15, Intangibles-Goodwill and Other-Internal-Use Software (Subtopic 350-40): Customer's Accounting for Implementation Costs Incurred in a Cloud Computing Arrangement That is a Service Contract. ASU 2018-15 requires customers in a hosting arrangement that is a service contract to follow the internal-use software guidance in Accounting Standards Codification ("ASC") 350-40 to determine which implementation costs to capitalize as assets or expense as incurred. The ASU is effective for annual periods, including interim periods within those annual periods, beginning after December 15, 2019. Early adoption is permitted. The Company is currently assessing the impact of adopting this standard.

Summary of Significant Accounting Policies (Policy)

9 Months Ended

Sep. 30, 2018

Summary of Significant Accounting Policies [Abstract]

Revenue Recognition

Revenue Recognition

Personal Care

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

Shareholders' Equity

Shareholders' Equity

Estimates

Estimates

Fair Value Measurements

Fair Value Measurements

Going Concern

Going Concern

Summary of Significant Accounting Policies (Tables)

9 Months Ended

Sep. 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)

9 Months Ended

Sep. 30, 2018

Ambercare Corporation [Member]

Business Acquisition [Line Items]

Schedule of Purchase Price Allocation


		(Amounts in
		Thousands)
Goodwill	$	28,082
Cash		12,008
Identifiable intangible assets		10,413
Accounts receivable		6,638
Other assets		440
Property and equipment		171
Accrued liabilities		(3,732	)
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	$	12,389
Accounts receivable		5,317
Identifiable intangible assets		2,947
Property and equipment		155
Other assets		92
Accrued liabilities		(1,540	)
Accounts payable		(508	)
Total purchase price allocation	$	18,852

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	$	1,089
Identifiable intangible assets		682
Accounts receivable		254
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	$	16,671
Identifiable intangible assets		5,324
Accounts receivable		1,084
Cash		205
Other assets		41
Accrued liabilities		(701	)
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 September 30,
		(Amounts in Thousands)
		2018		2017
Net service revenues	$	137,631	$	135,440
Operating income		7,758		8,418
Net income	$	5,332	$	3,317
Net income per common share
Basic income per share	$	0.44	$	0.29
Diluted income per share	$	0.42	$	0.29
		For the Nine Months Ended September 30,
		(Amounts in Thousands)
		2018		2017
Net service revenues	$	410,552	$	398,948
Operating income		28,833		25,336
Net income	$	18,415	$	9,118
Net income per common share
Basic income per share	$	1.57	$	0.80
Diluted income per share	$	1.53	$	0.78

Goodwill and Intangible Assets (Tables)

9 Months Ended

Sep. 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		22,185		19,040		2,499		43,724
Goodwill as of September 30, 2018	$	112,524	$	19,040	$	2,499	$	134,063

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		(32,131	)		(9,942	)		(1,954	)		(101	)		(44,128	)
Net balance at September 30, 2018	$	12,095		$	11,626		$	201		$	2,275		$	26,197

Details of Certain Balance Sheet Accounts (Tables)

9 Months Ended

Sep. 30, 2018

Details of Certain Balance Sheet Accounts [Abstract]

Schedule of Prepaid Expenses and Other Current Assets


		September 30, 2018		December 31, 2017
		(Amounts in Thousands)
Prepaid health insurance	$	1,457	$	2,901
Workers' compensation insurance receivable		1,375		543
Prepaid rent		1,208		555
Prepaid workers' compensation and liability
insurance		1,251		1,332
Other		1,644		3,048
	$	6,935	$	8,379

Schedule of Accrued Expenses



		September 30, 2018		December 31, 2017
		(Amounts in Thousands)
Accrued payroll	$	27,236	$	19,783
Accrued workers' compensation insurance		14,846		12,574
Accrued health insurance (1)		4,165		6,471
Accrued professional fees		1,242		1,312
Accrued payroll taxes		1,540		1,065
Other		3,407		3,149
	$	52,436	$	44,354

Long-Term Debt (Tables)

9 Months Ended

Sep. 30, 2018

Long-Term Debt [Abstract]

Schedule of Long-Term Debt


		September 30, 2018			December 31, 2017
		(Amounts in Thousands)
Term loan under the credit facility	$	103,170		$	44,438
Capital leases		142			1,002
Less unamortized issuance costs		(2,103	)		(2,481	)
Total	$	101,209		$	42,959
Less current maturities		(2,318	)		(3,099	)
Long-term debt	$	98,891		$	39,860

Schedule of Leased Property Under Capital Leases


		Asset Balances at
		September 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 and amortization		(1,772	)
	$	1,625

Schedule of Future Minimum Payments for Capital Leases


			Capital Lease
			(Amounts In
			Thousands)
2018		$	65
2019			67
2020			20
Total minimum lease payments			152
Less: amount representing estimated executory
costs (such as taxes, maintenance and
insurance), including profit thereon,
included in total minimum lease payments			(5	)
Net minimum lease payments			147
Less: amount representing interest⁽¹⁾			(5	)
Present value of net minimum lease payments
(2	)	$	142

(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 $114,000 of the current portion of long-term debt and $28,000 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://fasb.org/us-gaap/role/ref/legacyRef
-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://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 1A
-URI http://asc.fasb.org/extlink&oid=114775744&loc=d3e28541-108399

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 6
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21506-112644

Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef
-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://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 45
-Paragraph 2
-URI http://asc.fasb.org/extlink&oid=114775744&loc=d3e28551-108399

Reference 6: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 7
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21521-112644

Reference 7: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21538-112644

Reference 8: http://fasb.org/us-gaap/role/ref/legacyRef
-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 9: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 835
-SubTopic 30
-Section 55
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=114775985&loc=d3e28878-108400

Reference 10: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 505
-SubTopic 10
-Section 50
-Paragraph 3
-URI http://asc.fasb.org/extlink&oid=109259400&loc=d3e21475-112644

+ Details

Income Taxes (Tables)

9 Months Ended

Sep. 30, 2018

Income Taxes [Abstract]

Reconciliation of Statutory Federal Tax Rate


	Three Months Ended September 30,
	2018		2017
Federal income tax at statutory rate	21.0	%	35.0	%
State and local taxes, net of federal benefit	5.3		4.4
Jobs tax credits, net	(10.0	)	(7.7	)
Nondeductible permanent items	2.0		0.5
Other	2.4		—
Effective income tax rate	20.7	%	32.2	%

	Nine Months Ended September 30,
	2018		2017
Federal income tax at statutory rate	21.0	%	35.0	%
State and local taxes, net of federal benefit	6.5		4.9
Jobs tax credits, net	(9.3	)	(7.5	)
Nondeductible permanent items	1.5		0.5
Other	0.9		(0.8	)
Effective income tax rate	20.6	%	32.1	%

Severance and Restructuring (Tables)

9 Months Ended

Sep. 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		610			285
Utilization		(856	)		(755	)
Balance at September 30, 2018	$	316		$	607

Segment Information (Tables)

9 Months Ended

Sep. 30, 2018

Segment Information [Abstract]

Summary Of Segment Information


		For the Three Months Ended September 30, 2018
		(Amounts in Thousands)
		Personal Care	Hospice			Home Health		Total
Net service revenues	$	128,094	$	7,116	$	2,421	$	137,631
Cost of services revenues		95,428		3,777		1,721		100,926
Gross profit		32,666		3,339		700		36,705
Provision for doubtful accounts		48		1		—		49
General and administrative expenses		10,446		1,474		604		12,524
Segment operating income	$	22,172	$	1,864	$	96	$	24,132

		For the Nine Months Ended September 30, 2018
		(Amounts in Thousands)
		Personal Care	Hospice			Home Health		Total
Net service revenues	$	362,606	$	11,765	$	3,944	$	378,315
Cost of services revenues		268,815		6,351		2,819		277,985
Gross profit		93,791		5,414		1,125		100,330
Provision for doubtful accounts		210		3		1		214
General and administrative expenses		29,073		2,326		946		32,345
Segment operating income	$	64,508	$	3,085	$	178	$	67,771


		For the Three			For the Nine
		Months Ended			Months Ended
Segment Reconciliation:		September 30, 2018		September 30, 2018
		(Amounts in Thousands)
Total segment operating income	$	24,132		$	67,771
Items not allocated at segment level:
Other general and administrative expenses		15,694			43,739
Depreciation and amortization		2,535			6,676
Interest income		(113	)		(2,468	)
Interest expense		1,543			3,836
Income before income taxes	$	4,473		$	15,988


		For the Three Months Ended September 30, 2017
		(Amounts in thousands)
		Personal Care		Hospice		Home Health		Total
Net service revenues	$	108,592	$	—	$	—	$	108,592
Cost of services revenues		79,539		—		—		79,539
Gross profit		29,053		—		—		29,053
Provision for doubtful accounts		2,106		—		—		2,106
General and administrative expenses		7,957		—		—		7,957
Segment operating income	$	18,990	$	—	$	—	$	18,990

		For the Nine Months Ended September 30, 2017
		(Amounts in thousands)
		Personal Care		Hospice		Home Health		Total
Net service revenues	$	313,758	$	—	$	—	$	313,758
Cost of services revenues		228,877		—		—		228,877
Gross profit		84,881		—		—		84,881
Provision for doubtful accounts		6,208		—		—		6,208
General and administrative expenses		24,129		—		—		24,129
Segment operating income	$	54,544	$	—	$	—	$	54,544


		For the Three			For the Nine
		Months Ended			Months Ended
Segment Reconciliation:		September 30, 2017		September 30, 2017
		(Amounts in thousands)
Total segment operating income	$	18,990		$	54,544
Items not allocated at segment level:
Other general and administrative expenses		11,402			33,110
Gain on sale of assets		—			(2,065	)
Depreciation and amortization		1,781			4,811
Interest income		(30	)		(50	)
Interest expense		870			3,629
Other income		(64	)		(165	)
Income before income taxes	$	5,031		$	15,274

Significant Payors (Tables)

9 Months Ended

Sep. 30, 2018

Significant Payors [Abstract]

Revenue by Payor Type


		Personal Care
		For the Three Months Ended September 30,								For the Nine Months Ended September 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	$	73,606	57.5	%	$	69,073	63.6	%	$	213,011	58.7	%	$	203,409	64.8	%
Managed care
organizations		45,271	35.3			36,866	34.0			126,809	35.0			102,055	32.5
Private pay		5,549	4.3			1,959	1.8			14,861	4.1			6,230	2.0
Commercial
insurance		1,869	1.5			694	0.6			4,271	1.2			2,064	0.7
Other		1,799	1.4			—	—			3,654	1.0			—	—
Total personal
care segment
net service
revenues	$	128,094	100.0	%	$	108,592	100.0	%	$	362,606	100.0	%	$	313,758	100.0	%


		Hospice
		For the Three Months				For the Nine Months
		Ended September 30,				Ended September 30,
		2018				2018

		Amount	% of Segment Net			Amount	% of Segment Net
		(in Thousands)	Service Revenues			(in Thousands)	Service Revenues
Medicare	$	6,677	93.8	%	$	11,030	93.8	%
Managed care organizations		426	6.0			721	6.1
Other		13	0.2			14	0.1
Total hospice segment net service revenues	$	7,116	100.0	%	$	11,765	100.0	%


		Home Health
		For the Three Months				For the Nine Months
		Ended September 30,				Ended September 30,
		2018				2018
		Amount	% of Segment Net			Amount	% of Segment Net
		(in Thousands)	Service Revenues			(in Thousands)	Service Revenues
Medicare	$	2,184	90.2	%	$	3,588	91.0	%
Managed care organizations		221	9.1			329	8.3
Other		16	0.7			27	0.7
Total home health segment net service revenues	$	2,421	100.0	%	$	3,944	100.0	%

Percentage of Total Revenue by Geographic Location

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


	Personal Care
	For the Three Months Ended September 30,								For the Nine Months Ended September 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	$	58,863	46.0	%	$	56,813	52.3	%	$	174,457	48.2	%	$	165,370	52.7	%
New York		16,814	13.1			14,904	13.7			47,999	13.2			43,562	13.9
New Mexico		16,013	12.5			10,645	9.8			42,594	11.7			24,854	7.9
All other
states		36,404	28.4			26,230	24.2			97,556	26.9			79,972	25.5
Total personal
care
segment
net service
revenues	$	128,094	100.0	%	$	108,592	100.0	%	$	362,606	100.0	%	$	313,758	100.0	%

Hospice
	For the Three Months Ended				For the Nine Months Ended
	September 30,				September 30,
	2018				2018
	Amount		% of Segment Net		Amount		% of Segment Net
	(in Thousands)		Service Revenues		(in Thousands)		Service Revenues
New Mexico		7,116	100.0	%		11,765	100.0	%
Total hospice segment net service revenues	$	7,116	100.0	%	$	11,765	100.0	%

	Home Health
	For the Three Months Ended				For the Nine Months Ended
	September 30,				September 30,
	2018				2018
	Amount		% of Segment Net		Amount		% of Segment Net
	(in Thousands)		Service Revenues		(in Thousands)		Service Revenues
New Mexico		2,421	100.0	%		3,944	100.0	%
Total home health segment net service revenues	$	2,421	100.0	%	$	3,944	100.0	%

Nature of Operations, Consolidation, and Presentation of Financial Statements (Narrative) (Details) - segment		9 Months Ended
	Oct. 01, 2017	Sep. 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 Units, $ in Thousands			3 Months Ended		9 Months Ended		12 Months Ended
	Aug. 22, 2018 USD ($) shares	Aug. 20, 2018 USD ($) $ / shares shares	Sep. 30, 2018 USD ($) $ / shares shares	Sep. 30, 2017 USD ($) shares	Sep. 30, 2018 USD ($) $ / shares item shares	Sep. 30, 2017 USD ($) shares	Dec. 31, 2017 USD ($) $ / shares
Summary Of Significant Accounting Policies [Line Items]
Revenues			$ 137,631	$ 108,592	$ 378,315	$ 313,758
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			14,846		14,846		12,574
Workers' compensation insurance recovery receivables			1,375		1,375		$ 543
Interest income received				0	$ 2,300	0
Number of stock incentive plans \| item					1
Stock based compensation expense			$ 1,100	$ 700	$ 3,000	$ 1,800
Common stock, par value \| $ / shares			$ 0.001		$ 0.001		$ 0.001
Proceeds from issuance of common stock, net of issuance costs					$ 76,618
Increase to additional paid in capital from secondary offering					76,618
Accounting Standards Update 2014-09 [Member]
Summary Of Significant Accounting Policies [Line Items]
Revenues			$ (2,400)		$ (6,800)
Common Stock [Member]
Summary Of Significant Accounting Policies [Line Items]
Shares issued during period \| shares					1,390,000
Increase to additional paid in capital from secondary offering					$ 1
Common Stock [Member] \| Secondary Public Offering [Member]
Summary Of Significant Accounting Policies [Line Items]
Shares issued during period \| shares		2,100,000
Common stock, par value \| $ / shares		$ 0.001
Purchase price per share \| $ / shares		$ 59.00
Common Stock [Member] \| Primary Shares [Member]
Summary Of Significant Accounting Policies [Line Items]
Shares issued during period \| shares		1,075,267
Proceeds from issuance of common stock, net of issuance costs		$ 59,100
Common Stock [Member] \| Over-Allotment Option [Member]
Summary Of Significant Accounting Policies [Line Items]
Shares issued during period \| shares	315,000
Proceeds from issuance of common stock, net of issuance costs	$ 17,500
Home Health [Member]
Summary Of Significant Accounting Policies [Line Items]
Revenues			$ 2,421		$ 3,944
Stock Options [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of stock options included in calculation \| shares			708,000	479,000	708,000	479,000
Number of dilutive shares outstanding \| shares			307,000	102,000	213,000	102,000
Restricted Stock [Member]
Summary Of Significant Accounting Policies [Line Items]
Number of dilutive shares outstanding \| shares			83,000	43,000	83,000	50,000
Shares of restricted stock awards included in calculation \| shares					148,000	148,000
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
Eos Capital Partners III, L. P [Member] \| Common Stock [Member] \| Secondary Shars [Member]
Summary Of Significant Accounting Policies [Line Items]
Shares issued during period \| shares		1,024,733

Summary of Significant Accounting Policies (Estimated Useful Lives of Property and Equipment) (Details)	9 Months Ended
	Sep. 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			9 Months Ended
Gain on Sale of Assets (Details) $ in Thousands	Oct. 01, 2017 USD ($) entity	Mar. 01, 2017 USD ($) item	Sep. 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						1 Months Ended	3 Months Ended		9 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 ($) item	Sep. 30, 2018 USD ($)	Sep. 30, 2018 USD ($)	Sep. 30, 2017 USD ($)	Sep. 30, 2018 USD ($)	Sep. 30, 2017 USD ($)	Dec. 31, 2017 USD ($)
Business Acquisition [Line Items]
Goodwill						$ 134,063	$ 134,063		$ 134,063		$ 90,339
Net service revenues							137,631	$ 108,592	378,315	$ 313,758
Ambercare Corporation [Member]
Business Acquisition [Line Items]
Goodwill	$ 28,082
Net service revenues							13,400		22,600
Net income from continuing operations							2,000		3,800
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							800		1,400
Arcadia Home Care And Staffing [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition		$ 18,900
Goodwill		$ 12,389
Acquisition related costs							800		1,400
Net service revenues							10,900		21,700
Net income from continuing operations							1,600		3,200
Affiliate Branches of Arcadia [Member]
Business Acquisition [Line Items]
Acquisitions of business cash consideration						600
Goodwill						$ 600	600		600
Lifestyle Options, Inc. [Member]
Business Acquisition [Line Items]
Goodwill			$ 2,751
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		4,500
Net income from continuing operations							100		400
Sun Cities Homecare [Member]
Business Acquisition [Line Items]
Goodwill				$ 1,089
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							700		1,800
Net income from continuing operations							100		100
Options Home Care [Member]
Business Acquisition [Line Items]
Goodwill					$ 16,671
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							4,500	3,300	13,400	3,300
Net income from continuing operations							$ 900	$ 200	$ 2,400	$ 200
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	Sep. 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	$ 134,063				$ 90,339
Ambercare Corporation [Member]
Business Acquisition [Line Items]
Goodwill		$ 28,082
Identifiable intangible assets		10,413
Accounts receivable		6,638
Cash		12,008
Other assets		440
Property and equipment		171
Accrued liabilities		(3,732)
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			$ 12,389
Identifiable intangible assets			2,947
Accounts receivable			5,317
Other assets			92
Property and equipment			155
Accrued liabilities			(1,540)
Accounts payable			(508)
Total purchase price allocation			$ 18,852
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						$ 1,089
Identifiable intangible assets						682
Accounts receivable						254
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							$ 16,671
Identifiable intangible assets							5,324
Accounts receivable							1,084
Cash							205
Other assets							41
Accrued liabilities							(701)
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		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Business Acquisition [Line Items]
Net service revenues	$ 137,631	$ 135,440	$ 410,552	$ 398,948
Operating income	7,758	8,418	28,833	25,336
Net income	$ 5,332	$ 3,317	$ 18,415	$ 9,118
Basic income per share	$ 0.44	$ 0.29	$ 1.57	$ 0.80
Diluted income per share	$ 0.42	$ 0.29	$ 1.53	$ 0.78

Goodwill and Intangible Assets (Narrative) (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Goodwill [Line Items]
Amortization expense	$ 1.9	$ 1.2	$ 4.9	$ 3.3
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	9 Months Ended
	Sep. 30, 2018 USD ($)
Goodwill [Line Items]
Goodwill, at Beginning of Period	$ 90,339
Additions for acquisitions	43,724
Goodwill, at End of Period	134,063
Personal Care [Member]
Goodwill [Line Items]
Goodwill, at Beginning of Period	90,339
Additions for acquisitions	22,185
Goodwill, at End of Period	112,524
Hospice [Member]
Goodwill [Line Items]
Additions for acquisitions	19,040
Goodwill, at End of Period	19,040
Home Health [Member]
Goodwill [Line Items]
Additions for acquisitions	2,499
Goodwill, at End of Period	$ 2,499

Goodwill and Intangible Assets (Schedule of Carrying Amount and Accumulated Amortization of Intangible Asset) (Details) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]
Gross balance at beginning of period	$ 55,813	$ 55,813
Additions for acquisitions	14,512
Accumulated amortization	(44,128)	(39,217)
Net balance at end of period	26,197	16,596
Customer And Referral Relationships [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance at beginning of period	39,017	39,017
Additions for acquisitions	5,209
Accumulated amortization	(32,131)	(29,147)
Net balance at end of period	12,095	9,870
Trade Names And Trademarks [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance at beginning of period	14,641	14,641
Additions for acquisitions	6,927
Accumulated amortization	(9,942)	(8,198)
Net balance at end of period	11,626	6,443
State Licenses [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance at beginning of period
Additions for acquisitions	2,376
Accumulated amortization	(101)
Net balance at end of period	2,275
Non-competition Agreements [Member]
Finite-Lived Intangible Assets [Line Items]
Gross balance at beginning of period	2,155	2,155
Accumulated amortization	(1,954)	(1,872)
Net balance at end of period	$ 201	$ 283

Details of Certain Balance Sheet Accounts (Schedule of Prepaid Expenses and Other Current Assets) (Details) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Details of Certain Balance Sheet Accounts [Abstract]
Prepaid health insurance	$ 1,457	$ 2,901
Workers' compensation insurance receivable	1,375	543
Prepaid rent	1,208	555
Prepaid workers' compensation and liability insurance	1,251	1,332
Other	1,644	3,048
Prepaid expenses and other current assets	$ 6,935	$ 8,379

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

9 Months Ended

Sep. 30, 2018

Dec. 31, 2017

Accrued payroll

$ 27,236

$ 19,783

Accrued workers' compensation insurance

14,846

12,574

Accrued health insurance

^[1]

4,165

6,471

Accrued professional fees

1,242

1,312

Accrued payroll taxes

1,540

1,065

Other

3,407

3,149

Accrued expenses

52,436

44,354

Health insurance reimbursement and contribution due

$ 1,200

$ 2,300

Illinois [Member]

Contributions due after fund received, period

5 days

[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 $1.2 million and $2.3 million for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance as of September 30, 2018 and December 31, 2017, respectively.

Long-Term Debt (Narrative) (Details) $ in Thousands			3 Months Ended	9 Months Ended
Long-Term Debt (Narrative) (Details) $ in Thousands	Oct. 31, 2018 USD ($)	Oct. 30, 2018 USD ($)	Sep. 30, 2018 USD ($)	Sep. 30, 2018 USD ($) agreement	Sep. 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
Repayment of credit facility					$ 30,000
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%
New Credit Agreement [Member] \| Capital One, National Association [Member]
Debt Instrument [Line Items]
Debt instrument, maturity date				May 08, 2023
New Credit Agreement [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	$ 269,600
Debt issuance costs	1,100
Debt instrument total net leverage ratio		4.25%
New Credit Agreement [Member] \| Revolving Credit Loan [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	250,000
New Credit Agreement [Member] \| Delayed Draw Term Loan [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available	$ 19,600
New Credit Agreement [Member] \| Minimum [Member] \| Revolving Credit Loan [Member] \| Capital One, National Association [Member]
Debt Instrument [Line Items]
Fee charged on unused portion of revolving credit facility				0.20%
New Credit Agreement [Member] \| Maximum [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument total net leverage ratio	3.75%
New Credit Agreement [Member] \| Maximum [Member] \| Revolving Credit Loan [Member] \| Capital One, National Association [Member]
Debt Instrument [Line Items]
Fee charged on unused portion of revolving credit facility				0.35%
New Credit Agreement [Member] \| One Month Libor [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin	1.00%
New Credit Agreement [Member] \| One Month Libor [Member] \| Minimum [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin	0.00%
New Credit Agreement [Member] \| Federal Funds Rate [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin	0.50%
Credit Agreement [Member] \| Capital One, National Association [Member]
Debt Instrument [Line Items]
Debt instrument, maturity date				May 08, 2022
Credit Agreement [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available		$ 250,000
Debt issuance costs		2,900
Credit Agreement [Member] \| Revolving Credit Loan [Member] \| Capital One, National Association [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available			$ 88,600	$ 88,600			$ 105,100
Credit Agreement [Member] \| Revolving Credit Loan [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available		125,000
Credit Agreement [Member] \| Term Loan [Member] \| Capital One, National Association [Member]
Debt Instrument [Line Items]
Debt instrument stated interest rate			4.60%	4.60%			3.86%
Line of credit outstanding amount			$ 103,200	$ 103,200			$ 44,400
Credit Agreement [Member] \| Term Loan [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available		45,000
Credit Agreement [Member] \| Delayed Draw Term Loan [Member] \| Capital One, National Association [Member]
Debt Instrument [Line Items]
Proceeds from line of credit			$ 0	$ 60,400
Credit Agreement [Member] \| Delayed Draw Term Loan [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available		$ 80,000
Credit Agreement [Member] \| Maximum [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Maximum ratio used to determine availability of additional draws		4.25%
Credit Agreement [Member] \| One Month Libor [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		1.00%
Credit Agreement [Member] \| One Month Libor [Member] \| Minimum [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		0.00%
Credit Agreement [Member] \| Federal Funds Rate [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		0.50%
Terminated Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Debt instrument, maturity date				Nov. 10, 2020
Terminated Senior Secured Credit Facility [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Maximum aggregate loan amount available		$ 125,000
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
A & R Credit Agreement [Member] \| Delayed Draw Term Loan [Member]
Debt Instrument [Line Items]
Debt instrument, maturity date				Jan. 31, 2019
Restriction on Dividends [Member] \| New Credit Agreement [Member] \| Maximum [Member] \| Capital One, National Association [Member]
Debt Instrument [Line Items]
Aggregate amount of dividends and distributions				$ 7,500
Based On Applicable Senior Leverage Ratio [Member] \| New Credit Agreement [Member] \| Minimum [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin	0.75%
Based On Applicable Senior Leverage Ratio [Member] \| New Credit Agreement [Member] \| Maximum [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin	1.50%
Based On Applicable Senior Leverage Ratio [Member] \| Credit Agreement [Member] \| Minimum [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		1.50%
Based On Applicable Senior Leverage Ratio [Member] \| Credit Agreement [Member] \| Maximum [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		2.25%
Based On Applicable Leverage Ratio [Member] \| New Credit Agreement [Member] \| Minimum [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin	1.75%
Based On Applicable Leverage Ratio [Member] \| New Credit Agreement [Member] \| Maximum [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin	2.50%
Based On Applicable Leverage Ratio [Member] \| Credit Agreement [Member] \| Minimum [Member] \| Capital One, National Association [Member] \| Subsequent Event [Member]
Debt Instrument [Line Items]
Debt instrument variable interest rate margin		2.50%
Based On Applicable Leverage Ratio [Member] \| Credit Agreement [Member] \| Maximum [Member] \| Capital One, National Association [Member] \| Subsequent Event [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	Sep. 30, 2018	Dec. 31, 2017
Debt Instrument [Line Items]
Less unamortized issuance costs	$ (2,103)	$ (2,481)
Total	101,209	42,959
Less current maturities	(2,318)	(3,099)
Long-term debt	98,891	39,860
Term Loan [Member] \| Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Long-term debt gross	103,170	44,438
Capital Leases [Member]
Debt Instrument [Line Items]
Long-term debt gross	$ 142	$ 1,002

Long-Term Debt (Schedule of Leased Property Under Capital Leases) (Details) $ in Thousands	Sep. 30, 2018 USD ($)
Capital Leased Assets [Line Items]
Leased property under capital leases	$ 3,397
Less: accumulated depreciation and amortization	(1,772)
Net Leased Property Under Capital Leases	1,625
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

Sep. 30, 2018

USD ($)

Long-Term Debt [Abstract]

2018

$ 65

2019

2020

Total minimum lease payments

152

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

(5)

Net minimum lease payments

147

Less: amount representing interest

(5)

^[1]

Present value of net minimum lease payments

142

^[2]

Current obligations under capital leases

114

Noncurrent obligations under capital leases

$ 28

[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 $114,000 of the current portion of long-term debt and $28,000 of the long-term debt, less current portion.

Income Taxes (Narrative) (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended		12 Months Ended
Income Taxes (Narrative) (Details) - USD ($) $ in Millions	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017	Dec. 31, 2017
Income Taxes [Abstract]
Statutory federal tax rate	21.00%	35.00%	21.00%	35.00%	35.00%
Effective income tax rate	20.70%	32.20%	20.60%	32.10%
Increase in provisional valuation allowance related to Tax Cuts and Jobs Act	$ 0.2		$ 0.4

Income Taxes (Reconciliation of Statutory Federal Tax Rate) (Details)	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017	Dec. 31, 2017
Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]
Federal income tax at statutory rate	21.00%	35.00%	21.00%	35.00%	35.00%
State and local taxes, net of federal benefit	5.30%	4.40%	6.50%	4.90%
Jobs tax credits, net	(10.00%)	(7.70%)	(9.30%)	(7.50%)
Nondeductible permanent items	2.00%	0.50%	1.50%	0.50%
Other	2.40%		0.90%	(0.80%)
Effective income tax rate	20.70%	32.20%	20.60%	32.10%

Commitments and Contingencies (Narrative) (Details)	9 Months Ended
Commitments and Contingencies (Narrative) (Details)	Sep. 30, 2018
Commitments and Contingencies [Abstract]
Maximum term of employment agreements	4 years

Severance and Restructuring (Narrative) (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Severance and Restructuring [Abstract]
Total expenses related to streamlining initiatives	$ 0.3	$ 0.6	$ 1.4	$ 1.5

Severance and Restructuring (Components of and Changes in Severance and Restructuring Accruals) (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Restructuring Cost and Reserve [Line Items]
Provision		$ 383
Employee Termination Costs [Member]
Restructuring Cost and Reserve [Line Items]
Balance at beginning of period	$ 562
Provision	610
Utilization	(856)
Balance at end of period	316
Restructuring and Other [Member]
Restructuring Cost and Reserve [Line Items]
Balance at beginning of period	1,077
Provision	285
Utilization	(755)
Balance at end of period	$ 607

Segment Information (Narrative) (Details)	9 Months Ended
Segment Information (Narrative) (Details)	Sep. 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		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Segment Reporting Information [Line Items]
Net service revenues	$ 137,631	$ 108,592	$ 378,315	$ 313,758
Cost of services revenues	100,926	79,539	277,985	228,877
Gross Profit	36,705	29,053	100,330	84,881
Provision for doubtful accounts	49	2,106	214	6,208
General and administrative expenses	28,218	19,359	76,084	57,239
Operating income	5,903	5,807	17,356	18,688
Other general and administrative expenses	15,694	11,402	43,739	33,110
Gain on sale of assets				(2,065)
Depreciation and amortization	2,535	1,781	6,676	4,811
Interest income	(113)	(30)	(2,468)	(50)
Interest Expense	1,543	870	3,836	3,629
Other income		(64)		(165)
Income before income taxes	4,473	5,031	15,988	15,274
Operating Segments [Member]
Segment Reporting Information [Line Items]
General and administrative expenses	12,524	7,957	32,345	24,129
Operating income	24,132	18,990	67,771	54,544
Personal Care [Member]
Segment Reporting Information [Line Items]
Net service revenues	128,094	108,592	362,606	313,758
Cost of services revenues	95,428	79,539	268,815	228,877
Gross Profit	32,666	29,053	93,791	84,881
Provision for doubtful accounts	48	2,106	210	6,208
Personal Care [Member] \| Operating Segments [Member]
Segment Reporting Information [Line Items]
General and administrative expenses	10,446	7,957	29,073	24,129
Operating income	22,172	$ 18,990	64,508	$ 54,544
Hospice [Member]
Segment Reporting Information [Line Items]
Net service revenues	7,116		11,765
Cost of services revenues	3,777		6,351
Gross Profit	3,339		5,414
Provision for doubtful accounts	1		3
Hospice [Member] \| Operating Segments [Member]
Segment Reporting Information [Line Items]
General and administrative expenses	1,474		2,326
Operating income	1,864		3,085
Home Health [Member]
Segment Reporting Information [Line Items]
Net service revenues	2,421		3,944
Cost of services revenues	1,721		2,819
Gross Profit	700		1,125
Provision for doubtful accounts			1
Home Health [Member] \| Operating Segments [Member]
Segment Reporting Information [Line Items]
General and administrative expenses	604		946
Operating income	$ 96		$ 178

Significant Payors (Narrative) (Details) - Illinois Department On Aging [Member]	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017	Dec. 31, 2017
Revenues [Member]
Concentration Risk [Line Items]
Concentration risk, percentage	29.50%	36.60%	31.80%	36.60%
Accounts Receivable [Member]
Concentration Risk [Line Items]
Concentration risk, percentage			27.40%		37.50%

Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Net service revenues	$ 137,631	$ 108,592	$ 378,315	$ 313,758
Personal Care [Member]
Net service revenues	128,094	108,592	362,606	313,758
Personal Care [Member] \| Revenues [Member] \| Customer Concentration Risk [Member]
Net service revenues	$ 128,094	$ 108,592	$ 362,606	$ 313,758
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	$ 73,606	$ 69,073	$ 213,011	$ 203,409
Concentration risk, percentage	57.50%	63.60%	58.70%	64.80%
Personal Care [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Managed Care Organizations [Member]
Net service revenues	$ 45,271	$ 36,866	$ 126,809	$ 102,055
Concentration risk, percentage	35.30%	34.00%	35.00%	32.50%
Personal Care [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Private Pay [Member]
Net service revenues	$ 5,549	$ 1,959	$ 14,861	$ 6,230
Concentration risk, percentage	4.30%	1.80%	4.10%	2.00%
Personal Care [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Commercial Insurance [Member]
Net service revenues	$ 1,869	$ 694	$ 4,271	$ 2,064
Concentration risk, percentage	1.50%	0.60%	1.20%	0.70%
Personal Care [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Other [Member]
Net service revenues	$ 1,799		$ 3,654
Concentration risk, percentage	1.40%		1.00%
Hospice [Member]
Net service revenues	$ 7,116		$ 11,765
Hospice [Member] \| Revenues [Member] \| Customer Concentration Risk [Member]
Net service revenues	$ 7,116		$ 11,765
Concentration risk, percentage	100.00%		100.00%
Hospice [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Medicare [Member]
Net service revenues	$ 6,677		$ 11,030
Concentration risk, percentage	93.80%		93.80%
Hospice [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Managed Care Organizations [Member]
Net service revenues	$ 426		$ 721
Concentration risk, percentage	6.00%		6.10%
Hospice [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Other [Member]
Net service revenues	$ 13		$ 14
Concentration risk, percentage	0.20%		0.10%
Home Health [Member]
Net service revenues	$ 2,421		$ 3,944
Home Health [Member] \| Revenues [Member] \| Customer Concentration Risk [Member]
Net service revenues	$ 2,421		$ 3,944
Concentration risk, percentage	100.00%		100.00%
Home Health [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Medicare [Member]
Net service revenues	$ 2,184		$ 3,588
Concentration risk, percentage	90.20%		91.00%
Home Health [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Managed Care Organizations [Member]
Net service revenues	$ 221		$ 329
Concentration risk, percentage	9.10%		8.30%
Home Health [Member] \| Revenues [Member] \| Customer Concentration Risk [Member] \| Other [Member]
Net service revenues	$ 16		$ 27
Concentration risk, percentage	0.70%		0.70%

Significant Payors (Percentage of Total Revenue by Geographic Location) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Net service revenues	$ 137,631	$ 108,592	$ 378,315	$ 313,758
Personal Care [Member]
Net service revenues	128,094	108,592	362,606	313,758
Personal Care [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member]
Net service revenues	$ 128,094	$ 108,592	$ 362,606	$ 313,758
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	$ 58,863	$ 56,813	$ 174,457	$ 165,370
Concentration risk, percentage	46.00%	52.30%	48.20%	52.70%
Personal Care [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member] \| New York [Memebr]
Net service revenues	$ 16,814	$ 14,904	$ 47,999	$ 43,562
Concentration risk, percentage	13.10%	13.70%	13.20%	13.90%
Personal Care [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member] \| New Mexico [Member]
Net service revenues	$ 16,013	$ 10,645	$ 42,594	$ 24,854
Concentration risk, percentage	12.50%	9.80%	11.70%	7.90%
Personal Care [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member] \| All Other States [Member]
Net service revenues	$ 36,404	$ 26,230	$ 97,556	$ 79,972
Concentration risk, percentage	28.40%	24.20%	26.90%	25.50%
Hospice [Member]
Net service revenues	$ 7,116		$ 11,765
Hospice [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member]
Net service revenues	$ 7,116		$ 11,765
Concentration risk, percentage	100.00%		100.00%
Hospice [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member] \| New Mexico [Member]
Net service revenues	$ 7,116		$ 11,765
Concentration risk, percentage	100.00%		100.00%
Home Health [Member]
Net service revenues	$ 2,421		$ 3,944
Home Health [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member]
Net service revenues	$ 2,421		$ 3,944
Concentration risk, percentage	100.00%		100.00%
Home Health [Member] \| Revenues [Member] \| Geographic Concentration Risk [Member] \| New Mexico [Member]
Net service revenues	$ 2,421		$ 3,944
Concentration risk, percentage	100.00%		100.00%

Subsequent Events (Narrative) (Details) $ in Millions	Oct. 31, 2018 USD ($)
VIP Health Care Services [Member] \| Subsequent Event [Member]
Subsequent Events [Line Items]
Business combination agreed purchase price	$ 28.0