XML 68 R53.htm IDEA: XBRL DOCUMENT
v3.20.4

Goodwill and Intangible Assets (Narrative) (Details) - USD ($) |  |  |  |  | 12 Months Ended
--- | --- | --- | --- | --- | ---
Dec. 04, 2020 | Nov. 01, 2020 | Jul. 01, 2020 | Jun. 01, 2019 | Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Goodwill [Line Items] |  |  |  |  |  |  |
Goodwill |  |  |  |  | $ 469,072,000 | $ 275,368,000 | $ 135,442,000
Adjustment of goodwill related to divestiture |  |  |  |  | $ 1,167,000 |  |
Discount rate used in goodwill impairment analysis |  |  |  |  | 8.50% |  |
Percent of fair value of reporting unit excess of carrying value |  |  |  |  | 90.00% |  |
Goodwill impairment charge |  |  |  |  | $ 0 | 0 | 0
Amortization expense |  |  |  |  | $ 7,100,000 | 6,600,000 | 6,200,000
Weighted average remaining useful lives of identifiable intangible assets |  |  |  |  | 9 years 9 months 18 days |  |
State Licenses [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Finite-lived intangible assets related to acquisition |  |  |  | $ 10,700,000 |  |  |
Customer Relationships [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Finite-lived intangible assets related to acquisition |  |  |  | $ 4,700,000 |  |  |
Minimum [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Long-term revenue growth rate assumed in goodwill impairment analysis |  |  |  |  | 5.00% |  |
Intangible assets, estimated useful lives |  |  |  |  | 1 year |  |
Minimum [Member] | Customer and Referral Relationships [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  | 5 years |  |
Maximum [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Long-term revenue growth rate assumed in goodwill impairment analysis |  |  |  |  | 5.50% |  |
Intangible assets, estimated useful lives |  |  |  |  | 25 years |  |
Maximum [Member] | Customer and Referral Relationships [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  | 10 years |  |
Hospice [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Goodwill |  |  |  |  | $ 314,833,000 | 146,983,000 | 22,200,000
Adjustment of goodwill related to divestiture |  |  |  |  | 1,167,000 |  |
Personal Care [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Goodwill |  |  |  |  | 152,448,000 | $ 126,577,000 | $ 112,377,000
Queen City Hospice [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Goodwill | $ 169,207,000 |  |  |  |  |  |
Queen City Hospice [Member] | State Licenses [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Finite-lived intangible assets related to acquisition |  |  |  |  | $ 7,500,000 |  |
Queen City Hospice [Member] | Trade Names [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  | 15 years |  |
Finite-lived intangible assets related to acquisition | $ 11,000,000.0 |  |  |  | $ 11,000,000.0 |  |
Queen City Hospice [Member] | Non-competition Agreements [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Intangible assets, estimated useful lives | 5 years |  |  |  |  |  |
Finite-lived intangible assets related to acquisition | $ 1,500,000 |  |  |  | 1,500,000 |  |
Queen City Hospice [Member] | Hospice [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Goodwill | $ 169,200,000 |  |  |  |  |  |
County Homemakers, A Plus and SunLife [Member] | Personal Care [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Goodwill |  |  |  |  | 24,700,000 |  |
County Homemakers [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Goodwill |  | $ 13,363,000 |  |  |  |  |
County Homemakers [Member] | State Licenses [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  | 8 years |  |  |  |  |
Finite-lived intangible assets related to acquisition |  | $ 300,000 |  |  | $ 300,000 |  |
County Homemakers [Member] | Trade Names [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  | 1 year |  |
Finite-lived intangible assets related to acquisition |  | $ 100,000 |  |  | $ 100,000 |  |
A Plus Health Care, Inc [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Goodwill |  |  | $ 9,698,000 |  |  |  |
A Plus Health Care, Inc [Member] | Trade Names [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Intangible assets, estimated useful lives |  |  |  |  | 15 years |  |
Finite-lived intangible assets related to acquisition |  |  | $ 1,400,000 |  | $ 1,400,000 |  |
General and Administrative Expense [Member] |  |  |  |  |  |  |
Goodwill [Line Items] |  |  |  |  |  |  |
Loss of disposal of assets |  |  |  |  | $ 300,000 |  |

X
- Definition Goodwill impairment analysis fair value assumptions discount rate. + References No definition available. + Details
Name: | adus_GoodwillImpairmentAnalysisFairValueAssumptionsDiscountRate
Namespace Prefix: | adus_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Goodwill impairment analysis fair value assumptions long-term revenue growth rate. + References No definition available. + Details
Name: | adus_GoodwillImpairmentAnalysisFairValueAssumptionsLongTermRevenueGrowthRate
Namespace Prefix: | adus_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3602-108585 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(2) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16323-109275 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=6388964&loc=d3e16225-109274 + Details
Name: | us-gaap_AmortizationOfIntangibleAssets
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Useful life of finite-lived intangible assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. + References No definition available. + Details
Name: | us-gaap_FiniteLivedIntangibleAssetUsefulLife
Namespace Prefix: | us-gaap_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Remaining amortization period of finite-lived intangible assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 926 -SubTopic 20 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=120154696&loc=d3e54445-107959 + Details
Name: | us-gaap_FiniteLivedIntangibleAssetsRemainingAmortizationPeriod1
Namespace Prefix: | us-gaap_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount of increase in assets, excluding financial assets, lacking physical substance with a definite life, from an acquisition. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (a)(1) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16265-109275 + Details
Name: | us-gaap_FinitelivedIntangibleAssetsAcquired1
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Amount of gain (loss) on sale or disposal of assets, including but not limited to property plant and equipment, intangible assets and equity in securities of subsidiaries or equity method investee. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3602-108585 + Details
Name: | us-gaap_GainLossOnDispositionOfAssets1
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03(10)(1)) -URI http://asc.fasb.org/extlink&oid=120398452&loc=d3e534808-122878 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=120320667&loc=SL49117168-202975 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=99380562&loc=d3e13770-109266 + Details
Name: | us-gaap_Goodwill
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount of loss from the write-down of an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 2 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121556970&loc=d3e13854-109267 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3602-108585 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (e) -URI http://asc.fasb.org/extlink&oid=121556970&loc=d3e13816-109267 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=99380562&loc=d3e13777-109266 + Details
Name: | us-gaap_GoodwillImpairmentLoss
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. + References No definition available. + Details
Name: | us-gaap_GoodwillLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount of divestiture of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (d) -URI http://asc.fasb.org/extlink&oid=121556970&loc=d3e13816-109267 + Details
Name: | us-gaap_GoodwillWrittenOffRelatedToSaleOfBusinessUnit
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Percentage of fair value of reporting unit in excess of carrying amount. + References No definition available. + Details
Name: | us-gaap_ReportingUnitPercentageOfFairValueInExcessOfCarryingAmount
Namespace Prefix: | us-gaap_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | instant

X
- Details
Name: | us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis=adus_StateLicensesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis=us-gaap_CustomerRelationshipsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_RangeAxis=srt_MinimumMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis=adus_CustomerAndReferralRelationshipsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | srt_RangeAxis=srt_MaximumMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=adus_HospiceMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_StatementBusinessSegmentsAxis=adus_PersonalCareMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=adus_QueenCityHospiceLLCMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis=us-gaap_TradeNamesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_FiniteLivedIntangibleAssetsByMajorClassAxis=us-gaap_NoncompeteAgreementsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=adus_CountyHomemakersAPlusHealthCareAndSunLifeMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=adus_CountyHomemakersMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_BusinessAcquisitionAxis=adus_APlusHealthCaresIncMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_IncomeStatementLocationAxis=us-gaap_GeneralAndAdministrativeExpenseMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |