XML 45 R34.htm IDEA: XBRL DOCUMENT v3.21.2

Acquisitions (Narrative) (Details) - USD ($) $ in Thousands						3 Months Ended		9 Months Ended
	Aug. 01, 2021	Dec. 04, 2020	Dec. 01, 2020	Nov. 01, 2020	Jul. 01, 2020	Sep. 30, 2021	Sep. 30, 2020	Sep. 30, 2021	Sep. 30, 2020	Dec. 31, 2020
Business Acquisition [Line Items]
Total purchase price for business acquisition								$ 29,219	$ 11,869
Goodwill						$ 497,919		497,919		$ 469,072
Armada Skilled Homecare [Member]
Business Acquisition [Line Items]
Goodwill	$ 28,479
Armada Skilled Homecare [Member] | Non-competition Agreements [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired	$ 600
Intangible assets, estimated useful lives	5 years
Armada Skilled Homecare [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Indefinite lived intangible assets acquired	$ 400
Armada Skilled Homecare [Member] | New Mexico [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition	29,800
Acquisition related costs						300		300
Integration costs						400		400
Excess cash held by acquired business	$ 700
Queen City Hospice [Member]
Business Acquisition [Line Items]
Goodwill		$ 169,302
Queen City Hospice [Member] | Non-competition Agreements [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired		$ 1,500
Intangible assets, estimated useful lives		5 years
Queen City Hospice [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Indefinite lived intangible assets acquired		$ 7,500
Queen City Hospice [Member] | Trade Names [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired		$ 11,000
Intangible assets, estimated useful lives		15 years
Queen City Hospice [Member] | Ohio [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition		$ 194,800
Acquisition related costs								200
Integration costs						$ 400		2,100
Excess cash held by acquired business		$ 15,400
County Homemakers [Member]
Business Acquisition [Line Items]
Goodwill				$ 13,475
County Homemakers [Member] | State Licenses [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired				$ 300
Intangible assets, estimated useful lives				8 years
County Homemakers [Member] | Trade Names [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired				$ 100
Intangible assets, estimated useful lives				1 year
County Homemakers [Member] | Pennsylvania [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition				$ 15,800
Integration costs								200
Excess cash held by acquired business				$ 1,100
A Plus Health Cares Inc
Business Acquisition [Line Items]
Goodwill					$ 9,732
A Plus Health Cares Inc | Trade Names [Member]
Business Acquisition [Line Items]
Identifiable intangible assets acquired					$ 1,400
Intangible assets, estimated useful lives					15 years
A Plus Health Cares Inc | Montana [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition					$ 14,500
Acquisition related costs							$ 300		$ 300
Integration costs								$ 100
Excess cash held by acquired business					$ 2,800
SunLife Hospice [Member]
Business Acquisition [Line Items]
Total purchase price for business acquisition			$ 1,700
Goodwill			$ 1,600

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_BusinessAcquisitionLineItems
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration

X

- Definition

This element represents acquisition-related costs incurred to effect a business combination which costs have been expensed during the period. Such costs include finder's fees; advisory, legal, accounting, valuation, and other professional or consulting fees; general administrative costs, including the costs of maintaining an internal acquisitions department; and may include costs of registering and issuing debt and equity securities.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 25
-Paragraph 23
-URI http://asc.fasb.org/extlink&oid=123586518&loc=d3e1043-128460

+ Details

Name:	us-gaap_BusinessCombinationAcquisitionRelatedCosts
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration

X

- Definition

Costs incurred to effect a business combination which have been expensed during the period. Such costs could include business integration costs, systems integration and conversion costs, and severance and other employee-related costs.

+ References

No definition available.

+ Details

Name:	us-gaap_BusinessCombinationIntegrationRelatedCosts
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration

X

- Definition

The cash inflow associated with the acquisition of business during the period (for example, cash that was held by the acquired business).

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 12
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3179-108585

+ Details

Name:	us-gaap_CashAcquiredFromAcquisition
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

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 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://www.xbrl.org/2003/role/exampleRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 852
-SubTopic 10
-Section 55
-Paragraph 10
-URI http://asc.fasb.org/extlink&oid=84165509&loc=d3e56426-112766

Reference 4: 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 increase in assets, excluding financial assets and goodwill, lacking physical substance with an indefinite life, from an acquisition.

+ References

No definition available.

+ Details

Name:	us-gaap_IndefinitelivedIntangibleAssetsAcquired
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration

X

- Definition

The cash outflow associated with the acquisition of a business, net of the cash acquired from the purchase.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 13
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3213-108585

+ Details

Name:	us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=adus_ArmadaSkilledHomecareMember
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_FiniteLivedIntangibleAssetsByMajorClassAxis=adus_StateLicensesMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	srt_StatementGeographicalAxis=stpr_NM
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:	srt_StatementGeographicalAxis=stpr_OH
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:	srt_StatementGeographicalAxis=country_PA
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:	srt_StatementGeographicalAxis=country_MT
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type:

X

- Details

Name:	us-gaap_BusinessAcquisitionAxis=adus_SunLifeHospiceMember
Namespace Prefix:
Data Type:	na
Balance Type:
Period Type: