XML 63 R56.htm IDEA: XBRL DOCUMENT
v3.24.2.u1

Significant Payors (Revenue by Payor Type) (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2024 | Jun. 30, 2023 | Jun. 30, 2024 | Jun. 30, 2023
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 286,922 | $ 259,980 | $ 567,668 | $ 511,579
Personal Care [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | 212,817 | 198,314 | 420,820 | 388,346
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 212,817 | $ 198,314 | $ 420,820 | $ 388,346
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] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 113,002 | $ 100,399 | $ 220,756 | $ 195,721
Concentration risk, percentage | 53.10% | 50.60% | 52.50% | 50.40%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 94,135 | $ 91,276 | $ 188,411 | $ 179,176
Concentration risk, percentage | 44.20% | 46.00% | 44.80% | 46.10%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Private Pay [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 3,689 | $ 4,137 | $ 7,595 | $ 8,363
Concentration risk, percentage | 1.70% | 2.20% | 1.80% | 2.20%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 1,467 | $ 1,637 | $ 2,953 | $ 3,306
Concentration risk, percentage | 0.70% | 0.80% | 0.70% | 0.90%
Personal Care [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 524 | $ 865 | $ 1,105 | $ 1,780
Concentration risk, percentage | 0.30% | 0.40% | 0.20% | 0.40%
Hospice [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 56,030 | $ 50,210 | $ 111,893 | $ 99,292
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 56,030 | $ 50,210 | $ 111,893 | $ 99,293
Concentration risk, percentage | 100.00% | 100.00% | 100.00% | 100.00%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 51,122 | $ 45,566 | $ 101,774 | $ 90,122
Concentration risk, percentage | 91.20% | 90.70% | 91.00% | 90.80%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 1,880 | $ 1,567 | $ 3,697 | $ 3,214
Concentration risk, percentage | 3.40% | 3.10% | 3.30% | 3.20%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Commercial Insurance [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 2,844 | $ 2,726 | $ 5,978 | $ 5,273
Concentration risk, percentage | 5.10% | 5.40% | 5.30% | 5.30%
Hospice [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 184 | $ 351 | $ 444 | $ 684
Concentration risk, percentage | 0.30% | 0.80% | 0.40% | 0.70%
Home Health [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 18,075 | $ 11,456 | $ 34,955 | $ 23,941
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 18,075 | $ 11,456 | $ 34,955 | $ 23,941
Concentration risk, percentage | 100.00% | 100.00% | 100.00% | 100.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Medicare [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 12,517 | $ 8,716 | $ 24,180 | $ 17,988
Concentration risk, percentage | 69.30% | 76.10% | 69.20% | 75.10%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Managed Care Organizations [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 4,676 | $ 2,251 | $ 9,076 | $ 4,789
Concentration risk, percentage | 25.90% | 19.60% | 26.00% | 20.00%
Home Health [Member] | Revenues [Member] | Customer Concentration Risk [Member] | Other [Member] |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net service revenues | $ 882 | $ 489 | $ 1,699 | $ 1,164
Concentration risk, percentage | 4.80% | 4.30% | 4.80% | 4.90%

X
- Definition For an entity that discloses a concentration risk in relation to quantitative amount, which serves as the "benchmark" (or denominator) in the equation, this concept represents the concentration percentage derived from the division. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 42 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-42 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 825 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482907/825-10-50-21 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 825 -SubTopic 10 -Section 50 -Paragraph 20 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482907/825-10-50-20 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 275 -SubTopic 10 -Section 50 -Paragraph 18 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482861/275-10-50-18 Reference 5: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 275 -SubTopic 10 -Section 50 -Paragraph 20 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482861/275-10-50-20 + Details
Name: | us-gaap_ConcentrationRiskPercentage1
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:percentItemType
Balance Type: | na
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 Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 5 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-5 Reference 2: http://www.xbrl.org/2003/role/exampleRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 91 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479777/606-10-55-91 Reference 3: http://www.xbrl.org/2003/role/exampleRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 91 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479777/606-10-55-91 Reference 4: http://www.xbrl.org/2003/role/exampleRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 91 -Subparagraph (c) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479777/606-10-55-91 Reference 5: http://www.xbrl.org/2003/role/exampleRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 91 -Subparagraph (d) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479777/606-10-55-91 Reference 6: http://www.xbrl.org/2003/role/exampleRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 91 -Subparagraph (e) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479777/606-10-55-91 Reference 7: http://www.xbrl.org/2003/role/exampleRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 91 -Subparagraph (f) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479777/606-10-55-91 Reference 8: http://www.xbrl.org/2003/role/exampleRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 55 -Paragraph 91 -Subparagraph (g) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479777/606-10-55-91 + Details
Name: | us-gaap_DisaggregationOfRevenueLineItems
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 41 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-41 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 270 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 1 -Subparagraph (i) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482964/270-10-50-1 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (ee) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 4: http://fasb.org/us-gaap/role/ref/otherTransitionRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 5: http://fasb.org/us-gaap/role/ref/otherTransitionRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 32 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-32 Reference 6: http://www.xbrl.org/2003/role/disclosureRef -Topic 924 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SAB Topic 11.L) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479941/924-10-S99-1 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 5 -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-5 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 30 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 42 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-42 Reference 10: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 22 -Subparagraph (b) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 11: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 40 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-40 Reference 12: http://www.xbrl.org/2003/role/disclosureRef -Topic 280 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 22 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 13: http://www.xbrl.org/2003/role/disclosureRef -Topic 606 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 4 -Subparagraph (a) -Publisher FASB -URI https://asc.fasb.org/1943274/2147479806/606-10-50-4 + Details
Name: | us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

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

X
- Details
Name: | us-gaap_ConcentrationRiskByBenchmarkAxis=us-gaap_SalesRevenueNetMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ConcentrationRiskByTypeAxis=us-gaap_CustomerConcentrationRiskMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_HealthCareOrganizationRevenueSourcesAxis=adus_StateLocalAndOtherGovernmentalProgramsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_HealthCareOrganizationRevenueSourcesAxis=adus_ManagedCareOrganizationsMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_HealthCareOrganizationRevenueSourcesAxis=adus_PrivatePayMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_HealthCareOrganizationRevenueSourcesAxis=adus_CommercialInsuranceMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_HealthCareOrganizationRevenueSourcesAxis=adus_OtherMember
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_HealthCareOrganizationRevenueSourcesAxis=adus_MedicareMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

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