Acquisitions and Joint Ventures - Additional Information (Detail) - USD ($)	3 Months Ended
Mar. 31, 2018	Mar. 31, 2017
Business Acquisition [Line Items]
Cash paid to for acquisitions	$ 2,770,000	$ 449,000
Proceeds for sale of ownership interest	3.3
Reduction of APIC due to sale of ownership interests	2.0
Nason Home Health And First Choice Home Health Care
Business Acquisition [Line Items]
Preliminary merger consideration	2,900,000
Cash paid to for acquisitions	$ 2,800,000

Amount of other increase (decrease) in additional paid in capital (APIC).

No definition available.

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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.

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Amount of consideration transferred, consisting of acquisition-date fair value of assets transferred by the acquirer, liabilities incurred by the acquirer, and equity interest issued by the acquirer.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 30
-Paragraph 7
-URI http://asc.fasb.org/extlink&oid=6911251&loc=d3e6578-128477

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-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
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-Section 50
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-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 30
-Paragraph 8
-URI http://asc.fasb.org/extlink&oid=6911251&loc=d3e6613-128477

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- Definition

The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 13
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=98514028&loc=d3e3213-108585

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The cash inflow associated with the amount received from the sale of a portion of the company's business, for example a segment, division, branch or other business, during the period.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
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-Name Accounting Standards Codification
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