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Nature of Operations Consolidation and Presentation of Financial Statements - Additional Information (Detail) (USD $)
3 Months Ended 9 Months Ended 12 Months Ended 3 Months Ended 9 Months Ended 3 Months Ended 9 Months Ended
Sep. 30, 2013
States
Jun. 30, 2013
Agencies
Sep. 30, 2012
Sep. 30, 2013
Agencies
States
Sep. 30, 2012
Dec. 31, 2012
Agencies
Sep. 30, 2013
Georgia Care Centers [Member]
Agencies
Sep. 30, 2013
Home Health [Member]
Agencies
Jun. 30, 2013
Home Health [Member]
Agencies
Mar. 31, 2013
Home Health [Member]
Agencies
Sep. 30, 2013
Home Health [Member]
Agencies
Jun. 30, 2013
Hospice [Member]
Agencies
Sep. 30, 2013
Hospice [Member]
Agencies
Sep. 30, 2013
Hospice Inpatient [Member]
Agencies
Organization And Nature Of Operations [Line Items]                            
Percent Of Net Services Revenue Provided By Medicare 84.00%   82.00% 84.00% 82.00%                  
Operating Care Centers               405     405   94 1
Number Of States With Facilities 37     37                    
Number of care centers closed           3                
Minimum percent ownership for controlling interest percent 50.00%     50.00%                    
Equity Method Investment Aggregate Cost $ 8,800,000     $ 8,800,000   $ 4,800,000                
Cost Method Investments 5,000,000     5,000,000                    
Maximum Percent Ownership For Equity Method Percent 50.00%     50.00%                    
Maximum Percent Ownership For Cost Method Percent 20.00%     20.00%                    
Number of care centers consolidated   19   32       4 17 9   2    
Number of care centers available for sale   34   28         33   28 1 0  
Gains (Losses) on Sales of Assets 1,451,000   0 1,808,000 0   1,400,000              
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners             30.00%              
Number of care centers contributed to joint venture             3              
Goodwill, Impairment Loss 1,300,000                          
Proceeds from Divestiture of Business       $ 3,725,000 $ 0   $ 1,600,000