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Commitments and Contingencies (Detail)
1 Months Ended 2 Months Ended 3 Months Ended 5 Months Ended 7 Months Ended 8 Months Ended 10 Months Ended 22 Months Ended 27 Months Ended
Mar. 02, 2015
Computers
Residents
Jan. 18, 2016
USD ($)
Claims
Apr. 30, 2014
Agencies
Jan. 31, 2014
Claims
Mar. 09, 2011
USD ($)
Claims
Mar. 31, 2016
USD ($)
Agencies
Jun. 10, 2015
USD ($)
May. 21, 2015
Jun. 06, 2011
Beneficiary
Jul. 25, 2012
Employee
Sep. 13, 2012
Employee
Nov. 03, 2015
Nov. 10, 2009
Claims
Mar. 31, 2010
Beneficiary
Dec. 31, 2015
USD ($)
Sep. 30, 2015
USD ($)
Commitments and Contingencies Disclosure [Line Items]                                
Health insurance retention limit           $ 900,000                    
Workers' compensation insurance retention limit           500,000                    
Professional liability insurance retention limit           $ 300,000                    
Corporate Integrity Agreement Term           5 years                    
Number Of States With Facilities | Agencies           34                    
Wage and Hour Litigation [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Loss Contingency, Settlement Agreement, Consideration             $ 8,000,000                  
Loss Contingency Accrual, at Carrying Value                             $ 5,300,000 $ 8,000,000
Wage and Hour Litigation [Member] | Illinois [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of former employees who filled a putative collective and class action complaint | Employee                     1          
Loss Contingency Accrual           $ 800,000                    
Wage and Hour Litigation [Member] | Connecticut [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of former employees who filled a putative collective and class action complaint | Employee                   3            
OIG Self-Disclosure [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Loss Contingency Accrual           $ 4,700,000                    
Computer Inventory And Data Security Reporting [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of Missing Computers and Laptops | Computers 142                              
Threshold of Individuals in Data Breach | Residents 500                              
Computer Inventory And Data Security Reporting [Member] | Minimum [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Year of Departure 2011                              
Computer Inventory And Data Security Reporting [Member] | Maximum [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Year of Departure 2014                              
Home Health [Member] | Ohio [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of claims submitted by subsidiary | Claims                         137      
Home Health [Member] | Extrapolated [Member] | Ohio [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of claims submitted by subsidiary | Claims         114                      
Recovery amount of the overpayment made to the subsidiary         $ 5,600,000                      
Home Health [Member] | Unfavorable [Member] | Ohio [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of claims submitted by subsidiary | Claims       28                        
Home Health [Member] | Favorable In Full [Member] | Ohio [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of claims submitted by subsidiary | Claims       76                        
Number of claims appealed | Claims       74                        
Home Health [Member] | Favorable In Part [Member] | Ohio [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of claims submitted by subsidiary | Claims       10                        
Number of claims appealed | Claims       8                        
Home Health [Member] | Frontier Litigation [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number Of Care Centers Sold | Agencies     5                          
Hospice [Member] | South Carolina [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of beneficiaries | Beneficiary                           30    
Hospice [Member] | Extrapolated [Member] | South Carolina [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of beneficiaries | Beneficiary                 16              
Hospice [Member] | Unfavorable [Member] | South Carolina [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of claims submitted by subsidiary | Claims   9                            
Recovery amount of the overpayment made to the subsidiary   $ 3,700,000                            
Recovery Amount Of Over Payment Made To Subsidiary Including Interest   $ 5,600,000                            
Hospice [Member] | Frontier Litigation [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number Of Care Centers Sold | Agencies     4                          
Hospice [Member] | U.S. Department of Justice [Member] | Massachusetts [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of patients               53                
Hospice [Member] | U.S. Department of Justice [Member] | West Virginia [Member]                                
Commitments and Contingencies Disclosure [Line Items]                                
Number of patients                       66