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Summary of Significant Accounting Policies - Additional Information (Detail)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2017
USD ($)
D
Number_of_Visits
Mar. 31, 2016
USD ($)
Dec. 31, 2016
USD ($)
Revenue Recognition Multiple Deliverable Arrangements [Line Items]      
Episode of care as episodic-based revenue, days | D 60    
Percentage of total reimbursement of outlier payment 10.00%    
Low utilization payment adjustment, maximum number of visits | Number_of_Visits 5    
First threshold of therapy services required, visits | Number_of_Visits 6    
Second threshold of services required, visits | Number_of_Visits 14    
Third threshold of therapy services required, visits | Number_of_Visits 20    
Historical collection rate from Medicare 99.00%    
Episodes in progress that begin during reporting period, days | D 60    
Hospice Medicare revenue rate accounted for routine care 98.00% 98.00%  
Percentage of patient receivables outstanding 10.00%    
Minimum days for accounts receivable outstanding to be fully reserved | D 365    
Portion of accounts receivable derived from Medicare 58.00%   61.00%
Revenue adjustment to Medicare revenue | $ $ 3,400 $ 1,700  
Rate of request for anticipated payment submitted for the initial episode of care 60.00%    
Rate of request for anticipated payment submitted for subsequent episodes of care 50.00%    
Maximum days to submit final bill from the start of episode | D 120    
Maximum days to submit final bill from the date the request for anticipated payment was paid | D 60    
Percentage Of Patient Receivables Outstanding Over Ten Percent 13.20%    
Stockholders Equity Including Portion Attributable To Noncontrolling Interest | $ $ 482,946   $ 461,142
Accounting Standards Update 2016-09 [Member] | Retained Earnings [Member]      
Revenue Recognition Multiple Deliverable Arrangements [Line Items]      
Stockholders Equity Including Portion Attributable To Noncontrolling Interest | $ $ 400    
Home Health [Member]      
Revenue Recognition Multiple Deliverable Arrangements [Line Items]      
Historical collection rate from Medicare 99.00%    
Hospice [Member]      
Revenue Recognition Multiple Deliverable Arrangements [Line Items]      
Historical collection rate from Medicare 99.00%    
Cap Year Two Thousand Thirteen Through Two Thousand Sixteen [Member]      
Revenue Recognition Multiple Deliverable Arrangements [Line Items]      
Estimated amounts due back to Medicare | $     $ 800
Cap Year Two Thousand Thirteen Through Two Thousand Seventeen [Member]      
Revenue Recognition Multiple Deliverable Arrangements [Line Items]      
Estimated amounts due back to Medicare | $ $ 900