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Nature of Operations Consolidation and Presentation of Financial Statements - Additional Information (Detail)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2017
USD ($)
Agencies
States
Jun. 30, 2016
Jun. 30, 2017
USD ($)
Agencies
States
Jun. 30, 2016
Dec. 31, 2016
USD ($)
Organization And Nature Of Operations [Line Items]          
Number Of States With Facilities | States 34   34    
Minimum percent ownership for controlling interest percent 50.00%   50.00%    
Equity Method Investment Aggregate Cost | $ $ 27.1   $ 27.1   $ 27.8
Maximum Percent Ownership For Equity Method Percent 50.00%   50.00%    
Maximum Percent Ownership For Cost Method Percent 20.00%   20.00%    
Medicare Revenue [Member]          
Organization And Nature Of Operations [Line Items]          
Percent Of Net Services Revenue Provided By Medicare 75.00% 78.00% 75.00% 78.00%  
Home Health [Member]          
Organization And Nature Of Operations [Line Items]          
Operating Care Centers 329   329    
Hospice [Member]          
Organization And Nature Of Operations [Line Items]          
Operating Care Centers 81   81    
Personal Care [Member]          
Organization And Nature Of Operations [Line Items]          
Operating Care Centers 16   16