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Summary of Significant Accounting Policies - Additional Information (Detail)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2017
USD ($)
Jun. 30, 2016
USD ($)
Jun. 30, 2017
USD ($)
D
Number_of_Visits
Jun. 30, 2016
USD ($)
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 99.00% 99.00% 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 $ 5,000 $ 2,600 $ 8,400 $ 4,300  
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 12.30%   12.30%    
Stockholders Equity Including Portion Attributable To Noncontrolling Interest $ 493,061   $ 493,061   $ 461,142
Tax benefit from stock options exercised and restricted stock vesting     0 $ 7,130  
Accounting Standards Update 2016-09 [Member] | Net Income [Member]          
Revenue Recognition Multiple Deliverable Arrangements [Line Items]          
Tax benefit from stock options exercised and restricted stock vesting 2,900   3,100    
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   $ 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 $ 1,300   $ 1,300