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Discontinued Operations - Additional Information (Detail)
3 Months Ended 12 Months Ended 6 Months Ended 12 Months Ended
Mar. 31, 2012
Dec. 31, 2011
Jun. 30, 2012
Home Health
Dec. 31, 2011
Home Health
Dec. 31, 2011
Hospice care centers
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]          
Number of care centers consolidated     1 27 5
Number of care centers closed 3 29   27 2
Number of prospective unopened locations, start-up process discontinued       2  
Number of care centers exited     3 27 2