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Acquisitions - Additional Information (Detail) (USD $)
In Millions, unless otherwise specified
12 Months Ended 12 Months Ended 12 Months Ended 1 Months Ended 12 Months Ended 1 Months Ended 12 Months Ended 1 Months Ended
Sep. 30, 2012
Equity Method Investments
May 01, 2012
Louisiana
Dec. 31, 2012
Louisiana
Home health care center
Dec. 31, 2012
Louisiana
Hospice care center
Jun. 01, 2012
Florida
In-house physicians practice
Dec. 31, 2012
North Carolina
Sep. 30, 2012
North Carolina
Aug. 06, 2012
North Carolina
Dec. 31, 2012
North Carolina
Hospice care center
Jun. 07, 2011
Beacon Hospice, Inc.
Y
Dec. 31, 2011
Beacon Hospice, Inc.
Jun. 07, 2011
Beacon Hospice, Inc.
Hospice care center
Unit
Jun. 07, 2011
Beacon Hospice, Inc.
Inpatient Unit
Unit
Dec. 31, 2011
Hackensack Hospice, Inc.
Nov. 01, 2011
Hackensack Hospice, Inc.
Nov. 01, 2011
Hackensack Hospice, Inc.
Hospice care center
Unit
Nov. 01, 2011
Hackensack Hospice, Inc.
Inpatient Unit
Unit
Schedule of Business Acquisitions, Purchase Price Allocation [Line Items]                                  
Acquisition, total purchase price   $ 6.4     $ 2.0     $ 5.8   $ 126.0         $ 4.0    
Acquisition, number of care centers acquired     1 4         5     22 1     1 1
Acquisition, recorded goodwill 18.7 6.0     1.9     5.5   110.4         3.7    
Acquisition, recorded other intangibles 3.1 0.5     0.1     0.3   10.0         0.3    
Acquisition, recorded other assets and liabilities 7.5 0.1               5.6              
Accrued liability resulting from acquisition             3.8                    
Accrued liability paid to seller           3.8                      
Cash 1.6                                
Non-controlling interest 15.9                                
Escrow deposit for indemnification purposes and working capital price adjustments                   8.2              
Goodwill expected to be deductible for income tax purposes                   51.0              
Period in which goodwill is expected to be deductible for income tax purposes, in years                   15              
Business acquisition, revenue                     49.6     3.2      
Business acquisition, net income (loss)                     $ 11.7     $ (0.3)