Commitments and Contingencies - Additional Information (Detail) (USD $)
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1 Months Ended | 3 Months Ended | 12 Months Ended | 12 Months Ended | 1 Months Ended | 12 Months Ended | 1 Months Ended | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Oct. 31, 2012
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Dec. 31, 2012
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Sep. 30, 2012
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Jun. 30, 2012
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Mar. 31, 2012
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Dec. 31, 2011
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Sep. 30, 2011
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Jun. 30, 2011
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Mar. 31, 2011
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Dec. 31, 2012
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Dec. 31, 2011
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Dec. 31, 2010
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Dec. 31, 2012
Minimum
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Dec. 31, 2012
Maximum
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Dec. 31, 2012
Home Health
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Dec. 31, 2011
Home Health
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Dec. 31, 2010
Home Health
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Mar. 09, 2011
Home Health
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Jan. 02, 2008
Home Health
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Dec. 31, 2012
Hospice care center
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Dec. 31, 2011
Hospice care center
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Dec. 31, 2010
Hospice care center
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May 31, 2012
Hospice care center
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Jun. 06, 2011
Hospice care center
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Jul. 31, 2010
Hospice care center
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Jul. 31, 2009
Beacon Hospice, Inc.
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Dec. 17, 2012
Masspro and Hospice
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Feb. 15, 2012
Masspro and Hospice
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Sep. 30, 2012
Pending Litigation
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Jul. 31, 2012
Pending Litigation
Person
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Dec. 31, 2012
Favorable
Hospice care center
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Mar. 13, 2012
Favorable
Maximus Federal Services And Hospice
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Dec. 31, 2012
Unfavorable
Home Health
Medicare Administrative Contractor (MAC)
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Dec. 31, 2012
Unfavorable
Maximus Federal Services
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Dec. 31, 2012
Unfavorable
Hospice care center
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Mar. 13, 2012
Unfavorable
Maximus Federal Services And Hospice
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Dec. 17, 2012
Unfavorable
Masspro and Hospice
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Feb. 15, 2012
Unfavorable
Masspro and Hospice
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May 31, 2012
Large physician group
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Commitments and Contingencies Disclosure [Line Items] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Revenue earned amount | $ 363,000,000 | [1],[2],[3],[4] | $ 375,600,000 | [1] | $ 378,500,000 | [1] | $ 370,800,000 | [1] | $ 370,300,000 | [5],[6],[7] | $ 370,300,000 | [6],[7],[8] | $ 368,400,000 | [6],[9] | $ 359,300,000 | [5],[6] | $ 1,487,905,000 | $ 1,468,305,000 | $ 1,601,070,000 | $ 1,198,000,000 | $ 1,250,500,000 | $ 1,462,500,000 | $ 289,900,000 | $ 217,800,000 | $ 138,600,000 | $ 4,000,000 | |||||||||||||||||||||||||||||||||||||||
Number of Hospice Care Centers involved in OIG Self-Disclosure | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Number of former employees who filled a putative collective and class action complaint | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Description of plaintiffs class certification request | Plaintiff seeks class certification of similar employees who were or are employed in Illinois and seeks attorneys' fees, back wages and liquidated damages going back three years under the FLSA and three years under the Illinois statute. | Plaintiffs seek class certification of similar employees and seek attorneys' fees, back wages and liquidated damages going back three years under the FLSA and three years under the Pennsylvania statute. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Number of claims submitted by subsidiary | 114 | 137 | 16 | 30 | 25 | 112 | 4 | 1 | 12 | 11 | 35 | 89 | |||||||||||||||||||||||||||||||||||||||||||||||||||||
Recovery amount of the overpayment made to the subsidiary | 5,600,000 | 6,300,000 | 6,100,000 | 5,500,000 | 82,210.65 | 6,600,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Number of redetermination decisions | 110 | 85 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Operating leases agreement expiration year | 2013 | 2017 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Operating lease term, years | 3 years | 7 years | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Future rental commitments for discontinued operations | 900,000 | 900,000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Rent expense for non-cancelable operating leases | 32,700,000 | 32,600,000 | 35,200,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Health insurance retention limit | 800,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Workers' compensation insurance retention limit | 400,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Professional liability insurance retention limit | $ 300,000 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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