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Summary of Significant Accounting Policies - Additional Information (Detail) (USD $)
In Millions, unless otherwise specified
3 Months Ended 12 Months Ended
Mar. 31, 2013
Number_of_Visits
D
Mar. 31, 2012
Dec. 31, 2012
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]      
Episode of care as episodic-based revenue, days 60    
Percentage of total reimbursement of outlier payment 10.00%    
Low utilization payment adjustment, maximum number of visits 5    
First threshold of therapy services required, visits 6    
Second threshold of therapy services required, visits 14    
Third threshold of therapy services required, visits 20    
Historical collection rate from Medicare 99.00%    
Episodes of progress that begin during reporting period, days 60    
Hospice Medicare revenue rate accounted for routine care 99.00% 98.00%  
Estimated amounts due back to Medicare $ 3.8   $ 4.8
Percentage of patient receivables outstanding related to single payor 10.00%    
Minimum days for accounts receivable outstanding to be fully reserved 365    
Portion of accounts receivable derived from Medicare 68.00%   68.00%
Revenue adjustment to Medicare revenue $ 3.9 $ 2.7  
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 120    
Maximum days to submit final bill from the date the request for anticipated payment was paid 60