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Discontinued Operations - Additional Information (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended 12 Months Ended 3 Months Ended 9 Months Ended 3 Months Ended 9 Months Ended
Sep. 30, 2013
Agencies
Jun. 30, 2013
Agencies
Sep. 30, 2013
Agencies
Dec. 31, 2012
Agencies
Sep. 30, 2013
Assets Held-for-sale [Member]
Sep. 30, 2013
Home Health [Member]
Agencies
Jun. 30, 2013
Home Health [Member]
Agencies
Mar. 31, 2013
Home Health [Member]
Agencies
Sep. 30, 2013
Home Health [Member]
Agencies
Sep. 30, 2013
Hospice [Member]
Agencies
Jun. 30, 2013
Hospice [Member]
Agencies
Sep. 30, 2013
Hospice [Member]
Agencies
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of care centers consolidated   19 32     4 17 9     2  
Number of care centers closed       3                
Number of care centers available for sale   34 28       33   28   1 0
Number of care centers sold 0 3 3       2       1  
Number of care centers included in divestiture plan   50                    
Property Plant And Equipment Net $ 160,077   $ 160,077 $ 156,709 $ 300              
Goodwill 208,126   208,126 209,594 500              
Intangible Assets Net Excluding Goodwill $ 42,332   $ 42,332 $ 47,050 $ 500              
Number of care centers removed from available for sale 6         5       1