Exit Activities (Detail) (USD $)
|
9 Months Ended |
12 Months Ended |
Sep. 30, 2013
Agencies
|
Dec. 31, 2013
Agencies
|
Dec. 31, 2012
Agencies
|
Dec. 31, 2011
Agencies
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Gains (Losses) on Sales of Assets |
|
$ 1,752,000 |
$ 0 |
$ 0 |
Proceeds from Divestiture of Business |
|
5,146,000 |
0 |
0 |
Number of care centers available for sale |
28 |
3 |
|
|
Number of care centers consolidated |
|
46 |
|
|
Number of care centers sold |
|
20 |
|
|
Number of care centers closed |
|
10 |
3 |
29 |
Home Health [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Number of care centers available for sale |
|
3 |
|
|
Number of care centers consolidated |
|
41 |
5 |
27 |
Number of care centers sold |
|
19 |
|
|
Number of care centers closed |
|
10 |
3 |
27 |
Number of care centers start-up process discontinued |
|
|
|
2 |
Hospice [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Number of care centers available for sale |
|
0 |
|
|
Number of care centers consolidated |
|
5 |
4 |
5 |
Number of care centers sold |
|
1 |
|
|
Number of care centers closed |
|
|
|
2 |
Alaska and Washington Care Centers [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Gains (Losses) on Sales of Assets |
|
1,000,000 |
|
|
Proceeds from Divestiture of Business |
|
1,600,000 |
|
|
Alaska and Washington Care Centers [Member] | Home Health [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Number of care centers sold |
|
2 |
|
|
Alaska and Washington Care Centers [Member] | Hospice [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Number of care centers sold |
|
1 |
|
|
Unconsolidated Joint Venture [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Gains (Losses) on Sales of Assets |
|
(700,000) |
|
|
Proceeds from Divestiture of Business |
|
500,000 |
|
|
Georgia Care Centers [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Gains (Losses) on Sales of Assets |
|
1,400,000 |
|
|
Proceeds from Divestiture of Business |
|
1,600,000 |
|
|
Available For Sale [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Gains (Losses) on Sales of Assets |
|
700,000 |
|
|
Proceeds from Divestiture of Business |
|
1,400,000 |
|
|
Number of care centers sold |
|
17 |
|
|
Number of care centers closed |
|
8 |
|
|
Not Included In Available For Sale [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Number of care centers closed |
|
2 |
|
|
2011 Exit Activity [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Discontinued Operations Liability |
|
|
|
2,700,000 |
2011 Exit Activity [Member] | Lease Termination [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Other Restructuring Costs |
|
|
|
3,100,000 |
2011 Exit Activity [Member] | Severance [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Other Restructuring Costs |
|
|
|
700,000 |
2011 Exit Activity [Member] | Intangibles Write Off [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Other Restructuring Costs |
|
|
|
1,500,000 |
2012 Exit Activity [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Discontinued Operations Liability |
|
|
200,000 |
|
2012 Exit Activity [Member] | Lease Termination [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Other Restructuring Costs |
|
|
900,000 |
|
2012 Exit Activity [Member] | Severance [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Other Restructuring Costs |
|
|
100,000 |
|
2013 Exit Activity [Member] | Lease Termination [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Other Restructuring Costs |
|
1,500,000 |
|
|
2013 Exit Activity [Member] | Severance [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Other Restructuring Costs |
|
1,800,000 |
|
|
2013 Exit Activity [Member] | Goodwill And Other Intangibles Impairment [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Other Restructuring Costs |
|
3,500,000 |
|
|
2013 Exit Activity [Member] | Available For Sale [Member] | Lease Termination [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Discontinued Operations Liability |
|
500,000 |
|
|
2013 Exit Activity [Member] | Available For Sale [Member] | Intangibles Write Off [Member]
|
|
|
|
|
Restructuring Cost and Reserve [Line Items] |
|
|
|
|
Discontinued Operations Liability |
|
$ 100,000 |
|
|