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Summary of Significant Accounting Policies - Additional Information (Detail) (USD $)
In Millions, unless otherwise specified
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2014
Jun. 30, 2013
Jun. 30, 2014
D
Number_of_Visits
Jun. 30, 2013
Dec. 31, 2013
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 services required, visits     14    
Third threshold of therapy services required, visits     20    
Historical collection rate from Medicare     99.00%    
Episodes in progress that begin during reporting period, days     60    
Hospice Medicare revenue rate accounted for routine care 99.00% 99.00% 98.00% 99.00%  
Percentage of patient receivables outstanding     10.00%    
Minimum days for accounts receivable outstanding to be fully reserved     365    
Portion of accounts receivable derived from Medicare     69.00%   67.00%
Revenue adjustment to Medicare revenue $ 1.8 $ 2.8 $ 3.0 $ 6.6  
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    
Cap Year Two Thousand Twelve Through Two Thousand Fourteen [Member]
         
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]          
Estimated amounts due back to Medicare         4.0
Cap Year Two Thousand Thirteen Through Two Thousand Fourteen [Member]
         
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]          
Estimated amounts due back to Medicare $ 4.3   $ 4.3