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Summary of Significant Accounting Policies - Additional Information (Detail)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2016
USD ($)
Jun. 30, 2015
USD ($)
Mar. 31, 2015
USD ($)
Jun. 30, 2016
USD ($)
D
Number_of_Visits
Jun. 30, 2015
USD ($)
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]              
Episode of care as episodic-based revenue, days | D       60      
Percentage of total reimbursement of outlier payment       10.00%      
Low utilization payment adjustment, maximum number of visits | Number_of_Visits       5      
First threshold of therapy services required, visits | Number_of_Visits       6      
Second threshold of services required, visits | Number_of_Visits       14      
Third threshold of therapy services required, visits | Number_of_Visits       20      
Historical collection rate from Medicare       99.00%      
Episodes in progress that begin during reporting period, days | D       60      
Hospice Medicare revenue rate accounted for routine care 99.00% 98.00%   98.00% 98.00%    
Percentage of patient receivables outstanding       10.00%      
Minimum days for accounts receivable outstanding to be fully reserved | D       365      
Portion of accounts receivable derived from Medicare       59.00%   64.00%  
Revenue adjustment to Medicare revenue $ 2,600 $ 1,100   $ 4,300 $ 2,600    
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 | D       120      
Maximum days to submit final bill from the date the request for anticipated payment was paid | D       60      
Percentage Of Patient Receivables Outstanding Over Ten Percent 10.90%     10.90%      
Asset Impairment Charges $ 0 0 $ 75,200 $ 0 75,193    
Property Plant And Equipment [Line Items]              
Internally developed computer software             $ 75,800
Unamortized debt issuance costs (3,000)     (3,000)   $ (3,400)  
Home Health [Member]              
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]              
Asset Impairment Charges 0 0   0 0    
Hospice [Member]              
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]              
Asset Impairment Charges 0 $ 0   0 $ 0    
Cap Year Two Thousand Thirteen Through Two Thousand Sixteen [Member]              
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]              
Estimated amounts due back to Medicare $ 1,400     $ 1,400   $ 1,400