XML 31 R19.htm IDEA: XBRL DOCUMENT v3.5.0.2
Nature of Operations Consolidation and Presentation of Financial Statements - Additional Information (Detail)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2016
USD ($)
Agencies
States
Sep. 30, 2015
Sep. 30, 2016
USD ($)
Agencies
States
Sep. 30, 2015
Dec. 31, 2015
USD ($)
Organization And Nature Of Operations [Line Items]          
Percent Of Net Services Revenue Provided By Medicare 78.00% 79.00% 78.00% 80.00%  
Number Of States With Facilities | States 34   34    
Minimum percent ownership for controlling interest percent 50.00%   50.00%    
Equity Method Investment Aggregate Cost | $ $ 28.2   $ 28.2   $ 25.7
Maximum Percent Ownership For Equity Method Percent 50.00%   50.00%    
Maximum Percent Ownership For Cost Method Percent 20.00%   20.00%    
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners 30.00%   30.00%    
Home Health [Member]          
Organization And Nature Of Operations [Line Items]          
Operating Care Centers 326   326    
Hospice [Member]          
Organization And Nature Of Operations [Line Items]          
Operating Care Centers 79   79    
Personal Care [Member]          
Organization And Nature Of Operations [Line Items]          
Operating Care Centers 14   14