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Commitments and Contigencies (Detail)
$ in Millions
1 Months Ended 2 Months Ended 3 Months Ended 4 Months Ended 5 Months Ended 6 Months Ended 7 Months Ended 8 Months Ended 9 Months Ended 10 Months Ended 11 Months Ended 12 Months Ended 22 Months Ended 27 Months Ended
Mar. 02, 2015
Computers
Residents
Jan. 18, 2016
USD ($)
Claims
Apr. 30, 2014
Agencies
Jan. 31, 2014
Claims
Mar. 09, 2011
USD ($)
Claims
Jun. 30, 2016
USD ($)
Mar. 31, 2016
USD ($)
May 05, 2016
USD ($)
Jun. 10, 2015
USD ($)
May 21, 2015
Jun. 06, 2011
Beneficiary
Jul. 13, 2016
USD ($)
Jun. 27, 2016
Aug. 04, 2016
USD ($)
Jul. 25, 2012
Employee
Sep. 13, 2012
Employee
Sep. 30, 2016
USD ($)
Sep. 30, 2015
USD ($)
Nov. 03, 2015
Nov. 21, 2016
USD ($)
Dec. 31, 2016
USD ($)
States
Dec. 31, 2015
USD ($)
Nov. 10, 2009
Claims
Mar. 31, 2010
Beneficiary
Commitments And Contingencies Disclosure [Line Items]                                                
Health insurance retention limit                                         $ 0.9      
Workers' compensation insurance retention limit                                         0.5      
Professional liability insurance retention limit                                         $ 0.3      
Corporate Integrity Agreement Term                                         5 years      
Number Of States With Facilities | States                                         34      
Payments for Legal Settlements                       $ 0.2                        
Wage and Hour Litigation [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Loss Contingency, Settlement Agreement, Consideration                 $ 8.0                              
Loss Contingency Accrual                                   $ 8.0       $ 5.3    
Wage and Hour Litigation [Member] | Illinois [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of former employees who filled a putative collective and class action complaint | Employee                               1                
Loss Contingency, Settlement Agreement, Consideration                           $ 0.8                    
Loss Contingency Accrual                                 $ 0.8              
Payments for Legal Settlements                                       $ 0.6        
Wage and Hour Litigation [Member] | Connecticut [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of former employees who filled a putative collective and class action complaint | Employee                             3                  
Payments for Legal Settlements             $ 5.3                                  
OIG Self-Disclosure [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Loss Contingency Accrual               $ 4.7                           $ 4.7    
Payments for Legal Settlements           $ 4.7                             $ 0.4      
Computer Inventory And Data Security Reporting [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of Missing Computers and Laptops | Computers 142                                              
Threshold of Individuals in Data Breach | Residents 500                                              
Computer Inventory And Data Security Reporting [Member] | Minimum [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Year of Departure 2011                                              
Computer Inventory And Data Security Reporting [Member] | Maximum [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Year of Departure 2014                                              
Frontier Litigation [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Payments for Legal Settlements                                         $ 2.9      
Home Health [Member] | Ohio [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of claims submitted by subsidiary | Claims                                             137  
Recovery amount of overpayment made to subsidiary including interest                       $ 0.2                        
Home Health [Member] | Extrapolated [Member] | Ohio [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of claims submitted by subsidiary | Claims         114                                      
Recovery amount of the overpayment made to the subsidiary         $ 5.6                                      
Home Health [Member] | Unfavorable [Member] | Ohio [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of claims submitted by subsidiary | Claims       28                                        
Home Health [Member] | Favorable In Full [Member] | Ohio [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of claims submitted by subsidiary | Claims       76                                        
Number of claims appealed | Claims       74                                        
Home Health [Member] | Favorable In Part [Member] | Ohio [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of claims submitted by subsidiary | Claims       10                                        
Number of claims appealed | Claims       8                                        
Home Health [Member] | Frontier Litigation [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number Of Care Centers Sold | Agencies     5                                          
Hospice [Member] | South Carolina [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of beneficiaries | Beneficiary                                               30
Hospice [Member] | Extrapolated [Member] | South Carolina [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of beneficiaries | Beneficiary                     16                          
Hospice [Member] | Unfavorable [Member] | South Carolina [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of claims submitted by subsidiary | Claims   9                                            
Recovery amount of the overpayment made to the subsidiary   $ 3.7                                            
Recovery amount of overpayment made to subsidiary including interest   $ 5.6                                            
Recovery amount of over payment made to subsidiary including interest withheld           $ 5.7                                    
Hospice [Member] | Frontier Litigation [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number Of Care Centers Sold | Agencies     4                                          
Hospice [Member] | US Department of Justice [Member] | Massachusetts [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of patients                   53                            
Hospice [Member] | US Department of Justice [Member] | Morgantown, West Virginia [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of patients                                     66          
Hospice [Member] | US Department of Justice [Member] | Parkersburg, West Virginia [Member]                                                
Commitments And Contingencies Disclosure [Line Items]                                                
Number of patients                         68