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Nature of Operations Consolidation and Presentation of Financial Statements - Additional Information (Detail)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2017
USD ($)
Agencies
States
Sep. 30, 2016
Sep. 30, 2017
USD ($)
Agencies
States
Sep. 30, 2016
Dec. 31, 2016
USD ($)
Organization And Nature Of Operations [Line Items]          
Number Of States With Facilities | States 34   34    
Minimum percent ownership for controlling interest percent 50.00%   50.00%    
Equity Method Investment Aggregate Cost | $ $ 26.8   $ 26.8   $ 27.8
Maximum Percent Ownership For Equity Method Percent 50.00%   50.00%    
Maximum Percent Ownership For Cost Method Percent 20.00%   20.00%    
Medicare Revenue [Member]          
Organization And Nature Of Operations [Line Items]          
Percent Of Net Services Revenue Provided By Medicare 74.00% 78.00% 75.00% 78.00%  
Home Health [Member]          
Organization And Nature Of Operations [Line Items]          
Operating Care Centers 328   328    
Hospice [Member]          
Organization And Nature Of Operations [Line Items]          
Operating Care Centers 81   81    
Personal Care [Member]          
Organization And Nature Of Operations [Line Items]          
Operating Care Centers 16   16