Quarterly Financial Information (Unaudited) (Details Textual) (Details) (USD $)	3 Months Ended			12 Months Ended				3 Months Ended	12 Months Ended	3 Months Ended
	Mar. 31, 2013	Dec. 31, 2012	Jun. 30, 2012	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011	Aug. 24, 2012	Mar. 31, 2013 Hospice [Member]	Dec. 31, 2013 Hospice [Member]	Dec. 31, 2013 Hospice [Member] Goodwill [Member]	Dec. 31, 2013 Hospice [Member] Intangible Assets [Member]
Schedule of Quarterly Financial Data [Line Items]
Goodwill, Impairment Loss	$ 220,800,000			$ 600,636,000				$ 220,800,000	$ 600,636,000	$ 379,800,000
Impairment of intangible assets, finite-lived	224,300,000				19,100,000				13,100,000		6,300,000
Gain on sale of assets and businesses, net		2,600,000	5,400,000	0	8,014,000	1,061,000
Increase (decrease) in notes receivable		6,500,000
Seller financing note receivable		$ 3,400,000		$ 3,400,000	$ 3,400,000		$ 9,900,000