Background and Basis of Presentation (Tables)

12 Months Ended

Dec. 31, 2013

Significant Acquisitions and Disposals [Line Items]

Schedule of business acquisitions

A summary of the transactions for 2013, 2012 and 2011 and the consideration paid are as follows (in millions):

Acquisitions:	Geographic Service Area	Date	Consideration
Harden Healthcare Holdings, Inc	Nationwide	October 18, 2013	$	426.8
Appalachian Regional Health Systems	North Carolina	September 30, 2013	2.7
Wake Forest Baptist Health Care at Home, LLC	North Carolina	August 23, 2013	2.4
Hope Hospice, Inc.	Indiana	April 30, 2013	1.0
Family Home Care Corporation	Washington and Idaho	August 31, 2012	12.3
North Mississippi Hospice	Mississippi	August 31, 2012	4.7
Advocate Hospice	Indiana	July 22, 2012	5.5
Odyssey HealthCare of Augusta, LLC	Georgia	April 29, 2011	0.3

Home Health and Hospice [Member]

Significant Acquisitions and Disposals [Line Items]

Schedule of Disposal Groups, Including Discontinued Operations, Income Statement, Balance Sheet and Additional Disclosures [Table Text Block]

A summary of the Company's operations which were sold during 2012 and 2011 are as follows (in millions):

Dispositions:	Date	Consideration
Phoenix area hospice operations	November 30, 2012	$	3.5
Gentiva Consulting	May 31, 2012	0.3
Louisiana home health and hospice operations	Second Quarter 2012	6.4
Certain home health branches-Utah, Michigan, Nevada and Brooklyn, New York	Fourth Quarter 2011	1.6

The major classes of assets sold and liabilities assumed of the Home Health and Hospice branch operations that were sold were as follows (in thousands):

	2012
	As of Date of Sale			December 31, 2011
Assets:
Accounts receivable, net	$	561		$	526
Fixed assets, net	271			338
Intangible assets	1,356			1,356
Other assets	485			640
Total assets	2,673			2,860
Liabilities:
Medicare liabilities	(86		)	(18		)
Other accrued Expenses	(405		)	(41		)
Total liabilities	(491		)	(59		)
Total	$	2,182		$	2,801

Home Maker Services Agency Rehab Without Wallsand HME and IV [Member]

Significant Acquisitions and Disposals [Line Items]

Schedule of Disposal Groups, Including Discontinued Operations, Income Statement, Balance Sheet and Additional Disclosures [Table Text Block]

Furthermore, during 2011 the Company sold its IDOA business based in Illinois and its Rehab Without Walls^® business. A summary of these transactions follows (in millions):

Discontinued operations:	Date	Consideration
IDOA	October 14, 2011	$	2.4
Rehab Without Walls®	September 10, 2011	9.8