Background and Basis of Presentation Background and Basis of Presentation (Details) (USD $) In Millions, unless otherwise specified	12 Months Ended	0 Months Ended
	Dec. 31, 2013	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] UNITED STATES	Sep. 30, 2013 Appalachian Regional Health Systems [Member] NORTH CAROLINA	Aug. 23, 2013 Wake Forest Baptist Health Care at Home, LLC [Member] NORTH CAROLINA	Apr. 30, 2013 Hope Hospice Inc [Member] INDIANA	Aug. 31, 2012 Family Home Care [Member] WASHINGTON & IDAHO [Domain]	Aug. 31, 2012 North Mississippi Hospice [Member] MISSISSIPPI	Jul. 22, 2012 Advocate Hospice Llc [Member] INDIANA	Apr. 29, 2011 Odyssey HealthCare of Augusta, LLC [Member] GEORGIA
Significant Acquisitions and Disposals [Line Items]
Business Acquisition, Name of Acquired Entity			Harden Healthcare Holdings, Inc	Appalachian Regional Health Systems	Wake Forest Baptist Health Care at Home, LLC	Hope Hospice, Inc.	Family Home Care Corporation	North Mississippi Hospice	Advocate Hospice	Odyssey HealthCare of Augusta, LLC
Business Acquisition, Effective Date of Acquisition			Oct. 18, 2013	Sep. 30, 2013	Aug. 23, 2013	Apr. 30, 2013	Aug. 31, 2012	Aug. 31, 2012	Jul. 22, 2012	Apr. 29, 2011
Purchase price	$ 6.1	$ 426.8	$ 426.8	$ 2.7	$ 2.4	$ 1.0	$ 12.3	$ 4.7	$ 5.5	$ 0.3