Summary of Significant Accounting Policies (Details Textual) (USD $)	12 Months Ended													3 Months Ended	12 Months Ended					12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011		Dec. 31, 2013 Continuing Operations [Member]	Dec. 31, 2012 Continuing Operations [Member]	Dec. 31, 2011 Continuing Operations [Member]	Dec. 31, 2011 Discontinued Operations [Member]	Dec. 31, 2013 Hospice [Member]	Dec. 31, 2012 Hospice [Member]	Dec. 31, 2011 Hospice [Member]	Dec. 31, 2013 CareCentrix [Member]	Dec. 31, 2012 CareCentrix [Member]	Sep. 30, 2013 PRRB Appeal [Member] Home Health [Member]	Dec. 31, 2013 PRRB Appeal [Member] Home Health [Member]	Dec. 31, 2013 Claims incurred prior to March 15, 2002 [Member]	Dec. 31, 2013 Claims incurred after March 15, 2002 [Member]	Dec. 31, 2013 non-profit hospice [Member]	Dec. 31, 2012 non-profit hospice [Member]	Dec. 31, 2013 Revolving Credit Facility [Member]	Dec. 31, 2012 Revolving Credit Facility [Member]
Schedule of Accounting Policies [Line Items]
Consolidation for ownership percentage	50.00%
Deferred revenue	$ 43,864,000	$ 37,444,000
Hospice programs exceeding Medicare Payment Cap									2
Medicare Hospice Cap (income) expense									(4,600,000)	4,400,000	4,300,000
Medicare Hospice Cap liabilities									6,500,000	15,900,000
Accounts Receivable Small Balance Write-off Limit	10
Provision for doubtful accounts	6,730,000	4,066,000	8,541,000		6,700,000	4,100,000	8,400,000	100,000
Accounts receivables, allowance for doubtful accounts	10,680,000	8,777,000
Workers compensation and professional and general liability expenses					33,900,000	21,000,000	15,100,000	500,000
Threshold for establishing case loss reserves on open claims	10,000
Malpractice insurance, deductible																500,000	1,000,000
Malpractice Insurance, Annual Coverage Limit	25,000,000
Health and welfare benefits stop loss coverage	400,000
Employee health and welfare expenses					86,600,000	87,500,000	93,000,000	700,000
Director's and Officer liability insurance deductible	60,000,000
Operating funds																		5,500,000	5,400,000
Dividend income	0	0	8,590,000	[1]
Equity method investment, realized gain on disposal			67,100,000
Cost method investments												900,000	900,000
Assets held in rabbi trust	34,682,000	27,739,000
Unamortized debt issuance costs	28,300,000	44,200,000
Deferred debt issuance costs, write off	16,085,000	461,000	3,559,000																	19,100,000	500,000
Capitalized debt issuance costs	24,200,000
Percentage of Medicaid daily nursing home rate									95.00%
Patient service revenue adjustments														$ (4,000,000)	$ (4,000,000)

[1] For the year ended December 31, 2011, the Company recognized dividend income of $8.6 million as a result of the sale of a portion of the Company’s combined common and preferred ownership of CareCentrix.