Acquisitions and Dispositions (Details 1) (USD $) In Thousands, unless otherwise specified	12 Months Ended						0 Months Ended			0 Months Ended
	Dec. 31, 2013 Trade Names [Member] Minimum [Member]	Dec. 31, 2013 Trade Names [Member] Maximum [Member]	Dec. 31, 2013 Covenants not to compete [Member] Minimum [Member]	Dec. 31, 2013 Covenants not to compete [Member] Maximum [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Trade Names [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Trade Names [Member] Minimum [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Trade Names [Member] Maximum [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Covenants not to compete [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Covenants not to compete [Member] Minimum [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Covenants not to compete [Member] Maximum [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Medicare licenses and certificates of need [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Home Health [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Home Health [Member] Trade Names [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Home Health [Member] Covenants not to compete [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Home Health [Member] Medicare licenses and certificates of need [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Hospice [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Hospice [Member] Trade Names [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Hospice [Member] Covenants not to compete [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Hospice [Member] Medicare licenses and certificates of need [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Community Care [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Community Care [Member] Trade Names [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Community Care [Member] Covenants not to compete [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member] Community Care [Member] Medicare licenses and certificates of need [Member]
Business Acquisition [Line Items]
Finite-Lived Intangibles						$ 13,772			$ 2,018					$ 1,052	$ 490			$ 798	$ 499			$ 11,922	$ 1,029
Indefinite-Lived Intangible Assets												54,916				17,746				11,159				26,011
Identifiable intangible assets					$ 70,706								$ 19,288				$ 12,456				$ 38,962
Useful life	5 years	10 years	2 years	5 years			5 years	10 years		2 years	3 years