Acquisitions and Dispositions (Details 5) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2013 Home Health and Hospice [Member]	Dec. 31, 2011 Home Health and Hospice [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Accounts receivable, net			$ 561	$ 526
Fixed assets, net			271	338
Disposal Group, Including Discontinued Operation, Intangible Assets, Net			1,356	1,356
Other assets			485	640
Total assets			2,673	2,860
Medicare liabilities	(23,894)	(27,122)	(86)	(18)
Other accrued Expenses			(405)	(41)
Total liabilities			(491)	(59)
Total			$ 2,182	$ 2,801