Accounting Policies (Details) (USD $)	3 Months Ended						3 Months Ended
	Mar. 31, 2014	Mar. 31, 2013	Dec. 31, 2013	Mar. 31, 2014 CareCentrix [Member]	Dec. 31, 2013 CareCentrix [Member]	Dec. 31, 2012 CareCentrix [Member]	Mar. 31, 2014 Hospice [Member]	Mar. 31, 2013 Hospice [Member]	Mar. 31, 2014 Non-profit hospice [Member]	Dec. 31, 2013 Non-profit hospice [Member]
Schedule of Accounting Policies [Line Items]
Operating funds									$ 4,400,000	$ 5,500,000
Cost method investments				900,000	900,000	900,000
Assets held in rabbi trust	34,900,000		34,700,000
Unamortized debt issuance costs	27,000,000		28,300,000
Fixed assets, net	47,188,000		49,375,000
Goodwill, impairment loss								220,800,000
Obligations under insurance programs	79,076,000		82,634,000
Workers compensation and professional and general liability expenses	6,400,000	6,700,000
Employee health and welfare expenses	23,400,000	20,600,000
Percentage of Medicaid daily nursing home rate							95.00%
Net nursing home expense	$ 1,800,000	$ 2,600,000