Acquisitions and Dispositions (Details Textual) (USD $)									0 Months Ended		1 Months Ended
	Mar. 31, 2014	Dec. 31, 2013	Mar. 31, 2014 Non-Guarantor Subsidiaries [Member]	Dec. 31, 2013 Non-Guarantor Subsidiaries [Member]	Mar. 31, 2014 Guarantor Subsidiaries [Member]	Dec. 31, 2013 Guarantor Subsidiaries [Member]	Mar. 31, 2014 Wake Forest Baptist Health Care at Home, LLC [Member] Non-Guarantor Subsidiaries [Member]	Mar. 31, 2014 Wake Forest Baptist Health Care at Home, LLC [Member] Guarantor Subsidiaries [Member]	Oct. 18, 2013 Harden Healthcare Holdings Inc. [Member]	Oct. 18, 2013 UNITED STATES Harden Healthcare Holdings Inc. [Member]	Feb. 28, 2014 NORTH CAROLINA Wake Forest Baptist Health Care at Home, LLC [Member]	Mar. 31, 2014 NORTH CAROLINA Wake Forest Baptist Health Care at Home, LLC [Member]
Business Acquisition [Line Items]
Effective date of acquisition										Oct. 18, 2013
Name of acquired entity										Harden Healthcare Holdings, Inc.
Purchase price										$ 426,800,000
Cost of acquired entity, cash paid									365,000,000
Issuance of stock in connection with Harden acquisition, value									53,800,000
Contingent consideration arrangements, range of outcomes, value, high									9,500,000
Contingent consideration, liability									8,100,000
Weighted average cash interest rate on outstanding borrowings	7.70%	8.20%
Payments to Acquire Equity Method Investments											2,900,000
Noncontrolling Interest, ownership percentage by parent	50.00%											60.00%
Receivables, net, current							1,700,000	(1,700,000)
Other current liabilities	$ 287,908,000	$ 314,486,000	$ 78,296,000	$ 59,868,000	$ 212,335,000	$ 283,040,000	$ 2,900,000	$ (2,900,000)