Net Revenues and Accounts Receivable (Details Textual) (USD $) In Millions, unless otherwise specified			3 Months Ended
	Mar. 31, 2014	Dec. 31, 2013	Mar. 31, 2014 Medicare Cap Year 2014 [Member]	Mar. 31, 2014 Hospice [Member]	Mar. 31, 2013 Hospice [Member]	Mar. 31, 2014 Hospice [Member] Eligibility Review [Member]	Mar. 31, 2013 Hospice [Member] Eligibility Review [Member]
Schedule of Health Care Revenue Adjustment [Line Items]
Medicare Hospice Cap (income) expense			$ 0.4	$ 0.1	$ (0.1)
Hospice programs exceeding Medicare Payment Cap			5
Medicare Hospice Cap Liabilities	3.2	6.5
Patient service revenue adjustments						1.2	0.9
Commercials Insurance self pay accounts receivables related to patient	$ 2.9	$ 2.4