Identifiable Intangible Assets and Goodwill (Details Textual) (USD $) In Millions, unless otherwise specified	3 Months Ended
	Mar. 31, 2014	Mar. 31, 2013
Goodwill [Line Items]
Amortization expense	$ 1.6	$ 1.3
Estimated amortization expense for the remainder of 2014	4.2
Estimated amortization expense for 2015	4.1
Estimated amortization expense for 2016	3.1
Estimated amortization expense for 2017	2.4
Estimated amortization expense for 2018	1.6
Estimated amortization expense for 2019	1.3
Hospice [Member]
Goodwill [Line Items]
Discount rate		9.50%
Goodwill Impairment Test, Net Book Value of Reporting Unit		555
Goodwill, Impairment Loss		$ 220.8