Business Segment Information (Details Textual) (USD $)	3 Months Ended				6 Months Ended			3 Months Ended		6 Months Ended	12 Months Ended			6 Months Ended
	Jun. 30, 2014	Mar. 31, 2014	Jun. 30, 2013	Mar. 31, 2013	Jun. 30, 2014	Jun. 30, 2013	Jun. 30, 2014 Home Health [Member] State	Dec. 31, 2013 Hospice [Member]	Mar. 31, 2013 Hospice [Member]	Jun. 30, 2013 Hospice [Member]	Dec. 31, 2013 Hospice [Member]	Jun. 30, 2014 Hospice [Member] State	Jun. 30, 2014 Community Care [Member] State	Jun. 30, 2013 Corporate expenses [Member]	Jun. 30, 2013 Land and Building [Member]	Jun. 30, 2013 Software Development [Member]
Segment Reporting Information [Line Items]
Number of states in certified providers serving							38					30	4
Restructuring charges	$ 4,659,000	$ 5,341,000	$ 744,000	$ 141,000	$ 10,000,000	$ 900,000
Goodwill, impairment loss								379,800,000	220,800,000	220,800,000	600,600,000
Asset impairment charges														$ 3,500,000	$ 1,900,000	$ 1,600,000