Goodwill and Other Indefinite-Lived Intangible Assets Other Indefinite-Lived Intangibles (Details) (USD $) In Thousands, unless otherwise specified	9 Months Ended
Sep. 30, 2012 Operations
Indefinite-Lived Intangible Assets (Excluding Goodwill) [Abstract]
Indefinite-Lived Trade Names	$ 7,900
Acquired Indefinite-lived intangible assets, Home Health Medicare License	$ 1,183
Home Health Operations Acquired	2
Hospice Operations Acquired	1

Carrying amount (original costs adjusted for previously recognized amortization and impairment) as of the balance sheet date for the rights acquired through registration of a trade name to gain or protect exclusive use thereof for a projected indefinite period of benefit.

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 350

-SubTopic 30

-Section 50

-Paragraph 2

-Subparagraph (b)

-URI http://asc.fasb.org/extlink&oid=7658586&loc=d3e16323-109275

Name:	us-gaap_IndefiniteLivedTradeNames
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	instant