Goodwill and Other Indefinite-Lived Intangible Assets Indefinite-lived intangble assets (Details) (USD $) In Thousands, unless otherwise specified	Jun. 30, 2014	Dec. 31, 2013
Indefinite-lived Intangible Assets [Line Items]
Other indefinite-lived intangibles	$ 8,340	$ 7,740
Trade Names [Member]
Indefinite-lived Intangible Assets [Line Items]
Other indefinite-lived intangibles	1,033	1,033
Home Health and Hospice Medicare License [Member]
Indefinite-lived Intangible Assets [Line Items]
Other indefinite-lived intangibles	$ 7,307	$ 6,707