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General (Details 13) (USD $)	9 Months Ended	12 Months Ended
General (Details 13) (USD $)	Sep. 30, 2014	Dec. 31, 2013
Redeemable Non-Controlling Interest
Redeemable non-controlling interest	$ 7,200,000	$ 10,554,000
AlphaCare Holdings Inc.
Redeemable Non-Controlling Interest
Percentage of equity interest acquired		65.00%
Percentage of remaining shares which the entity may be required to purchase in the event of exercise of put options by other shareholders		50.00%
Redeemable non-controlling interest	7,200,000	10,600,000
Increase (Reduction) in carrying value as a result of operating income (losses)	$ (3,400,000)

As of the reporting date, the aggregate carrying amount of all noncontrolling interests which are redeemable by the (parent) entity (1) at a fixed or determinable price on a fixed or determinable date, (2) at the option of the holder of the noncontrolling interest, or (3) upon occurrence of an event that is not solely within the control of the (parent) entity. This item includes noncontrolling interest holder's ownership (or holders' ownership) regardless of the type of equity interest (common, preferred, other) including all potential organizational (legal) forms of the investee entity.

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