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Commitments and Contingencies (Details) (USD $)
12 Months Ended
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Commitments and Contingencies [Abstract]      
Rental expense $ 8,110,000 $ 7,621,000 $ 5,870,000
Commitments under long-term non-cancelable operating leases [Abstract]      
2013 3,404,000    
2014 1,718,000    
2015 1,450,000    
2016 1,431,000    
2017 1,210,000    
Thereafter 724,000    
Estimated expenses and related liabilities for losses incurred not reported to insurance carrier 1,545,000 1,285,000  
Accrued medical claims 506,000    
Minimum annual individual medical claims for stop loss coverage 100,000    
Umbrella insurance coverage 1,000,000    
Minimum aggregate medical claims for umbrella insurance coverage for 2012 4,500,000    
Minimum aggregate medical claims for umbrella insurance coverage for 2013 $ 2,000,000