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Nature Of Operations, Consolidation And Presentation Of Financial Statements (Details)
3 Months Ended9 Months Ended
Sep. 30, 2011
Sep. 30, 2010
Sep. 30, 2011
Sep. 30, 2010
Nature Of Operations, Consolidation And Presentation Of Financial Statements [Abstract]    
Percent of net services revenue provided by Medicare85.00%85.00%85.00%86.00%
Medicare-certified home health agencies482 482 
Medicare-certified hospice agencies90 90 
Number of states with facilities45 45 
Minimum percent ownership for controlling interest percent50.00% 50.00%