Summary of Business and Basis for Presentation Schedule of Capital Adequacy Minimum Capital Investment (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2014
Real Estate Properties [Line Items]
Excluded Investments, Percent of Total Investment	35.00%
Minimum Capital Investment, Percent of Total Investment	65.00%
Dutchess or Orange County [Member]
Real Estate Properties [Line Items]
Capital Adequacy, Minimum Capital Investment Required	$ 350,000
Region Two [Member]
Real Estate Properties [Line Items]
Capital Adequacy, Minimum Capital Investment Required	135,000
Broome, Chemung, Schuyler, Tioga or Tompkins Counties [Member]
Real Estate Properties [Line Items]
Capital Adequacy, Minimum Capital Investment Required	85,000
Wayne County or Seneca Counties [Member]
Real Estate Properties [Line Items]
Capital Adequacy, Minimum Capital Investment Required	135,000
No License Awarded For Facility In Dutchess and Orange Counties [Member] | Columbia, Delaware, Greene, Sullivan and Ulster Counties [Member]
Real Estate Properties [Line Items]
Capital Adequacy, Minimum Capital Investment Required	130,000
License Awarded For Facility in Dutchess and Orange County [Member] | Columbia, Delaware, Greene, Sullivan and Ulster Counties [Member]
Real Estate Properties [Line Items]
Capital Adequacy, Minimum Capital Investment Required	100,000
License awarded on Wayne or Seneca Counties [Member] | Broome, Chemung, Schuyler, Tioga or Tompkins Counties [Member]
Real Estate Properties [Line Items]
Capital Adequacy, Minimum Capital Investment Required	$ 70,000