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Background and Basis of Presentation (Tables)
12 Months Ended
Dec. 31, 2012
Significant Acquisitions and Disposals [Line Items]  
Schedule of business acquisitions
A summary of the transactions for 2012, 2011 and 2010 and the cash consideration paid are as follows (in millions):
Acquisitions:
Geographic Service Area
 
Date
 
Consideration

Family Home Care Corporation
Washington and Idaho
 
August 31, 2012
 
$
12.3

North Mississippi Hospice
Mississippi
 
August 31, 2012
 
4.5

Advocate Hospice
Indiana
 
July 22, 2012
 
5.5

Odyssey HealthCare of Augusta, LLC
Georgia
 
April 29, 2011
 
0.3

Odyssey HealthCare, Inc.
Nationwide
 
August 17, 2010
 
1,087.0

United Health Care Group, Inc.
Louisiana
 
May 15, 2010
 
6.0

Heart to Heart Hospice of Starkville, LLC
Mississippi
 
March 5, 2010
 
2.5

Home Health and Hospice [Member]
 
Significant Acquisitions and Disposals [Line Items]  
Schedule of Disposal Groups, Including Discontinued Operations, Income Statement, Balance Sheet and Additional Disclosures [Table Text Block]
A summary of the Company's operations which were sold during 2012, 2011 and 2010 is as follows (in millions):
Dispositions:
Date
 
Consideration

Phoenix area hospice operations
November 30, 2012
 
$
3.5

Gentiva Consulting
May 31, 2012
 
0.3

Louisiana home health and hospice operations
Second Quarter 2012
 
6.4

Certain home health branches-Utah, Michigan, Nevada and Brooklyn, New York
Fourth Quarter 2011
 
1.6

Iowa home health branch
January 30, 2010
 
0.3

The major classes of assets of the Home Health and Hospice branch operations that were sold were as follows (in thousands):
 
2012
 
2011
 
As of Date of Sale
 
December 31, 2011
 
As of Date of Sale
Assets:
 
 
 
 
 
Accounts receivable, net
$
561

 
$
526

 
$

Fixed assets, net
271

 
338

 
199

Intangible assets
1,356

 
1,356

 
703

Other assets
485

 
640

 
1

Total assets
2,673

 
2,860

 
903

Liabilities:
 
 
 
 
 
Medicare liabilities
(86
)
 
(18
)
 

Payroll liabilities

 

 
(22
)
Other accrued Expenses
(405
)
 
(41
)
 

Total liabilities
(491
)
 
(59
)
 
(22
)
Total
$
2,182

 
$
2,801

 
$
881

Home Maker Services Agency Rehab Without Wallsand HME and IV [Member]
 
Significant Acquisitions and Disposals [Line Items]  
Schedule of Disposal Groups, Including Discontinued Operations, Income Statement, Balance Sheet and Additional Disclosures [Table Text Block]
A summary of these transactions follows (in millions):
Discontinued operations:
Date
 
Consideration

IDOA
October 14, 2011
 
$
2.4

Rehab Without Walls®
September 10, 2011
 
9.8

HME and IV businesses
February 1, 2010
 
16.4