Acquisitions and Dispositions (Details 1) (USD $) In Thousands, unless otherwise specified		12 Months Ended			12 Months Ended					12 Months Ended
	Aug. 17, 2010 Odyssey Health Care Inc [Member]	Dec. 31, 2012 Trade Names [Member] Minimum [Member]	Dec. 31, 2012 Trade Names [Member] Maximum [Member]	Aug. 17, 2010 Trade Names [Member] Odyssey Health Care Inc [Member]	Dec. 31, 2012 Trade Names [Member] Odyssey Health Care Inc [Member] Minimum [Member]	Dec. 31, 2012 Trade Names [Member] Odyssey Health Care Inc [Member] Maximum [Member]	Dec. 31, 2012 Covenants not to compete [Member] Minimum [Member]	Dec. 31, 2012 Covenants not to compete [Member] Maximum [Member]	Aug. 17, 2010 Covenants not to compete [Member] Odyssey Health Care Inc [Member]	Dec. 31, 2012 Covenants not to compete [Member] Odyssey Health Care Inc [Member] Minimum [Member]	Dec. 31, 2012 Covenants not to compete [Member] Odyssey Health Care Inc [Member] Maximum [Member]	Aug. 17, 2010 Medicare licenses and certificates of need [Member] Odyssey Health Care Inc [Member]
Acquired Finite-Lived Intangible Assets [Line Items]
Amortizable intangible assets				$ 16,600					$ 15,400
Not amortizable intangible assets												94,500
Identifiable intangible assets	$ 126,500
Useful life		5 years	10 years		5 years	10 years	2 years	5 years		2 years	3 years