Acquisitions and Dispositions (Details 5) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011	Dec. 30, 2011
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Medicare liabilities	$ (27,122)	$ (23,066)
Payroll liabilities	(45,357)	(42,027)
Home Health and Hospice [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Accounts receivable, net	561	526	0
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
Medicare liabilities	(86)	(18)	0
Payroll liabilities	0	0	(22)
Other accrued Expenses	(405)	(41)	0
Total liabilities	(491)	(59)	(22)
Total	$ 2,182	$ 2,801	$ 881