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Fair Value of Financial Instruments (Details 1) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Carrying Amount [Member]
Assets:
Note receivable from CareCentrix	$ 25,000	$ 25,000
Seller financing note receivable from CareCentrix	3,471	0
Liabilities:
Long-term obligation	935,182	988,125
Estimate Fair Value [Member]
Assets:
Note receivable from CareCentrix	25,220	26,600
Seller financing note receivable from CareCentrix	3,471	0
Liabilities:
Long-term obligation	$ 912,818	$ 863,313

This element represents the portion of the balance sheet assertion valued at fair value by the entity whether such amount is presented as a separate caption or as a parenthetical disclosure. Additionally, this element may be used in connection with the fair value disclosures required in the footnote disclosures to the financial statements. The element may be used in both the balance sheet and disclosure in the same submission. This item represents loan receivable as presented on the statement of financial position which may include mortgage loans held for investment, finance receivables held for investment, policy loans on insurance contracts, or any other loans which are due the Company as of the balance sheet date.

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