Net Revenues and Accounts Receivable (Details Textual) (USD $) In Millions, unless otherwise specified	3 Months Ended	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Net Revenues and Accounts Receivable [Abstract]
Medicare Hospice Cap expense	$ (1.5)	$ 4.4	$ 4.3	$ 4.5
Medicare Hospice Cap liabilities	15.9	15.9	15.6
Commercials Insurance self pay accounts receivables related to patient	$ 1.7	$ 1.7	$ 2.1