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Background and Basis of Presentation Background and Basis of Presentation (Tables)
9 Months Ended
Sep. 30, 2013
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Schedule of Business Acquisitions, by Acquisition [Table Text Block]
A summary of the transactions for 2013 and 2012 and the consideration paid are as follows (in millions):
Acquisitions:
Geographic Service Area
 
Date
 
Consideration

Appalachian Regional Health Systems
North Carolina
 
September 30, 2013
 
$
2.7

Wake Forest Baptist Health Care at Home, LLC
North Carolina
 
August 23, 2013
 
2.4

Hope Hospice, Inc.
Indiana
 
April 30, 2013
 
1.0

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

North Mississippi Hospice
Mississippi
 
August 31, 2012
 
4.7

Advocate Hospice
Indiana
 
July 22, 2012
 
5.5

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 the first nine months of 2012 is as follows (in millions):
Dispositions:
Date
 
Consideration

Gentiva Consulting
May 31, 2012
 
$
0.3

Louisiana home health and hospice operations
Second Quarter 2012
 
6.4