Net Revenues and Accounts Receivable (Details Textual) (USD $) In Millions, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012	Dec. 31, 2012
Net Revenues and Accounts Receivable [Abstract]
Commercials Insurance self pay accounts receivables related to patient	$ 1.9		$ 1.9		$ 1.7
Schedule of Health Care Revenue Adjustment [Line Items]
Medicare Hospice Cap Liabilities	5.9		5.9		15.9
Health Care Organization Medicare Cap	(2.9)	3.0	(4.5)	6.2
Medicare Cap Year 2013 [Member]
Schedule of Health Care Revenue Adjustment [Line Items]
Hospice providers in excess of Medicare cap limits	5		5
Health Care Organization Medicare Cap			1.4
Prior Year Medicare Cap Settlement [Member]
Schedule of Health Care Revenue Adjustment [Line Items]
Health Care Organization Medicare Cap	(3.4)		(5.9)
Hospice [Member] | Eligibility Review [Member]
Schedule of Health Care Revenue Adjustment [Line Items]
(Increase) decrease in revenues	3.5		5.0
Home Health [Member] | PRRB Appeal [Member]
Schedule of Health Care Revenue Adjustment [Line Items]
(Increase) decrease in revenues	$ (4.0)		$ (4.0)