Legal Matters (Details Textual) (USD $) In Millions, unless otherwise specified	0 Months Ended				9 Months Ended	3 Months Ended	9 Months Ended
	Oct. 31, 2011 Plaintiffs	Oct. 13, 2011 Plaintiffs	Oct. 07, 2011 Plaintiffs	Jan. 04, 2011 Plaintiffs	Sep. 30, 2013 Plaintiffs	Sep. 30, 2013 PRRB Appeal [Member] Home Health [Member]	Sep. 30, 2013 PRRB Appeal [Member] Home Health [Member]
Schedule of Health Care Revenue Adjustment [Line Items]
(Increase) decrease in revenues						$ (4.0)	$ (4.0)
Legal Matters (Textual) [Abstract]
Number of plaintiffs					5
Settlement of damages claims					5
Former employees of Generations Healthcare					2
Shareholder class actions filed against company					5
Number of lawsuits filed against the Company's current Board of Directors	1	1	1	1
Legal matters aggregate adjustment to allowable costs					$ 15.9