Significant Accounting Policies (Details Textual)	9 Months Ended
	Sep. 30, 2012 Person Group	Sep. 30, 2012 Credit Risk [Member]	Dec. 31, 2011 Credit Risk [Member]	Sep. 30, 2012 Maximum [Member]	Sep. 30, 2012 Minimum [Member]
Significant Accounting Policies (Textual) [Abstract]
Equity Joint Ventures, Ownership				90.00%	51.00%
Medicare credit risk for accounts receivable		62.90%	65.60%
Significant Accounting Policies (Additional Textual) [Abstract]
License Leasing Arrangements	100.00%
Management services	0.00%
Number of Medicare home health resource groups	153
Low utilization adjustment visits	5
Minimum percentage of Medicare reimbursement from inpatient care services that subjects individual programs to inpatient cap	20.00%
Number of days from start of episode to submit final Medicare bill	120 days
Number of days from date RAP paid to submit final Medicare bill	60 days
Reimbursement for subsequent episodes of care	50.00%
Reimbursement for initial episode of care	60.00%