Acquisitions and Disposals (Details Textual) (USD $)	9 Months Ended
Sep. 30, 2012
Acquisitions and Disposals (Textual) [Abstract]
Total purchase price for acquisitions	4,900,000
Goodwill Recognized	4,253,000
Maximum [Member]
Acquisitions and Disposals (Textual) [Abstract]
Life of the non-compete agreements	5 years
Minimum [Member]
Acquisitions and Disposals (Textual) [Abstract]
Life of the non-compete agreements	2 years
Home Based Services [Member]
Acquisitions and Disposals (Textual) [Abstract]
Goodwill Recognized	4,300,000
Noncontrolling goodwill	902,000
Home Health Entities [Member]
Acquisitions and Disposals (Textual) [Abstract]
Number of entities acquired	2

Amount of goodwill arising from a business combination, which is the excess of the cost of the acquired entity over the amounts assigned to assets acquired and liabilities assumed.

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 141

-Paragraph 52

-Subparagraph c

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 141

-Paragraph 53

-Subparagraph d

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Name:	us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillAmount
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	instant