Goodwill and Intangibles (Details 1) (USD $)	12 Months Ended
	Dec. 31, 2012
Intangible Assets, Net
Beginning Balance	$ 59,389,000
Additions	4,177,000
Amortization	(660,000)
Other (1)	(864,000)
Ending Balance	62,042,000
Trade Names [Member]
Intangible Assets, Net
Beginning Balance	49,840,000
Additions	1,895,000
Other (1)	(327,000)
Ending Balance	51,408,000
Certificate of Need/ License [Member]
Intangible Assets, Net
Beginning Balance	8,502,000
Additions	2,135,000
Other (1)	(537,000)
Ending Balance	10,100,000
Other Intangibles [Member]
Intangible Assets, Net
Beginning Balance	1,047,000
Additions	147,000
Amortization	(660,000)
Ending Balance	$ 534,000