Document and Entity Information [Abstract] Entity Registrant Name Entity Central Index Key Document Type Document Period End Date Amendment Flag Document Fiscal Year Focus Document Fiscal Period Focus Current Fiscal Year End Date Entity Filer Category Entity Common Stock, Shares Outstanding Condensed Consolidated Balance Sheets [Abstract] Assets [Abstract] Assets Cash and cash equivalents Cash and cash equivalents at beginning of period Cash and cash equivalents at end of period Cash and Cash Equivalents, at Carrying Value Restricted cash Restricted Cash and Cash Equivalents, Current Accounts receivable, net Accounts Receivable, Net, Current Deferred tax assets, net Deferred Tax Assets, Net, Current Assets, Current, Total Current asset Total current assets Current Intangible Assets, Net (Excluding Goodwill) Intangible assets, net Goodwill Ending Balance Beginning Balance Goodwill Restricted cash Restricted Cash and Cash Equivalents, Noncurrent Assets, Total Total assets Total assets Liabilities and Equity [Abstract] LIABILITIES AND SHAREHOLDER'S EQUITY Current liabilities: Liabilities, Current [Abstract] Accounts payable Accounts Payable, Current Accrued payroll and related costs Employee-related Liabilities, Current Other accrued liabilities Accrued Liabilities, Current Obligations under capital lease, current Capital Lease Obligations, Current Long Term Debt Current Less current portion Current portion of long-term debt Overstated amount of current liability Liabilities, Current, Total Current liability Total current liabilities Other long-term liabilities Other Liabilities, Noncurrent Deferred tax liabilities, net Deferred Tax Liabilities, Noncurrent Obligations under capital lease, less current portion Capital Lease Obligations, Noncurrent Long-term Debt, Excluding Current Maturities Long term debt, noncurrent Long-term debt, less current portion Commitments and contingencies Commitments and Contingencies SHAREHOLDER'S EQUITY Stockholders' Equity Attributable to Parent [Abstract] Common stock Common Stock, Value, Issued Additional Paid in Capital Common Stocks Additional paid-in capital The cash inflow from parent as a source of financing that is recorded as additional paid in capital. Accumulated other comprehensive loss Accumulated Other Comprehensive Income (Loss), Net of Tax Condensed Consolidated Statements of Operations [Abstract] Net revenue Sales Revenue, Services, Net Cost of revenue (exclusive of depreciation expense shown below) Cost of Services, Excluding Depreciation, Depletion, and Amortization Operating expenses: Operating Expenses [Abstract] General and administrative General and Administrative Expense Depreciation, Depletion and Amortization Depreciation and amortization Operating Expenses, Total Total operating expenses Other income (expense): Nonoperating Income (Expense) [Abstract] Management Fee Management fee of related party A management fee paid to a related party for certain advisory and consulting services. Other Nonoperating Income (Expense) Other income (expense), net Interest Income from Related Party Interest income from related party Interest income from related party. Income (Loss) from Continuing Operations before Income Taxes, Extraordinary Items, Noncontrolling Interest Income (loss) from continuing operations before income taxes Loss from continuing operations before income taxes Income Tax Expense (Benefit) Benefit for income taxes Income (Loss) from Continuing Operations Attributable to Parent Loss from continuing operations Income (Loss) from Discontinued Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest Income (loss) from discontinued operations, net of tax Net loss Net Income (Loss) Attributable to Parent Net loss Condensed Consolidated Statements of Cash Flows [Abstract] Condensed Consolidated Statements of Cash Flows Operating activities Net Cash Provided by (Used in) Operating Activities [Abstract] Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract] Adjustments to reconcile net loss to net cash (used in) provided by operating activities: Accounts receivable allowances Provision for Doubtful Accounts Depreciation and Amortization of Property and Equipment Depreciation and amortization of property and equipment Depreciation and amortization of property and equipment Amortization of Original Issue Discount and Initial Purchase Discount Amortization of original issue discount and initial purchasers discount Amortization of original issue discount and initial purchasers discount. Amortization and Write Off of Financing Costs Amortization and write-off of financing costs Amortization and write-off of financing costs. Accretion (Amortization) of Discounts and Premiums, Investments Accretion of investment in related party debt securities Stock-based compensation Share-based Compensation Deferred Income Tax Expense (Benefit) Deferred income taxes Gain (Loss) on Sale of Property Plant Equipment Loss (gain) on disposal of assets Non Cash Impairment Charges Non-cash impairment charge Non cash impairment charges. Non Cash Interest Income from Related Party Non-cash interest income from related party Non cash interest income from related party. Changes in operating assets and liabilities: Increase (Decrease) in Operating Capital [Abstract] Increase (Decrease) in Accounts Receivable Accounts receivable Increase (Decrease) in Other Operating Assets Other assets Accounts payable Increase (Decrease) in Accounts Payable Understated amount of accrued payroll and related costs Increase (Decrease) in Employee Related Liabilities Accrued payroll and related costs Overstated amount of other accrued liabilities Increase (Decrease) in Other Accrued Liabilities Other accrued liabilities Overstated amount of other long-term liabilities Increase (Decrease) in Other Noncurrent Liabilities Other long-term liabilities Net Cash Provided by (Used in) Operating Activities Net cash provided by operating activities Investing activities Net Cash Provided by (Used in) Investing Activities [Abstract] Payments to Acquire Businesses, Net of Cash Acquired Cash paid for acquisitions, net of cash received Purchases of property and equipment Payments to Acquire Property, Plant, and Equipment Purchases of property and equipment Increase Decrease In Restricted Cash Changes in restricted cash Financing activities Net Cash Provided by (Used in) Financing Activities [Abstract] Repayments of Long-term Debt Repayments of long-term debt Proceeds from borrowings under senior revolver Proceeds from Long-term Lines of Credit Payments to Contingent Consideration Cash paid for contingent consideration Cash paid for contingent consideration. Payments of Financing Costs Payments of financing costs Net Cash Provided by (Used in) Financing Activities Net cash (used in) provided by financing activities Cash and Cash Equivalents, Period Increase (Decrease) Net increase (decrease) in cash and cash equivalents Supplemental disclosure of cash flow information Supplemental Cash Flow Information [Abstract] Interest Paid Cash paid for interest Understated amount of Cash paid for interest Cash paid for income taxes Income Taxes Paid Supplemental Disclosure Of Non Cash Investing Activities [Abstract] Supplemental disclosure of non-cash investing activities: Supplemental disclosure of non cash investing activities abstract. Accrued property, plant and equipment Noncash or Part Noncash Acquisition, Fixed Assets Acquired Supplemental Disclosure of Non Cash Financing Activities [Abstract] Supplemental disclosure of non-cash financing activities: Supplemental disclosure of non cash financing activities abstract. Capital lease obligation incurred to acquire assets Capital Lease Obligations Incurred Basis of Presentation Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block] Recent Accounting Pronouncements [Abstract] Recent Accounting Pronouncements Description of New Accounting Pronouncements Not yet Adopted [Text Block] Comprehensive Loss [Abstract] Comprehensive Income (Loss) Note [Text Block] Comprehensive Loss Long-Term Debt [Abstract] Long-Term Debt Long-term Debt [Text Block] Shareholder's Equity [Abstract] Stockholders Equity Disclosure [Text Block] Shareholder's Equity The entire disclosure for shareholder's equity, comprised of portions attributable to the parent entity, including common stock and dividends declared. Business Combinations [Abstract] Business Combinations Business Combination Disclosure [Text Block] Goodwill and Intangible Assets [Abstract] Goodwill and Intangible Assets Goodwill and Intangible Assets Disclosure [Text Block] Related Party Transactions [Abstract] Related Party Transactions Related Party Transactions Disclosure [Text Block] Fair Value Measurements [Abstract] Fair Value Measurements Fair Value Disclosures [Text Block] Income Taxes [Abstract] Income Taxes Income Tax Disclosure [Text Block] Segment Information [Abstract] Segment Information Segment Reporting Disclosure [Text Block] Accruals for Self-Insurance and Other Commitments and Contingencies [Abstract] Accruals for Self-Insurance and Other Commitments and Contingencies Accruals for Self-Insurance and Other Commitments and Contingencies Accruals for Self Insurance and Other Commitments and Contingencies [Text Block] Accruals for Self-Insurance and Other Commitments and Contingencies The entire disclosure for the accruals for self-insurance and other commitments and contingencies, including an overview of (1) the company's self-insured programs and related retentions and (2) potential claims the company could be subject to. Basis Of Presentation (Textual) [Abstract] Basis of Presentation. Basis of Presentation (Textual) [Abstract] Number Of Residential Clients Number of Residential Clients Number of residential clients. Number Of Periodic Clients Number of Periodic Clients Number of periodic clients. Disclosures About Offsetting Assets And Liabilities [Policy Text Block] Balance Sheet: Disclosures about Offsetting Assets and Liabilities Disclosures about offsetting assets and liabilities. Comprehensive Income, Policy [Policy Text Block] Presentation of Comprehensive Income Comprehensive Income (Loss), Net of Tax, Attributable to Parent Comprehensive loss Comprehensive Loss Income (Textual) [Abstract] Comprehensive loss income. Comprehensive Loss Income (Textual) [Abstract] Schedule of Long-term Debt Instruments [Table Text Block] Loans Payable [Member] Term loan, principal and interest due in quarterly installments through February 9, 2017 [Member] Debt Instrument [Table] Long-term Debt Type [Axis] Long-term Debt Type [Domain] Debt Instrument [Line Items] Original Issue [Member] Original issue discount on term loan, net of accumulated amortization [Member] Original issue. initial Purchase Discount [Member] Original issue discount and initial purchase discount on senior notes, net of accumulated amortization [Member] Initial purchase discount. Senior Revolver [Member] Senior revolver, due February 9, 2016; quarterly cash interest payments at a variable interest rate [Member] Senior revolver. Term Loan [Member] Term Loan [Member] Term loan. Covenants [Member] Covenants [Member] Covenants. Derivatives [Member] Derivatives [Member] Derivatives. Debt Instrument [Axis] Debt Instrument, Name [Domain] Common Stock, Voting Rights Common Stock Vote per Share Dividend Declared [Member] Dividend to Parent [Member] Schedule of Equity Method Investments [Table] Dividends [Axis] Dividends [Domain] Class of Stock [Line Items] Debtor-in-Possession Financing, Amount Arranged Maximum limit of Letters of credit can be issued under the Company s institutional letter of credit facility Senior Notes Senior notes (issued February 9, 2011) Schedule of Goodwill [Table Text Block] Goodwill Schedule of Finite-Lived Intangible Assets [Table Text Block] Intangible Assets Schedule of Goodwill [Table] Statement Business Segments [Axis] Segment [Domain] Finite Lived Intangible Assets By Major Class [Axis] Finite Lived Intangible Assets Major Class Name [Domain] Finite Lived Intangible Assets [Line Items] Schedule of Acquired Finite Lived Intangible Asset By Major Class [Table] Finite Lived Intangible Assets Accumulated Amortization Accumulated Amortization Goodwill [Line Items] Goodwill Acquired During Period Goodwill acquired through acquisitions Human Services [Member] Human Services [Member] Human services. Post Acute Specialty Rehabilitation Services [Member] Post acute specialty rehabilitation services. Post Acute Specialty Rehabilitation Services [Member] Agency Contracts [Member] Agency Contracts [Member] Agency contracts. Trade Names Indefinite Life [Member] Trade Names (indefinite life) [Member] Trade names indefinite life. Intellectual Property [Member] Intellectual property [Member] Intellectual property. Goodwill And Intangible Assets (Textual) [Abstract] Goodwill and Intangible Assets (Textual) [Abstract] Goodwill and intangible assets. Amortization Expense For Continuing Operations Amortization expense for continuing operations The amortization expense for continuing operations. Amortization Expense For Discontinued Operations Amortization expense for discontinued operations The amortization expense for discontinued operations. Families Together Inc [Member] Families Together [Member] Families together inc. Series of Individually Immaterial Business Acquisitions [Member] Other Acquisitions [Member] Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangibles Identifiable intangible assets Business Acquisition, Purchase Price Allocation, Property, Plant and Equipment Property and equipment Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net Total identifiable net assets Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net Goodwill Business Combinations (Textual) [Abstract] Business Combinations (Textual) [Abstract] Business Combinations. Schedule of Business Acquisitions, by Acquisition [Table] Business Acquisition [Axis] Business Acquisition, Acquiree [Domain] Business Acquisition [Line Items] Business Acquisition, Cost of Acquired Entity, Cash Paid Cost of acquisition Acquired Finite-lived Intangible Assets, Weighted Average Useful Life Useful life of licenses and permits Number of Businesses Acquired Number of companies acquired Business Acquisition, Cost of Acquired Entity, Purchase Price Total cost of acquisition Income Taxes (Textual) [Abstract] Income Taxes (Textual) [Abstract] Income taxes. Company's effective income tax rate Effective Income Tax Rate, Continuing Operations Related Party Transactions (Textual) [Abstract] Related party transactions. Related Party Transactions (Textual) [Abstract] Accrued Liability Related To Management Agreement Accrued liability related to management agreement The accrued liability related to the management agreement. Segment Information (Textual) [Abstract] Segment information. Segment Information (Textual) [Abstract] Entity-Wide Revenue, Major Customer, Percentage Revenue from contracts with state and local governmental payors in the state of Minnesota Number of Reportable Segments Number of reportable segments Schedule of Segment Reporting Information, by Segment [Table] Corporate [Member] Corporate [Member] Segment Reporting Information [Line Items] Segment Reporting Information, Revenue for Reportable Segment [Abstract] Schedule of Revenue by Major Customers, by Reporting Segments [Table] Revenue, Major Customer [Line Items] Fair Value Measurements, Nonrecurring [Table Text Block] Fair Value of Assets and Liabilities Interest Rate Swaption [Member] Interest Rate Swap Agreements [Member] Derivative Assets (Liabilities), at Fair Value, Net Fair Value of Assets and Liabilities Fair Value, by Balance Sheet Grouping [Table Text Block] Carrying Amount of Debt Instrument Carrying (Reported) Amount, Fair Value Disclosure [Member] Carrying Value [Member] Estimate of Fair Value, Fair Value Disclosure [Member] Fair Value [Member] Fair Value Measurements, Recurring and Nonrecurring [Table] Derivative Instrument Risk [Axis] Derivative Contract Type [Domain] Fair Value, Hierarchy [Axis] Fair Value, Measurements, Fair Value Hierarchy [Domain] Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] Fair Value, by Balance Sheet Grouping [Table] Fair Value, by Balance Sheet Grouping, Disclosure Item Amounts [Axis] Fair Value, Disclosure Item Amounts [Domain] Intangibles-Goodwill and Other Goodwill and Intangible Assets, Policy [Policy Text Block] Number of States in Which Entity Operates Area of operation, Number of states Comprehensive Income (Loss), Net of Tax, Attributable to Parent [Abstract] Components of comprehensive loss and related tax effects Long-term debt Dividends, Common Stock, Cash Dividend Declared to NMH Holdings, LLC Investment Owned, Balance, Principal Amount Investment in NHM Holdings Long-term Debt, by Current and Noncurrent [Abstract] Long term debt Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net [Abstract] Recognized amounts of identifiable assets acquired and liabilities Schedule of Business Acquisitions, by Acquisition [Table Text Block] Recognized amounts of identifiable assets acquired and liabilities Business Acquisition, Purchase Price Allocation, Intangible Assets Other than Goodwill Cost of intangible assets Business Acquisition, Purchase Price Allocation, Goodwill Amount Goodwill in the Human Services segment Intangible Assets, Net (Including Goodwill) [Abstract] Goodwill Finite-Lived Intangible Assets, Gross Gross Carrying Value Alvarez And Marsal Healthcare Industry Group [Member] Alvarez and Marsal Healthcare Industry Group [Member] Alvarez and marsal healthcare industry group. Duff And Phelps LLC [Member] Duff and Phelps LLC [Member] Duff and Phelps. Vestar Capital Partners [Member] Vestar capital partners. Vestar Capital Partners [Member] Equity Method Investment, Ownership Percentage Common stock owned Letter of Credit [Member] Letter of Credit [Member] Schedule of Related Party Transactions, by Related Party [Table] Related Party [Axis] Related Party [Domain] Related Party Transaction [Line Items] Derivative Assets (Liabilities), at Fair Value, Net, by Balance Sheet Classification [Abstract] Fair Value of Assets and Liabilities Financial Instruments, Financial Liabilities, Balance Sheet Groupings [Abstract] Carrying Amount of Debt Instrument Accruals For Self Insurance And Other Commitments And Contingencies (Textual) [Abstract] Accruals for Self-Insurance and Other Commitments and Contingencies. Accruals for Self Insurance and Other Commitments and Contingencies (Textual) [Abstract] Per Claim Amount In Excess Of Aggregate Per claim amount in excess of aggregate. Per claim amount in excess of aggregate Long Term Debt (Textual) [Abstract] Long term debt. Long-Term Debt (Textual) [Abstract] Derivative, Fixed Interest Rate Term loan rate as per the swap Eurodollar Future [Member] Eurodollar Future [Member] Restricted From Paying Dividends To Parent Maximum limit of dividends pay to NMH Holdings, LLC ("Parent") Restricted from paying dividends to parent. Schedule of Comprehensive Income (Loss) [Table Text Block] Components of comprehensive loss and related tax effects Other Comprehensive Income (Loss), Unrealized Gain (Loss) on Derivatives Arising During Period, Net of Tax (Increase) decrease in unrealized loss on derivatives net of taxes of $151 and $(1476) for the three months ended June 30, 2012 and 2011, respectively and $265 and $(1476) for the nine months ended June 30, 2012 and 2011 respectively. Other Comprehensive Income (Loss), Unrealized Holding Gain (Loss) on Securities Arising During Period, Net of Tax Decrease in unrealized gain on available-for-sale debt securities net of taxes of $(390) for the nine months ended June 30, 2011. Other Comprehensive Income (Loss), Unrealized Gain (Loss) on Derivatives Arising During Period, Tax Tax Effect of Changes in unrealized gain on derivatives Other Comprehensive Income (Loss), Unrealized Holding Gain (Loss) on Securities Arising During Period, Tax Tax Effect of Changes in unrealized gain on available-for-sale debt securities Performance of operating segments Trade Names [Member] Trade names [Member] Construction Permits [Member] Licenses and permits [Member] Customer Relationships [Member] Relationship with contracted caregivers [Member] Noncompete Agreements [Member] Non-compete/non-solicit [Member] Fair Value, Inputs, Level 3 [Member] Significant Unobservable Inputs (level 3) [Member] Prepaid Expense and Other Assets, Current Prepaid expenses and other current assets Assets, Current [Abstract] Current assets: Property, Plant and Equipment, Net Property and equipment, net Other Assets, Noncurrent Other assets Retained Earnings (Accumulated Deficit) Accumulated deficit Stockholders' Equity Attributable to Parent, Total Total shareholder's equity Operating Income (Loss) Income from operations Income (loss) from operations Liabilities and Equity, Total Total liabilities and shareholder's equity Interest Expense Interest expense Amortization of Intangible Assets Amortization of other intangible assets Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability Change in the fair value of contingent consideration Proceeds from Sale of Other Assets Proceeds from sale of assets Net Cash Provided by (Used in) Investing Activities Net cash used in investing activities Repayments of Long-term Lines of Credit Repayments of borrowings under senior revolver Repayments of Long-term Capital Lease Obligations Repayments of capital lease obligations Basis of Presentation [Abstract] Senior Notes [Member] Senior notes [Member] Debt instruments in stated percentage Debt Instrument, Interest Rate, Stated Percentage Debt Instrument, Maturity Date Debt instrument, issuance date Long-term Debt, Gross Long term debt Term Loan Issued Price Equal to Percentage of Face Value Price of term loan issued of its face value Term loan issued price equal to percentage of face value. Debt Instrument Amortized Discount Percentage Amortization rate of price of term loan was issued of its face value Debt Instrument Amortized Discount Percentage. Debt Instrument, Interest Rate, Effective Percentage Term loan effective interest rate Line of Credit Facility, Maximum Amount Outstanding During Period Drawings Line of Credit Facility, Decrease, Repayments Repayment Line of Credit Facility, Remaining Borrowing Capacity Outstanding Borrowings Debt Instrument, Face Amount Repurchase of NHM holdings notes Debt Instrument, Face Amount Net Proceeds Percentage Equal To Senior Notes Price Face Value Rate of Price of their face value Net proceeds percentage equal to senior notes price face value. Proceeds from Issuance of Senior Long-term Debt Net Proceeds Notional Amount of Interest Rate Derivatives Interest rate swap in a notional amount Derivative, Basis Spread on Variable Rate Margin on base rate (as a percent) for Interest Rate Swap Derivative, Lower Range of Basis Spread on Variable Rate Applicable margin rate on Company's term loan Dividends Payable, Date Declared Dividend payable date declared Cash Dividends Paid to Parent Company Dividends paid to parent company Management Fee Percentage Consolidated earnings before interest, taxes, depreciation, amortization and management fee Management fee percentage. Voting Power In Outstanding Stock Percentage Contract termination Voting Power In Outstanding Stock, Percentage. Operating Leases, Rent Expense Related party lease expense Company's reserve for uncertain income tax Liability for Uncertain Tax Positions, Current Stop loss insurance coverage against extra ordinary claims Health Care Organization, Stop Loss Insurance Recoveries Malpractice Insurance, Annual Coverage Limit Credit Facility [Axis] Credit Facility [Domain] Standby Letters of Credit [Member] Standby Letters of Credit [Member] Indefinite-lived Intangible Assets Acquired as Part of Business Combination [Table] Indefinite-lived Intangible Assets by Major Class [Axis] Indefinite-lived Intangible Assets, Major Class Name [Domain] Licensing Agreements [Member] Licensing Agreements [Member] Acquired Indefinite-lived Intangible Assets [Line Items] Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] Shareholders Equity (Textual) [Abstract] Shareholders equity. Shareholders Equity (Textual) [Abstract] Aggregate self-insurance for professional and general liability Schedule of Segment Reporting Information, by Segment [Table Text Block] Performance of operating segments Quoted Market Prices (Level 1) [Member] Quoted Market Prices (Level 1) [Member] Significant Other Observable Inputs (Level 2) [Member] Significant Other Observable Inputs (Level 2) [Member] Interest Income and Fees, Bankers Acceptances, Certificates of Deposit and Commercial Paper Interest income Payments of Distributions to Affiliates Dividend to Parent Indefinite-Lived Intangible Assets (Excluding Goodwill) Indefinite-Lived Trade Names, Gross Carrying Value Indefinite-Lived Trade Names Indefinite-Lived Trade Names, Intangible Assets, Net Finite-Lived Intangible Assets, Net Intangible Assets Intangible Assets, Net Related Party Transaction, Arms Length, Basis of Transactions Management fees and expenses paid Lease Agreement [Member] Lease agreement. Lease Agreement [Member] Workers Compensation Per Claim Retention Claim retention with statutory limit, Workers Compensation Amount of risk retained by the entity before the insurance arrangement begins to provide coverage. Malpractice Insurance, Deductible Insured amount for professional and general liability, per claim Automobile Insurance Per Claim Retention Claim retention with statutory limit, Automobile liability Amount of risk retained by the entity per claim before the insurance arrangement begins to provide coverage. Long-term Debt, Contingent Payment of Principal or Interest Provision for repayment of outstanding term loan Debt Instrument, Unused Borrowing Capacity, Amount Availability of Borrowings Debt Instrument Initial Purchasers Discount The net proceeds were reduced by an initial purchasers discount The amount of initial purchasers' discount originally recognized at the issuance of the instrument. Debt Instrument, Unamortized Discount Original issue discount and initial purchase discount on senior notes, net of accumulated amortization Base Rate on Interest Rate Swap Instrument Derivative Derivative, Description of Variable Rate Basis Derivative, Fair Value, Net Fair Value of Swap Agreement Debt Instrument, Description of Variable Rate Basis Variable Interest rate on term loan Gains (Losses) on Extinguishment of Debt Extinguishment of debt Gain (Loss) on Investments Gain from available for sale investment security Available-for-sale Securities, Gross Realized Gain (Loss) Gain from available for sale investment security Proceeds from Issuance of Other Long-term Debt Issuance of long term debt, net of original issue discount Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block] Estimated Remaining Amortization Expense Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract] Estimated remaining amortization expense Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months 2013 Finite-Lived Intangible Assets, Amortization Expense, Year Two 2014 Finite-Lived Intangible Assets, Amortization Expense, Year Three 2015 Finite-Lived Intangible Assets, Amortization Expense, Year Four 2016 Finite-Lived Intangible Assets, Amortization Expense, after Year Five Thereafter Repurchase Of Senior Subordinated Notes Due Two Zero One Four Repurchase of Senior Subordinated Notes due 2014 Repurchase of Senior Subordinated Notes due 2014. Transaction Cost Transaction Cost Transaction cost. Short-term Debt, Refinanced, Amount Refinancing Expenses Unsolicited Tender Offer Costs Tender Premium and Consent fee Postconfirmation, Deferred Financing Costs Deferred Financing Costs Related to the Prior Indebtedness Overstated amount of total Liabilities Liabilities Total Liabilities Total Liabilities Insurance Programs [Axis] Insurance programes. Insurance Programes [Domain] Insurance Programes Anticipated Insurance Recoveries [Member] Anticipated Insurance Recoveries [Member] Anticipated insurance recoveries. Long-term Investments and Receivables, Net Long term Adjustments for New Accounting Pronouncements [Axis] Type of Adoption [Domain] Accounting Standards Update 2010-24 [Member] Accounting Standards Update 2010-24 [Member] Line Of Credit Facility Basis Spread On Variable Rate Euro Dollar Option One Line of Credit Facility Basis Spread on Variable Rate Euro Dollar Option One Line of credit facility basis spread on variable rate euro dollar option one. Business Acquisition Cost of Acquired Entity Agency Contract Cost Cost of agency contract Business acquisition cost of acquired entity agency contract cost. Business Acquisition Cost of Acquired Entity Agency Contract Weighted Average Useful Life Tenure of agency contract Business acquisition cost of acquired entity agency contract weighted average useful life. Business Acquisition Cost of Acquired Entity License and Permits Compensation Compensation for licenses and permits Business acquisition cost of acquired entity license and permits compensation. Copper Family [Member] Copper Family [Member] Copper family member. Interest Rate Swap [Member] Interest Rate Swap [Member] Derivative, Maturity Date Derivative maturity date Finite-Lived Intangible Assets, Amortization Expense, Remainder of Fiscal Year 2012 Maximum [Member] Maximum [Member] Related Party Transaction, Expenses from Transactions with Related Party Management fees Range [Axis] Range [Domain] Advisory And Consulting Service Annual Management Fees Agreement Annual management fee for certain advisory and consulting services payable Advisory and consulting service annual management fees agreement. Accruals for Self Insurance and Other Commitments and Contingencies [Table] Accruals for self insurance and other commitments and contingencies. Accruals for Self Insurance and Other Commitments and Contingencies [Line Items] Accruals for self insurance and other commitments and contingencies. Summary Of Assets And Liabilities Related To Companys Insurance Programs [Abstract] Summary of the assets and liabilities related to the Company's insurance programs Summary of the assets and liabilities related to the Company's insurance programs. Summary Of Assets And Liabilities Related To Companys Insurance Programs Table Text Block Summary of the assets and liabilities related to the Company's insurance programs Summary of the assets and liabilities related to the Company's insurance programs. Schedule of Indefinite-Lived Intangible Assets [Table] Indefinite-lived Intangible Assets [Line Items] Net Of Tax On Unrealized Gain On Available For Sale Debt Securities Net of Tax on unrealized gain on available for sale debt securities Net of tax on unrealized gain on available for sale debt securities. Business Acquisition, Purchase Price Allocation, Net Tangible Assets Tangible Assets Acquired Intangible Assets Acquired On Business Combinations Intangible assets acquired on combination Intangible assets acquired on business combinations. Business Combinations Policy [Policy Text Block] Business Combinations , Disclosures of Supplementary Pro Forma Information For Business Combinations Self-insured Liabilities [Member] Self-insured liabilities [Member] Self insured liabilities. Cash Collateral for Borrowed Securities Amount deposited in cash collateral account in support of issuance of letters of credit Refinancing Activities Duration Refinancing activities duration Refinancing activities duration. Scvp [Member] Scvp [Member] Scvp. Subsequent Events [Abstract] Subsequent Events [Text Block] Subsequent Events Subsequent Events (Textual) [Abstract] Subsequent events. Subsequent Events (Textual) [Abstract] Grants of Common Units as Equity Based Compensation by Parent Grants of Common Units as equity-based compensation by NMH Investment Grants of common units as equity-based compensation by parent. Schedule of Stock by Class [Table] Class of Stock [Axis] Class of Stock [Domain] Presentation of Insurance Claims and Related Insurance Recoveries [Policy Text Block] Presentation of Insurance Claims and Related Insurance Recoveries Presentation of insurance claims and related insurance recoveries. Non Voting Common Class G [Member] Non voting common class G. Non Voting Common Class G [Member] Non Voting Common Class H [Member] Non voting common class H. Non Voting Common Class H [Member] Common Stock, Shares Authorized Issuance of non-voting equity units of NMH Investment Amendment Description Restatements [Abstract] Restatements. Scenario, Previously Reported [Member] As Previously Reported [Member] Restatement Adjustment [Member] Adjustment [Member] Schedule of Error Corrections and Prior Period Adjustments [Abstract] Adjustments and Error corrections done in Statement of cash flows and Certain disclosures Schedule of error corrections and prior period adjustments. Schedule of Error Corrections and Prior Period Adjustment Restatement [Table] Scenario [Axis] Scenario, Unspecified [Domain] Error Corrections and Prior Period Adjustments Restatement [Line Items] New Accounting Pronouncements and Changes in Accounting Principles [Text Block] Restatements Schedule of Condensed Cash Flow Statement [Table Text Block] Summary of adjusted items of Cash Flow statement Restatements (Textual) [Abstract] Restatements. Restatements (Textual) [Abstract]