Acquisitions (Narrative) (Details) (USD $)	0 Months Ended	3 Months Ended		9 Months Ended		12 Months Ended	9 Months Ended	0 Months Ended	3 Months Ended	9 Months Ended		3 Months Ended	9 Months Ended
	Feb. 07, 2013	Sep. 30, 2014	Sep. 30, 2013	Sep. 30, 2014	Sep. 30, 2013	Dec. 31, 2013	Sep. 30, 2014 Medical Services of America, Inc. and Coordinated Home and Health Care, LLC [Member]	Jun. 01, 2014 Cura Partners, LLC [Member]	Sep. 30, 2014 Cura Partners, LLC [Member]	Sep. 30, 2014 Cura Partners, LLC [Member]	Jun. 01, 2014 Cura Partners, LLC [Member]	Sep. 30, 2014 Coordinated Home Health Care, LLC [Member]	Sep. 30, 2014 Coordinated Home Health Care, LLC [Member]	Sep. 30, 2014 South Carolina [Member] Medical Services of America, Inc. [Member] item	Sep. 30, 2014 Tennessee [Member] Medical Services of America, Inc. [Member] item	Sep. 30, 2014 Ohio [Member] Medical Services of America, Inc. [Member] item	Sep. 30, 2014 New Mexico [Member] Coordinated Home Health Care, LLC [Member] item
Business Acquisition [Line Items]
Acquisitions of businesses	$ 20,000,000			$ 7,186,000			$ 12,325,000	$ 7,186,000					$ 11,725,000
Business acquisition, contingent earn-out obligation								1,020,000		1,020,000			1,100,000
Business acquisition, contingent earn-out obligation, present value									1,168,000	1,168,000		2,250,000	2,250,000
Potential future consideration													2,250,000
Total purchase price for business acquisition								8,206,000					12,825,000
Goodwill impairment		0	0	0	0	0
Number of Agencies Acquired														2	4	2
Number of Offices																	16
Acquisition costs											543,000	660,000	660,000
Net service revenues		$ 81,658,000	$ 67,306,000	$ 230,306,000	$ 196,059,000				$ 3,295,000	$ 4,358,000		$ 5,821,000	$ 16,004,000