SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Details 2) (USD $) In Thousands, unless otherwise specified	3 Months Ended	12 Months Ended
	Sep. 30, 2012 item	Dec. 31, 2012 item	Dec. 31, 2011
Goodwill
Balance at the beginning of the period		$ 132,653	$ 101,060
Additions		208	31,593
Balance at the end of the period		133,418	132,653
Other Intangible Assets
Balance at the beginning of the period		19,709	14,285
Additions		330	5,520
Amortization		(72)	(96)
Balance at the end of the period		19,967	19,709
Number of Businesses Acquired	2	2
Cambridge Home Health Care Holdings Inc.
Goodwill
Adjustments		557
VN segment
Goodwill
Balance at the end of the period		102,497	102,207
PC segment
Goodwill
Balance at the end of the period		30,921	30,447
Non-compete Agreements
Activity related to goodwill and other intangible assets
Estimated useful life		3 years
Other Intangible Assets
Balance at the beginning of the period		197	63
Additions		30	230
Amortization		(72)	(96)
Balance at the end of the period		155	197
Non-compete Agreements | VN segment
Other Intangible Assets
Balance at the end of the period		8	34
Non-compete Agreements | PC segment
Other Intangible Assets
Balance at the end of the period		147	163
Certificates of Need and licenses
Other Intangible Assets
Balance at the beginning of the period		9,091	6,841
Additions		300	2,250
Balance at the end of the period		9,391	9,091
Certificates of Need and licenses | VN segment
Other Intangible Assets
Balance at the end of the period		8,781	8,481
Certificates of Need and licenses | PC segment
Other Intangible Assets
Balance at the end of the period		610	610
Trade Names
Other Intangible Assets
Balance at the beginning of the period			7,381
Additions			3,040
Balance at the end of the period		10,421	10,421
Trade Names | VN segment
Other Intangible Assets
Balance at the end of the period		7,701	7,701
Trade Names | PC segment
Other Intangible Assets
Balance at the end of the period		$ 2,720	$ 2,720