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Acquisitions (Details) (USD $)
9 Months Ended 0 Months Ended
Sep. 30, 2013
Sep. 30, 2012
Jul. 19, 2013
Indiana Home Care Network
Acquisitions      
Assets acquired     $ 12,500,000
Cash paid 12,011,000 538,000 12,000,000
Common stock issued     500,000
Purchase price allocated to accounts receivable and property plant and equipment     $ 700,000