Acquisitions (Details) (USD $)	3 Months Ended		0 Months Ended	3 Months Ended		0 Months Ended
	Mar. 31, 2014	Dec. 31, 2013	Dec. 06, 2013 SunCrest and its subsidiaries item	Mar. 31, 2014 SunCrest and its subsidiaries	Mar. 31, 2013 SunCrest and its subsidiaries	Oct. 04, 2013 Imperium	Jul. 17, 2013 IHCN item
Acquisitions
Period over which goodwill and other intangible assets are expected to be deductible for tax purposes	15 years
Number of Medicare-certified home health agencies owned and operated			66				6
Number of private duty agencies owned and operated			9
Purchase price			$ 76,600,000			$ 5,800,000	$ 12,500,000
Cash consideration			75,100,000
Unpaid consideration				500,000
Note payable			1,500,000
Net of acquired cash balances			2,200,000
Estimated fair values of the assets acquired and liabilities assumed
Accounts Receivable			16,237,000
Property, plant & equipment			2,266,000
Other assets			2,933,000
Goodwill	193,208,000	192,575,000	44,728,000				9,900,000
Other intangibles			33,390,000				1,800,000
Assets acquired			99,554,000
Liabilities assumed			(22,997,000)
Net assets acquired			76,557,000
Annual tax deductible amount of goodwill and intangibles acquired			2,800,000
Unaudited proforma result of operations
Revenues					125,921,000
Net income from continuing operations					4,258,000
Net income					4,195,000
Earnings per share from continuing operations
Basic (in dollars per share)					$ 0.46
Diluted (in dollars per share)					$ 0.45
Earnings per share
Basic (in dollars per share)					$ 0.46
Diluted (in dollars per share)					$ 0.45
Interest acquired (as a percent)						61.50%
Acquired working capital						3,000,000
Noncontrolling interest percentage						38.50%
Number of years after acquisition the put and call arrangement become exercisable						5 years
Common stock issued							$ 500,000