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Investments (Narrative) (Details) - USD ($)
9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Jun. 30, 2016
Dec. 31, 2015
Jan. 31, 2015
Schedule of Investments [Line Items]          
Commercial paper and money market investments $ 372,200,000     $ 433,000,000  
Marketable equity securities 382,777,000     $ 350,563,000  
Cash paid for new marketable equity securities 48,265,000 $ 135,124,000      
Marketable equity securities purchased 47,900,000 135,600,000      
Gain on sales of marketable equity securities 6,300,000        
Proceeds from sales of marketable equity securities $ 22,800,000 $ 0      
HomeHero [Member]          
Schedule of Investments [Line Items]          
Equity Method Investment, Ownership Percentage 20.00%        
Residential Home Health Illinois [Member] | Residential Healthcare Group Inc [Member]          
Schedule of Investments [Line Items]          
Equity Method Investment, Ownership Percentage 40.00%        
Residential Hospice Illinois [Member] | Residential Healthcare Group Inc [Member]          
Schedule of Investments [Line Items]          
Equity Method Investment, Ownership Percentage 42.50%        
Residential and a Michigan hospital joint venture [Member] | Residential Healthcare Group Inc [Member]          
Schedule of Investments [Line Items]          
Equity Method Investment, Ownership Percentage 40.00%   40.00%    
Celtic Healthcare Allegheny Health Network Joint Venture [Member] | Celtic Healthcare [Member]          
Schedule of Investments [Line Items]          
Equity Method Investment, Ownership Percentage 40.00%       40.00%