Goodwill and Other Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2013

Goodwill Rollforward [Abstract]

Schedule of Goodwill [Table Text Block]

Changes in the carrying amount of goodwill for the nine months ended September 30,2013 are as follows (in thousands):

	Long-Term Care Group			Specialty Care Group		Total
Goodwill balance as of December 31, 2012	$	3,722,801		$	534,158	$	4,256,959
Other	(3,498		)	—		(3,498		)
Goodwill balance as of September 30, 2013	$	3,719,303		$	534,158	$	4,253,461