XML 41 R18.htm IDEA: XBRL DOCUMENT v2.4.0.8
Goodwill and Other Intangible Assets Goodwill changes (Tables) (USD $)
 3 Months Ended 6 Months Ended
Jun. 30, 2014
Jun. 30, 2013
Jun. 30, 2014
Jun. 30, 2013
Dec. 31, 2013
Goodwill [Line Items]          
Schedule of Goodwill [Table Text Block]    
 
 
Long-Term Care Group
 
Specialty Care Group
 
Total
Goodwill balance as of December 31, 2013
 
$
3,567,019

 
$
490,437

 
$
4,057,456

Disposition of business
 
(41
)
 
—

 
(41
)
Other
 
3,268

 
—

 
3,268

Goodwill balance as of June 30, 2014
 
$
3,570,246

 
$
490,437

 
$
4,060,683

    
Goodwill $ 4,060,683,000   $ 4,060,683,000   $ 4,057,456,000
Goodwill, Other Changes     3,268,000    
Intangible amortization expense 8,000,000 8,000,000 16,000,000 17,000,000  
Long Term Care Group [Member]
          
Goodwill [Line Items]          
Goodwill 3,570,246,000   3,570,246,000   3,567,019,000
Goodwill, Other Changes     3,268,000    
specialty care group [Member]
          
Goodwill [Line Items]          
Goodwill 490,437,000   490,437,000   490,437,000
Goodwill, Other Changes     $ 0