Goodwill and Other Intangible Assets Goodwill changes (Tables)

9 Months Ended

Sep. 30, 2014

Goodwill and Intangible Assets Disclosure [Abstract]

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 September 30, 2014	$	3,570,246		$	490,437	$	4,060,683