Goodwill and Other Intangible Assets Goodwill changes (Tables)

3 Months Ended

Mar. 31, 2015

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, 2014	$	3,571,369	$	490,437	$	4,061,806
Goodwill from acquisition	3,145		—		3,145
Goodwill balance as of March 31, 2015	$	3,574,514	$	490,437	$	4,064,951