Goodwill and Other Intangible Assets Goodwill changes (Tables)

6 Months Ended

Jun. 30, 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 acquisitions	32,441		—		32,441
Goodwill balance as of June 30, 2015	$	3,603,810	$	490,437	$	4,094,247