Goodwill and Intangible Assets Disclosure [Text Block] (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2017	Mar. 31, 2016	Dec. 31, 2016
Goodwill	$ 50,691		$ 41,573
Intangible Assets, Net (Excluding Goodwill)	15,848		$ 10,122
Amortization of Intangible Assets	154	$ 340
Specialty Health Segment Member
Goodwill, Acquired During Period	9,118
Finite-lived Intangible Assets Acquired	$ 5,880
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life	9 years 7 months 6 days
Amortization of Intangible Assets	$ 154	$ 340