|
Goodwill and Other Intangible Assets Goodwill Changes (Details) (USD $)
|
3 Months Ended | 9 Months Ended | |||
|---|---|---|---|---|---|
|
Sep. 30, 2014
|
Sep. 30, 2013
|
Sep. 30, 2014
|
Sep. 30, 2013
|
Dec. 31, 2013
|
|
| Goodwill [Line Items] | |||||
| Goodwill | $ 4,060,683,000 | $ 4,060,683,000 | $ 4,057,456,000 | ||
| Reduction of Goodwill as a Result of Disposition | (41,000) | ||||
| Goodwill, Other Changes | 3,268,000 | ||||
| Intangible amortization expense | 8,000,000 | 8,000,000 | 24,000,000 | 25,000,000 | |
|
Long Term Care Group [Member]
|
|||||
| Goodwill [Line Items] | |||||
| Goodwill | 3,570,246,000 | 3,570,246,000 | 3,567,019,000 | ||
| Reduction of Goodwill as a Result of Disposition | (41,000) | ||||
| Goodwill, Other Changes | 3,268,000 | ||||
|
specialty care group [Member]
|
|||||
| Goodwill [Line Items] | |||||
| Goodwill | 490,437,000 | 490,437,000 | 490,437,000 | ||
| Reduction of Goodwill as a Result of Disposition | 0 | ||||
| Goodwill, Other Changes | $ 0 | ||||