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Acquisitions, Dispositions, Exchanges and Other (Exchanges and Other) (Narrative) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2014
Sep. 30, 2015
Jan. 31, 2015
Jun. 30, 2014
Berkshire Exchange Transaction [Member]        
Exchange And Other [Line Items]        
Amount of Cash Exchanged to Berkshire       $ 327.7
Berkshire Exchange Transaction [Member] | Common Class B [Member]        
Exchange And Other [Line Items]        
Number of shares received in Berkshire Hathaway agreement       1,620,190.00000
Berkshire Exchange Transaction [Member] | Berkshire Hathaway Inc [Member] | Common Class A [Member]        
Exchange And Other [Line Items]        
Number of Shares Exchanged       2,107
Berkshire Exchange Transaction [Member] | Berkshire Hathaway Inc [Member] | Common Class B [Member]        
Exchange And Other [Line Items]        
Number of Shares Exchanged       1,278
Celtic Healthcare Allegheny Health Network Joint Venture [Member]        
Exchange And Other [Line Items]        
Equity Method Investment, Ownership Percentage   40.00%    
Celtic Healthcare Allegheny Health Network Joint Venture [Member] | Celtic Healthcare Inc [Member]        
Exchange And Other [Line Items]        
Equity Method Investment, Ownership Percentage     40.00%  
Percentage of revenue 29.00%