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Investments (Narrative) (Details)
£ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2017
USD ($)
Jun. 30, 2017
USD ($)
Jun. 30, 2016
USD ($)
Jun. 30, 2017
GBP (£)
Dec. 31, 2016
USD ($)
Dec. 31, 2016
GBP (£)
Schedule of Investments [Line Items]            
Commercial paper and money market investments $ 262,800,000 $ 262,800,000     $ 485,100,000  
Marketable equity securities 447,763,000 447,763,000     $ 424,229,000  
Cash paid for new marketable equity securities   0 $ 18,274,000      
Marketable equity securities purchased   0 17,900,000      
Proceeds from sales of marketable equity securities   0 22,800,000      
Gain on sales of marketable equity securities     $ 6,300,000      
Celtic and Residential [Member]            
Schedule of Investments [Line Items]            
Revenue from Related Parties $ 5,000,000 $ 9,600,000        
Residential Home Health Illinois [Member] | Residential Healthcare Group Inc [Member]            
Schedule of Investments [Line Items]            
Equity Method Investment, Ownership Percentage 40.00% 40.00%   40.00%    
Residential Hospice Illinois [Member] | Residential Healthcare Group Inc [Member]            
Schedule of Investments [Line Items]            
Equity Method Investment, Ownership Percentage 42.50% 42.50%   42.50%    
Residential Healthcare Michigan hospital joint venture [Member] | Residential Healthcare Group Inc [Member]            
Schedule of Investments [Line Items]            
Equity Method Investment, Ownership Percentage 40.00% 40.00%   40.00%    
Celtic Healthcare Allegheny Health Network Joint Venture [Member] | Celtic Healthcare [Member]            
Schedule of Investments [Line Items]            
Equity Method Investment, Ownership Percentage 40.00% 40.00%   40.00%    
York Joint Venture [Member] | York University [Member]            
Schedule of Investments [Line Items]            
Advances to Affiliate | £           £ 11.0
Loan commitment to affiliate | £       £ 25.0    
Loan Receivable, Payment Terms   25 years        
Loan Receivable Fixed Interest Rate   7.00%        
Equity Method Investment, Ownership Percentage 45.00% 45.00%   45.00%