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Other Non-Operating (Expense) Income (Narrative) (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Jun. 30, 2016
USD ($)
Jan. 31, 2015
USD ($)
Dec. 31, 2016
USD ($)
Sep. 30, 2016
USD ($)
Jun. 30, 2016
USD ($)
Mar. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Sep. 30, 2015
USD ($)
Jun. 30, 2015
USD ($)
business
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Schedule of Non-Operating (Expense) Income [Line Items]                        
Gain on sale of property, plant and equipment         $ 34,100   $ 21,400     $ 0 $ 34,072 $ 21,379
Gain on formation of a joint venture                   0 3,232 5,972
Gain (loss) on sale of business                 $ 2,900 (569) 18,931 (23,335)
Gain on sale of an equity affiliate                   0 0 4,827
Education [Member]                        
Schedule of Non-Operating (Expense) Income [Line Items]                        
Gain (loss) on sale of business               $ (26,300)        
Number Of Businesses Disposed | business                 2      
Residential Healthcare Group Inc [Member] | Residential And Michigan Hospital Joint Venture [Member]                        
Schedule of Non-Operating (Expense) Income [Line Items]                        
Ownership percentage of investment in affiliate 40.00%       40.00%              
Gain on formation of a joint venture $ 3,200                      
Classified Ventures LLC [Member]                        
Schedule of Non-Operating (Expense) Income [Line Items]                        
Favorable out of period adjustment                 $ 4,800      
Gain on sale of an equity affiliate                   $ 0 0 $ 4,827
Celtic Healthcare Inc [Member] | Celtic Healthcare Allegheny Health Network Joint Venture [Member]                        
Schedule of Non-Operating (Expense) Income [Line Items]                        
Ownership percentage of investment in affiliate   40.00%                    
Gain on formation of a joint venture   $ 6,000                    
Celtic Healthcare Allegheny Health Network Joint Venture [Member] | Celtic Healthcare Inc [Member]                        
Schedule of Non-Operating (Expense) Income [Line Items]                        
Ownership percentage of investment in affiliate   40.00%                    
Vocational School Company [Member]                        
Schedule of Non-Operating (Expense) Income [Line Items]                        
Write-downs of cost method investment     $ 12,000 $ 15,000             $ 27,000  
Kaplan Corporate and Other [Member] | Colloquy [Member] | Education [Member]                        
Schedule of Non-Operating (Expense) Income [Line Items]                        
Gain (loss) on sale of business           $ 18,900