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Investments (Narrative) (Details)
£ in Millions
3 Months Ended 12 Months Ended
Jul. 31, 2016
GBP (£)
Dec. 31, 2017
USD ($)
shares
Sep. 30, 2017
USD ($)
Jun. 30, 2017
USD ($)
Mar. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
shares
Sep. 30, 2016
USD ($)
Jun. 30, 2016
USD ($)
Mar. 31, 2016
USD ($)
Dec. 31, 2017
USD ($)
shares
Dec. 31, 2016
USD ($)
shares
Dec. 31, 2015
USD ($)
Dec. 31, 2017
GBP (£)
shares
Dec. 31, 2016
GBP (£)
shares
Schedule of Investments [Line Items]                            
Commercial paper and money market investments   $ 217,600,000       $ 485,100,000       $ 217,600,000 $ 485,100,000      
Investments in Marketable equity securities   536,315,000       424,229,000       536,315,000 424,229,000      
Cash paid for new marketable equity securities                   0 48,265,000 $ 145,807,000    
Available-for-sale Securities, Gross Realized Gains (Losses), Sale Proceeds                   0 29,700,000      
Marketable equity securities purchased                     47,900,000 146,200,000    
Loss on sales of marketable equity securities                     8,100,000      
Gain on sales of marketable equity securities                     6,200,000      
Equity Method Investment, Other than Temporary Impairment   2,800,000                        
Pre-tax gain on equity method investment   $ (4,697,000) $ (532,000) $ 1,331,000 $ 649,000 $ (7,042,000) $ (1,008,000) $ (891,000) $ 1,004,000 (3,249,000) (7,937,000) (697,000)    
Pre-tax gain (loss) on sale of equity method investment                   $ 0 $ 0 $ 4,827,000    
Markel Corporation [Member]                            
Schedule of Investments [Line Items]                            
Number of shares held in investment | shares   28,000       28,000       28,000 28,000   28,000 28,000
Investments in Marketable equity securities   $ 31,900,000       $ 25,300,000       $ 31,900,000 $ 25,300,000      
Intersection [Member]                            
Schedule of Investments [Line Items]                            
Equity Method Investment, Ownership Percentage                   11.00%        
HomeHero [Member]                            
Schedule of Investments [Line Items]                            
Equity Method Investment, Other than Temporary Impairment           $ 8,400,000                
Graham Healthcare Group [Member]                            
Schedule of Investments [Line Items]                            
Revenue from Related Parties                   $ 18,300,000 $ 14,900,000      
Graham Healthcare Group [Member] | Residential Home Health Illinois [Member]                            
Schedule of Investments [Line Items]                            
Ownership percentage of investment in affiliate   40.00%               40.00%     40.00%  
Graham Healthcare Group [Member] | Residential Hospice Illinois [Member]                            
Schedule of Investments [Line Items]                            
Ownership percentage of investment in affiliate   42.50%               42.50%     42.50%  
Graham Healthcare Group [Member] | Residential And Michigan Hospital Joint Venture [Member]                            
Schedule of Investments [Line Items]                            
Ownership percentage of investment in affiliate   40.00%               40.00%     40.00%  
Graham Healthcare Group [Member] | Celtic Healthcare Allegheny Health Network Joint Venture [Member]                            
Schedule of Investments [Line Items]                            
Ownership percentage of investment in affiliate   40.00%               40.00%     40.00%  
York University [Member] | York Joint Venture [Member]                            
Schedule of Investments [Line Items]                            
Ownership percentage of investment in affiliate   45.00%               45.00%     45.00%  
Other Commitment | £ £ 25.0                          
Loan Receivable, Payment Term 25 years                          
Related Party Transaction, Rate 7.00%                          
Advances to Affiliate | £                         £ 5.0 £ 11.0