Self-Insurance Reserves (Tables)

12 Months Ended

Dec. 31, 2013

Self-Insurance Reserves [Abstract]

Rollforward of Self Insurance Reserves [Table Text Block]

	General and Professional Liability
				Worker's Compensation
							Health			Total
Balance January 1, 2012	$	32,010		$	9,827		$	2,436		$	44,273
Current year provisions	13,226			7,186			14,302			34,714
Claims paid and direct expenses	(9,207		)	(5,031		)	(14,271		)	(28,509		)
Long-term insurance losses recoverable	(921		)	1,326			—			405
Balance December 31, 2012	35,108			13,308			2,467			50,883
Current year provisions	7,879			6,656			17,170			31,705
Claims paid and direct expenses	(11,890		)	(4,755		)	(16,901		)	(33,546		)
Long-term insurance losses recoverable	(648		)	709			—			61
Balance December 31, 2013	$	30,449		$	15,918		$	2,736		$	49,103