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Goodwill and Other Intangible Assets
3 Months Ended
Mar. 31, 2015
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Other Intangible Assets [Text Block]

Changes in the carrying amount of goodwill for the three months ended March 31, 2015 are as follows (in thousands):
 
 
Long-Term Care Group
 
Specialty Care Group
 
Total
Goodwill balance as of December 31, 2014
 
$
3,571,369

 
$
490,437

 
$
4,061,806

Goodwill from acquisition
 
3,145

 

 
3,145

Goodwill balance as of March 31, 2015
 
$
3,574,514

 
$
490,437

 
$
4,064,951



The Company’s intangible amortization expense was approximately $8 million for the three months ended March 31, 2015 and 2014.