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Acquisitions, Dispositions and Exchanges Acqusitions, Dispositions and Exchanges (Tables)
12 Months Ended
Dec. 31, 2014
Acquisitions, Dispositions and Exchanges [Abstract]  
Schedule of assets acquired and liabilities assumed [Table Text Block]
The aggregate purchase price of these 2014 acquisitions was allocated as follows (on a preliminary basis for Residential Healthcare Group):
 
Weighted Average Life
 
Purchase Price Allocation
(in thousands)
 
Cash and cash equivalents
 
 
$
4,143

Accounts receivable
 
 
15,912

Other current assets
 
 
6,724

Property, plant and equipment
 
 
12,834

Investments in affiliates
 
 
8,556

Goodwill
 
 
128,919

Indefinite-lived intangible assets
 
 
 
Trade name
 
 
11,900

Other
 
 
151

 
 
 
12,051

Amortized intangible assets
 
 
 
Noncompete agreements
3 years
 
430

Student and customer relationships
6 years
 
51,532

Databases and technology
3 years
 
150

Trade names and trademarks
8 years
 
20,254

Other
3 years
 
1,400

 
7 years
 
73,766

Other noncurrent assets
 
 
1,215

Current liabilities
 
 
(17,180
)
Noncurrent liabilities
 
 
(19,654
)
Redeemable noncontrolling interest
 
 
(17,108
)
 
 
 
$
210,178

Acqusition Pro Forma Financial Information [Table Text Block]
The following unaudited pro forma financial information presents the Company’s results as if the current year acquisitions had occurred at the beginning of 2013:
 
Year Ended December 31
(in thousands)
2014
 
2013
Operating revenues
$
3,595,121

 
$
3,547,856

Net income
$
1,292,421

 
$
227,556