Goodwill and Other Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2012

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill [Table Text Block]

Changes in the carrying amount of goodwill, by business segment, are as follows (in thousands):

	LTC			SCG		Total
Goodwill balance as of January 1, 2011	$	3,504,340		$	678,588	$	4,182,928
Goodwill acquired in the year ended December 31, 2011	52,924			—		52,924
Other	14,687			40		14,727
Goodwill balance as of December 31, 2011	3,571,951			678,628		4,250,579
Goodwill acquired in the year ended December 31, 2012	21,184			—		21,184
Disposition of businesses	(14,258		)	—		(14,258		)
Other	(546		)	—		(546		)
Goodwill balance as of December 31, 2012	$	3,578,331		$	678,628	$	4,256,959

schedule of finite and infinite lived intangible assets [Table Text Block]

The table below presents the Company’s other identifiable intangible assets, all of which are subject to amortization, except trademark and trade names as described below (in thousands):

				December 31, 2012
	Original Amortization Life (in years)			Gross Carrying Amount		Accumulated Amortization			Net Carrying Amount
Customer relationship assets	6.0	—	15	$	369,782	$	(213,987	)	$	155,795
Trademarks and trade names		—	(a)	28,565		(2,434		)	26,131
Non-compete agreements	2	—	15	29,042		(15,571		)	13,471
Technology assets	10	—	11	5,600		(4,124		)	1,476
Total				$	432,989	$	(236,116	)	$	196,873
				December 31, 2011
	Original Amortization Life (in years)			Gross Carrying Amount		Accumulated Amortization and Impairment Losses			Net Carrying Amount
Customer relationship assets	8.5	—	15	$	405,036	$	(221,477	)	$	183,559
Trademarks and trade names		—	(a)	28,122		(837		)	27,285
Non-compete agreements	5	—	15	42,010		(20,063		)	21,947
Technology assets	10	—	11	5,976		(3,575		)	2,401
Other	10	—	15	326		(248		)	78
Total				$	481,470	$	(246,200	)	$	235,270

Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]

Estimated annual amortization expense for intangible assets subject to amortization at December 31, 2012 for the next five fiscal years is as follows (in thousands):

Year ended	Amortization
December 31,	Expense
2013	$	(37,563	)
2014	(36,010		)
2015	(34,796		)
2016	(23,976		)
2017	(15,215		)