Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 2013

Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]

The Company’s financial assets and liabilities, measured at fair value on a recurring basis, were as follows (in thousands):



			Based on
	Fair Value		Quoted Prices in Active Markets (Level 1)		Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
June 30, 2013
Bond portfolio	$	25,050	$	—	$	25,050	$	—
7.75% interest rate swap agreements - fair value hedge	20,992		—		20,992		—
Derivatives	—		—		—		—
Total	$	46,042	$	—	$	46,042	$	—
December 31, 2012
Bond portfolio	$	24,887	$	—	$	24,887	$	—
7.75% interest rate swap agreements - fair value hedge	46,090		—		46,090		—
Derivatives	—		—		—		—
Total	$	70,977	$	—	$	70,977	$	—

Accounts Receivable [Table Text Block]

The following table is an aging of the Company’s gross accounts receivable (net of allowances for contractual adjustments), aged based on payment terms and categorized based on the three primary types of accounts receivable characteristics (in thousands):



June 30, 2013	Current and 0-180 Days Past Due		181 Days and Over Past Due		Total
Medicare (Part D and Part B), Medicaid and Third-Party payors	$	204,910	$	84,780	$	289,690
Facility payors	372,440		160,028		532,468
Private Pay payors	71,989		89,065		161,054
Total gross accounts receivable	$	649,339	$	333,873	$	983,212
December 31, 2012
Medicare (Part D and Part B), Medicaid and Third-Party payors	$	238,348	$	163,773	$	402,121
Facility payors	383,848		168,945		552,793
Private Pay payors	70,835		100,719		171,554
Total gross accounts receivable	$	693,031	$	433,437	$	1,126,468

Accumulated other comprehensive income(loss) [Table Text Block]

Accumulated other comprehensive income (loss) ("AOCI") by component and in the aggregate, follows (in thousands):



	June 30, 2013			December 31, 2012
Unrealized loss on fair value of investments	$	(642	)	$	(428	)
Pension and postemployment benefits	(2,276		)	(2,392		)
Total accumulated other comprehensive income (loss), net	$	(2,918	)	$	(2,820	)

Schedule of Other Nonoperating Expense, by Component [Table Text Block]

Other charges

Other charges (on a pre-tax basis) consist of the following (in thousands):



	Three months ended June 30,				Six months ended June 30,
	2013		2012		2013		2012
Acquisition and other related costs	$	1,763	$	1,117	$	2,300	$	4,226
Disposition of businesses	28,786		—		28,786		5,903
Separation costs	719		13,000		4,188		15,500
Debt related costs	—		35,092		—		35,092
Total - other charges	$	31,268	$	49,209	$	35,274	$	60,721

Offsetting Assets [Table Text Block]

The Company has interest rate swap agreements with multiple counterparties on its 7.75% Senior Subordinated Notes, which are subject to this guidance. The following table presents these swap agreements offsetting securities as of June 30, 2013 and December 31, 2012:



									Gross Amounts not offset in the statement of financial position
Interest Rate Swaps as of:	Gross amount of recognized assets (liabilities)			Gross amount offset in the statement of financial position		Net amount of assets (liabilities) presented in the statement of financial position			Financial instruments		Cash collateral received		Net amount
June 30, 2013
Swap A	$	12,031		$	—	$	12,031		$	—	$	—	$	12,031
Swap B	11,739			—		11,739			—		—		11,739
Swap C	(1,416		)	—		(1,416		)	—		—		(1,416		)
Swap D	(1,362		)	—		(1,362		)	—		—		(1,362		)
	$	20,992		$	—	$	20,992		$	—	$	—	$	20,992

December 31, 2012
Swap A	$	20,560		$	—	$	20,560		$	—	$	—	$	20,560
Swap B	20,011			—		20,011			—		—		20,011
Swap C	2,896			—		2,896			—		—		2,896
Swap D	2,623			—		2,623			—		—		2,623
	$	46,090		$	—	$	46,090		$	—	$	—	$	46,090