Significant Accounting Policies (Tables)

9 Months Ended

Sep. 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)
September 30, 2013
Bond portfolio	$	25,111	$	—	$	25,111	$	—
7.75% interest rate swap agreements - fair value hedge	23,570		—		23,570		—
Derivatives	—		—		—		—
Total	$	48,681	$	—	$	48,681	$	—
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):



September 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	$	210,957	$	67,697	$	278,654
Facility payors	351,162		163,069		514,231
Private Pay payors	72,631		84,677		157,308
Total gross accounts receivable	$	634,750	$	315,443	$	950,193
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):



	September 30, 2013			December 31, 2012
Unrealized loss on fair value of investments	$	(695	)	$	(428	)
Pension and postemployment benefits	(2,219		)	(2,392		)
Total accumulated other comprehensive income (loss), net	$	(2,914	)	$	(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 September 30,					Nine months ended September 30,
	2013		2012			2013		2012
Debt related costs	$	50,868	$	—		$	50,868	$	35,092
Disposition of businesses	10,116		(7,680		)	38,902		(1,777		)
Separation costs	648		5,500			4,836		21,000
Acquisition and other related costs	—		(3,830		)	2,300		396
Restructuring charges	—		11,046			—		11,046
Total - other charges	$	61,632	$	5,036		$	96,906	$	65,757

Offsetting Assets [Table Text Block]

The Company has interest rate swap agreements with multiple counterparties on its 7.75% Senior Subordinated Notes due 2020 (the "2020 Notes"), which are subject to this guidance. The following table presents these swap agreements offsetting securities as of September 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
September 30, 2013
Swap A	$	11,969	$	—	$	11,969	$	—	$	—	$	11,969
Swap B	11,601		—		11,601		—		—		11,601
	$	23,570	$	—	$	23,570	$	—	$	—	$	23,570

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