Goodwill and Other Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2013

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, 2012	$	3,564,486		$	490,437	$	4,054,923
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	3,570,866			490,437		4,061,303
Goodwill acquired in the year ended December 31, 2013	—			—		—
Disposition of businesses	(4,145		)	—		(4,145		)
Other	298			—		298
Goodwill balance as of December 31, 2013	$	3,567,019		$	490,437	$	4,057,456

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, 2013
	Original Amortization Life (in years)			Gross Carrying Amount		Accumulated Amortization			Net Carrying Amount
Customer relationship assets	6	—	15	$	318,281	$	(211,191	)	$	107,090
Trademarks and trade names		—	(a)	13,972		(1,496		)	12,476
Non-compete agreements	2	—	15	24,991		(14,970		)	10,021
Other	4	—	4	387		—			387
Total				$	357,631	$	(227,657	)	$	129,974
				December 31, 2012
	Original Amortization Life (in years)			Gross Carrying Amount		Accumulated Amortization			Net Carrying Amount
Customer relationship assets	6	—	15	$	324,632	$	(186,736	)	$	137,896
Trademarks and trade names		—	(a)	16,166		(2,434		)	13,732
Non-compete agreements	2	—	15	29,042		(15,571		)	13,471
Total				$	369,840	$	(204,741	)	$	165,099

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, 2013 for the next five fiscal years is as follows (in thousands):

Year ended	Amortization
December 31,	Expense
2014	$	31,238
2015	30,228
2016	19,957
2017	11,894
2018	9,291