Significant Accounting Policies (Tables)

3 Months Ended

Mar. 31, 2014

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)
March 31, 2014
Bond portfolio	$	25,167	$	—	$	25,167	$	—
7.75% interest rate swap agreements - fair value hedge	19,766		—		19,766		—
Derivatives	—		—		—		—
Total	$	44,933	$	—	$	44,933	$	—
December 31, 2013
Bond portfolio	$	25,140	$	—	$	25,140	$	—
7.75% interest rate swap agreements - fair value hedge	18,671		—		18,671		—
Derivatives	—		—		—		—
Total	$	43,811	$	—	$	43,811	$	—

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):



March 31, 2014	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	$	234,075	$	49,819	$	283,894
Facility payors	357,955		132,088		490,043
Private Pay payors	78,768		83,276		162,044
Total gross accounts receivable	$	670,798	$	265,183	$	935,981
December 31, 2013
Medicare (Part D and Part B), Medicaid and Third-Party payors	$	195,544	$	67,791	$	263,335
Facility payors	328,444		146,751		475,195
Private Pay payors	75,655		84,101		159,756
Total gross accounts receivable	$	599,643	$	298,643	$	898,286

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

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



	March 31, 2014			December 31, 2013
Unrealized loss on fair value of investments	$	(539	)	$	(702	)
Pension and postemployment benefits	(1,779		)	(1,839		)
Total accumulated other comprehensive income (loss), net	$	(2,318	)	$	(2,541	)

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 March 31,
	2014		2013
Separation and other costs	$	10,276	$	3,469
Acquisition and other related costs	—		537
Total - other charges	$	10,276	$	4,006

Offsetting Assets [Table Text Block]

The Company has interest rate swap agreements (the "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 the Interest Rate Swap Agreements offsetting securities as of March 31, 2014 and December 31, 2013



							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
March 31, 2014
Swap A	$	10,013	$	—	$	10,013	$	—	$	—	$	10,013
Swap B	9,753		—		9,753		—		—		9,753
	$	19,766	$	—	$	19,766	$	—	$	—	$	19,766

December 31, 2013
Swap A	$	9,408	$	—	$	9,408	$	—	$	—	$	9,408
Swap B	9,263		—		9,263		—		—		9,263
	$	18,671	$	—	$	18,671	$	—	$	—	$	18,671