Significant Accounting Policies (Tables)

6 Months Ended

Jun. 30, 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)
June 30, 2014
Bond portfolio	$	25,203	$	—	$	25,203	$	—
7.75% interest rate swap agreements - fair value hedge	22,088		—		22,088		—
Derivatives	—		—		—		—
Total	$	47,291	$	—	$	47,291	$	—
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):



June 30, 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	$	213,869	$	51,289	$	265,158
Facility payors	326,672		130,346		457,018
Private Pay payors	76,507		86,491		162,998
Total gross accounts receivable	$	617,048	$	268,126	$	885,174
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):



	June 30, 2014			December 31, 2013
Unrealized loss on fair value of investments	$	(555	)	$	(702	)
Pension and postemployment benefits	(1,719		)	(1,839		)
Total accumulated other comprehensive loss, net	$	(2,274	)	$	(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 June 30,				Six months ended June 30,
	2014		2013		2014		2013
Debt related costs	$	7,760	$	—	$	7,760	$	—
Disposition of businesses	520		28,786		520		28,786
Separation and other costs	3,004		719		13,280		4,188
Acquisition and other related costs	—		1,763		—		2,300
Total - other charges	$	11,284	$	31,268	$	21,560	$	35,274

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"). The following table presents the Interest Rate Swap Agreements offsetting securities as of June 30, 2014 and December 31, 2013 (in thousands):



							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, 2014
Swap A	$	11,195	$	—	$	11,195	$	—	$	—	$	11,195
Swap B	10,893		—		10,893		—		—		10,893
	$	22,088	$	—	$	22,088	$	—	$	—	$	22,088

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