Significant Accounting Policies (Tables)

9 Months Ended

Sep. 30, 2014

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

The Company’s financial instruments, 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, 2014
Bond portfolio	$	25,216	$	—	$	25,216	$	—
7.75% interest rate swap agreements - fair value hedge	18,041		—		18,041		—
Derivatives	—		—		—		—
Total	$	43,257	$	—	$	43,257	$	—
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 payors (in thousands):



September 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	$	201,382	$	47,497	$	248,879
Facility payors	306,681		122,378		429,059
Private Pay payors	76,953		91,013		167,966
Total gross accounts receivable	$	585,016	$	260,888	$	845,904
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]

The following table is a summary of the Company’s accumulated other comprehensive income (loss) (“AOCI”) (in thousands):



	September 30, 2014			December 31, 2013
Unrealized loss on fair value of investments	$	(571	)	$	(702	)
Pension and post-employment benefits	(1,364		)	(1,839		)
Total accumulated other comprehensive loss, net	$	(1,935	)	$	(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 September 30,				Nine months ended September 30,
	2014		2013		2014		2013
Debt related costs	$	72	$	50,868	$	7,832	$	50,868
Disposition of businesses	285		10,116		805		38,902
Separation and other costs	3,642		648		16,922		4,836
Acquisition and other related costs	—		—		—		2,300
Total - other charges	$	3,999	$	61,632	$	25,559	$	96,906

Offsetting Assets [Table Text Block]

The Company has interest rate swap agreements (the “Interest Rate Swap Agreements”) with multiple counterparties with respect to all $400 million aggregate principle amount outstanding of its 7.75% Senior Subordinated Notes due 2020 (the “2020 Notes”). The following table presents the effect of netting arrangements on the Company’s recognized assets and liabilities in connection with the Interest Rate Swap Agreements as of September 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
September 30, 2014
Swap A	$	9,130	$	—	$	9,130	$	—	$	—	$	9,130
Swap B	8,911		—		8,911		—		—		8,911
	$	18,041	$	—	$	18,041	$	—	$	—	$	18,041

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