Goodwill and Other Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2014

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, 2013	$	3,570,866		$	490,437	$	4,061,303
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
Goodwill acquired in the year ended December 31, 2014	1,123			—		1,123
Disposition of businesses	(41		)	—		(41		)
Other	3,268			—		3,268
Goodwill balance as of December 31, 2014	$	3,571,369		$	490,437	$	4,061,806

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, 2014
	Original Amortization Life (in years)			Gross Carrying Amount		Accumulated Amortization			Net Carrying Amount
Customer relationship assets	6	—	15	$	318,464	$	(239,486	)	$	78,978
Trademarks and trade names			(a)	13,972		(1,944		)	12,028
Non-compete agreements	2	—	15	23,402		(15,757		)	7,645
Other	4	—	4	387		(96		)	291
Total				$	356,225	$	(257,283	)	$	98,942
				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

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, 2014 for the next five fiscal years is as follows (in thousands):

Year ended	Amortization
December 31,	Expense
2015	$	30,245
2016	19,974
2017	11,911
2018	9,308
2019	6,491