Goodwill and Other Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2011

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, 2010, as reported	$	3,474,233		$	678,022	$	4,152,255
Adjustment to revise acquisition reserves (Note 2)	(51,893		)	—		(51,893		)
Goodwill balance as of January 1, 2010, as revised	$	3,422,340		$	678,022	$	4,100,362
Goodwill acquired in the year ended December 31, 2010	80,596			—		80,596
Other	1,404			566		1,970
Goodwill balance as of December 31, 2010	3,504,340			678,588		4,182,928
Goodwill acquired in the year ended December 31, 2011	52,924			—		52,924
Other	11,394			40		11,434
Goodwill balance as of December 31, 2011	$	3,568,658		$	678,628	$	4,247,286

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, 2011
	Original Amortization Life (in years)			Gross Carrying Amount		Accumulated Amortization			Net Carrying Amount
Customer relationship assets	8.5	—	15	$	408,329	$	(221,477	)	$	186,852
Trademark and trade names		—	(a)	28,122		(837		)	27,285
Non-compete agreements	5	—	15	42,010		(20,063		)	21,947
Technology assets	10	—	11	5,976		(3,575		)	2,401
Other	10	—	15	326		(248		)	78
Total				$	484,763	$	(246,200	)	$	238,563
				December 31, 2010
				Gross Carrying Amount		Accumulated Amortization and Impairment Losses			Net Carrying Amount
Customer relationship assets				$	392,281	$	(186,467	)	$	205,814
Trademark and trade names				39,672		(13,300		)	26,372
Non-compete agreements				48,036		(24,545		)	23,491
Technology assets				11,899		(7,859		)	4,040
Other				328		(236		)	92
Total				$	492,216	$	(232,407	)	$	259,809

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, 2011 for the next five fiscal years is as follows (in thousands):

Year ended	Amortization
December 31,	Expense
2012	$	41,301
2013	35,966
2014	34,760
2015	31,913
2016	22,397