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Summary of Significant Accounting Policies (Details) (USD $)
12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]      
Workers’ compensation and medical malpractice receivable $ 21,200,000 $ 16,442,000  
Goodwill 574,948,000 496,158,000 229,234,000
Long-term Debt 399,813,000    
Advertising costs 5,000,000 4,600,000 2,600,000
Document Fiscal Year Focus 2013    
Fair Value, Inputs, Level 2
     
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]      
Long-term debt, fair value $ 400,200,000