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Significant Accounting Policies Other Charges (Credits) (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Dec. 31, 2014
Long-term Debt, Gross $ 2,338,552us-gaap_DebtInstrumentCarryingAmount   $ 2,346,488us-gaap_DebtInstrumentCarryingAmount
Separation, Benefit Plan Termination and Related Costs 571ocr_SeparationBenefitPlanTerminationAndRelatedCosts 10,276ocr_SeparationBenefitPlanTerminationAndRelatedCosts  
Acquisition Costs, Period Cost 478us-gaap_AcquisitionCosts 0us-gaap_AcquisitionCosts  
Other charges $ 1,049us-gaap_OtherCostAndExpenseOperating $ 10,276us-gaap_OtherCostAndExpenseOperating