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Goodwill and Other Intangible Assets (Details 1) (USD $)
3 Months Ended 9 Months Ended
Sep. 30, 2013
Sep. 30, 2012
Sep. 30, 2013
Sep. 30, 2012
Dec. 31, 2012
Finite-Lived Intangible Assets [Line Items]          
Goodwill, Acquired During Period     $ 32,557,000    
Other Intangible Assets          
Gross Carrying Amount 148,914,000 150,427,000 148,914,000 150,427,000  
Accumulated Amortization (58,775,000) (55,604,000) (58,775,000) (55,604,000)  
Total 90,139,000 94,823,000 90,139,000 94,823,000 94,823,000
Aggregate amortization expense 5,588,000 6,612,000 16,153,000 16,830,000  
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]          
Remainder of 2012 5,471,000   5,471,000    
2013 20,613,000   20,613,000    
2014 18,557,000   18,557,000    
2015 15,520,000   15,520,000    
2016 9,096,000   9,096,000    
Thereafter 20,882,000   20,882,000    
Total 90,139,000 94,823,000 90,139,000 94,823,000 94,823,000
Goodwill and Other Intangible Assets (Textuals) [Abstract]          
Accumulated impairment losses (120,811,000)   (120,811,000)   (120,811,000)
Noncontractual customer relationships [Member]
         
Other Intangible Assets          
Gross Carrying Amount 113,573,000 110,404,000 113,573,000 110,404,000  
Accumulated Amortization (41,637,000) (36,605,000) (41,637,000) (36,605,000)  
Total 71,936,000 73,799,000 71,936,000 73,799,000  
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]          
Total 71,936,000 73,799,000 71,936,000 73,799,000  
Covenants not-to-compete [Member]
         
Other Intangible Assets          
Gross Carrying Amount 9,873,000 12,707,000 9,873,000 12,707,000  
Accumulated Amortization (5,458,000) (7,357,000) (5,458,000) (7,357,000)  
Total 4,415,000 5,350,000 4,415,000 5,350,000  
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]          
Total 4,415,000 5,350,000 4,415,000 5,350,000  
Favorable lease asset [Member]
         
Other Intangible Assets          
Gross Carrying Amount 7,465,000 7,228,000 7,465,000 7,228,000  
Accumulated Amortization (4,252,000) (3,866,000) (4,252,000) (3,866,000)  
Total 3,213,000 3,362,000 3,213,000 3,362,000  
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]          
Total 3,213,000 3,362,000 3,213,000 3,362,000  
Trademarks [Member]
         
Other Intangible Assets          
Gross Carrying Amount 12,096,000 12,494,000 12,096,000 12,494,000  
Accumulated Amortization (3,865,000) (3,001,000) (3,865,000) (3,001,000)  
Total 8,231,000 9,493,000 8,231,000 9,493,000  
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]          
Total 8,231,000 9,493,000 8,231,000 9,493,000  
Contracts [Member]
         
Other Intangible Assets          
Gross Carrying Amount 956,000 956,000 956,000 956,000  
Accumulated Amortization (633,000) (570,000) (633,000) (570,000)  
Total 323,000 386,000 323,000 386,000  
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]          
Total 323,000 386,000 323,000 386,000  
Technology [Member]
         
Other Intangible Assets          
Gross Carrying Amount 4,901,000 6,588,000 4,901,000 6,588,000  
Accumulated Amortization (2,891,000) (4,179,000) (2,891,000) (4,179,000)  
Total 2,010,000 2,409,000 2,010,000 2,409,000  
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]          
Total 2,010,000 2,409,000 2,010,000 2,409,000  
Client lists [Member]
         
Other Intangible Assets          
Gross Carrying Amount 50,000 50,000 50,000 50,000  
Accumulated Amortization (39,000) (26,000) (39,000) (26,000)  
Total 11,000 24,000 11,000 24,000  
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]          
Total 11,000 24,000 11,000 24,000  
Laboratory [Member]
         
Finite-Lived Intangible Assets [Line Items]          
Goodwill, Acquired During Period     8,000    
Goodwill and Other Intangible Assets (Textuals) [Abstract]          
Accumulated impairment losses 0   0   0
All Other [Member]
         
Finite-Lived Intangible Assets [Line Items]          
Goodwill, Acquired During Period     0    
Animal Hospital [Member]
         
Finite-Lived Intangible Assets [Line Items]          
Goodwill, Acquired During Period     32,549,000    
Goodwill and Other Intangible Assets (Textuals) [Abstract]          
Accumulated impairment losses 0   0   0
Animal Hospitals And Laboratory Acquisitions [Member]
         
Finite-Lived Intangible Assets [Line Items]          
Business Acquisition, Purchase Price Allocation, Goodwill, Expected Tax Deductible Amount $ 12,900,000 $ 40,000,000 $ 12,900,000 $ 40,000,000