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Summary of Significant Accounting Policies (Details 3) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2012
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Goodwill        
Goodwill, Beginning Balance   $ 1,291,231 $ 1,237,607  
Goodwill acquired   45,665 156,115  
Goodwill impairment (123,600)   (99,501) (21,310)
Other   (288) (4,288)  
Goodwill, Ending Balance 1,291,231 1,330,917 1,291,231 1,237,607
Goodwill, Impaired, Accumulated Impairment Loss 120,811 (120,811) 120,811 21,310
Animal Hospital [Member]
       
Goodwill        
Goodwill, Beginning Balance   1,177,348 1,035,401  
Goodwill acquired   45,615 143,926  
Goodwill impairment     0 0
Other   (731) (3,260)  
Goodwill, Ending Balance 1,177,348 1,216,581 1,177,348 1,035,401
Goodwill, Impaired, Accumulated Impairment Loss 0 0 0 0
Laboratory [Member]
       
Goodwill        
Goodwill, Beginning Balance   96,861 96,810  
Goodwill acquired   50 34  
Goodwill impairment     0 0
Other   0 0  
Goodwill, Ending Balance 96,861 96,871 96,861 96,810
Goodwill, Impaired, Accumulated Impairment Loss 0 0 0 0
All Other [Member]
       
Goodwill        
Goodwill, Beginning Balance   17,022 105,396  
Goodwill acquired   0 12,155  
Goodwill impairment     (99,501) (21,310)
Other   443 (1,028)  
Goodwill, Ending Balance 17,022 17,465 17,022 105,396
Goodwill, Impaired, Accumulated Impairment Loss $ 120,811 $ (120,811) $ 120,811 $ 21,310