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v2.3.0.11

Supplemental Condensed Consolidating Financial Information (Schedule of Condensed Consolidating Statements of Cash Flows) (Details) (USD $) In Thousands | 6 Months Ended
--- | ---
Jun. 30, 2011 | Jun. 30, 2010
Net cash provided by operating activities | $ 355,776 | $ 227,724
Property and equipment additions, net of disposals | (116,240) | (121,640)
Proceeds received from sales of assets and businesses | 2,041 | 5,000
Costs incurred for purchase and implementation of electronic health records application | (11,416) | (8,354)
Net cash used in investing activities | (125,615) | (124,994)
Reduction of long-term debt | (200,566) | (77,974)
Additional borrowings | 36,000 | 0
Financing costs | (23,534) | 0
Repurchase of common shares | (6,163) | (3,703)
Dividends paid | (9,763) | (9,693)
Issuance of common stock | 2,408 | 3,833
Profit distributions to noncontrolling interests | (23,201) | (12,336)
Proceeds from sale of noncontrolling interest in majority owned business | 0 | 300
Net cash used in financing activities | (224,819) | (99,573)
Changes in intercompany balances with affiliates, net | 0 | 0
Increase (decrease) in cash and cash equivalents | 5,342 | 3,157
Cash and cash equivalents, beginning of period | 29,474 | 9,180
Cash and cash equivalents, end of period | 34,816 | 12,337
Parent [Member] |  |
Net cash provided by operating activities | 13,222 | 2,654
Property and equipment additions, net of disposals | 0 | 0
Proceeds received from sales of assets and businesses | 0 | 0
Costs incurred for purchase and implementation of electronic health records application | 0 | 0
Net cash used in investing activities | 0 | 0
Reduction of long-term debt | (188,161) | (75,403)
Additional borrowings | 36,000 |
Financing costs | (23,534) |
Repurchase of common shares | (6,163) | (3,703)
Dividends paid | (9,763) | (9,693)
Issuance of common stock | 2,408 | 3,833
Profit distributions to noncontrolling interests | 0 | 0
Proceeds from sale of noncontrolling interest in majority owned business |  | 0
Net cash used in financing activities | (13,222) | (2,654)
Changes in intercompany balances with affiliates, net | 175,991 | 82,312
Increase (decrease) in cash and cash equivalents | 0 | 0
Cash and cash equivalents, beginning of period | 0 | 0
Cash and cash equivalents, end of period | 0 | 0
Guarantors [Member] |  |
Net cash provided by operating activities | 298,741 | 191,348
Property and equipment additions, net of disposals | (88,240) | (91,991)
Proceeds received from sales of assets and businesses | 2,041 | 5,000
Costs incurred for purchase and implementation of electronic health records application | (11,416) | (8,354)
Net cash used in investing activities | (97,615) | (95,345)
Reduction of long-term debt | (850) | (1,338)
Additional borrowings | 0 |
Financing costs | 0 |
Repurchase of common shares | 0 | 0
Dividends paid | 0 | 0
Issuance of common stock | 0 | 0
Profit distributions to noncontrolling interests | 0 | 0
Proceeds from sale of noncontrolling interest in majority owned business |  | 0
Net cash used in financing activities | (195,037) | (93,773)
Changes in intercompany balances with affiliates, net | (194,187) | (92,435)
Increase (decrease) in cash and cash equivalents | 6,089 | 2,230
Cash and cash equivalents, beginning of period | 21,385 | 5,367
Cash and cash equivalents, end of period | 27,474 | 7,597
Non Guarantors [Member] |  |
Net cash provided by operating activities | 43,813 | 33,722
Property and equipment additions, net of disposals | (28,000) | (29,649)
Proceeds received from sales of assets and businesses | 0 | 0
Costs incurred for purchase and implementation of electronic health records application | 0 | 0
Net cash used in investing activities | (28,000) | (29,649)
Reduction of long-term debt | (11,555) | (1,233)
Additional borrowings | 0 |
Financing costs | 0 |
Repurchase of common shares | 0 | 0
Dividends paid | 0 | 0
Issuance of common stock | 0 | 0
Profit distributions to noncontrolling interests | (23,201) | (12,336)
Proceeds from sale of noncontrolling interest in majority owned business |  | 300
Net cash used in financing activities | (16,560) | (3,146)
Changes in intercompany balances with affiliates, net | 18,196 | 10,123
Increase (decrease) in cash and cash equivalents | (747) | 927
Cash and cash equivalents, beginning of period | 8,089 | 3,813
Cash and cash equivalents, end of period | 7,342 | 4,740
Consolidating Adjustments [Member] |  |
Net cash provided by operating activities | 0 | 0
Property and equipment additions, net of disposals | 0 | 0
Proceeds received from sales of assets and businesses | 0 | 0
Costs incurred for purchase and implementation of electronic health records application | 0 | 0
Net cash used in investing activities | 0 | 0
Reduction of long-term debt | 0 | 0
Additional borrowings | 0 |
Financing costs | 0 |
Repurchase of common shares | 0 | 0
Dividends paid | 0 | 0
Issuance of common stock | 0 | 0
Profit distributions to noncontrolling interests | 0 | 0
Proceeds from sale of noncontrolling interest in majority owned business |  | 0
Net cash used in financing activities | 0 | 0
Changes in intercompany balances with affiliates, net | 0 | 0
Increase (decrease) in cash and cash equivalents | 0 | 0
Cash and cash equivalents, beginning of period | 0 | 0
Cash and cash equivalents, end of period | $ 0 | $ 0

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- Definition The cash inflow from the sale of other tangible or intangible assets used to produce goods or deliver services not otherwise defined in the taxonomy. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=6943989&loc=d3e3179-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 95 -Paragraph 15 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 95 -Paragraph 16 -Subparagraph c -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 + Details
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- Definition The cash outflow for debt initially having maturity due after one year or beyond the normal operating cycle, if longer. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=6943989&loc=d3e3291-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 95 -Paragraph 18 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 95 -Paragraph 20 -Subparagraph b -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 + Details
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