v2.4.0.8
Property and Equipment (Detail) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2013
Dec. 31, 2012
Property, Plant and Equipment [Line Items]    
Land $ 34,960 $ 35,633
Buildings 157,998 148,881
Leasehold improvements 1,749,632 1,494,676
Equipment and information systems 1,832,221 1,577,976
New center and capital asset projects in progress 192,859 137,387
Property, Plant and Equipment, Gross, Total 3,967,670 3,394,553
Less accumulated depreciation (1,778,259) (1,522,183)
Property and equipment, net $ 2,189,411 $ 1,872,370