Business Acquisitions (Schedule of Pro Forma Information that Combines the Consolidated Results of Company and Business Acquisitions) (Details) (USD $) In Thousands, except Share data	6 Months Ended
Jun. 30, 2011	Jun. 30, 2010
Business Acquisitions
Net patient service revenue	$ 778,023	$ 686,723
Net income	$ 102,098	$ 88,968
Net income per share, Basic	$ 2.16	$ 1.92
Net income per share, Diluted	$ 2.10	$ 1.88
Weighted average shares, Basic	47,341	46,409
Weighted average shares, Diluted	48,547	47,398

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The pro forma basic net income per share for a period as if the business combination or combinations had been completed at the beginning of a period.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 10
-Section 50
-Paragraph 2
-Subparagraph (h)(2)-(3)
-URI http://asc.fasb.org/extlink&oid=6909870&loc=d3e1392-128463

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Statement of Financial Accounting Standard (FAS)
-Number 141
-Paragraph 54
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009.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 141
-Paragraph 55
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009.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 Statement of Financial Accounting Standard (FAS)
-Number 141R
-Paragraph 68
-Subparagraph r(2, 3)
-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009.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.

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The pro forma diluted net income per share for a period as if the business combination or combinations had been completed at the beginning of a period.

+ References

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The pro forma net Income or Loss for the period as if the business combination or combinations had been completed at the beginning of a period.

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The pro forma revenue for a period as if the business combination or combinations had been completed at the beginning of the period.

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The weighted average number of shares or units and dilutive common stock or unit equivalents outstanding in the calculation of proforma diluted earnings per share (earnings per unit), which is commonly presented in initial public offerings based on the terms of the offering.

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The weighted average number of shares (units) outstanding in the calculation of pro forma basic earnings per share (earnings per unit), which is commonly presented in initial public offerings based on the terms of the offering.

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