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Goodwill (Tables)
12 Months Ended
Dec. 31, 2012
Goodwill and Intangible Assets, net [Abstract]  
Summary of changes in carrying amount of goodwill
                 
     Year Ended
December 31
 
     2012     2011  

Beginning balance

  $ 92,750     $ 79,424  

Goodwill acquired during the year

    10,538       15,887  

Goodwill allocated to specific assets for businesses acquired in 2011

    (3,300     —     

Goodwill allocated to specific assets for businesses acquired in 2010

    —          (2,990

Goodwill adjustments for purchase price allocation of businesses acquired

    200       443  

Goodwill written off—closed clinic

    —          (14
   

 

 

   

 

 

 

Ending balance

  $ 100,188     $ 92,750