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CONSOLIDATED STATEMENTS OF NET INCOME (unaudited) (USD $)
In Thousands, except Per Share data, unless otherwise specified
 3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Sep. 30, 2013
CONSOLIDATED STATEMENTS OF NET INCOME (unaudited) [Abstract]        
Net patient revenues $ 76,184 $ 64,368 $ 221,051 $ 191,027
Other revenues 1,532 1,460 4,633 4,426
Net revenues 77,716 65,828 225,684 195,453
Clinic operating costs:        
Salaries and related costs 41,802 35,733 119,853 105,318
Rent, clinic supplies, contract labor and other 16,117 12,877 45,538 38,161
Provision for doubtful accounts 1,090 1,095 3,094 3,390
Closure costs (39) (5) (28) 21
Total clinic operating costs 58,970 49,700 168,457 146,890
Gross margin 18,746 16,128 57,227 48,563
Corporate office costs 7,468 6,224 22,214 19,165
Operating income from continuing operations 11,278 9,904 35,013 29,398
Interest and other income, net 2 2 3 5
Interest expense (237) (133) (822) (398)
Income before taxes from continuing operations 11,043 9,773 34,194 29,005
Provision for income taxes 3,625 3,017 11,033 8,798
Net income from continuing operations including non-controlling interests 7,418 6,756 23,161 20,207
Discontinued operations, net of tax 0 (4,497) 0 (4,965)
Net income including non-controlling interests 7,418 2,259 23,161 15,242
Less: net income attributable to non-controlling interests (2,202) (2,032) (7,285) (6,380)
Net income attributable to common shareholders 5,216 227 15,876 8,862
Basic earnings per share attributable to common shareholders:        
From continuing operations (in dollars per share) $ 0.43 $ 0.38 $ 1.30 $ 1.13
Revaluation of redeemable non-controlling interests, net of tax (in dollars per share) $ 0 $ 0 $ (0.09) $ 0
From discontinued operations (in dollars per share) $ 0 $ (0.36) $ 0 $ (0.39)
Basic (in dollars per share) $ 0.43 $ 0.02 $ 1.21 $ 0.74
Diluted earnings per share attributable to common shareholders:        
From continuing operations (in dollars per share) $ 0.43 $ 0.38 $ 1.30 $ 1.12
Revaluation of redeemable non-controlling interests, net of tax (in dollars per share) $ 0 $ 0 $ (0.09) $ 0
From discontinued operations (in dollars per share) $ 0 $ (0.36) $ 0 $ (0.39)
Diluted (in dollars per share) $ 0.43 $ 0.02 $ 1.21 $ 0.73
Shares used in computation:        
Basic (in shares) 12,244 12,106 12,201 12,050
Diluted (in shares) 12,247 12,120 12,208 12,069
Dividends declared per common share (in dollars per share) $ 0.12 $ 0.10 $ 0.36 $ 0.30
Earnings attributable to common shareholders:        
From continuing operations 5,216 4,659 15,876 13,589
From discontinued operations 0 (4,432) 0 (4,727)
Net income attributable to common shareholders $ 5,216 $ 227 $ 15,876 $ 8,862