Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Jun. 30, 2012	Dec. 31, 2011	Jun. 30, 2011	Dec. 31, 2010
Current Assets:
Cash and cash equivalents	$ 21,520	$ 12,043	$ 13,584	$ 4,365
Accounts receivable, net of allowance for doubtful accounts of $47,469 and $44,783 in 2011 and 2012, respectively	423,859	413,743
Current deferred tax asset	15,533	18,305
Prepaid income taxes	4,061	9,497
Other current assets	31,383	29,822
Total Current Assets	496,356	483,410
Property and equipment, net	492,781	510,028
Goodwill	1,631,461	1,631,716
Other identifiable intangibles	71,783	72,123
Assets held for sale	2,742	2,742
Other assets	84,514	72,128
Total Assets	2,779,637	2,772,147
Current Liabilities:
Bank overdrafts	20,348	16,609
Current portion of long-term debt and notes payable	11,785	10,848
Accounts payable	90,132	95,618
Accrued payroll	73,712	82,888
Accrued vacation	56,208	51,250
Accrued interest	26,945	15,096
Accrued restructuring	3,038	5,027
Accrued other	99,583	101,076
Due to third party payors	7,264	5,526
Total Current Liabilities	389,015	383,938
Long-term debt, net of current portion	1,342,134	1,385,950
Non-current deferred tax liability	82,911	82,028
Other non-current liabilities	68,649	64,905
Total Liabilities	1,882,709	1,916,821
Stockholders' Equity:
Common stock	140	145
Capital in excess of par	469,410	493,828
Retained earnings	393,961	328,882
Total Stockholders' Equity	863,511	822,855
Non-controlling interest	33,417	32,471
Total Equity	896,928	855,326
Total Liabilities and Equity	2,779,637	2,772,147
Select
Current Assets:
Cash and cash equivalents	21,520	12,043	13,584	4,365
Accounts receivable, net of allowance for doubtful accounts of $47,469 and $44,783 in 2011 and 2012, respectively	423,859	413,743
Current deferred tax asset	15,533	18,305
Prepaid income taxes	4,061	9,497
Other current assets	31,383	29,822
Total Current Assets	496,356	483,410
Property and equipment, net	492,781	510,028
Goodwill	1,631,461	1,631,716
Other identifiable intangibles	71,783	72,123
Assets held for sale	2,742	2,742
Other assets	83,291	70,719
Total Assets	2,778,414	2,770,738	2,786,433
Current Liabilities:
Bank overdrafts	20,348	16,609
Current portion of long-term debt and notes payable	11,785	10,848
Accounts payable	90,132	95,618
Accrued payroll	73,712	82,888
Accrued vacation	56,208	51,250
Accrued interest	23,746	11,980
Accrued restructuring	3,038	5,027
Accrued other	104,823	106,316
Due to third party payors	7,264	5,526
Total Current Liabilities	391,056	386,062
Long-term debt, net of current portion	1,174,834	1,218,650
Non-current deferred tax liability	82,911	82,028
Other non-current liabilities	68,649	64,905
Total Liabilities	1,717,450	1,751,645
Stockholders' Equity:
Common stock	0	0
Capital in excess of par	853,506	848,844
Retained earnings	174,041	137,778
Total Stockholders' Equity	1,027,547	986,622
Non-controlling interest	33,417	32,471
Total Equity	1,060,964	1,019,093
Total Liabilities and Equity	$ 2,778,414	$ 2,770,738