Carrying amount as of the balance sheet date, which is the cumulative amount paid and (if applicable) the fair value of any noncontrolling interest in the acquiree, adjusted for any amortization recognized prior to the adoption of any changes in generally accepted accounting principles (as applicable) and for any impairment charges, in excess of the fair value of net assets acquired in one or more business combination transactions.

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+ Details

Intangible Assets (Details) (USD $) In Thousands, unless otherwise specified			6 Months Ended		6 Months Ended
	Jun. 30, 2012	Dec. 31, 2011	Jun. 30, 2012 Trademarks	Jun. 30, 2012 Certificates of need	Jun. 30, 2012 Accreditations	Jun. 30, 2012 Non-compete agreements
Amortized intangible assets:
Gross Carrying Amount						$ 25,909
Accumulated Amortization						(25,909)
Indefinite-lived intangible assets:
Gross Carrying Amount of Goodwill	1,631,461	1,631,716
Gross Carrying Amount	$ 1,703,244		$ 57,709	$ 11,914	$ 2,160
Weighted average time until next renewal			8 years		1 year 6 months