Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified	6 Months Ended
	Jun. 30, 2012	Jun. 30, 2011
Operating activities
Net income	$ 87,388	$ 49,044
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	31,627	35,221
Provision for bad debts	20,404	28,293
Loss on early retirement of debt		31,018
Gain from disposal or sale of assets	(3,604)	(5,201)
Non-cash stock compensation expense	2,599	1,780
Amortization of debt discount	622	962
Changes in operating assets and liabilities, net of effects from acquisition of businesses:
Accounts receivable	(30,520)	(81,240)
Other current assets	(1,612)	(1,511)
Other assets	(653)	2,724
Accounts payable	(5,486)	8,107
Due to third-party payors	1,738	(464)
Accrued expenses	6,423	6,775
Income and deferred taxes	9,879	8,019
Net cash provided by operating activities	118,805	83,527
Investing activities
Purchases of property and equipment	(27,934)	(23,696)
Proceeds from sale of assets	16,511	7,879
Investment in business	(10,014)	(13,514)
Acquisition of businesses, net of cash acquired	(206)	1,921
Net cash used in investing activities	(21,643)	(27,410)
Financing activities
Borrowings on revolving credit facilities	340,000	435,000
Payments on revolving credit facilities	(380,000)	(395,000)
Borrowings on 2011 credit facility term loan, net of discount		841,500
Payments on 2011 credit facility term loan	(4,250)
Payments on 2005 credit facility term loans, net of call premium		(484,633)
Repurchase of 10% senior subordinated notes		(150,000)
Repurchase of 7 5/8% senior subordinated notes, net of tender premium		(273,941)
Borrowings of other debt	5,835	5,496
Principal payments on other debt	(5,085)	(3,480)
Debt issuance costs		(18,556)
Repurchase of common stock	(46,790)	(3,285)
Proceeds from issuance of common stock	547	169
Proceeds from bank overdrafts	3,739	2,102
Distributions to non-controlling interests	(1,681)	(2,270)
Net cash used in financing activities	(87,685)	(46,898)
Net increase in cash and cash equivalents	9,477	9,219
Cash and cash equivalents at beginning of period	12,043	4,365
Cash and cash equivalents at end of period	21,520	13,584
Supplemental Cash Flow Information
Cash paid for interest	32,378	59,289
Cash paid for taxes	45,344	29,435
Select
Operating activities
Net income	90,971	64,149
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	31,627	35,221
Provision for bad debts	20,404	28,293
Loss on early retirement of debt		20,385
Gain from disposal or sale of assets	(3,604)	(5,201)
Non-cash stock compensation expense	2,599	1,780
Amortization of debt discount	622	103
Changes in operating assets and liabilities, net of effects from acquisition of businesses:
Accounts receivable	(30,520)	(81,240)
Other current assets	(1,612)	(1,511)
Other assets	(839)	2,469
Accounts payable	(5,486)	8,107
Due to third-party payors	1,738	(464)
Accrued expenses	6,340	13,008
Income and deferred taxes	11,809	16,151
Net cash provided by operating activities	124,049	101,250
Investing activities
Purchases of property and equipment	(27,934)	(23,696)
Proceeds from sale of assets	16,511	7,879
Investment in business	(10,014)	(13,514)
Acquisition of businesses, net of cash acquired	(206)	1,921
Net cash used in investing activities	(21,643)	(27,410)
Financing activities
Borrowings on revolving credit facilities	340,000	435,000
Payments on revolving credit facilities	(380,000)	(395,000)
Borrowings on 2011 credit facility term loan, net of discount		841,500
Payments on 2011 credit facility term loan	(4,250)
Payments on 2005 credit facility term loans, net of call premium		(484,633)
Repurchase of 10% senior subordinated notes	0	0
Repurchase of 7 5/8% senior subordinated notes, net of tender premium		(273,941)
Borrowings of other debt	5,835	5,496
Principal payments on other debt	(5,085)	(3,480)
Debt issuance costs		(18,556)
Dividends paid to Holdings	(52,034)	(171,008)
Repurchase of common stock	0	0
Proceeds from issuance of common stock	0	0
Equity investment by Holdings	547	169
Proceeds from bank overdrafts	3,739	2,102
Distributions to non-controlling interests	(1,681)	(2,270)
Net cash used in financing activities	(92,929)	(64,621)
Net increase in cash and cash equivalents	9,477	9,219
Cash and cash equivalents at beginning of period	12,043	4,365
Cash and cash equivalents at end of period	21,520	13,584
Supplemental Cash Flow Information
Cash paid for interest	27,136	41,572
Cash paid for taxes	$ 45,344	$ 29,435