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Summary of Goodwill and Acquired Intangible Assets (Tables)
6 Months Ended
Jun. 30, 2011
Summary of Goodwill and Acquired Intangible Assets [Abstract]  
Other acquired intangible assets subject to amortization
                                 
    June 30, 2011     December 31, 2010  
    Gross Carrying
    Accumulated
    Gross Carrying
    Accumulated
 
    Amount     Amortization     Amount     Amortization  
 
Membership rights and provider contracts
  $ 28,171     $ (26,369 )   $ 28,171     $ (26,106 )
Non-compete agreements and trademarks
    946       (946 )     946       (946 )
                                 
    $ 29,117     $ (27,315 )   $ 29,117     $ (27,052 )