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Commitments and Contingencies (Details Textuals) (USD $)
In Thousands
6 Months Ended
Jun. 30, 2011
Commitments and Contingencies (Textuals) [Abstract]  
Florida premium recoupment notification date March 14, 2011
Premium recoupment sought by the Florida Agency for Health Care Administration $ 2,200
Letter of credit renewal date July 1, 2011
Letter of credit initiation date July 1, 2009
Aggregate principal amount of standby letter of credit $ 17,366
Employment litigation, lawsuit filling date November 22, 2010