Condensed Consolidated Balance Sheets (USD $) In Thousands, unless otherwise specified	Mar. 31, 2012	Sep. 30, 2011
Current assets
Cash and cash equivalents	$ 81,661	$ 147,327
Accounts receivable, net	355,374	277,932
Inventories	68,179	68,330
Deferred income taxes	33,763	40,415
Prepaid expenses and other current assets	69,518	72,914
Total current assets	608,495	606,918
Property and equipment, net	1,165,128	1,167,920
Goodwill	808,191	808,651
Other intangible assets, net	30,727	32,779
Other assets, net	75,373	63,509
Total assets	2,687,914	2,679,777
Current liabilities
Accounts payable	94,759	92,805
Salaries and benefits payable	60,319	58,379
Accrued interest payable	28,051	30,045
Medical claims payable	65,569	85,723
Other accrued expenses and other current liabilities	99,154	100,830
Current portion of long-term debt and capital lease obligations	13,787	14,020
Total current liabilities	361,639	381,802
Long-term debt and capital lease obligations	1,858,734	1,864,749
Deferred income taxes	131,163	131,018
Other long-term liabilities	102,671	78,441
Non-controlling interests with redemption rights	97,132	95,977
Equity
Member's equity	126,825	118,000
Non-controlling interests	9,750	9,790
Total equity	136,575	127,790
Total liabilities and equity	$ 2,687,914	$ 2,679,777