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Goodwill and Intangibles (Details) (USD $) In Thousands, unless otherwise specified	6 Months Ended			6 Months Ended
	Jun. 30, 2012	Jun. 30, 2012 Trade Names [Member]	Dec. 31, 2011 Trade Names [Member]	Jun. 30, 2012 Certificate of Need/ License [Member]	Jun. 30, 2012 Other Intangibles [Member]
Intangible Assets, Net
Beginning Balance	$ 59,389	$ 49,840	$ 49,840	$ 8,502	$ 1,047
Additions	1,700			1,616	84
Amortization	(387)				(387)
Ending Balance	$ 60,702	$ 49,840	$ 49,840	$ 10,118	$ 744

The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method.

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