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CONSOLIDATED STATEMENTS OF COMPREHENSIVE LOSS (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Mar. 31, 2012
Mar. 31, 2011
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Revenues:          
Net patient service revenue $ 175,548 $ 155,083 $ 638,690 $ 535,913 $ 517,646
Other revenue 1,897 1,454 6,027 8,050 6,838
Total revenues 177,445 156,537 644,717 543,963 524,484
Expenses:          
Salaries and benefits 93,843 80,899 326,782 282,302 259,532
Medical supplies 15,460 12,491 51,838 43,027 45,361
Facility rent expenses 9,590 7,823 33,375 27,885 22,106
Other operating expenses 8,701 7,458 33,992 27,103 24,398
General and administrative expenses 19,682 17,836 81,688 65,798 54,537
Depreciation and amortization 15,196 12,455 54,084 46,346 46,416
Provision for doubtful accounts 5,061 3,801 16,117 8,831 12,871
Interest expense, net 17,555 14,493 60,656 58,505 62,502
Loss on sale of assets of a radiation treatment center       1,903  
Early extinguishment of debt       10,947  
Impairment loss     360,639 97,916 3,474
Loss on investments     250    
Gain on fair value adjustment of previously held equity investment   (234) (234)    
Loss on foreign currency transactions 49 10 106    
Loss on forward currency derivative contracts 594 116 672    
Total expenses 185,731 157,148 1,019,965 670,563 531,197
Loss before income taxes (8,286) (611) (375,248) (126,600) (6,713)
Income tax (benefit) expense 110 2,466 (25,365) (12,810) 1,002
Net loss (8,396) (3,077) (349,883) (113,790) (7,715)
Net income attributable to noncontrolling interests-redeemable and non-redeemable (1,153) (1,439) (3,558) (1,698) (1,835)
Net loss attributable to Radiation Therapy Services Holdings, Inc. shareholder (9,549) (4,516) (353,441) (115,488) (9,550)
Other comprehensive income (loss):          
Unrealized gain on derivative interest rate swap agreements, net of tax (333) 1,296 2,428 1,679 1,938
Unrealized loss on foreign currency translation (528) (155) (4,909)    
Unrealized loss on other comprehensive income from share of equity investee       (201) (137)
Unrealized comprehensive (loss) income: (861) 1,141 (2,481) 1,478 1,801
Comprehensive loss (9,257) (1,936) (352,364) (112,312) (5,914)
Comprehensive income attributable to noncontrolling interests-redeemable and non-redeemable: (1,177) (1,411) (2,914) (1,698) (1,835)
Comprehensive loss attributable to Radiation Therapy Services Holdings, Inc. shareholder $ (10,434) $ (3,347) $ (355,278) $ (114,010) $ (7,749)