NOTE 6 - PROPERTY AND EQUIPMENT (Details) (USD $) In Thousands, unless otherwise specified	Dec. 31, 2012	Dec. 31, 2011
Note 6 - Property And Equipment Details
Land	$ 250	$ 250
Medical equipment	293,169	278,345
Computer and Office equipment, furniture and fixtures	80,270	65,280
Software development costs	3,376	2,626
Leasehold improvements	172,914	155,003
Equipment under capital lease	32,091	28,926
Property and equipment, gross	582,070	530,430
Accumulated depreciation and amortization	(365,510)	(314,903)
Property and equipment, net	$ 216,560	$ 215,527

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The cumulative amount of depreciation, depletion and amortization (related to property, plant and equipment, but not including land) that has been recognized in the income statement.

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- Definition

The gross amount of capitalized computer software costs as of the balance sheet date.

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-Publisher FASB

-Name Accounting Standards Codification

-Topic 985

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- Definition

Property, plant, or equipment held under lease agreements classified as an asset.

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- Definition

Gross amount, at the balance sheet date, of long-lived, depreciable assets commonly used in offices and stores. Examples include desks, chairs, and store fixtures.

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- Definition

Carrying amount as of the balance sheet date of real estate held for productive use. This excludes land held for sale.

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- Definition

Gross amount, at the balance sheet date, of long-lived, depreciable assets that are an addition or improvement to assets held under lease arrangement.

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- Definition

Gross amount of long-lived physical assets used in the normal conduct of business and not intended for resale. Examples include, but are not limited to, land, buildings, machinery and equipment, office equipment, furniture and fixtures, and computer equipment.

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- Definition

Amount, net of accumulated depreciation, depletion and amortization, of long-lived physical assets used in the normal conduct of business and not intended for resale. Examples include, but are not limited to, land, buildings, machinery and equipment, office equipment, furniture and fixtures, and computer equipment.

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-Name Regulation S-X (SX)

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- Definition

This element represents capitalized assets classified as property, plant and equipment not otherwise defined in the taxonomy.

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