Valuation and Qualifying Accounts

12 Months Ended

Dec. 31, 2011

Schedule of Valuation and Qualifying Accounts Disclosure [Text Block]

	Balance at Beginning of Year		Additions		Deductions		End of Year
Year Ended December 31, 2011
Allowance for doubtful accounts receivable	$	2,492	$	1,111	$	2,834	$	769
Reserve for Attain IVF refunds		386		260		408		238
Reserve for attain IVF medical costs		431		465		503		393
Year Ended December 31, 2010
Allowance for doubtful accounts receivable	$	2,913	$	4,189	$	4,610	$	2,492
Reserve for Attain IVF refunds		300		422		336		386
Reserve for Attain IVF medical costs		344		454		367		431
Year Ended December 31, 2009
Allowance for doubtful accounts receivable	$	2,648	$	4,820	$	4,555	$	2,913
Reserve for Attain IVF refunds		397		206		303		300
Reserve for Attain IVF medical costs		331		72		59		344