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Supplemental Cash Flow Information (Tables)
12 Months Ended
Dec. 31, 2011
Supplemental Cash Flow Information  
Summary Of Supplemental Cash Flow Information
      2011 2010 2009
              
Cash paid during the period for:         
 Interest  $ 13,815 $ 12,219 $ 7,854
 Income taxes, net of refunds    10,232   16,776   19,336
              
Non-cash investing and financing activities:         
 Increase (decrease) in accounts payable associated with acquisition of         
  property and equipment    659   164   (1,892)
 Capital lease obligations    466   4,057   8,222
 Restricted stock vested   4,476   48   90
              
 Effect of acquisitions and related transactions:         
  Assets acquired, net of cash and adjustments    408,429   94,686   170,783
  Liabilities assumed and noncontrolling interests    (163,970)   (37,101)   (74,957)
  Notes payable and other obligations   (5,236)   (3,895)   -
              
   Payment for interests in surgery centers and related transactions  $ 239,223 $ 53,690 $ 95,826