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Related Party Transactions (Related Party Payments) (Details) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Related Party Transactions      
Operating leases $ 29,137 $ 26,373 $ 18,176
Salaries and benefits 64,830 61,524 60,298
Billing fees 11,240 11,387 9,589
Medical advisory services $ 2,575 $ 2,245 $ 1,989
Reimbursed expenses as a percentage of other operating expenses 5.00% 5.00% 5.00%