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Related Party Transactions (Tables)
12 Months Ended
Dec. 31, 2012
Related Party Transactions  
Schedule of Related Party Payments
 2012 2011 2010
         
Operating leases $ 29,079 $ 29,137 $ 26,373
Salaries and benefits   65,908   64,830   61,524
Billing fees   11,126   11,240   11,387
Medical advisory services   2,671   2,575   2,245