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Organization and Significant Accounting Policies (Details 4) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2013
Jun. 30, 2012
Jun. 30, 2013
Jun. 30, 2012
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Non-Controlling Interests              
Net income attributable to non-controlling interests $ 2,098 $ 1,644 $ 4,482 $ 2,674 $ 5,663 $ 4,916 $ 4,720
Redeemable non-controlling interests 12,520   12,520   10,811 8,988  
Non-controlling interest $ 30,508   $ 30,508   $ 28,430 $ 26,659  
Net operating revenues | Customer concentration | Medicare program
             
Revenue recognition              
Percentage of concentration risk         47.00% 48.00% 47.00%
Accounts receivable | Customer concentration | Medicare program
             
Revenue recognition              
Percentage of concentration risk         29.00% 32.00%