v2.4.0.6

Goodwill and Intangible Assets (Details 1) (USD $) In Thousands, unless otherwise specified	12 Months Ended		3 Months Ended		3 Months Ended		3 Months Ended		3 Months Ended		12 Months Ended
	Dec. 31, 2012	Mar. 31, 2013	Mar. 31, 2013 Capitated relationships [Member]	Dec. 31, 2012 Capitated relationships [Member]	Mar. 31, 2013 Payor relationships [Member]	Dec. 31, 2012 Payor relationships [Member]	Mar. 31, 2013 Net favorable leasehold interest [Member]	Dec. 31, 2012 Net favorable leasehold interest [Member]	Mar. 31, 2013 Customer list [Member]	Dec. 31, 2012 Customer list [Member]	Dec. 31, 2012 Trade names [Member]	Mar. 31, 2013 Trade names [Member]	Mar. 31, 2013 Accreditations with commissions [Member]	Dec. 31, 2012 Accreditations with commissions [Member]
Schedule of intangible assets
Average Life in Years			20 years		20 years				10 months 24 days
Gross Carrying Amount, Finite Intangible assets	$ 15,521	$ 15,400	$ 4,400	$ 4,400	$ 11,000	$ 11,000				$ 121
Accumulated Amortization, Finite Intangible assets	(3,740)	(3,805)	(1,376)	(1,327)	(2,429)	(2,292)				(121)
Impairment Charge, Finite Intangible assets
Net Book Value, Finite Intangible assets	11,781	11,595	3,024	3,073	8,571	8,708
Gross Carrying Amount, Indefinite Intangible assets	472,000	122,000									465,000	115,000	7,000	7,000
Impairment charge, indefinite lived intangible assets	(350,000)										(350,000)
Net Book Value, Indefinite Lived Intangible assets	122,000	122,000									115,000	115,000	7,000	7,000
Gross Carrying Amount, Intangible assets	487,521	137,400
Impairment Charge, Intangible assets	(350,000)
Net Book Value	$ 133,781	$ 133,595

Impairment charges of intangible assets excluding goodwill.

+ References

No definition available.

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- Definition

Indefinite lived intangible assets gross carrying amount

+ References

No definition available.

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- Definition

Intangible asset impairment charges.

+ References

No definition available.

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- Definition

Intangible assets gross carrying amount excluding goodwill

+ References

No definition available.

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- Definition

Accumulated amount of amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 350

-SubTopic 30

-Section 50

-Paragraph 2

-Subparagraph (a)(1)

-URI http://asc.fasb.org/extlink&oid=7658586&loc=d3e16323-109275

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 142

-Paragraph 45

-Subparagraph a(1)

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

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- Definition

Amount before amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life.

+ References

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- Definition

Amount after amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life.

+ References

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- Definition

Useful life of finite-lived intangible assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

+ References

No definition available.

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- Definition

The amount of impairment loss recognized in the period resulting from the write-down of the carrying amount of an indefinite-lived intangible asset, other than goodwill, to fair value.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 350

-SubTopic 30

-Section 50

-Paragraph 3

-Subparagraph (b)

-URI http://asc.fasb.org/extlink&oid=7658586&loc=d3e16373-109275

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 142

-Paragraph 46

-Subparagraph b

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

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- Definition

Carrying amount of assets (excluding financial assets) that lack physical substance, excluding goodwill, having a projected indefinite period of benefit.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 350

-SubTopic 30

-Section 50

-Paragraph 2

-Subparagraph (b)

-URI http://asc.fasb.org/extlink&oid=7658586&loc=d3e16323-109275

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 142

-Paragraph 45

-Subparagraph b

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

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- Definition

Sum of the carrying amounts of all intangible assets, excluding goodwill, as of the balance sheet date, net of accumulated amortization and impairment charges.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 350

-SubTopic 30

-Section 45

-Paragraph 1

-URI http://asc.fasb.org/extlink&oid=6388964&loc=d3e16212-109274

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 350

-SubTopic 30

-Section 50

-Paragraph 2

-Subparagraph ((a)(1),(b))

-URI http://asc.fasb.org/extlink&oid=7658586&loc=d3e16323-109275

Reference 3: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 142

-Paragraph 42, 45

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

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