Consolidated Statements Of Cash Flows (USD $) In Thousands	6 Months Ended
	Jun. 30, 2011	Jul. 04, 2010
OPERATING ACTIVITIES:
Net income	$ 18,959	$ 28,244
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	15,120	8,807
Amortization and write-off of debt issuance costs	9,654	614
Provision for doubtful accounts	4,525	4,903
Equity-based compensation expense	3,966	3,191
Windfall tax benefits associated with equity-based compensation	(194)	(711)
Gain on sale of assets and businesses		(169)
Equity in net earnings of CareCentrix	(890)	(763)
Deferred income tax expense (benefit)	(54)	1,542
Changes in assets and liabilities, net of effects from acquisitions and dispositions:
Accounts receivable	(496)	8,748
Prepaid expenses and other current assets	6,253	(9,158)
Accounts payable	(4,124)	(3,015)
Payroll and related taxes	(3,454)	1,241
Deferred revenue	1,099	3,790
Medicare liabilities	(13,606)	8,620
Obligations under insurance programs	(7,760)	2,401
Accrued nursing home costs	(3,800)	505
Other accrued expenses	(5,563)	(11,349)
Other, net	242	538
Net cash provided by operating activities	19,877	47,979
INVESTING ACTIVITIES:
Purchase of fixed assets	(8,717)	(5,613)
Proceeds from sale of assets and business, net of cash transferred	13,581	8,796
Acquisition of businesses, net of cash acquired	(320)	(8,500)
Net cash provided by (used in) investing activities	4,544	(5,317)
FINANCING ACTIVITIES:
Proceeds from issuance of common stock	6,235	5,612
Windfall tax benefits associated with equity-based compensation	194	711
Repayment of long-term debt	(23,438)	(5,000)
Repurchase of common stock		(4,985)
Debt issuance costs	(13,457)
Repayment of capital lease obligations	(145)	(344)
Other	(413)
Net cash used in financing activities	(31,024)	(4,006)
Net change in cash and cash equivalents	(6,603)	38,656
Cash and cash equivalents at beginning of period	104,752	152,410
Cash and cash equivalents at end of period	98,149	191,066
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:
Interest paid	41,577	3,219
Income taxes paid	$ 6,676	$ 25,054