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Goodwill and Other Intangibles Assets (Tables)
12 Months Ended
Dec. 31, 2011
Goodwill and Other Intangible Assets [Abstract]  
Carrying amount of goodwill

The changes in the carrying amount of goodwill are as follows (in thousands):

 

                 
    Year Ended December 31,  
    2011     2010  

Balance, beginning of year

  $ 4,150,247     $ 4,157,927  

Goodwill acquired as part of acquisitions during the year

    114,473       45,975  

Consideration adjustments and purchase price allocation adjustments for prior year’s acquisitions

    125       (3,997

Goodwill related to the hospital operations reporting unit assigned to the disposal group classified as held for sale in 2011

    —         (49,658
   

 

 

   

 

 

 

Balance, end of year

  $ 4,264,845     $ 4,150,247