Significant Accounting Policies Self Insurance Recoveries (Details) (USD $) In Thousands, unless otherwise specified	Sep. 30, 2012	Dec. 31, 2011
Long-term insurance losses recoverable asset	$ 3,570	$ 2,814
General and Professional Liability Insurance [Member]
Long-term insurance losses recoverable asset	$ 3,570	$ 2,814

Carrying amount as of the balance sheet date of amounts expected to be recovered under the terms of insurance contracts.

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

-Publisher FASB

-Name Accounting Standards Codification

-Topic 210

-SubTopic 10

-Section S99

-Paragraph 1

-Subparagraph (SX 210.5-02.17)

-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

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

-Publisher SEC

-Name Regulation S-X (SX)

-Number 210

-Section 02

-Paragraph 17

-Article 5

Name:	us-gaap_EstimatedInsuranceRecoveries
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	instant