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Related Party Transactions (Details) (USD $)
3 Months Ended 6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2011
Jun. 30, 2010
Dec. 31, 2010
Related Party Transactions          
Revenue from client facilities in which the Related Parties have ownership interests   $ 209,000   $ 416,000  
Accounts receivable 0   0   750,000
Fees paid to related party firm     $ 100,000 $ 100,000  
Percentage of fee paid to related party in related to related party's total revenue 5.00% 5.00%