Condensed Consolidated Statement of Operations (Unaudited) (USD $) In Thousands, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2012	Jun. 30, 2011	Jun. 30, 2012	Jun. 30, 2011
Net revenues:
Fee for service arrangements	$ 561,447	$ 534,229	$ 1,113,063	$ 1,029,913
Capitation	46,225	42,119	90,322	83,178
TOTAL NET REVENUES	607,672	576,348	1,203,385	1,113,091
Cost of net revenues:
Product and supply costs	214,136	190,882	421,548	368,322
Patient service equipment depreciation	20,386	24,077	41,082	45,882
Home respiratory therapy services	7,018	6,130	14,307	12,103
Nursing services	10,709	10,596	21,932	20,527
Other	3,948	3,747	8,994	6,474
TOTAL COST OF NET REVENUES	256,197	235,432	507,863	453,308
Provision for doubtful accounts	20,790	16,578	32,648	36,842
Selling, distribution and administrative	308,837	303,070	626,259	599,698
Amortization of intangible assets	483	1,121	1,144	2,198
TOTAL COSTS AND EXPENSES	586,307	556,201	1,167,914	1,092,046
OPERATING INCOME	21,365	20,147	35,471	21,045
Interest expense	33,878	33,026	67,395	65,930
Interest income and other	(69)	(39)	(771)	(290)
(LOSS) BEFORE TAXES	(12,444)	(12,840)	(31,153)	(44,595)
Income tax expense (benefit)	292	(3,403)	1,190	(14,134)
NET (LOSS)	$ (12,736)	$ (9,437)	$ (32,343)	$ (30,461)