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Supplemental Cash Flow Information (Tables)
6 Months Ended
Jun. 30, 2012
Supplemental Cash Flow Information  
Summary Of Supplemental Cash Flow Information
      Six Months Ended
      June 30,
      2012 2011
           
Cash paid during the period for:      
 Interest  $ 8,178 $ 6,899
 Income taxes, net of refunds    11,963   5,614
           
Non-cash investing and financing activities:      
 Decrease in accounts payable associated with acquisition of      
  property and equipment    (225)   (867)
 Capital lease obligations    48   188
           
 Effect of acquisitions and related transactions:      
  Assets acquired, net of cash and adjustments    12,911   76,923
  Liabilities assumed and noncontrolling interests    (4,768)   (31,249)
  Payment of purchase price payable   1,829   -
           
   Payment for interests in surgery centers and related transactions  $ 9,972 $ 45,674