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Supplemental Cash Flow Information (Tables)
9 Months Ended
Sep. 30, 2012
Supplemental Cash Flow Information  
Summary Of Supplemental Cash Flow Information
      Nine Months Ended
      September 30,
      2012 2011
           
Cash paid during the period for:      
 Interest  $ 13,204 $ 10,012
 Income taxes, net of refunds    16,778   9,372
           
Non-cash investing and financing activities:      
 Increase in accounts payable associated with acquisition of      
  property and equipment    958   185
 Capital lease obligations    168   326
           
 Effect of acquisitions and related transactions:      
  Assets acquired, net of cash and adjustments    23,759   310,191
  Liabilities assumed and noncontrolling interests    (9,491)   (121,691)
  Payment of purchase price payable   1,829   -
           
   Payment for interests in surgery centers and related transactions  $ 16,097 $ 188,500