Long-term debt issuance costs
Represents the debt issue cost which has not yet been amortized.
Long Term Debt Issue Costs [Member]
Lease and other costs, and employee severance-related costs in connection with hospital cost-control programs and general overhead-reduction plans
Represents the lease and other costs, and employee severance-related costs in connection with hospital cost control programs and general overhead reduction plans.
Lease and Other Costs and Employee Severance Related Costs [Member]
Employee severance-related costs, and other estimated costs associated with the sale or closure of hospitals and other facilities
Represents the employee severance-related costs, and other estimated costs associated with the sale or closure of hospitals and other facilities.
Employee Severance Related Costs and Other Estimated Costs [Member]
6 1/2%, due 2012
Represents the 6.5 percent senior notes, due 2012 issued by the reporting entity.
Debt Instrument 6.5 Percent, Senior Notes Due 2012 [Member]
7 3/8%, due 2013
Represents the 7.375 percent senior notes, due 2013 issued by the reporting entity.
7.375% senior note due 2013
Debt Instrument 7.375 Percent, Senior Notes Due 2013 [Member]
9 7/8%, due 2014
Represents the 9.875 percent senior notes, due 2014 issued by the reporting entity.
9.875% senior note due 2014
Debt Instrument 9.875 Percent, Senior Notes Due 2014 [Member]
Award Type [Axis]
9 1/4%, due 2015
Represents the 9.25 percent senior notes, due 2015 issued by the reporting entity.
9.25% senior notes due 2015
Debt Instrument 9.25 Percent, Senior Notes Due 2015 [Member]
8%, due 2020
Represents the 8 percent senior notes, due 2020 issued by the reporting entity.
8% senior note due 2020
Debt Instrument 8 Percent, Senior Notes Due 2020 [Member]
6 7/8%, due 2031
Represents the 6.875 percent senior notes, due 2031 issued by the reporting entity.
Debt Instrument 6.875 Percent, Senior Notes Due 2031 [Member]
Governmental Reviews
Represents information about litigation related to shareholder suits.
Governmental Reviews [Member]
Amendment Description
Represents self-pay patients.
Self-Pay Patients
Self Pay Patients [Member]
Amendment Flag
Represents the 9 percent senior secured notes, due 2015 issued by the reporting entity.
9%, due 2015
Debt Instrument 9 Percent, Senior Secured Notes Due 2015 [Member]
Represents the 10 percent senior secured notes, due in 2028, issued by the reporting entity.
10%, due 2018
Debt Instrument 10 Percent, Senior Secured Notes Due 2018 [Member]
Represents the 8.875 percent senior secured notes, due 2019 issued by the reporting entity.
8 7/8%, due 2019
Debt Instrument, 8.875 Percent Senior Secured Notes Due 2019 [Member]
Information about insurance policies held by type.
Insurance Policy by Type [Axis]
Represents the professional and general liability insurance policies held.
Professional and General Liability Insurance
Professional and General Liability Insurance Policies [Member]
Hospital-Related Tort Claim
Represents information about hospital-related tort claims involving the entity.
Hospital Related Tort Claim [Member]
Medicare
Represents the information about Medicare services.
Medicare [Member]
Medicaid
Represents the information about Medicaid services.
Medicaid [Member]
Managed care
Represents the information about managed care services.
Managed Care [Member]
Indemnity, self-pay and other
Represents the information about indemnity, self-pay and other services.
Indemnity Self Pay and Other [Member]
FLORIDA
Florida
Acute care hospitals - other revenue
Represents the information about acute care hospitals other revenue services.
Acute Care Hospitals Other Revenue [Member]
Other operations
Represents the information about other operation services.
Other Operations [Member]
Represents the 6.25 percent senior secured notes, due 2018 issued by the reporting entity.
6.25%, due 2018
Debt Instrument 6.25 Percent, Senior Secured Notes Due 2018 [Member]
Credit Facility due 2016
Represents the credit facility, due 2016 issued by the reporting entity.
Credit Facility Due 2016 [Member]
Managed Care Patients
Represents managed care patients.
Managed Care Patients [Member]
Class Action Hurricane Katrina-related lawsuits
Represents information about litigation related to Lindy Boggs.
Lindy Boggs [Member]
Current Fiscal Year End Date
Represents charity care patients.
Charity Care Patients
Charity Care Patients [Member]
Disproportionate Share Hospital
Represents Disproportionate Share Hospital payments.
Disproportionate Share Hospital [Member]
Information by both a type of asset for which a net impairment charge was recorded and type of restructuring charge.
Net Impairment and Restructuring Charges by Type [Axis]
LOUISIANA
Louisiana
Represents the charge for lease termination costs.
Lease termination costs
Lease Termination Costs [Member]
Represents the charge for other related net impairment and restructuring charges.
Other related costs
Other Related Net Impairment and Restructuring Charges [Member]
Categorization of debt instrument agreement by types of period.
Debt Instrument Agreement Period [Axis]
Initial six months period
Represents the initial six-month period of credit agreement.
Initial Six Months Period [Member]
The alternative reference rates that may be used to calculate the variable interest rate of the debt instrument.
Debt Instrument, Variable Rate Base [Axis]
Base rate
The base rate used to calculate the variable interest rate of the debt instrument.
Debt Instrument, Variable Rate Base, Base Rate [Member]
LIBOR
The London Interbank Offered Rate (LIBOR) used to calculate the variable interest rate of the debt instrument.
Debt Instrument, Variable Rate Base, LIBOR [Member]
Period after six months
Represents the period of credit agreement after the initial six-months.
Period after Initial Six Months [Member]
Document Period End Date
Represents the income and revenue collection guarantees.
Income and Revenue Collection Guarantee
Income and Revenue Collection Guarantee [Member]
Guaranteed Minimum Rent
Guaranteed minimum rent [Member].
Guaranteed Minimum Rent [Member]
2008 Stock Incentive Plan
Represents 2008 Stock Incentive Plan which was approved by the shareholders at their 2008 annual meeting.
Stock Incentive Plan 2008 [Member]
Pertaining to the different level of employees of the entity.
Share Based Payments Employee Level [Axis]
Represents the top level employees.
Top Employees
Top Level Employees [Member]
Range of Exercise Prices, $0.00 to $4.569
Represents information related to options for exercise prices per share of stock options outstanding and exercisable within the first range of prices.
Exercise Price Range One [Member]
Range of Exercise Prices, $55.13 to $70.249
Represents the exercise price range from 55.13 dollars to 70.249 dollars per share.
Exercise Price Range Six [Member]
Range of Exercise Prices, $4.57 to $25.089
Represents information related to options for exercise prices per share of stock options outstanding and exercisable within the second range of prices.
Exercise Price Range Two [Member]
Represents information related to options for exercise prices per share of stock options outstanding and exercisable within the third range of prices.
Exercise Price Range Three [Member]
Range of Exercise Prices, $25.09 to $32.569
Range of Exercise Prices, $32.57 to $42.529
Represents information related to options for exercise prices per share of stock options outstanding and exercisable within the fourth range of prices.
Exercise Price Range Four [Member]
Range of Exercise Prices, $42.53 to $55.129
Represents information related to options for exercise prices per share of stock options outstanding and exercisable within the fifth range of prices.
Exercise Price Range Five [Member]
Stock repurchases by program.
Stock Repurchase Program [Axis]
Publicly Announced Program [Member]
Represents the publicly announced share repurchase program.
Publicly Announced Program
Represents the property insurance policies held.
Property Insurance
Property Insurance Policies [Member]
SOUTH CAROLINA
South Carolina
Information about insurance policies held by the policy period.
Insurance Policy Period [Axis]
April 1, 2011 through March 31, 2012
Represents the policy period of April 1, 2011 through March 31, 2012.
April 2011 Through March 2012 [Member]
June 2011 Through May 2012 [Member]
June 1, 2011 through May 31, 2012
Represents the policy period of June 1, 2011 through May 31, 2012.
TEXAS
Texas
Individual Hurricane Katrina-related lawsuits
Represents the information pertaining to individual Hurricane Katrina-related lawsuits.
Individual Hurricane Katrina Related Lawsuits [Member]
Ordinary Course Matters
Represents the details pertaining to ordinary course matters which involve litigation against the entity for violation of certain labor laws, applicable wage and hour regulations.
Ordinary Course Matters [Member]
Pertinent data describing and reflecting required disclosures pertaining to an equity-based compensation arrangement, by vesting type.
Schedule of Share Based Compensation Arrangement by Share Based Payment Award, Vesting Type [Axis]
Performance Based restricted stock units to certain of our senior officers
Performance-based restricted stock units (RSUs) as awarded by a company to their employees as a form of incentive compensation.
Performance Based Restricted Stock Units RSU [Member]
Restricted stock units subject to time-vesting
Time-based restricted stock units (RSUs) as awarded by a company to their employees as a form of incentive compensation.
Time Based Restricted Stock Units RSU [Member]
Represents the 10 percent senior notes, due 2018 issued by the reporting entity.
10% senior notes due 2018
Debt Instrument 10 Percent, Senior Notes Due 2018 [Member]
April 1, 2010 through March 31, 2013
Represents the policy period of April 1, 2010 through March 31, 2013.
April 2010 Through March 2013 [Member]
Available-for-sale Securities, Gross Unrealized Gains
Accumulated unrealized gains on investments, maximum
June 2012 Through May 2013 [Member]
June 1, 2012 through May 31, 2013
Represents the policy period of June 1, 2012 through May 31, 2013.
Physician Practice Entity
Represents information about physician practice entities.
Physician Practice Entity [Member]
Ambulatory Surgery Centers
Represents information about ambulatory surgery centers.
Ambulatory Surgery Centers [Member]
Represents self-pay uninsured patients.
Self-pay uninsured patient
Self Pay Uninsured Patients [Member]
Creighton University Medical Center (CUMC)
Represents information related to Creighton University Medical Center (CUMC).
Creighton University Medical Center [Member]
Diagnostic Imaging Services Inc [Member]
DIS
Represents information related to Diagnostic Imaging Services, Inc. (DIS).
Self-Pay Patients After Insurance
Represents self-pay patients after insurance.
Self Pay after Insurance [Member]
Accounting Changes and Error Corrections [Text Block]
RECENT ACCOUNTING STANDARDS
Document and Entity Information
Preferred stock, percent of mandatory convertible shares
This element represents Percent of Mandatory Convertible Shares.
Percentage of Mandatory Convertible Shares
Preferred stock, 7% mandatory convertible shares issued
This element represents Preferred Stock Seven Percent Mandatory Convertible Shares Issued.
Preferred Stock Seven Percent Mandatory Convertible Shares Issued
Impairment of long-lived assets and goodwill, and restructuring charges, net
Pretax aggregate amount provided for estimated restructuring charges, remediation costs, and asset impairment loss during an accounting period relating to a disposal group that is classified as a component of the entity. Generally, these items are either unusual or infrequent, but not both (in which case they would be extraordinary items).
Discontinued Operation Restructuring Settlement and Impairment Provisions before Income Tax
Net impairment and restructuring charges in discontinued operations
Litigation and investigation costs
Amount charged to earnings associated with evaluation of an unsolicited acquisition proposal, changes in certain parameters in connection with governmental reviews.
Litigation and Investigation Costs
Reduction in reserves
Electronic health record incentives
Amount of electronic health record incentives received and recognized to income statement during the reporting period. Amount is recognized pursuant to receipt of same or approval of same by regulatory authorities.
Electronic Health Record Incentives
Net operating revenues before provision for doubtful accounts
The sum of revenues before provision for doubtful accounts that are recognized during the period by the entity from providing services to in-patients, outpatients, residents in facilities owned or operated by the entity, from insurance premiums, or from goods provided or services performed.
Health Care Organization Revenue, Gross
Inventories and other current assets
The net change during the reporting period in the aggregate value of all inventory held by the reporting entity and other current assets not otherwise defined in the taxonomy, associated with underlying transactions that are classified as operating activities.
Increase (Decrease) in Inventories and Other Assets, Current
Payments against reserves for restructuring charges and litigation costs, which may include attorneys' fees and other litigation costs.
Payments for Restructuring and Litigation Costs
Payments against reserves for restructuring charges and litigation costs and settlements
The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services for continuing operations and not intended for resale; includes cash outflows to pay for construction of self-constructed assets except for new and replacement hospitals.
Payments to Acquire Property, Plant and Equipment for Continuing Operations
Purchases of property and equipment - continuing operations
The cash outflow from construction costs to date on new and replacement hospitals.
Construction of New and Replacement Hospitals
Construction of new and replacement hospitals
Purchases of property and equipment - discontinued operations
This element represent as Purchases of property and equipment - discontinued operations.
Payments to Acquire Property, Plant and Equipment for Discontinued Operations
Proceeds from sales of marketable securities, long-term investments and other assets
The cash inflow associated with the aggregate amount received by the entity through sale or maturity of marketable securities (trading, held-to-maturity, or available-for-sale) during the period. Sale of long term investments and the sale of other assets not otherwise defined in the taxonomy.
Proceeds from Sale of Marketable Securities Long Term Investments and Other Assets
The cash inflow for a financial contract that meets the hedge criteria as either cash flow hedge, fair value hedge or hedge of net investment in foreign operations.
Proceeds from interest rate swap agreement
Proceeds from Interest Rate Swap Agreement
EMPLOYEE BENEFIT PLANS
EMPLOYEE BENEFIT PLANS
The entire disclosure for compensation-related costs for equity-based compensation and employee retirement plans, which may include disclosure of policies, compensation plan details, allocation of equity compensation, incentive distributions, equity-based arrangements to obtain goods and services.
Disclosure of Compensation Related Costs Share Based Payments and Defined Contribution Post Retirement Plan [Text Block]
PROPERTY AND PROFESSIONAL AND GENERAL LIABILITY INSURANCE
PROPERTY AND PROFESSIONAL AND GENERAL LIABILITY INSURANCE
This element represent PROPERTY AND PROFESSIONAL AND GENERAL LIABILITY INSURANCE.
Property Professional and General Liability Insurance Disclosure [Text Block]
Provision for Doubtful Accounts
Describes how an entity determines the level of its allowance for doubtful accounts for its trade and other accounts receivable balances, and when impairments, charge-offs or recoveries are recognized.
Receivables, Trade and Other Accounts Receivable Allowance for Doubtful Accounts [Policy Text Block]
Electronic Health Record Incentives
Disclosure of accounting policy for electronic health record incentives.
Electronic Health Record Incentives [Policy Text Block]
Accruals for General and Professional Liability Risks
Represents the accounting policy of entity pertaining to accruals for general and professional liability risks.
Accruals for General and Professional Liability Risks [Policy Text Block]
Schedule of Net Operating Revenues before Provision for Doubtful Accounts [Table Text Block]
Schedule of sources of net operating revenues before provision for doubtful accounts from continuing operations
Tabular disclosure of the net operating revenues of the entity before provision for doubtful accounts.
SIGNIFICANT ACCOUNTING POLICIES
Tabular disclosure of future long-term debt maturities and minimum operating lease payments.
Schedule of Maturities of Long Term Debt and Future Minimum Rental Payments for Operating Leases [Table Text Block]
Schedule of future long-term debt maturities and minimum operating lease payments
Schedule of information related to stock-based awards by grant date
Tabular disclosure of awards granted by grant date, including exercise price of awards granted, fair value per share at grant date and compensation expense.
Share Based Compensation Arrangement by Share Based Payment Award by Grant Date Disclosure [Table Text Block]
Entity Well-known Seasoned Issuer
Schedule of stock options by monetary status and employment status of the awardees
Tabular disclosure of stock options on the basis of monetary status and employment status of the awardees.
Schedule of Share Based Compensation Stock Options by Monetary Status and Employment Status [Table Text Block]
Entity Voluntary Filers
Schedule of Net Funded Status Amounts Recognized in Balance Sheet and Assumptions Used for Projected Benefit Obligations [Table Text Block]
Schedule of Reconciliation of funded status of plans, the amounts included in the Consolidated Balance Sheets and assumptions used for projected benefit obligations
Tabular disclosure of funded status of plans, the amounts included in the Consolidated Balance Sheets and the assumptions used to determine for pension plans and/or other employee benefit plans the benefit obligation including assumed discount rates, rate increase in compensation increase, and expected long-term rates of return on plan assets.
Entity Current Reporting Status
RECENT ACCOUNTING STANDARDS
Tabular disclosure of the components of net benefit costs for pension plans and/or other employee benefit plans including service cost, interest cost, expected return on plan assets, gain (loss), prior service cost or credit, transition asset or obligation, and gain (loss) recognized due to settlements or curtailments. Also includes disclosure of the assumptions used to determine for pension plans and/or other employee benefit plans the net periodic benefit costs including assumed discount rates, rate increase in compensation increase, and expected long-term rates of return on plan assets.
Schedule of components of net benefit costs and assumptions used for net periodic benefit costs
Schedule of Net Benefit Costs and Assumptions Used for Net Periodic Benefit Costs [Table Text Block]
Entity Filer Category
Tabular disclosure of common stock repurchases.
Schedule Of Repurchase Of Common Stock
Schedule of Repurchase of Common Stock [Table Text Block]
Entity Public Float
Description of Business [Abstract]
Description of Business
Entity Registrant Name
Number of acute care hospitals operated by subsidiaries
Number of Hospitals Operated by Subsidiaries
Represents the number of hospitals operated by subsidiaries of the entity.
Entity Central Index Key
Represents the number of academic medical centers operated by subsidiaries of the entity.
Number of Academic Medical Centers Operated by Subsidiaries
Number of academic medical centers operated by subsidiaries
Represents the number of academic medical centers operated by subsidiaries.
Number of Academic Medical Centers Operated by the Subsidiaries
Number of academic medical centers operated by subsidiaries
Adjusted Supplemental Earnings before Interest Tax Depreciation and Amortization
Adjusted supplemental EBITDA
Represents the supplemental net income with interest, taxes, depreciation, and amortization added back to it, used to analyze and compare profitability between two years.
Number of critical access hospitals operated by subsidiaries
Represents the number of critical access hospitals operated by subsidiaries.
Number of Critical Access Hospitals Operated by Subsidiaries
Entity Common Stock, Shares Outstanding
Number of licensed beds in hospitals operated by subsidiaries
Represents the number of licensed beds in hospitals operated by subsidiaries.
Number of Licensed Beds in Hospitals Operated by Subsidiaries
Number of licensed beds in hospitals operated by subsidiaries
Number of Licensed Beds in Hospitals Operated by the Subsidiaries
Represents the number of licensed beds in hospitals operated by the subsidiaries.
Receivable Type [Axis]
Represents the number of states in which subsidiaries of the entity operate hospitals.
Number of States in which Subsidiaries of Entity Operate Hospitals
Number of states in which subsidiaries of the entity operate hospitals
Number of States in which Subsidiaries Operate Hospitals
Represents the number of states in which subsidiaries operate hospitals.
Number of states in which subsidiaries of the entity operate hospitals
Number of free-standing and provider-based outpatient centers operated by subsidiaries
Represents the number of provider-based outpatient centers operated by subsidiaries.
Number of Free Standing and Provider Based Out Patient Centers Operated by Subsidiaries
Number of Free Standing and Provider Based Diagnostic Imaging Centers and Ambulatory Surgery Centers Operated by Subsidiaries Excluding Classified in Discontinued Operations
Represents the number of free-standing and provider-based diagnostic imaging centers and ambulatory surgery centers operated by subsidiaries excluding centers that are classified in discontinued operations.
Number of free-standing and provider-based diagnostic imaging centers and ambulatory surgery centers operated by subsidiaries
Represents the number of hospitals operated by subsidiaries not yet divested at that date that classified in discontinued operations of the entity.
Number of hospital operated by subsidiaries not yet divested at discontinued operations date
Number of Hospitals Operated by Subsidiaries Not yet Divested
Represents the number of academic medical centers operated by subsidiaries of the entity classified in discontinued operations during the period.
Number of Academic Medical Centers Operated by Subsidiaries Classified in Discontinued Operations
Number of academic medical centers operated by subsidiaries classified in discontinued operations
Number of states in which free-standing and provider-based diagnostic imaging centers and ambulatory surgery centers are operated by subsidiaries
Represents the number of states in which free-standing and provider-based diagnostic imaging centers and ambulatory surgery centers are operated by subsidiaries for continuing operations only.
Number of States in which Free Standing and Provider Based Diagnostic Imaging Centers and Ambulatory Surgery Centers Operated by Subsidiaries
Number of States in which Free Standing and Provider Based Diagnostic Imaging Centers and Ambulatory Surgery Centers Operated by Subsidiaries for Continuing Operations
Represents the number of states in which free-standing and provider-based diagnostic imaging centers and ambulatory surgery centers are operated by subsidiaries for continuing operations only.
Number of states in which free-standing and provider-based diagnostic imaging centers and ambulatory surgery centers are operated by subsidiaries
Number of free-standing emergency department
Represents the number of free-standing emergency department.
Number of Free Standing Emergency Department
Information related to various accounting policies of the entity.
Summary of Significant Accounting Policies [Table]
Summary of significant accounting policies
Summary of Significant Accounting Policies [Line Items]
Cash equivalents maximum maturity period
Represents the maximum period for maturity of cash and cash equivalents.
Cash and Cash Equivalents, Maturity Period
Cash and cash equivalents related to captive insurance subsidiaries
Represents the cash and cash equivalents related to captive insurance subsidiaries.
Cash and Cash Equivalents Related to Captive Insurance Subsidiaries
Repatriated excess cash from foreign insurance subsidiary to corporate domestic bank account
Represents the repatriated excess cash from foreign insurance subsidiary to the entity's corporate domestic bank account.
Repatriated Cash from Subsidiaries
Accrued property and equipment purchases, for items received but not yet paid, included in accounts payable
Represents accrued property and equipment purchases, for items received but not yet paid, included in accounts payable.
Capital Expenditures Incurred but Not yet Paid, Current
Document Fiscal Year Focus
Medicare and Medicaid net patient revenue
Medicare and Medicaid Net Patient Revenue [Abstract]
Document Fiscal Period Focus
Cost report filing period after end of annual cost reporting period
Represents the cost report filing period after the end of the annual cost reporting period.
Cost Report Filing Period after End of Annual Cost Reporting Period
Increase in revenue due to adjustments for prior-year cost reports and related valuation allowances
Represents the amount of increase in revenue due to adjustments for prior-year cost reports and related valuation allowances during the period.
Increase in Revenue Due to Adjustments for Prior Year Cost Reports and Related Valuation Allowances
Provision for Doubtful Accounts
Provision for Doubtful Accounts [Abstract]
Represents the look-back period of provision for doubtful accounts.
Provision for doubtful accounts look-back period
Provision for Doubtful Accounts Look Back Period
Electronic Health Record Incentives
Electronic Health Record Incentives [Abstract]
Represents the period for use of EHR technology to become eligible for annual Medicare incentive payments.
Period for use of EHR technology to become eligible for annual Medicare incentive payments
Period for Use of EHR Technology to Become Eligible for Annual Medicare Incentive Payments
Percentage of Medicaid incentive payments federally funded
Represents the percentage of Medicaid incentive payments federally funded.
Percentage of Medicaid Incentive Payments Federally Funded
Medicare and Medicaid incentive payments for technology certification
Revenue recognized from Medicaid hospital and physicians incentive payments for technology certification.
Incentive Payments for Technology Certification
Estimated future recoveries from accounts assigned to our collection agency subsidiary
Represents estimated future recoveries from accounts assigned to Conifer.
Estimated Future Recoveries from Accounts Assigned to Conifer
Net cost report settlements payable and valuation allowances
Net cost report settlements payable and valuation allowances.
Net Cost Report Settlements Payable and Valuation Allowances
Collection rates on accounts receivable (as a percent)
The estimate collection rate on accounts receivable at a specific point in time.
Estimated Collection Rate on Accounts Receivable
Look-back period that is used as the basis for estimating the allowance for doubtful accounts
Represents the look-back period that is used as the basis for estimating the allowance for doubtful accounts.
Allowance for Doubtful Accounts Lookback Period Used as Basis for Estimate
Document Type
Allowance for doubtful accounts as a percent of accounts receivable
Represents the percentage of the accounts receivable that is covered by the allowance for doubtful accounts
Allowance for Doubtful Accounts as Percent of Accounts Receivable
Self-pay write-offs
Represents the balance of self-pay write-offs, including uninsured and balance after insurance accounts.
Self Pay Accounts Balance
Increase in self-pay write-offs
Represents the amount of increase in self-pay write-offs due to increase in patient account assignments being pursued by our Conifer subsidiary.
Self Pay Accounts Period Increase (Decrease)
NorthShore
Represents the information pertaining to NorthShore Regional Medical Center.
North Shore Regional Medical Center [Member]
Accounts Receivable, Net, Current
Accounts receivable, less allowance for doubtful accounts ($401 at December 31, 2012 and $397 at December 31, 2011)
Accounts receivable, net
Net receivables
Increase (decrease) in long-lived assets estimated fair value
Represents the change in long-lived assets estimated fair value.
Increase (Decrease) in Long Lived Assets Estimated Fair Value
Expense related to the settlement of lawsuits
Represents the expense related to the settlement of lawsuits.
Litigation Settlements Net of Insurance Recoveries
Number of lawsuits
Represents the number of class action lawsuits.
Number of Lawsuits
ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS
Lease termination costs
Impairment charges relating to the termination of a lease.
Lease Termination Costs
Employee severance and other related costs
The charge against earnings in the period for known and estimated costs of termination benefits provided to current employees that are involuntarily terminated under a benefit arrangement associated with exit from or disposal of business activities or restructurings pursuant to a duly authorized plan, excluding costs or losses pertaining to an entity newly acquired in a business combination or a discontinued operation as defined by generally accepted accounting principles and costs associated with one-time termination benefits including other related costs.
Severance Costs and Other Restructuring Costs
Net impairment charge for write-down of land and buildings
Represents the net impairment charge for written-down land and buildings at the campus of one hospital that is scheduled to move to a new, replacement campus during next year.
Impairment Charge on Land and Buildings Related to Campus to be Replaced by New Campus in Next Year
Impairment charge for the write-down of a note receivable due from a buyer
Represents the impairment charges for written-down notes receivable from a buyer.
Impairment Charge on Notes Receivable
Information pertaining to net impairment and restructuring charges.
Net Impairment and Restructuring Cost [Table]
Accounts Receivable, Gross, Current
Patient accounts receivable
Type of asset for which a net impairment charge was recorded and type of restructuring charge.
Net Impairment and Restructuring Charges by Type [Domain]
Buildings and Equipment of Previously Impaired Hospital [Member]
Buildings and equipment of previously impaired hospital
Represents buildings and equipment of a previously impaired hospital.
Buildings, equipment, and other long-lived assets of previously impaired hospital
Buildings and Equipment and Other Long Lived Assets [Member]
Represents buildings, equipment, and other long Lived assets of a previously impaired hospital.
Represents medical office buildings sold in Florida.
Medical office buildings sold in Florida
Medical Office Buildings Sold in Florida [Member]
Employee severance and other related costs
Represents employee severance and other related costs.
Employee Severance and Other Related Costs [Member]
Note receivable from buyer of previously divested hospital
Represents the note receivable from owed from a buyer of a previously divested hospital.
Note Receivable from Buyer of Previously Divested Hospital [Member]
Land and buildings at campus scheduled for relocation
Represents land and buildings at a campus scheduled for relocation.
Land and Buildings at Campus Scheduled for Relocation [Member]
Represents other assets related to an option to purchase certain real property.
Other assets related to option to purchase real property
Other Assets Related to Option Purchase Real Property [Member]
Medical office buildings sold in Texas
Represents medical office buildings sold in Texas.
Medical Office Buildings Sold in Texas [Member]
Accelerated stock-based compensation costs
Represents the accelerated stock-based compensation costs.
Accelerated Stock Based Compensation Costs [Member]
Impairment and restructuring
Impairment and Restructuring [Line Items]
Number of medical office buildings impaired
Represents the number of medical office buildings impaired.
Number of Medical Office Buildings Impaired
Impairment credits related to the collection of notes receivables
Represents the impairment credits related to the collection of notes receivables.
Impairment Credits Related to Collection of Notes Receivable
Information pertaining to the type of ancillary health care businesses of the entity.
Ancillary Health Care Businesses by Type [Axis]
Type of ancillary health care businesses.
Ancillary Health Care Businesses by Type [Domain]
Represents information about diagnostic imaging centers.
Diagnostic Imaging Center
Diagnostic Imaging Center [Member]
Accounts Payable, Current
Accounts payable
Impairment charge in connection with medical office buildings impaired in Florida
Represents the impairment charges related to medical office buildings sold.
Impairment Charge on Medical Office Buildings Sold
Accounts, Notes, Loans and Financing Receivable [Line Items]
Accounts, Notes, Loans and Financing Receivable
Cash payments to be applied against accruals due within one year
Represents the amount of cash paid in the period to fully or partially settle a specified type of restructuring expense previously accrued one year subsequent to current period.
Cash Payments to be Applied Against Accruals Due within One Year
Cash payments to be applied against accruals due thereafter
Represents the amount of cash paid in the period to fully or partially settle a specified type of restructuring expense previously accrued beyond one year subsequent to current period.
Cash Payments to be Applied Against Accruals Due Thereafter
6 3/8%, due 2011
Represents the 6.375 percent senior notes, due 2011 issued by the reporting entity.
Debt Instrument 6.375 Percent, Senior Notes Due 2011 [Member]
Represents the maximum available capacity under the subfacility for standby letters of credit.
Line of Credit Facility Subfacility for Standby Letters of Credit Maximum Available Capacity
Line of credit facility, subfacility maximum available capacity
Percentage of aggregate notes due in 2015 that need to be repaid, defeased or refinanced to avoid acceleration clause
Percentage of notes that need to be repaid, defeased or refinanced 60 business days prior to their maturity to avoid acceleration of expiration of credit agreement.
Line of Credit Facility Acceleration Clause Percentage of Aggregate Notes Repaid
Number of business days prior to maturity of notes due in 2015 that notes need to be repaid, defeased or refinanced to avoid acceleration clause
Represents the period prior to maturity of debt instrument in which the instrument must be repaid, defeased or refinanced to avoid acceleration clause of credit agreement.
Line of Credit Facility Acceleration Clause Period Prior to Maturity of Debt Instrument
Debt Instrument, Outstanding Principal Amount that Must be Repaid or Refinanced to Extend Maturity Date of Credit Facility
Outstanding principal amount of notes that must be repaid or refinanced on or before December 3, 2014 to extend the maturity date of the credit facility
Represents the outstanding principal amount of notes that must be repaid or refinanced to extend the maturity date of the credit facility.
Accounts Payable
Book overdrafts classified as accounts payable
Identification of the reference rate that is used to calculate the variable interest rate of the debt instrument.
Debt Instrument, Variable Rate Base [Domain]
Represents the types of period for debt instrument agreements.
Debt Instrument, Agreement Period [Domain]
Redemption price as a percentage of principal amounts of the notes redeemed
Represents the redemption price of the debt instrument as a percentage of principal amounts of debt instrument redeemed.
Debt Instrument, Redemption Price as Percentage of Principal Amount
Debt Instrument, Redemption with Net Proceeds from Equity Offerings as Percentage of Original Principal
Percentage of the principal amount of the debt instrument which the entity may redeem with the proceeds from certain equity offerings
Represents the percentage of the original principal amount of the debt instrument that the entity may redeem with net cash proceeds from certain equity offerings.
Redemption price of debt instrument if redeemed with proceeds of certain equity offerings (as a percent)
Represents the redemption price of the debt instrument as a percentage of the principal amount if redeemed with net cash proceeds from certain equity offerings.
Debt Instrument, Redemption Price with Net Proceeds from Equity Offerings as Percentage of Original Principal
Percentage of principal amount at which the notes are redeemable due to a change of control
Represents the percentage of the principal amount at which the entity is obligated to offer to repurchase the debt instrument due to a change in control.
Debt Instrument, Repurchase Obligation Due to Change of Control Percentage of Principal
Line of Credit Facility Covenant Threshold Limit
Threshold limit of revolving credit facility
Represents the threshold limit for the line of credit facility.
Represents the hospital asset value as a percentage of consolidated net tangible assets for properties to be defined as principal property.
Debt Instrument, Covenants Asset Value as Percentage of Consolidated Net Tangible Assets for Properties to be Defined as Principal Property
Asset value as a percentage of consolidated net tangible assets for properties to be defined as principal property
Debt Instrument, Covenants Secured Debt as Percentage of Consolidated Net Tangible Assets for Principal Properties
Secured debt by principal properties as a percentage of consolidated net tangible assets
Represents the secured debt as a percentage of consolidated net tangible assets for principal properties.
Represents the threshold limit for the secured debt.
Threshold limit for secured debt
Debt Instrument, Covenants Threshold Limit for Secured Debt
Secured debt ratio
Represents the secured debt ratio.
Debt Instrument, Covenants of Secured Debt Ratio
Threshold limit for debt secured by a lien on par to the lien securing senior secured notes
Represents the threshold limit for the debt secured by a lien on par to the lien securing senior secured notes.
Debt Instrument, Covenants Threshold Limit for Secured Debt Secured by Lien on Par
Represents the secured debt ratio for debt secured by a lien on par to the lien securing senior secured notes.
Debt Instrument, Covenants of Secured Debt Ratio for Debt Secured by Lien on Par
Secured debt ratio for debt secured by a lien on par to the lien securing senior secured notes
Cash interest savings
Represents the cash interest savings from swap contract.
Cash Interest Savings
Denominator of secured debt ratio
Represents the denominator of secured debt ratio.
Debt Instrument, Covenants Denominator of Secured Debt Ratio
Denominator of secured debt ratio for debt secured by a lien on par to the lien securing senior secured notes
Represents the denominator of secured debt ratio for debt secured by a lien on par to the lien securing senior secured notes.
Debt Instrument, Covenants Denominator of Secured Debt Ratio for Debt Secured by Lien on Par
Threshold limit of unused borrowing availability under the revolving credit facility
Represents the unused borrowing availability threshold limit for the line of credit facility.
Line of Credit Facility Covenant Unused Borrowing Availability Threshold Limit
9%, due 2015
Represents the 9 percent senior notes, due 2015 issued by the reporting entity.
9% senior notes due 2015
Debt Instrument 9 Percent, Senior Notes Due 2015 [Member]
8.875% senior notes due 2019
Debt Instrument 8.875 Percent, Senior Notes Due 2019 [Member]
Represents the 8.875 percent senior notes, due 2019 issued by the reporting entity.
6.25% senior notes due 2018
Represents the 6.25 percent senior notes, due 2018 issued by the reporting entity.
Debt Instrument 6.25 Percent, Senior Notes Due 2018 [Member]
Represents the income guarantee agreements provided to certain physicians.
Income Guarantee
Income Guarantee [Member]
Commitment period
Represents the commitment period.
Commitment Period
Guarantee obligations for recorded liabilities, long term
The carrying amount of the liability for the freestanding or embedded guarantor's obligations under the guarantee or each group of similar guarantees excluding current portion.
Guarantee Obligations for Recorded Liabilities
Guarantee obligation period
Represents the period of the guarantee.
Guarantee Obligation, Period
Contractual right to receive shares of common stock for a stock based award
Represents the number of shares of common stock into which a share-based award can be converted in the future.
Share Based Compensation, Arrangement by Share Based Payment Award, Convertible in Number of Shares
Information pertaining to the awards on the basis of grant date
Share Based Compensation Arrangement by Share Based Payment Award, Options Grant Date Disclosure [Abstract]
A percentage or fraction of the awards that are no longer contingent on satisfaction of either a service condition, market condition or a performance condition, thereby giving the employee the legal right to convert the award to shares, to sell the shares, and be entitled to the cash proceeds of such sale. For example, vesting may be expressed as being 25 percent of the shares under option on each anniversary of the grant date.
Portion of awards vesting on each of the first three anniversary dates of the grant (as a percent)
Share Based Compensation Arrangement by Share Based Payment Award, Award Vesting Rights 1
Represents pertinent disclosure based on the grant date of awards.
Schedule of Share Based Compensation, Arrangement by Share Based Payment Award, by Grant Date [Axis]
Represents the various grant dates.
Schedule of Share Based Compensation, Arrangement by Share Based Payment Award, by Grant Date [Domain]
Grant date, February 25, 2010
Represents grant date of awards on February 25, 2010.
Grant Date 25 February 2010 [Member]
Grant date, February 26, 2009
Represents grant date of first awards on February 26, 2009.
Grant Date 26 February 2009 One [Member]
Grant date, February 26, 2009
Represents grant date of second awards on February 26, 2009.
Grant Date 26 February 2009 Two [Member]
Grant date, March 6, 2008
Represents grant date of awards on March 6, 2008.
Grant Date 6 March 2008 [Member]
Grant date, May 6, 2010
Represents grant date of awards on May 6, 2010.
Grant Date 6 May 2010 [Member]
Grant date, March 1, 2007
Represents grant date of awards on March 1, 2007.
Grant Date 1 March 2007 [Member]
Grant date, Other grants
Represents other grant date of awards.
Grant Date Other [Member]
Grant Date, November 4, 2011
Represents grant date of awards on November 4, 2011.
Grant Date 4 November 2011 [Member]
Grant Date, February 23, 2011
Represents grant date of awards on February 23, 2011.
Grant Date 23 February 2011 [Member]
Stock options subject to time-vesting
Stock options subject to time-vesting as awarded by a company to their employees as a form of incentive compensation.
Time Based Stock Options [Member]
Performance-based stock options
Performance-based stock options as awarded by a company to their employees as a form of incentive compensation.
Performance Based Stock Options [Member]
Represents the percentage of the awards granted subject to certain conditions.
Portion of awards vesting (as a percent)
Share Based Compensation Arrangement by Share Based Payment Award, Portion of Award Subject to Certain Conditions
Number of top employees to whom awards granted
Represents the number of top employees to whom options were granted during the reporting period.
Share Based Compensation, Arrangement by Share Based Payment Award, Options Grants in Period Number of Employees
Aggregate Intrinsic Value
Share Based Compensation Arrangement by Share Based Payment Award, Options Aggregate Intrinsic Value [Abstract]
Weighted Average Remaining Life
Share Based Compensation Arrangement by Share Based Payment Award, Options Weighted Average Remaining Life [Abstract]
Expected forfeiture rate (as a percent)
The expected forfeiture rate assumption that is used in valuing an option on its own shares.
Share Based Compensation, Arrangement by Share Based Payment Award, Fair Value Assumptions Expected Forfeiture Rate
Early exercise threshold gain (as a percent)
The early exercise threshold assumption that is used in valuing an option on its own shares.
Share Based Compensation, Arrangement by Share Based Payment Award, Fair Value Assumptions Early Exercise Threshold
Early exercise rate, gain (as a percent)
The early exercise rate assumption that is used in valuing an option on its own shares.
Share Based Compensation, Arrangement by Share Based Payment Award, Fair Value Assumptions Early Exercise Rate
Represents the details of the different employment levels at the entity.
Share Based Payments Employee Level [Domain]
Options Exercisable
Share Based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, End of Period Options Exercisable [Abstract]
Employee stock purchase plan activity
Employee Stock Purchase Plans Activity [Abstract]
Weighted average price (in dollars per share)
Represents value per share for stock issued during the period as a result of employee stock purchase plan.
Stock Issued, During Period Value Per Share Employee Stock Purchase Plan
Employee Stock Purchase Plan
Employee Stock Purchase Plans [Abstract]
Base earnings elected to be withheld each quarter by eligible employees to purchase shares of the entity's common stock (as a percent)
Represents the percentage of eligible earnings that can be contributed by the employee towards the quarterly purchase of the entity's common stock.
Share Based Compensation Arrangement by Share Based Payment Award, Contribution by Eligible Employee Percent
Requisite holding period for shares issued under plan
Represents the requisite holding period for shares issued under plan.
Share Based Compensation Arrangement by Share Based Payment Award, Requisite Holding Period of Shares
Share Based Compensation Arrangement by Share Based Payment Award, Maximum Fair Market Value of Shares Per Employee
Fair market value per employee per year
Represent the maximum fair market value of shares which an employee can purchase in a year.
Share Based Compensation Arrangements by Share Based Payment Award, Vesting Type [Domain]
Equity-based compensation award by besting type, including multiple equity-based payment arrangements.
Restricted stock units vested to directors
Represents the restricted stock units (RSUs) as awarded by a company to its directors as a form of incentive compensation.
Restricted Stock Units RSU Vested to Directors [Member]
Number of trading days for which the closing price of the entity's common stock is taken into consideration for conversion
Represents the number of trading days for which the closing price of the entity's common stock is taken into consideration for conversion.
Convertible Preferred Stock Conversion Obligation, Common Stock Closing Sales Price Number of Trading Days
Principal amount used for convertible preferred stock conversion ratio
The principal amount of convertible preferred stock used as denominator for purposes of computing the conversion ratio of convertible preferred stock.
Convertible Preferred Stock Principal Amount Denominator for Conversion into Common Stock
Schedule reflecting activity in stock repurchase programs.
Schedule of Stock Repurchase Program [Table]
Stock repurchase programs.
Stock Repurchase Program [Domain]
Share repurchase program expiration date
Stock repurchase program expiration date.
Stock Repurchase Program Expiration Date
Insurance coverage used by the entity to manage financial risk
Insurance Coverage [Table]
Type of insurance policy held.
Insurance Policy by Type [Domain]
Policy period for insurance policy held.
Insurance Policy Period [Domain]
April 1, 2009 through March 31, 2010
Represents the policy period of April 1, 2009 through March 31, 2010.
April 2009 Through March 2010 [Member]
April 1, 2010 through March 31, 2011
Represents the policy period of April 1, 2010 through March 31, 2011.
April 2010 Through March 2011 [Member]
June 1, 2010 through May 31, 2011
Represents the policy period of June 1, 2010 through May 31, 2011.
June 2010 Through May 2011 [Member]
June 1, 2009 through May 31, 2010
Represents the policy period of June 1, 2009 through May 31, 2010.
June 2009 Through May 31 2010 [Member]
June 1, 2008 through May 31, 2009
Represents the policy period of June 1, 2008 through May 31, 2009.
June 1 2008 Through May 31 2009 [Member]
Insurance coverage
Insurance Coverage [Line Items]
Represents the insurance coverage limit per occurrence.
Insurance coverage limit
Insurance Coverage Limit Per Occurrence
Represents the insurance coverage limit per occurrence excluding floods, earthquakes, and windstorms.
Insurance coverage limit per occurrence excluding floods, earthquakes, and windstorms
Insurance Coverage Per Occurrence Excluding Floods Earthquakes and Windstorms
Represents the annual aggregate sub-limits for floods and earthquakes covered under insurance policies.
Annual aggregate sub-limits for floods and earthquakes covered under insurance policies
Insurance Coverage Aggregate Sub Limits for Floods and Earthquakes
Represents the per-occurrence sub-limit for windstorms covered under insurance policies.
Per-occurrence sub-limit for windstorms covered under insurance policies
Insurance Coverage Per Occurrence Sub Limits for Windstorms
Minimum amount of risk retained by the entity before the insurance arrangement begins to provide coverage.
Deductible for general claims (as a percent)
Flood Earthquake and Windstorm Insurance Deductible, Minimum
Maximum amount of risk retained by the entity before the insurance arrangement begins to provide coverage.
General claims, maximum coverage
Flood Earthquake and Windstorm Insurance Deductible, Maximum
Minimum amount of risk retained by the entity before the insurance arrangement begins to provide coverage.
Deductible for other specific claims (as a percent)
Earthquake Fault Insurance Deductible, Minimum
Maximum amount of risk retained by the entity before the insurance arrangement begins to provide coverage.
Other specific claims, maximum coverage
Earthquake Fault Insurance Deductible, Maximum
Amount of risk retained by the entity before the insurance arrangement begins to provide coverage.
Other covered claims, minimum deductible
Other Covered Loss Insurance Deductible
Describes the extent to which the entities hospitals are self-insured for malpractice claims, ranging from being completely uninsured up to deductible amounts, if any, when fully insured.
Self-insurance retention per occurrence
Malpractice Insurance Self Insured Hospital Status
Represents the extent to which the entity's captive insurance company subsidiary is self-insured for malpractice claims, ranging from being completely uninsured up to deductible amounts
Insurance retention per occurrence
Malpractice Insurance Self Insured Captive Subsidiary Status
Represents the first tier of insurance coverage after the aggregate self-coverage.
Insurance coverage, additional to aggregate self coverage
Insurance Coverage Tier 1 Additional to Aggregate Self Coverage
Aggregate self-insurance retention per occurrence.
Aggregate self-insurance retentions per occurrence
Aggregate Self Insurance Retention Per Occurrence
Insurance Coverage Tier 1 Percent Reinsured
Insurance coverage, percent reinsured
Represents the percentage of the first tier of insurance coverage that is reinsured by the entity's captive subsidiary.
Insurance coverage, percent retained
Represents the percentage of the first tier of insurance coverage that is retained by the entity's captive subsidiary.
Insurance Coverage Tier 1 Percent Retained
Represents the maximum amount of the first tier of insurance coverage that is retained by the entity's captive subsidiary.
Insurance coverage, maximum amount retained
Insurance Coverage Tier 1 Maximum Amount Retained
Represents the minimum amount of the second tier of insurance coverage that is covered by excess insurance policies on a claims-made basis.
Insurance coverage, additional to aggregate coverage
Insurance Coverage Tier 2 Additional to Aggregate Coverage
Represents the amount of the first tier of insurance coverage.
Insurance coverage, first tier
Insurance Coverage Tier 1 Amount
Memorial Medical Center
Represents information about litigation related to Memorial Medical Center.
Memorial Medical Center [Member]
Shareholder Suits
Represents information about litigation related to shareholder suits.
Shareholder Suits [Member]
Represents information about litigation related to pending wage and hour actions.
Pending Wage and Hour Actions
Pending Wage and Hour Actions [Member]
Meadowcrest Hospital and Kenner Regional Medical Center
Represents information about litigation related to Meadowcrest Hospital and Kenner Regional Medical Center, hospitals formerly owned by the entity.
Meadowcrest Hospital and Kenner Regional Medical Center [Member]
Number of patients treated on outpatient basis
Reflects maximum number of patients that could be treated on an outpatient basis in hospital's psychiatric treatment program.
Capacity to Treat Patients on Outpatient Basis
Number of Hospitals Under Governmental Review
Number of hospitals under governmental review
Represents the number of hospitals under governmental review.
Number of eligible class members
Number of Eligible Class Members
Represents the number of eligible class members.
Number of inpatient rehabilitation facilities
Number of Facilities
Represents the number of facilities.
Number of hospitals under Medicare claims review
Represents the number of hospitals under Medicare claims review.
Number of Hospitals under Medicare Claims Review
Unsolicited proposal cash per share (in dollars per share)
Represents the unsolicited proposal cash per share for acquisition of all outstanding shares of entity.
Unsolicited Proposal Cash Per Share
Number of candidates nominated for election to entity's board of directors
Represents the number of candidates nominated for election to entity's board of directors.
Number of Candidates Nominated for Election to Entity Board of Directors
CIA term
Represents the term of corporate integrity agreement.
Corporate Integrity Agreement Term
Number of inpatient rehabilitation facilities for examine limited sample of patient files
Represents the number of inpatient rehabilitation facilities for examine a limited sample of patient files.
Loss Contingency, Number of Inpatient Rehabilitation Facilities for Examine Limited Sample of Patient Files
Number of hospitals where persons were injured
Represents the number of hospital where persons injured.
Loss Contingency, Number of Hospital Where Persons Injured
Represents the number of hospitals which have received information requests.
Number of hospitals which have received information requests from the DOJ regarding Kyphoplasty billing procedures
Number of Hospitals which have Received Information Requests
Multiplier of amount of punitive awards for compensatory award
Represents the multiplier applied to the compensatory award to arrive at the maximum amount of possible loss from punitive damage awards.
Multiplier of Amount of Punitive Award for Compensatory Awards
Multiplier of amount of punitive awards for substantial compensatory award
Represents the multiplier applied to a substantial compensatory award to arrive at the maximum amount of possible loss from punitive damage awards.
Multiplier of Amount of Punitive Award for Substantial Compensatory Awards
Compensatory damages awarded to plaintiff
Amount of compensatory damages awarded to the plaintiff in the legal matter.
Loss Contingency, Damages Awarded Value Compensatory
Punitive damages awarded to plaintiff
Amount of punitive damages awarded to the plaintiff in the legal matter.
Loss Contingency, Damages Awarded Value Punitive
Amount of punitive damages previously awarded to the plaintiff in the legal matter.
Loss Contingency, Damages Awarded Previously Value Punitive
Previously awarded punitive damages
Number of coordinated lawsuits in which the entity is a defendant
Represents the number of coordinated lawsuits in which the entity is a defendant.
Number of Lawsuits in which Entity is Defendant
Represents the number of active and divested inpatient hospitals related to inpatient rehabilitation admissions.
Number of active and divested inpatient hospitals and units
Number of Active and Divested Inpatient Hospitals and Units
Represents the number of persons in a class action lawsuits.
Number of persons in class action lawsuits
Number of Persons in Class Action Lawsuits
Represents the number of persons identified in class certification process.
Number of persons identified in class certification process
Number of Persons Identified in Class Certification Process
Represents other legal costs and transfers.
Other
Legal Costs and Transfers, Other
Income tax (expense) benefit related to decrease in the valuation allowance for deferred tax assets and other tax adjustments
Represents income tax (expense) or benefit recorded during the period related to decrease in the valuation allowance for the entity's deferred tax assets and other tax adjustments.
Income Tax Expense (Benefit), Change in Valuation Allowance of Deferred Tax Assets and Other Tax Adjustments
Income tax benefit (expense) from continuing operations to reduce estimated liabilities for uncertain tax positions
Represents the income tax expense or benefit recorded during the period resulted from change in estimated liabilities for uncertain tax positions.
Income Tax Expense (Benefit), Change in Estimated Liabilities for Uncertain Tax Positions
Income tax benefit (expense) for termination of company-owned life insurance policies
Represents the income tax expense recorded during the period resulting from termination of company-owned life insurance policies.
Income Tax Expense (Benefit) Termination of Company Owned Life Insurance Policies
Represents the increase (decrease) in estimated liabilities for uncertain tax positions resulted from audit settlements and the expiration of statutes of limitation.
Increase (Decrease) in Estimated Liabilities for Uncertain Tax Positions
Increase (decrease) in estimated liabilities for uncertain tax positions
Current tax benefit due to a reduction of liabilities for uncertain tax positions.
Income Tax Benefit Due to Reduction of Liabilities for Uncertain Tax Positions
Current tax benefit due to reduction of liabilities for uncertain tax positions
Amount of compensatory damages previously awarded to the plaintiff in the legal matter.
Loss Contingency, Damages Awarded Previously Value Compensatory
Previously awarded compensatory damages
Income Tax Benefit Due to Reduction of Liabilities for Uncertain Tax Positions, Continuing Operations
Current tax benefit due to reduction of liabilities for uncertain tax positions, continuing operations
Current tax benefit due to a reduction of liabilities for uncertain tax positions of continuing operations.
Current tax benefit due to a reduction of liabilities for uncertain tax positions, discontinued operations
Current tax benefit due to a reduction of liabilities for uncertain tax positions of discontinued operations.
Income Tax Benefit Due to Reduction of Liabilities for Uncertain Tax Positions, Discontinued Operations
Uncertain tax positions, interest and penalties related to continuing operations
Unrecognized Tax Benefits Income Tax Penalties and Interest Expense to Continuing Operations
This element represents the total of interest expense recognized for an underpayment of income taxes computed by applying the applicable statutory rate of interest to the difference between a tax position recognized for financial reporting purposes and the amount previously taken or expected to be taken in a tax return of the entity and the amount of statutory penalties in the period in which the entity claims or expects to claim a tax position, in its tax return, that does not meet the minimum statutory threshold to avoid payment of penalties for continuing operations.
This element represents the total of interest expense recognized for an underpayment of income taxes computed by applying the applicable statutory rate of interest to the difference between a tax position recognized for financial reporting purposes and the amount previously taken or expected to be taken in a tax return of the entity and the amount of statutory penalties in the period in which the entity claims or expects to claim a tax position, in its tax return, that does not meet the minimum statutory threshold to avoid payment of penalties for discontinued operations.
Uncertain tax positions, interest and penalties related to discontinued operations
Unrecognized Tax Benefits Income Tax Penalties and Interest Expense to Discontinued Operations
Loss Contingency, Attorneys Fees Claimed by Plaintiff
Attorney's fees claimed
The attorneys fees claimed by plaintiff under loss contingency.
Effect of dilutive stock options, restricted stock units and mandatory convertible preferred stock, per-share amount.
Effect of dilutive stock options and restricted stock units (Per-Share)
Effect of Dilutive Stock Options, Restricted Stock Units and Mandatory Convertible Preferred Stock, Per Share Amount
Represents the value of preferred stock and other securities held by captive insurance subsidiaries that were distributed from auction rate securities whose auctions have failed due to sell orders exceeding buy orders.
Preferred Stock and Other Securities held by Captive Insurance Subsidiaries
Preferred stock and other securities held by captive insurance subsidiaries
Estimated fair value of the long-term debt instrument as a percentage of carrying value
Represents the estimated fair value of the long-term debt instrument as a percentage of carrying value.
Estimated Fair Value of Debt Instrument as Percentage of Carrying Value
Represents information oncology centers.
Oncology Center
Oncology Center [Member]
Outpatient centers
Represents information about outpatient centers.
Outpatient Center [Member]
Represents information about other diagnostic imaging centers.
Other Diagnostic Imaging Center [Member]
Other diagnostic imaging center
Other ambulatory Surgery Centers
Represents information about other ambulatory surgery centers.
Other Ambulatory Surgery Centers [Member]
Acquisitions, 2010
Represents the acquisition of various centers in 2010.
Acquisitions 2010 [Member]
The amount of acquisition costs of a business combination allocated to redeemable noncontrolling interests in equity of consolidated subsidiaries.
Redeemable noncontrolling interests in equity of consolidated subsidiaries
Business Acquisition, Purchase Price Allocation, Redeemable Noncontrolling Interests in Equity of Consolidated Subsidiaries
Working capital included in transaction price
Represents the amount of working capital included in transaction price attributable to the disposal group, including a component of the entity (discontinued operation), during the reporting period.
Disposal Group, Including Discontinued Operation Working Capital
Pre-tax non-cash impairment charge
Represents the amount of pre-tax non-cash impairment charge attributable to the disposal group, including a component of the entity (discontinued operation), during the reporting period.
Disposal Group, Including Discontinued Operation Noncash Impairment Charges before Tax
Non-cash impairment charge (after tax and after noncontrolling interest benefit)
Represents the amount of non-cash impairment charge (after tax and after noncontrolling interest benefit) attributable to the disposal group, including a component of the entity (discontinued operation), during the reporting period.
Disposal Group, Including Discontinued Operation Noncash Impairment Charges after Tax
Number of hospitals owned by subsidiaries
Represents the Number of hospitals owned by subsidiaries.
Number of Hospitals Owned by Subsidiaries
Represents the number of hospitals owned by third parties and leased by subsidiaries.
Number of Hospitals Leased by Subsidiaries from Third Parties
Number of hospitals owned by third parties and leased by subsidiaries
Number of Medical Office Buildings Owned or Leased and Operated by Subsidiaries
Number of medical office buildings owned or leased and operated by subsidiaries
Represents the number of medical office buildings owned or leased and operated by subsidiaries of the entity.
Number of Tenet and non-Tenet Hospitals and other health care organizations to which Conifer provided revenue cycle services
Represents the number of Tenet and non-Tenet Hospitals to which a segment of the entity provides revenue cycle services.
Number of Hospitals to which Segment of the Entity Provides Revenue Cycle Services
Hospital Operations and other
Represents the Core Services a reportable segment of the entity.
Core Services and Other Segment [Member]
Core Services and Other Segment
Conifer
Represents Conifer, a reportable segment of the entity.
Conifer Segment [Member]
Conifer Segment
Adjusted EBITDA
Represents the net income with interest, taxes, depreciation, and amortization added back to it, used to analyze and compare profitability between companies and industries because it eliminates the effects of financing and accounting decisions.
Adjusted Earnings before Interest Tax Depreciation and Amortization
Adjusted Proforma Earnings before Interest Tax Depreciation and Amortization
Adjusted segments proforma EBITDA
Represents the proforma net income with interest, taxes, depreciation, and amortization added back to it, used to analyze and compare profitability between two years.
Represents the net income with interest, taxes, depreciation, and amortization added back to it, used to analyze and compare profitability between companies and industries because it eliminates the effects of financing and accounting decisions related to third parties.
Adjusted Earnings before Interest Tax Depreciation and Amortization Related to Third Parties
Third parties
Intersegment
Represents the net income with interest, taxes, depreciation, and amortization added back to it, used to analyze and compare profitability between companies and industries because it eliminates the effects of financing and accounting decisions related to intersegment.
Adjusted Earnings before Interest Tax Depreciation and Amortization Related to Intersegment
Accumulated Other Comprehensive Income (Loss) [Member]
Accumulated Other Comprehensive Loss
Conifer
Represents the net income with interest, taxes, depreciation, and amortization added back to it, used to analyze and compare profitability between companies and industries because it eliminates the effects of financing and accounting decisions related to intersegment and third parties.
Adjusted Earnings before Interest Tax Depreciation and Amortization Total
Accumulated Other Comprehensive Income (Loss), Pension and Other Postretirement Benefit Plans, Net of Tax
Adjustments for supplemental executive retirement plans
Adjusted EBITDA
Adjusted Segment EBITDA [Abstract]
Adjusted EBITDA
Adjusted Earnings before Interest Tax Depreciation and Amortization [Abstract]
Investments and Other Noncurrent Assets [Table Text Block]
Schedule of investments and other assets
Tabular disclosure for investments and other noncurrent assets.
Investment and other assets
Long Term Investments and Other Assets [Abstract]
Land held for expansion, long-term receivables and other assets
Represents the land held for expansion, long-term receivables and other assets which are classified as noncurrent as of the balance sheet date.
Land Held for Expansion, Long Term Receivables and Other Assets, Noncurrent
Membership interest in Peoples Health Network (as a percent)
Represents the percentage of membership interest in other entity who administers the operations of entity's subsidiary.
Membership Interest Percentage
Supplemental Medi-Cal payment receivable
Represents the supplemental Medi-Cal payment which is due within one year as of the balance sheet date.
Supplemental Medical Payment Receivable, Current
Represents the supplemental California Medi-Cal payment which is due within one year as of the balance sheet date.
Supplemental California Medi-Cal payment receivable
Supplemental California Medical Payment Receivable, Current
Electronic health record incentives receivable
Represents the electronic health record incentives which are due within one year as of the balance sheet date.
Electronic Health Record Incentives Receivable Current
Accumulated Other Comprehensive Income (Loss), Cumulative Changes in Net Gain (Loss) from Cash Flow Hedges, Effect Net of Tax
Unamortized realized losses from interest rate lock derivatives
Sublease receivables
Represents the sublease receivables which are due within one year as of the balance sheet date.
Sublease Receivables, Current
Disproportionate share hospital revenue receivables
Represents the disproportionate share hospital revenue receivables which are due within one year as of the balance sheet date.
Disproportionate Share Hospital, Revenue Receivables Current
Physician and group coverage guarantees
Represents the physician and group coverage guarantees which are due within one year as of the balance sheet date.
Physician and Group Coverage Guarantees, Current
ACCUMULATED OTHER COMPREHENSIVE LOSS
Physician receivables and relocation agreements
Represents the physician receivables and relocation agreements which are due within one year as of the balance sheet date.
Physician Receivables and Relocation Agreements, Current
Minimum useful life of additions and improvements to property and equipment
Represents the minimum useful life of additions and improvements to property and equipment.
Property, Plant and Equipment Additions Minimum Useful Life
Accumulated Other Comprehensive Income (Loss), Available-for-sale Securities Adjustment, Net of Tax
Unrealized losses on securities held as available-for-sale
Minimum value for additions and improvements to property and equipment
Additions and improvements to property and equipment costing $500 or more are capitalized.
Property, Plant and Equipment Additions, Minimum Value
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Property and equipment, accumulated depreciation and amortization (in dollars)
Accumulated depreciation and amortization
Accruals for General and Professional Liability Risks
Accruals for General and Professional Liability Risks [Abstract]
Segment reporting
Segment Reporting Disclosure [Abstract]
Accumulated Other Comprehensive Income (Loss), Net of Tax
Accumulated other comprehensive loss
Accumulated other comprehensive loss
Percentage of net operating revenues generated by general hospitals
Represents the percentage of net operating revenues generated by general hospitals.
Percentage of Net Operating Revenues Generated by General Hospitals
Number of business lines
Represents the number of business lines.
Number of Business Lines
Other Items
Total of allowances and reserves, the valuation and qualifying accounts that are either netted against the cost of an asset (in order to value it at its carrying value) or that reflect a liability established to represent expected future costs, related to a business sold.
Valuation Allowances and Reserves, Reserves of Businesses Sold
Lon-term debt, including capital lease obligations
Maturities of Long Term Debt and Capital Lease Obligations [Abstract]
Percentage to the total of outstanding options
The percentage of a category of awards in stock based compensation plan to the total outstanding awards.
Share Based Compensation Arrangement by Share Based Payment Award Options, Outstanding, Percentage of Total
Percentage of awards outstanding
Share Based Compensation Arrangement by Share Based Payment Award Options Outstanding Percentage
The percentage of a certain classification of awards in a stock based compensation plan to the total of a particular category of awards.
Pertinent data describing the current employment status of an individual in relation to the entity.
Employment Status [Axis]
Information relating to the current employment status of an individual in relation to the entity.
Employment Status [Domain]
Represents the current employee of the entity.
Current Employee [Member]
Current employees
Former employees
Represents the former employee of the entity.
Former Employee [Member]
Pertinent data describing the monetary value of the awards under a stock-based compensation plan of an entity.
Schedule of Share Based Compensation Arrangement by Share Based Payment Award, Award Monetary Value [Axis]
Details pertaining to the monetary value of the awards under a stock-based compensation plan of an entity.
Schedule of Share Based Compensation Arrangement by Share Based Payment Award, Award Monetary Value [Domain]
In-the-Money Options
Information pertaining to options that are in-the-money, that is the exercise prices of the options are below the market price of the underlying entity stock price.
In the Money Options Stock Options [Member]
Out-of-the-Money Options
Information pertaining to options that are out-of-the-money, that is the exercise prices of the options are above the market price of the underlying entity stock price.
Out of the Money Options Stock Options [Member]
Market price of the entity's common stock (in dollars per share)
Represents the fair value per share of the common stock of the reporting entity.
Common Stock Fair Value Per Share
Minimum employee contribution (as a percent of compensation)
The minimum annual employee contributions to the plan as a percentage of compensation.
Defined Contribution Plan, Employee Contribution Percentage Minimum
Defined Contribution Plan, Employee Contribution Percentage Maximum
Maximum employee contribution (as a percent of compensation)
The maximum annual employee contributions to the plan as a percentage of compensation.
Represents the minimum requisite working period per year to be eligible to receive any match from employer.
Defined Contribution Plan, Requisite Working Period Per Year Minimum
Requisite working period per year, minimum (in hours)
Represents the employer's matching contribution to the plan before reduction.
Defined Contribution Plan, Employer Matching Contribution before Reduction
Employer's matching contribution before reduction (as a percent)
Employer's matching contribution after reduction (as a percent)
Represents the employer's matching contribution to the plan after reduction.
Defined Contribution Plan, Employer Matching Contribution after Reduction
Defined benefit pension plans (SERPs)
Defined Benefit Pension Plans [Abstract]
Number of active non-qualified defined benefit pension plans
Represents the number of active non-qualified defined benefit pension plans.
Defined Benefit Pension Plan Active Number
Number of frozen non-qualified defined benefit pension plans
Represents the number of frozen non-qualified defined benefit pension plans.
Defined Benefit Pension Plan Frozen Number
Total
Represents the aggregate amount of the benefits expected to be paid in future years.
Defined Benefit Plan, Expected Future Benefit Payments
Prior-year provision to return adjustment and other changes in deferred taxes, net of valuation allowance
The portion of the difference between total income tax expense (benefit) as reported in the income statement for the current period and the expected income tax expense or benefit computed attributable to revisions of previously reported income tax expense and other changes in deferred taxes, net of valuation allowance.
Income Tax Reconciliation, Prior Year Income Taxes and Change in Deferred Taxes
Other long-term liabilities
The tax effect as of the balance sheet date of the amount of the estimated future tax reductions attributable to the difference between the tax basis and the generally accepted accounting principle basis of a company's other long-term liabilities which will decrease future taxable income when such basis difference reverses.
Deferred Tax Assets, Other Long Term Liabilities
Investments and other assets
The tax effect as of the balance sheet date of the amount of the estimated future tax reductions attributable to the difference between the tax basis and the generally accepted accounting principle basis of a company's investment and other assets which will decrease future taxable income when such basis difference reverses.
Deferred Tax Assets, Investments and Other Assets
Tax deficiency asserted by income tax authority
Represents the tax deficiency asserted by the income tax authority in audit of the entity's tax returns.
Income Tax Examination Tax Deficiency Asserted by Income Tax Authority
Alternative minimum tax credits
Future tax reductions arising from alternative minimum tax carryforwards; a tax credit carryforward is the amount by which tax credits available for utilization exceed statutory limitations for inclusion in historical filings, and which can only be utilized if sufficient tax-basis income is generated in future periods and providing tax laws continue to allow such utilization.
Alternative Minimum Tax Credit [Member]
Additional Paid in Capital
Additional paid-in capital
Rolling period during which certain ownership changes limit ability of the entity for utilization of NOL carryforwards
Represents the rolling period during which certain ownership changes may limit the ability of the entity for utilization of NOL carryforwards.
Operating Loss Carryforward, Limitation on Use, Measurement Period
Percentage of shareholders, purchase or sale of stock by them is considered as ownership change
Represents the percent of shareholders whose ownership change limits the utilization of NOL carryforwards.
Operating Loss Carryforward, Limitation on Use, Percent of Shareholders
Maximum increase in percentage points of the ownership of the 5% shareholders in a given period to enable the full use of NOL carryfowards
Represents the maximum increase in ownership of 5% of shareholders in a given period to enable the entity to utilize its operating loss carryforward without limitation.
Operating Loss Carryforward, Limitation on Use, Maximum Change Increase in Ownership
Reconciliation of the deferred tax assets and liabilities and the corresponding amounts reported in the accompanying Consolidated Balance Sheets
Tabular disclosure of classification of deferred tax assets and liabilities recognized in the entity's statement of financial position.
Schedule of Classification of Deferred Tax Assets and Liabilities [Table Text Block]
SALE OF INVESTMENT
Entire disclosure of the investments in debt and equity and other assets of the reposting entity.
Sales of Investments Disclosure [Text Block]
Additional Paid-in Capital [Member]
Additional Paid-in Capital
Capital expenditures:
Expenditures made during the period to acquire and/or expand fixed assets. Capital expenditures made to expand the existing earnings capacity of our assets are considered expansion capital expenditures, not maintenance capital.
Capital Expenditure
Conifer Total
Amount of revenue recognized for providing services to revenue cycle management and patient communications, net of provisions for contractual allowances and discounts.
Health Care Organization Revenue Cycle and Patient Communications Service Revenue
Represents the net income with taxes added back to it, used to analyze and compare profitability between companies and industries because it eliminates the effects of financing and accounting decisions.
Adjusted Earnings before Income Tax
Income before income taxes
Schedule of Adjusted Proforma Earnings before Interest Tax Depreciation and Amortization [Table Text Block]
Tabular disclosure of adjusted segments proforma earnings before interest tax and depreciation and amortization.
Summary of adjusted segments proforma EBITDA
Represents the number of preferred stock shares that have been repurchased during the period and have not been retired and are not held in treasury.
Repurchases of preferred stock (in shares)
Preferred Stock Repurchased During Period, Shares
Repurchase of preferred stock (in shares)
Distributions received from investments in Reserve Yield Plus Fund
The cash inflow associated with the reclassification of the Reserve Yield Plus Fund investment into cash and cash equivalents due to the collection of cash during or subsequent to the reporting period. This fund did not previously meet the definition of cash equivalent.
Distributions Received from Reclassification of Reserve Fund
Preferred Stock Seven Percent Mandatory Convertible Shares Retired
Represents the preferred stock seven percent mandatory convertible shares retired.
Preferred stock 7% mandatory convertible shares retired
Obsolete Assets [Member]
Represents the impairment charge for obsolete assets.
Obsolete assets
Stockholders Equity, Reverse Stock Split Conversion Ratio
Reverse stock split approved
This item represents the conversion ratio used in the calculation of reverse stock split.
Common Stock, Shares Authorized before Reverse Stock Split
Common stock, authorized shares before reverse stock split
Represents the number of common shares authorized before stock split.
4 3/4%, due 2020
Represents the 4.75 percent senior notes, due in 2020, issued by the reporting entity.
Debt Instrument 4.75 Percent Senior Secured Notes Due 2020 [Member]
Debt Instrument 6.75 Percent Senior Notes Due 2020 [Member]
6 3/4%, due 2020
Represents the 6.75 percent senior notes, due in 2020, issued by the reporting entity.
Exit Costs, Other Related net Impairment and Restructuring Charges [Member]
Exit costs and other related costs
Represents the charge for other related net impairment, restructuring charges and exit costs.
Loss Contingency, Attorneys Fees Awarded
Attorney's fees awarded