Percentage of Mandatory Convertible Shares
Preferred stock, percent of mandatory convertible shares (as a percent)
This element represents Percent of Mandatory Convertible Shares.
Preferred Stock Seven Percent Mandatory Convertible Shares Retired
Preferred stock, 7% mandatory convertible shares retired
Represents the preferred stock seven percent mandatory convertible shares retired.
RECENT ACCOUNTING STANDARDS
Accounting Changes and Error Corrections [Text Block]
Preferred Stock Seven Percent Mandatory Convertible Shares Issued
Preferred stock, 7% mandatory convertible shares issued
This element represents Preferred Stock Seven Percent Mandatory Convertible Shares Issued.
Discontinued Operation Restructuring Settlement and Impairment Provisions before Income Tax
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).
Net impairment and restructuring charges in discontinued operations
Health Care Organization Revenue, Gross
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.
Increase (Decrease) in Inventories and Other Assets, Current
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.
Payments for Restructuring and Litigation Costs
Payments against reserves for restructuring charges and litigation costs and settlements
Payments against reserves for restructuring charges and litigation costs, which may include attorneys' fees and other litigation costs.
Payments to Acquire Property, Plant and Equipment for Continuing Operations
Purchases of property and equipment - continuing operations
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.
Construction of New and Replacement Hospitals
Construction of new and replacement hospitals
The cash outflow from construction costs to date on 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
Amendment Description
Proceeds from Sale of Marketable Securities Long-term Investments and Other Assets
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.
Amendment Flag
Distributions Received from Reclassification of Reserve Fund
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.
Proceeds from Interest Rate Swap Agreement
Proceeds from interest rate swap agreement
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.
Property Professional and General Liability Insurance Disclosure [Text Block]
PROPERTY AND PROFESSIONAL AND GENERAL LIABILITY INSURANCE
This element represent PROPERTY AND PROFESSIONAL AND GENERAL LIABILITY INSURANCE.
PROPERTY AND PROFESSIONAL AND GENERAL LIABILITY INSURANCE
Document and Entity Information
Long-term Debt Issue Costs [Member]
Long-term debt issuance costs
Represents the debt issue cost which has not yet been amortized.
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]
ACCOUNTS RECEIVABLE AND ALLOWANCE FOR DOUBTFUL ACCOUNTS
Investments and Other Noncurrent Assets [Table Text Block]
Schedule of investments and other assets
Tabular disclosure for investments and other noncurrent assets.
Long-term Investments and Other Assets [Abstract]
Investment and other assets
Summary of Significant Accounting Policies [Line Items]
Summary of significant accounting policies
Land Held-for-expansion, Long-term Receivables and Other Assets, Noncurrent
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.
Current Fiscal Year End Date
Schedule of Classification of Deferred Tax Assets and Liabilities [Table Text Block]
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.
Accounts receivable, less allowance for doubtful accounts ($380 at March 31, 2012 and $397 at December 31, 2011)
Accounts Receivable, Net, Current
Accounts receivable, net
Income Tax Reconciliation, Prior Year Income Taxes and Change in Deferred Taxes
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.
Deferred Tax Assets, Other Long-term Liabilities
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.
LOUISIANA
Louisiana
Investments and other assets
Deferred Tax Assets, 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.
Income Tax Expense (Benefit), Change in Valuation Allowance of Deferred Tax Assets and Other Tax Adjustments
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 Estimated Liabilities for Uncertain Tax Positions
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) Termination of Company Owned Life Insurance Policies
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.
Increase (Decrease) in Estimated Liabilities for Uncertain Tax Positions
Increase (decrease) in estimated liabilities for uncertain tax positions
Represents the increase (decrease) in estimated liabilities for uncertain tax positions resulted from audit settlements and the expiration of statutes of limitation.
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
Tax deficiency asserted by income tax authority
Alternative Minimum Tax Credit [Member]
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.
Operating Loss Carryforward, Limitation on Use, Measurement Period
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.
Document Period End Date
Operating Loss Carryforward, Limitation on Use, Percent of Shareholders
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, Maximum Change Increase in Ownership
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 s given period to enable the entity to utilize its operating loss carryforward without limitation.
Membership interest in Peoples Health Network (as a percent)
Membership Interest Percentage
Represents the percentage of membership interest in other entity who administers the operations of entity's subsidiary.
Number of Hospitals Operated by Subsidiaries
Represents the number of hospitals operated by subsidiaries of the entity.
Number of acute care hospitals operated by subsidiaries
Number of Reportable Segments
Number of reportable segments
Represents the number of reportable segments 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 of the entity.
Number of Licensed Beds in Hospitals Operated by Subsidiaries
Number of licensed beds in hospitals operated by subsidiaries
Represents the number of licensed beds in hospitals operated by subsidiaries.
Number of States in which Subsidiaries of Entity Operate Hospitals
Number of states in which subsidiaries of the entity operate hospitals
Represents the number of states in which subsidiaries of the entity operate hospitals.
Number of Hospitals Owned by Subsidiaries
Number of hospitals owned by subsidiaries
Represents the Number of hospitals owned by subsidiaries.
Number of Hospitals Leased by Subsidiaries from Third Parties
Number of hospitals owned by third parties and leased by subsidiaries
Represents the number of hospitals owned by third parties and leased by subsidiaries.
Number of States in which Subsidiaries Operate Hospitals
Number of states in which subsidiaries of the entity operate hospitals
Represents the number of states in which subsidiaries operate hospitals.
Number of Free Standing and Provider Based Diagnostic Imaging Centers and Ambulatory Surgery Centers Operated by Subsidiaries Excluding Classified in Discontinued Operations
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 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 Academic Medical Centers Operated by the Subsidiaries
Number of academic medical centers operated by subsidiaries
Represents the number of academic medical centers operated by subsidiaries.
SOUTH CAROLINA
South Carolina
Number of Free Standing and Provider Based Diagnostic Imaging Centers and Ambulatory Surgery Centers Operated by Subsidiaries
Number of free-standing and provider-based diagnostic imaging centers and ambulatory surgery centers operated by subsidiaries
Represents the number of free-standing and provider-based diagnostic imaging centers and ambulatory surgery centers operated by subsidiaries.
Number of Free Standing and Provider Based Diagnostic Imaging Centers and Ambulatory Surgery Centers Classified in Discontinued Operations
Number of free-standing and provider-based diagnostic imaging centers and ambulatory surgery centers classified in discontinued operations
Represents the number of free-standing and provider-based diagnostic imaging centers and ambulatory surgery centers not yet divested at that date that are classified in discontinued operations.
Number of Free Standing Emergency Department
Number of free-standing emergency department
Represents the number of free-standing emergency department.
TEXAS
Texas
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 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.
Number of Hospitals to which Segment of the Entity Provides Revenue Cycle Services
Minimum 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.
Core Services Segment [Member]
Core Services
Represents the Core Services a reportable segment of the entity.
Core Services and Other Segment [Member]
Hospital Operations and other
Represents the Core Services a reportable segment of the entity.
Conifer Segment [Member]
Conifer
Represents Conifer, a reportable segment of the entity.
Grant Date 4 November 2011 [Member]
Grant Date, November 4, 2011
Represents grant date of awards on November 4, 2011.
Grant Date, February 23, 2011
Represents grant date of awards on February 23, 2011.
Grant Date 23 February 2011 [Member]
Restricted Stock Units RSU Vested to Directors [Member]
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.
Adjusted Earnings before Interest Tax Depreciation and Amortization
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.
Health Care Organization Revenue Cycle and Patient Communications Service Revenue
Total Revenue
Amount of revenue recognized for providing services to revenue cycle management and patient communications, net of provisions for contractual allowances and discounts.
Adjusted Segment EBITDA [Abstract]
Adjusted EBITDA
Adjusted Earnings before Interest Tax Depreciation and Amortization [Abstract]
Adjusted EBITDA
Physician Receivables and Relocation Agreements, Current
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 and Group Coverage Guarantees, 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.
Disproportionate Share Hospital, Revenue 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.
Sublease Receivables, Current
Sublease receivables
Represents the sublease receivables which are due within one year as of the balance sheet date.
Share-based Compensation Arrangement by Share-based Payment Award by Grant Date Disclosure [Table Text Block]
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.
Schedule of Share-based Compensation Stock Options by Monetary Status and Employment Status [Table Text Block]
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 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.
Stock Incentive Plan 2008 [Member]
2008 Stock Incentive Plan
Represents 2008 Stock Incentive Plan which was approved by the shareholders at their 2008 annual meeting.
Schedule of Share-based Compensation, Arrangement by Share-based Payment Award, by Grant Date [Domain]
Represents the various grant dates.
Grant Date 25 February 2010 [Member]
Grant date, February 25, 2010
Represents grant date of awards on February 25, 2010.
Represents grant date of first awards on February 26, 2009.
Grant Date 26 February 2009 One [Member]
Grant date, February 26, 2009
Grant Date 26 February 2009 Two [Member]
Grant date, February 26, 2009
Represents grant date of second awards on February 26, 2009.
Grant Date 6 March 2008 [Member]
Grant date, March 6, 2008
Represents grant date of awards on March 6, 2008.
Grant Date 6 May 2010 [Member]
Grant date, May 6, 2010
Represents grant date of awards on May 6, 2010.
Grant Date 1 March 2007 [Member]
Grant date, March 1, 2007
Represents grant date of awards on March 1, 2007.
Grant Date Other [Member]
Grant date, Other grants
Represents other grant date of awards.
Schedule of Share-based Compensation, Arrangement by Share-based Payment Award, by Grant Date [Axis]
Represents pertinent disclosure based on the grant date of awards.
Share-based Compensation, Arrangement by Share-based Payment Award, Convertible in Number of Shares
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, Options Grant Date Disclosure [Abstract]
Information pertaining to the awards on the basis of grant date
Other intangible assets, accumulated amortization (in dollars)
Finite-Lived Intangible Assets, Accumulated Amortization
Accumulated Amortization
Share-based Compensation Arrangement by Share-based Payment Award, Options Aggregate Intrinsic Value [Abstract]
Aggregate Intrinsic Value
Share-based Compensation Arrangement by Share-based Payment Award, Options Weighted Average Remaining Life [Abstract]
Weighted Average Remaining Life
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Accumulated other comprehensive loss
Share-based Compensation, Arrangement by Share-based Payment Award, Options Grants in Period Number of Employees
Number of top employees to whom awards granted
Represents the number of top employees to whom options were granted during the reporting period.
ACCUMULATED OTHER COMPREHENSIVE LOSS
Share-based Compensation, Arrangement by Share-based Payment Award, Fair Value Assumptions Expected Forfeiture Rate
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 Early Exercise Threshold
Early exercise threshold gain (as a percent)
The early exercise threshold assumption that is used in valuing an option on its own shares.
Property and equipment, accumulated depreciation and amortization (in dollars)
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Accumulated depreciation and amortization
Share-based Compensation, Arrangement by Share-based Payment Award, Fair Value Assumptions Early Exercise Rate
Early exercise rate, gain (as a percent)
The early exercise rate assumption that is used in valuing an option on its own shares.
Exercise Price Range One [Member]
Range of Exercise Prices, $0.00 to $1.149
Represents information related to options for exercise prices per share of stock options outstanding and exercisable within the first range of prices.
Entity Well-known Seasoned Issuer
Exercise Price Range Six [Member]
Range of Exercise Prices, $28.76 and over
Represents information related to options for exercise prices per share of stock options outstanding and exercisable within the sixth range of prices.
Entity Voluntary Filers
Exercise Price Range Two [Member]
Range of Exercise Prices, $1.15 to $10.639
Represents information related to options for exercise prices per share of stock options outstanding and exercisable within the second range of prices.
Entity Current Reporting Status
Range of Exercise Prices, $10.64 to $13.959
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]
Entity Filer Category
Range of Exercise Prices, $13.96 to $17.589
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]
Entity Public Float
Exercise Price Range Five [Member]
Range of Exercise Prices, $17.59 to $28.759
Represents information related to options for exercise prices per share of stock options outstanding and exercisable within the fifth range of prices.
Entity Registrant Name
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, End of Period Options Exercisable [Abstract]
Options Exercisable
Entity Central Index Key
In-the-Money Options
In-The-Money Options Stock Options [Member]
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.
Out-of-the-Money Options
Out-of The Money Options Stock Options [Member]
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.
Employment Status [Axis]
Pertinent data describing the current employment status of an individual in relation to the entity.
Employment Status [Domain]
Information relating to the current employment status of an individual in relation to the entity.
Entity Common Stock, Shares Outstanding
Current employees
Represents the current employee of the entity.
Current Employee [Member]
Former employees
Represents the former employee of the entity.
Former Employee [Member]
Share-based Compensation Arrangement by Share-based Payment Award Options, Outstanding, Percentage
Percentage of awards outstanding
The percentage of a certain classification of awards in a stock based compensation plan to the total of a particular category of awards.
Share-based Compensation Arrangement by Share-based Payment Award Options, Outstanding, Percentage of Total
Percentage to the total of outstanding options
The percentage of a category of awards in stock based compensation plan to the total outstanding awards.
Time-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.
Performance-based Restricted Stock Units RSU [Member]
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.
Share-based Compensation Arrangement by Share-based Payment Award, Purchase Price of Common Stock Percent
Percentage of closing price at which shares are purchased by participant
Represents the purchase price expressed as a percentage of the fair market value of common stock.
Share-based Compensation Arrangement by Share-based Payment Award, Contribution by Eligible Employee Percent
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, Requisite Holding Period of Shares
Requisite holding period for shares issued under plan (in years)
Represents the requisite holding period for shares issued under plan.
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.
Employee Stock Purchase Plans Activity [Abstract]
Employee stock purchase plan activity
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
Weighted average price (in dollars per share)
Defined Contribution Plan, Employee Contribution Percentage Minimum
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 Maximum
Maximum employee contribution (as a percent of compensation)
The maximum annual employee contributions to the plan as a percentage of compensation.
Defined Contribution Plan, Requisite Working Period Per Year Minimum
Requisite working period per year, minimum (in hours)
Represents the minimum requisite working period per year to be eligible to receive any match from employer.
Defined Contribution Plan, Employer Matching Contribution before Reduction
Employer's matching contribution before reduction (as a percent)
Represents the employer's matching contribution to the plan before reduction.
Defined Contribution Plan, Employer Matching Contribution after Reduction
Employer's matching contribution after reduction (as a percent)
Represents the employer's matching contribution to the plan after reduction.
Document Fiscal Year Focus
Defined Benefit Plan, Expected Future Benefit Payments
Total
Represents the aggregate amount of the benefits expected to be paid in future years.
Document Fiscal Period Focus
Capital Expenditures Incurred but Not yet Paid, Current
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.
Time-based Stock Options [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.
Performance-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.
Common Stock Fair Value Per Share
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.
Defined Benefit Pension Plan Active Number
Number of active non-qualified defined benefit pension plans
Represents the number of active non-qualified defined benefit pension plans.
Defined Benefit Pension Plan Frozen Number
Number of frozen non-qualified defined benefit pension plans
Represents the number of frozen non-qualified defined benefit pension plans.
Defined benefit pension plans (SERPs)
Defined Benefit Pension Plans [Abstract]
Valuation Allowances and Reserves, Reserves of Businesses Sold
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.
Lease Termination Costs
Lease termination costs
Impairment charges relating to the termination of a lease.
Impairment Charge on Medical Office Buildings Sold
Impairment charge in connection with medical office buildings impaired in Florida
Represents the impairment charges related to medical office buildings sold.
Number of Medical Office Buildings Impaired
Number of medical office buildings impaired
Represents the number of medical office buildings impaired.
Severance Costs and Other Restructuring 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.
Document Type
Impairment Credits Related to Collection of Notes Receivable
Impairment credits related to the collection of notes receivables
Represents the impairment credits related to the collection of notes receivables.
Impairment Charge on Land and Buildings Related to Campus to be Replaced by New Campus in Next Year
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 Notes Receivable
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.
Lease and Other Costs and Employee Severance Related 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.
Employee Severance Related Costs and Other Estimated 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.
Cash Payments to be Applied Against Accruals Due within One Year
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 Thereafter
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.
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
Tabular disclosure of future long-term debt maturities and minimum operating lease payments.
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 6.5 percent senior notes, due 2012 issued by the reporting entity.
Debt Instrument 6.5 Percent, Senior Notes Due 2012 [Member]
6 1/2%, due 2012
7 3/8%, due 2013
Represents the 7.375 percent senior notes, due 2013 issued by the reporting entity.
Debt Instrument 7.375 Percent, Senior Notes Due 2013 [Member]
7.375% senior note due 2013
Additional paid-in capital
Additional Paid in Capital
9 7/8%, due 2014
Represents the 9.875 percent senior notes, due 2014 issued by the reporting entity.
Debt Instrument 9.875 Percent, Senior Notes Due 2014 [Member]
9.875% senior note due 2014
9 1/4%, due 2015
Represents the 9.25 percent senior notes, due 2015 issued by the reporting entity.
Debt Instrument 9.25 Percent, Senior Notes Due 2015 [Member]
9.25% senior notes due 2015
8%, due 2020
Represents the 8 percent senior notes, due 2020 issued by the reporting entity.
Debt Instrument 8 Percent, Senior Notes Due 2020 [Member]
8% senior note due 2020
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]
9%, due 2015
Represents the 9 percent senior notes, due 2015 issued by the reporting entity.
Debt Instrument 9 Percent, Senior Notes Due 2015 [Member]
9% senior notes due 2015
Debt Instrument 9 Percent, Senior Secured Notes Due 2015 [Member]
Represents the 9 percent senior secured notes, due 2015 issued by the reporting entity.
9%, due 2015
Debt Instrument 10 Percent, Senior Secured Notes Due 2018 [Member]
Represents the 10 percent senior secured notes, due 2018 issued by the reporting entity.
10%, due 2018
Debt Instrument, 8.875 Percent Senior Secured Notes Due 2019 [Member]
Represents the 8.875 percent senior secured notes, due 2019 issued by the reporting entity.
8 7/8%, due 2019
Debt Instrument 6.25 Percent, Senior Notes Due 2018 [Member]
6.25% senior notes due 2018
Represents the 6.25 percent senior notes, due 2018 issued by the reporting entity.
Credit Facility Due 2016 [Member]
Credit Facility due 2016
Represents the credit facility, due 2016 issued by the reporting entity.
Represents the 10 percent senior notes, due 2018 issued by the reporting entity.
Debt Instrument 10 Percent, Senior Notes Due 2018 [Member]
10% senior notes due 2018
Represents the 8.875 percent senior notes, due 2019 issued by the reporting entity.
Debt Instrument 8.875 Percent, Senior Notes Due 2019 [Member]
8.875% senior notes due 2019
Debt Instrument Variable Rate Base [Axis]
The alternative reference rates that may be used to calculate the variable interest rate of the debt instrument.
Debt Instrument Agreement Period [Axis]
Categorization of debt instrument agreement by types of period.
Amortization of debt discount and debt issuance costs
Amortization of Financing Costs and Discounts
Debt Instrument Variable Rate Base [Domain]
Identification of the reference rate that is used to calculate the variable interest rate of the debt instrument.
Debt Instrument Agreement Period [Domain]
Represents the types of period for debt instrument agreements.
Debt Instrument Variable Rate Base, Base Rate [Member]
Base rate
The base rate used to calculate the variable interest rate of the debt instrument.
Initial Six Months Period [Member]
Initial six months period
Represents the initial six-month period of credit agreement.
Period after Initial Six Months [Member]
Period after six months
Represents the period of credit agreement after the initial six-months.
Debt Instrument Variable Rate Base, LIBOR [Member]
LIBOR
The London Interbank Offered Rate (LIBOR) used to calculate the variable interest rate of the debt instrument.
Line of Credit Facility Subfacility for Standby Letters of Credit Maximum Available Capacity
Line of credit facility, subfacility maximum available capacity
Represents the maximum available capacity under the subfacility for standby letters of credit.
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.
Line of Credit Facility Acceleration Clause Percentage of Aggregate Notes Repaid
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 Period Prior to Maturity of Debt Instrument
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.
Debt Instrument Redemption Price as Percentage of Principal Amount
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.
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.
Debt Instrument Redemption with Net Proceeds from Equity Offerings as Percentage of Original Principal
Asset value as a percentage of consolidated net tangible assets for properties to be defined as principal property
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
Debt Instrument Covenants Threshold Limit for Secured Debt
Threshold limit for secured debt
Represents the threshold limit for the secured debt.
Represents the numerator of secured debt ratio for debt secured by a lien on par to the lien securing senior secured notes.
Debt Instrument Covenants Numerator of Secured Debt Ratio for Debt Secured by Lien on Par
Numerator 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
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.
Numerator of secured debt ratio
Debt Instrument Covenants Numerator of Secured Debt Ratio
Represents the numerator of secured debt ratio.
Debt Instrument Covenants Denominator of Secured Debt Ratio
Denominator of secured debt ratio
Represents the denominator of secured debt ratio.
Debt Instrument Covenants Threshold Limit for Secured Debt Secured by Lien on Par
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.
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.
Debt Instrument Covenants Secured Debt as Percentage of Consolidated Net Tangible Assets for Principal Properties
Line of Credit Facility Covenant Threshold Limit
Threshold limit of revolving credit facility
Represents the threshold limit for the line of credit facility.
Line of Credit Facility Covenant Unused Borrowing Availability Threshold Limit
Threshold limit of unused borrowing availability under the revolving credit facility
Represents the unused borrowing availability threshold limit for the line of credit facility.
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
Cash Interest Savings
Cash interest savings
Represents the cash interest savings from swap contract.
Maturities of Long-term Debt and Capital Lease Obligations [Abstract]
Lon-term debt, including capital lease obligations
Long-term Debt and Capital Lease Obligations Maturities, Repayments of Principal in Next Twelve Months
2012
Amount of long-term debt maturing within the next twelve months following the date of the latest balance sheet presented in the financial statements, which may include maturities of long-term debt, sinking fund requirements, capital lease obligations and other securities redeemable at fixed or determinable prices and dates.
Amount of long-term debt maturing in year two following the date of the latest balance sheet presented in the financial statements, which may include maturities of long-term debt, sinking fund requirements, capital lease obligations and other securities redeemable at fixed or determinable prices and dates.
Long-term Debt and Capital Lease Obligations Maturities, Repayments of Principal in Year Two
2013
Long-term Debt and Capital Lease Obligations Maturities, Repayments of Principal in Year Three
2014
Amount of long-term debt maturing in year three following the date of the latest balance sheet presented in the financial statements, which may include maturities of long-term debt, sinking fund requirements, capital lease obligations and other securities redeemable at fixed of determinable prices and dates.
Long-term Debt and Capital Lease Obligations Maturities, Repayments of Principal in Year Four
2015
Amount of long-term debt maturing in year four following the date of the latest balance sheet presented in the financial statements, which may include maturities of long-term debt, sinking fund requirements, capital lease obligations and other securities redeemable at fixed of determinable prices and dates.
Long-term Debt and Capital Lease Obligations Maturities, Repayments of Principal in Year Five
2016
Amount of long-term debt maturing in year five following the date of the latest balance sheet presented in the financial statements, which may include maturities of long-term debt, sinking fund requirements, capital lease obligations and other securities redeemable at fixed of determinable prices and dates.
Long-term Debt and Capital Lease Obligations Maturities, Repayments of Principal after Year Five
Later Years
Amount of long-term debt maturities after year five following the date of the latest balance sheet presented in the financial statements, which may include maturities of long-term debt, sinking fund requirements, capital lease obligations and other securities redeemable at fixed of determinable prices and dates.
Represents estimated future recoveries from accounts assigned to Conifer.
Estimated Future Recoveries from Accounts Assigned to Conifer
Estimated future recoveries from accounts assigned to our Conifer subsidiary
Net Cost Report Settlements Payable and Valuation Allowances
Net cost reports and settlements receivable (payable) and valuation allowances
Net cost report settlements payable and valuation allowances.
Disproportionate Share Hospital [Member]
Disproportionate Share Hospital
Represents Disproportionate Share Hospital payments.
Self-Pay Patients [Member]
Represents self-pay patients.
Self-Pay Patients
Self-pay after Insurance [Member]
Self-Pay Patients After Insurance
Represents self-pay patients after insurance.
Self Pay Uninsured Patients [Member]
Represents self-pay uninsured patients.
Self-pay uninsured patient
Charity Care Patients [Member]
Represents charity care patients.
Charity Care Patients
The estimate collection rate on accounts receivable at a specific point in time.
Estimated Collection Rate on Accounts Receivable
Collection rates on accounts receivable (as a percent)
Schedule of Repurchase of Common Stock [Table Text Block]
Tabular disclosure of common stock repurchases.
Schedule Of Repurchase Of Common Stock
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.
Stock Repurchase Program Expiration Date
Share repurchase program expiration date
Stock repurchase program expiration date.
Schedule of Stock Repurchase Program [Table]
Schedule reflecting activity in stock repurchase programs.
Stock Repurchase Program [Axis]
Stock repurchases by program.
Stock Repurchase Program [Domain]
Stock repurchase programs.
Publicly Announced Program [Member]
Represents the publicly announced share repurchase program.
Publicly Announced Program
Allowance for Doubtful Accounts Look-back Period Used as Basis for Estimate
Look-back period that is used as the basis for estimating the allowance for doubtful accounts (in months)
Represents the look-back period that is used as the basis for estimating the allowance for doubtful accounts.
Number of Eligible Class Members
Represents the number of eligible class members.
Number of eligible class members
Number of Persons in Class Action Lawsuits
Represents the number of persons in a class action lawsuits.
Number of persons in class action lawsuits
Number of Persons Identified in Class Certification Process
Represents the number of persons identified in class certification process.
Number of persons identified in class certification process
Number of Facilities
Represents the number of facilities.
Number of inpatient rehabilitation facilities
Fair market value adjustments related to interest rate swap and LIBOR cap agreements
Unrealized Gain (Loss) on Derivatives
Mark-to-market adjustments
Number of Hospitals under Medicare Claims Review
Number of hospitals under Medicare claims review
Represents the number of hospitals under Medicare claims review.
Memorial Medical Center [Member]
Memorial Medical Center
Represents information about litigation related to Memorial Medical Center.
Lindy Boggs [Member]
Class Action Hurricane Katrina-related lawsuits
Represents information about litigation related to Lindy Boggs.
Ordinary Course Matters [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.
Individual Hurricane Katrina Related Lawsuits [Member]
Individual Hurricane Katrina-related lawsuits
Represents the information pertaining to individual Hurricane Katrina-related lawsuits.
Shareholder Suits [Member]
Shareholder Suits
Represents information about litigation related to shareholder suits.
Governmental Reviews [Member]
Governmental Reviews
Represents information about litigation related to shareholder suits.
Pending Wage and Hour Actions [Member]
Pending Wage and Hour Actions
Represents information about litigation related to pending wage and hour actions.
Meadowcrest Hospital and Kenner Regional Medical Center [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.
Capacity to Treat Patients on Outpatient Basis
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.
Legal Costs and Transfers, Other
Represents other legal costs and transfers.
Other
Effect of Dilutive Stock Options, Restricted Stock Units and Mandatory Convertible Preferred Stock, Per Share Amount
Effect of dilutive stock options, restricted stock units and mandatory convertible preferred stock, per-share amount.
Effect of diluted stock options and restricted stock units and mandatory convertible preferred stock (Per-Share)
Diagnostic Imaging Center [Member]
Represents information about diagnostic imaging centers.
Diagnostic Imaging Center
Oncology Center
Oncology Center [Member]
Represents information oncology centers.
Physician Practice Entity [Member]
Physician Practice Entity
Represents information about physician practice entities.
Outpatient Center [Member]
Outpatient centers
Represents information about outpatient centers.
Other Diagnostic Imaging Center [Member]
Other diagnostic imaging center
Represents information about other diagnostic imaging centers.
Ambulatory Surgery Centers [Member]
Ambulatory Surgery Centers
Represents information about ambulatory surgery centers.
Other Ambulatory Surgery Centers [Member]
Other ambulatory Surgery Centers
Represents information about other ambulatory surgery centers.
Acquisitions 2010 [Member]
Acquisitions, 2010
Represents the acquisition of various centers in 2010.
Business Acquisition, Purchase Price Allocation, Redeemable Noncontrolling Interests in Equity of Consolidated Subsidiaries
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, Noncontrolling Interests
The amount of acquisition costs of a business combination allocated to noncontrolling Interests.
Noncontrolling interests
Income Guarantee [Member]
Represents the income guarantee agreements provided to certain physicians.
Income Guarantee
Guaranteed Minimum Rent [Member]
Guaranteed Minimum Rent
Guaranteed minimum rent [Member].
Income and Revenue Collection Guarantee [Member]
Represents the income and revenue collection guarantees.
Income and Revenue Collection Guarantee
Commitment Period
Commitment period (in years)
Represents the commitment period.
Guarantee Obligation, Period
Guarantee obligation period (in months/years)
Represents the period of the guarantee.
Guarantee Obligations for Recorded Liabilities
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.
Receivables, Trade and Other Accounts Receivable Allowance for Doubtful Accounts [Policy 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.
Accruals for General and Professional Liability Risks [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.
Electronic Health Record Incentives [Policy Text Block]
Electronic Health Record Incentives
Disclosure of accounting policy for electronic health record incentives.
Description of Business
Description of Business [Abstract]
Electronic Health Record Incentives [Abstract]
Electronic Health Record Incentives
Number of Critical Access Hospitals Operated by Subsidiaries
Number of critical access hospitals operated by subsidiaries
Represents the number of critical access hospitals operated by subsidiaries.
Number of Hospitals, Classified in Discontinued Operations
Represents the number of hospitals not yet divested at that date that is classified in discontinued operations.
Number of hospitals classified in discontinued operations
Number of Licensed Beds in Hospitals Operated by the Subsidiaries
Number of licensed beds in hospitals operated by subsidiaries
Represents the number of licensed beds in hospitals operated by the subsidiaries.
Medicare and Medicaid Net Patient Revenue [Abstract]
Medicare and Medicaid net patient revenue
Cost Report Filing Period after end of Annual Cost Reporting Period
Cost report filing period after end of annual cost reporting period (in months)
Represents the cost report filing period after the end of the annual cost reporting period.
Increase in Revenue Due to Adjustments for Prior Year Cost Reports and Related Valuation Allowances
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.
Percentage of Medicaid Incentive Payments Federally Funded
Percentage of Medicaid incentive payments federally funded
Represents the percentage of Medicaid incentive payments federally funded.
Incentive Payments for Technology Certification
Incentive payments for technology certification
Revenue recognized from Medicaid hospital and physicians incentive payments for technology certification.
Cash and Cash Equivalents, Maturity Period
Cash equivalents maximum maturity period (in months)
Represents the maximum period for maturity of cash and cash equivalents.
Cash and Cash Equivalents Related to Captive Insurance Subsidiaries
Cash and cash equivalents related to captive insurance subsidiaries
Represents the cash and cash equivalents related to captive insurance subsidiaries.
Repatriated Cash from 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.
Provision for Doubtful Accounts [Abstract]
Provision for Doubtful Accounts
Provision for Doubtful Accounts Look-back Period
Represents the look-back period of provision for doubtful accounts.
Provision for doubtful accounts look-back period (in months)
Property, Plant and Equipment Additions Minimum Useful Life
Minimum useful life of additions and improvements to property and equipment (in years)
Represents the minimum useful life of additions and improvements to property and equipment.
Accruals for General and Professional Liability Risks
Accruals for General and Professional Liability Risks [Abstract]
Segment reporting
Segment Reporting Disclosure [Abstract]
Number of Business Lines
Number of business lines
Represents the number of business lines.
Percentage of Net Operating Revenues Generated by General Hospitals
Percentage of net operating revenues generated by general hospitals
Represents the percentage of net operating revenues generated by general hospitals.
North Shore Regional Medical Center [Member]
NorthShore
Represents the information pertaining to NorthShore Regional Medical Center.
Increase (Decrease) in Long Lived Assets Estimated Fair Value
Increase (decrease) in long-lived assets estimated fair value
Represents the change in long-lived assets estimated fair value.
Litigation Settlements Net of Insurance Recoveries
Expense related to the settlement of lawsuits
Represents the expense related to the settlement of lawsuits.
Accounts receivable, allowance for doubtful accounts (in dollars)
Allowance for Doubtful Accounts Receivable, Current
Number of Lawsuits
Number of lawsuits
Represents the number of class action lawsuits.
Preferred Stock and other Securities held by Captive Insurance Subsidiaries
Preferred stock and other securities held by captive insurance subsidiaries
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.
Estimated Fair Value of Debt Instrument as Percentage of Carrying Value
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.
Un-solicited Proposal Cash Per Share
Unsolicited proposal cash per share (in dollars per share)
Represents the unsolicited proposal cash per share for acquisition of all outstanding shares of entity.
Allowance for Doubtful Accounts [Member]
Allowance for doubtful accounts
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
Number of candidates nominated for election to entity's board of directors
Corporate Integrity Agreement Term
CIA term (in years)
Represents the term of corporate integrity agreement.
Loss Contingency, Number of Inpatient Rehabilitation Facilities for Examine Limited Sample of Patient Files
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 Hospital Where Persons Injured
Number of hospitals where persons were injured
Represents the number of hospital where persons injured.
Period for Use of EHR Technology to Become Eligible for Annual Medicare Incentive Payments
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
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]
Property, Plant and Equipment Additions, Minimum Value
Minimum value for additions and improvements to property and equipment
Additions and improvements to property and equipment costing $500 or more are capitalized.
Net Impairment and Restructuring Cost [Table]
Information pertaining to net impairment and restructuring charges.
Summary of Significant Accounting Policies [Table]
Information related to various accounting policies of the entity.
Net Impairment and Restructuring Charges by Type [Axis]
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 [Domain]
Type of asset for which a net impairment charge was recorded and type of restructuring charge.
Buildings and Equipment of Previously Impaired Hospital [Member]
Buildings and equipment of previously impaired hospital
Represents buildings and equipment of a previously impaired hospital.
Lease Termination Costs [Member]
Represents the charge for lease termination costs.
Lease termination costs
Other Related Net Impairment and Restructuring Charges [Member]
Represents the charge for other related net impairment and restructuring charges.
Other related costs
Buildings and Equipment and Other Long-lived Assets [Member]
Represents buildings, equipment, and other long-lived assets of a previously impaired hospital.
Buildings, equipment, and other long-lived assets of previously impaired hospital
Medical Office Buildings Sold in Florida [Member]
Represents medical office buildings sold in Florida.
Medical office buildings sold in Florida
Medical Office Buildings Sold in Texas [Member]
Medical office buildings sold in Texas
Represents medical office buildings sold in Texas.
Accelerated Stock-based Compensation Costs [Member]
Accelerated stock-based compensation costs
Represents the accelerated stock-based compensation costs.
Employee Severance and Other Related Costs [Member]
Employee severance and other related costs
Represents employee severance and other related costs.
Note Receivable from Buyer of Previously Divested Hospital [Member]
Note receivable from buyer of previously divested hospital
Represents the note receivable from owed from a buyer of a previously divested hospital.
Land and Buildings at Campus Scheduled for Relocation [Member]
Land and buildings at campus scheduled for relocation
Represents land and buildings at a campus scheduled for relocation.
Other Assets Related to Option Purchase Real Property [Member]
Represents other assets related to an option to purchase certain real property.
Other assets related to option to purchase real property
Impairment and Restructuring [Line Items]
Impairment and restructuring
Insurance Coverage [Table]
Insurance coverage used by the entity to manage financial risk
Insurance Policy by Type [Axis]
Information about insurance policies held by type.
Insurance Policy Period [Axis]
Information about insurance policies held by the policy period.
Insurance Coverage Limit Per Occurrence
Represents the insurance coverage limit per occurrence.
Insurance coverage limit
Insurance Coverage Per Occurrence Excluding Floods Earthquakes and Windstorms
Represents the insurance coverage limit per occurrence excluding floods, earthquakes, and windstorms.
Insurance coverage limit per occurrence excluding floods, earthquakes, and windstorms
Insurance Coverage Aggregate Sub-limits for Floods and Earthquakes
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
Flood Earthquake and Windstorm Insurance Deductible, Minimum
Minimum amount of risk retained by the entity before the insurance arrangement begins to provide coverage.
Deductible for general claims (as a percent)
Insurance Coverage Tier 1 Percent Reinsured
Insurance coverage, percent reinsured (as a percent)
Represents the percentage of the first tier of insurance coverage that is reinsured by the entity's captive subsidiary.
Insurance Coverage Tier 1 Percent Retained
Insurance coverage, percent retained (as a percent)
Represents the percentage of the first tier of insurance coverage that is retained by the entity's captive subsidiary.
Insurance Coverage Tier 2 Additional to Aggregate Coverage
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 1 Maximum Amount 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 Amount
Represents the amount of the first tier of insurance coverage.
Insurance coverage, first tier
Earthquake Fault Insurance Deductible, Maximum
Maximum amount of risk retained by the entity before the insurance arrangement begins to provide coverage.
Other specific claims, maximum coverage
Other Covered Loss Insurance Deductible
Amount of risk retained by the entity before the insurance arrangement begins to provide coverage.
Other covered claims, minimum deductible
Earthquake Fault Insurance Deductible, Minimum
Minimum amount of risk retained by the entity before the insurance arrangement begins to provide coverage.
Deductible for other specific claims (as a percent)
Flood Earthquake and Windstorm Insurance Deductible, Maximum
Maximum amount of risk retained by the entity before the insurance arrangement begins to provide coverage.
General claims, maximum coverage
Insurance Coverage Per Occurrence Sub-limits for Windstorms
Represents the per-occurrence sub-limit for windstorms covered under insurance policies.
Per-occurrence sub-limit for windstorms covered under insurance policies
Insurance Policy by Type [Domain]
Type of insurance policy held.
Insurance Policy Period [Domain]
Policy period for insurance policy held.
Property Insurance Policies [Member]
Represents the property insurance policies held.
Property Insurance
April 2009 Through March 2010 [Member]
April 1, 2009 through March 31, 2010
Represents the policy period of April 1, 2009 through March 31, 2010.
April 2010 Through March 2011 [Member]
April 1, 2010 through March 31, 2011
Represents the policy period of April 1, 2010 through March 31, 2011.
April 2010 Through March 2013 [Member]
April 1, 2010 through March 31, 2013
Represents the policy period of April 1, 2010 through March 31, 2013.
April 2011 Through March 2012 [Member]
April 1, 2011 through March 31, 2012
Represents the policy period of April 1, 2011 through March 31, 2012.
June 2010 Through May 2011 [Member]
June 1, 2010 through May 31, 2011
Represents the policy period of June 1, 2010 through May 31, 2011.
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.
June 1, 2009 Through May 31, 2010 [Member]
June 1, 2009 through May 31, 2010
Represents the policy period of June 1, 2009 through May 31, 2010.
June 1 2008 Through May 31 2009 [Member]
June 1, 2008 through May 31, 2009
Represents the policy period of June 1, 2008 through May 31, 2009.
Professional and General Liability Insurance Policies [Member]
Represents the professional and general liability insurance policies held.
Professional and General Liability Insurance
Insurance Coverage [Line Items]
Insurance coverage
Discount Rate Term
Represents the term of the discount rate.
Term of discount rate (in years)
Malpractice Insurance Self Insured Hospital Status
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 Captive Subsidiary 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
Insurance Coverage Tier 1 Additional to Aggregate Self Coverage
Represents the first tier of insurance coverage after the aggregate self-coverage.
Insurance coverage, additional to aggregate self coverage
Aggregate Self Insurance Retention Per Occurrence
Aggregate self-insurance retention per occurrence.
Aggregate self-insurance retentions per occurrence
EMPLOYEE BENEFIT PLANS
Disclosure of Compensation Related Costs Share-based Payments and Defined Contribution Post Retirement Plan [Text Block]
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.
Schedule of Net Benefit Costs and Assumptions Used for Net Periodic Benefit Costs [Table Text Block]
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
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights 1
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 Payments Employee Level [Axis]
Pertaining to the different level of employees of the entity.
Share-based Payments Employee Level [Domain]
Represents the details of the different employment levels at the entity.
Top Employees
Top Level Employees [Member]
Represents the top level employees.
Share-based Compensation Arrangement by Share-based Payment Award, Portion of Award Subject to Certain Conditions
Represents the percentage of the awards granted subject to certain conditions.
Portion of awards vesting
Schedule of Share-based Compensation Arrangement by Share-based Payment Award, Award Monetary Value [Domain]
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 [Axis]
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, Vesting Type [Axis]
Pertinent data describing and reflecting required disclosures pertaining to an equity-based compensation arrangement, by vesting type.
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.
Employee Stock Purchase Plans [Abstract]
Employee Stock Purchase Plan
Electronic Health Record Incentives
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.
Litigation and Investigation Costs
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.
Reduction in reserves
Income Tax Benefit Due to Reduction of Liabilities for Uncertain Tax Positions
Current tax benefit due to reduction of 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, 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.
Income Tax Benefit Due to Reduction of Liabilities for Uncertain Tax Positions, Discontinued 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.
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.
Unrecognized Tax Benefits Income Tax Penalties and Interest Expense to Continuing Operations
Uncertain tax positions, interest and penalties related 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 discontinued operations.
Unrecognized Tax Benefits Income Tax Penalties and Interest Expense to Discontinued Operations
Uncertain tax positions, interest and penalties related to discontinued operations
Convertible Preferred Stock Conversion Obligation, Common Stock Closing Sales Price Number of Trading Days
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 Principal Amount Denominator for Conversion into Common Stock
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.
Electronic Health Record Incentives 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.
Supplemental California Medical Payment Receivable, Current
Supplemental California Medi-Cal payment receivable
Represents the supplemental California Medi-Cal payment which is due within one year as of the balance sheet date.
Supplemental Medi-Cal payment receivable
Supplemental Medical Payment Receivable, Current
Represents the supplemental Medi-Cal payment which is due within one year as of the balance sheet date.
Number of Hospitals which have Received Information Requests
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
Hospital Related Tort Claim [Member]
Hospital-Related Tort Claim
Represents information about hospital-related tort claims involving the entity.
Multiplier of Amount of Punititive Award for Compensatory Awards
Multiplier of amount of punititive 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 Punititive Award for Substantial Compensatory Awards
Multiplier of amount of punititive 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.
Managed Care Patients [Member]
Managed Care Patients
Represents managed care patients.
Allowance for Doubtful Accounts as Percent of Accounts Receivable
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
Debt Instrument 6.25 Percent, Senior Secured Notes Due 2018 [Member]
Represents the 6.25 percent senior secured notes, due 2018 issued by the reporting entity.
6.25%, due 2018
Ancillary Health Care Businesses by Type [Axis]
Information pertaining to the type of ancillary health care businesses of the entity.
Ancillary Health Care Businesses by Type [Domain]
Type of ancillary health care businesses.
Loss Contingency Damages Awarded Value Compensatory
Compensatory damages awarded to plaintiff
Amount of compensatory damages awarded to the plaintiff in the legal matter.
Loss Contingency Damages Awarded Value Punitive
Punitive damages awarded to plaintiff
Amount of punitive damages awarded to the plaintiff in the legal matter.
Number of Lawsuits in which Entity is Defendant
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 Active and Divested Inpatient Hospitals and Units
Represents the number of active and divested inpatient hospitals related to inpatient rehabilitation admissions.
Number of active and divested inpatient hospitals and units
Creighton University Medical Center [Member]
Creighton University Medical Center (CUMC)
Represents information related to Creighton University Medical Center (CUMC).
Disposal Group Including Discontinued Operation Working Capital
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 Noncash Impairment Charges before Tax
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 after Tax
Non-cash impairment charge (after tax and after noncontroling 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.
Self Pay Accounts Balance
Self-pay write-offs
Represents the balance of self-pay write-offs, including uninsured and balance after insurance accounts.
Self Pay Accounts Period Increase (Decrease)
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.
Capital Expenditure
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.
Adjusted Earnings before Interest Tax Depreciation and Amortization Total
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 Income Tax
Income before income taxes
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 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.
Summary of adjusted segments proforma EBITDA
Tabular disclosure of adjusted segments proforma earnings before interest tax and depreciation and amortization.
Schedule of Adjusted Proforma Earnings before Interest Tax Depreciation and Amortization [Table Text Block]
Loss Contingency, Damages Awarded Previously Value Punitive
Previously awarded punititive damages
Amount of punitive damages previously awarded to the plaintiff in the legal matter.
Asset Impairment Charges
Impairments of long-lived assets
Other Asset Impairment Charges
Impairment charges for write downs of other assets
Asset Retirement Obligations, Policy [Policy Text Block]
Asset Retirement Obligations
Assets held for sale
Assets Held-for-sale, Current
CONDENSED CONSOLIDATED BALANCE SHEETS
Total assets
Assets of Disposal Group, Including Discontinued Operation
Total earnings (loss) per share, Basic (in dollars per share)
Earnings Per Share, Basic
Aggregate purchase price of acquisitions
Business Acquisition, Cost of Acquired Entity, Purchase Price
Business Acquisition, Purchase Price Allocation, Amortizable Intangible Assets
Other intangible assets
Business Acquisition, Purchase Price Allocation, Current Assets
Current assets
Business Acquisition, Purchase Price Allocation, Current Liabilities
Current liabilities
Business Acquisition, Purchase Price Allocation, Goodwill Amount
Goodwill
Business Acquisition, Purchase Price Allocation, Noncurrent Liabilities
Long-term liabilities
Business Acquisition, Purchase Price Allocation, Property, Plant and Equipment
Property and equipment
Business Acquisition [Axis]
Business Acquisition, Acquiree [Domain]
Business Acquisition [Line Items]
Business Acquisition
Schedule of Business Acquisitions, by Acquisition [Table]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Cash and cash equivalents at beginning of period
Cash and cash equivalents at end of period
Cash and Cash Equivalents, Policy [Policy Text Block]
Cash and Cash Equivalents
Purchases of businesses or joint venture interests
Payments to Acquire Businesses, Gross
Proceeds from Sale of Other Assets
Cash proceeds from disposal of owned assets
Cash Surrender Value of Life Insurance
Cash surrender value of life insurance policies
Interest paid, net of capitalized interest
Interest Paid, Net
Accounts payable, accrued expenses and other current liabilities
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Accounts receivable
Increase (Decrease) in Accounts Receivable
Valuation Allowance, Deferred Tax Asset, Change in Amount
Reduction in valuation allowance against deferred tax assets
Income taxes
Increase (Decrease) in Income Taxes Receivable
Changes in cash from operating assets and liabilities:
Increase (Decrease) in Operating Capital [Abstract]
CLAIMS AND LAWSUITS
Commitments and Contingencies Disclosure [Text Block]
Common stock, authorized shares
Common Stock, Shares Authorized
Common stock, shares issued
Common Stock, Shares, Issued
Common stock, $0.05 par value; authorized 1,050,000,000 shares; 551,631,747 shares issued at March 31, 2012 and 551,468,550 shares issued at December 31, 2011
Common Stock, Value, Issued
Current Income Tax Expense (Benefit), Continuing Operations [Abstract]
Current tax expense (benefit):
Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract]
Deferred tax expense (benefit):
Components of Deferred Tax Assets and Liabilities [Abstract]
Components of deferred tax assets and liabilities
Components of Income Tax Expense (Benefit), Continuing Operations [Abstract]
Provision for income taxes for continuing operations
Comprehensive income attributable to Tenet Healthcare Corporation common shareholders
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
ACCUMULATED OTHER COMPREHENSIVE LOSS
Comprehensive Income (Loss) Note [Text Block]
Computer Software, Intangible Asset [Member]
Capitalized software costs
Convertible Preferred Stock, Shares Issued upon Conversion
Shares issued upon conversion
Convertible Preferred Stock [Member]
Convertible Preferred Stock
Costs Associated with Exit or Disposal Activities or Restructurings, Policy [Policy Text Block]
Costs Associated With Exit or Disposal Activities
Current Federal Tax Expense (Benefit)
Federal
Current Income Tax Expense (Benefit)
Total
Total current liabilities