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Acquisitions and Divestitures (Tables)
6 Months Ended
Jun. 30, 2011
Acquisitions and Divestitures [Abstract]  
Net operating revenues and income from discontinued operations
                                 
    Three Months Ended     Six Months Ended  
    June 30,     June 30,  
    2011     2010     2011     2010  
Net operating revenues
  $ 68,479     $ 90,378     $ 140,563     $ 182,448  
 
                       
 
                               
Income (loss) from operations of entities sold and held for sale before income taxes
    392       (3,232 )     (2,280 )     (1,994 )
Impairment of hospitals held for sale
    (38,600 )           (51,695 )      
Loss on sale
                (5,061 )      
 
                       
Loss from discontinued operations, before taxes
    (38,208 )     (3,232 )     (59,036 )     (1,994 )
Income tax expense (benefit)
    1,119       (1,195 )     (6,429 )     (596 )
 
                       
Loss from discontinued operations, net of taxes
  $ (39,327 )   $ (2,037 )   $ (52,607 )   $ (1,398 )