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Equity Investments (Details Textual) (USD $)
3 Months Ended 6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2011
Jun. 30, 2010
Dec. 31, 2010
Additional Equity Investments (Textuals) [Abstract]          
Total company's investment $ 421,000,000   $ 421,000,000   $ 409,500,000
Income from equity methods investments $ 12,017,000 $ 10,980,000 $ 30,151,000 $ 23,570,000  
Four Hospitals in Las Vegas, Nevada [Member]
         
Equity Investments (Textuals) [Abstract]          
Company owned equity interests 27.50%   27.50%    
One Hospital in Las Vegas, Nevada [Member]
         
Equity Investments (Textuals) [Abstract]          
Company owned equity interests 26.10%   26.10%    
Three Hospitals in Macon Georgia, [Member]
         
Equity Investments (Textuals) [Abstract]          
Company owned equity interests 38.00%   38.00%