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Recent Accounting Pronouncements (Details) (USD $)
In Millions
3 Months Ended 6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2011
Jun. 30, 2010
Charity Care [Abstract]        
Estimated cost incurred patients unable to pay $ 28.0 $ 25.3 $ 54.1 $ 50.8
Charity Care, Methodology     The estimated cost of these charity care services was determined using a ratio of cost to gross charges and applying that ratio to the gross charges associated with providing care to charity patients for the period  
Professional Liability Balance Sheet Disclosure [Abstract]        
Increase in the other current assets 2.5   2.5  
Increase in the other assets 41.1   41.1  
Increase in the long term liabilities $ 43.6   $ 43.6