XML 57 R100.htm IDEA: XBRL DOCUMENT v2.4.0.6
Commitments and Contingencies (Details Textual) (USD $)
In Millions, unless otherwise specified
5 Months Ended 12 Months Ended 17 Months Ended 24 Months Ended 36 Months Ended
May 31, 2002
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Dec. 31, 2007
May 31, 2003
May 31, 2005
Dec. 31, 2007
Jan. 22, 2008
Oct. 04, 2007
Hospital
Commitments and Contingencies (Textual) [Abstract]                    
Amount expended through December 31, 2011   $ 247.8                
Commitments and Contingencies Additional (Textual) [Abstract]                    
Number of New Mexico hospitals violated the norms under Federal False Claims Act                   3
Civil Division notified that hospitals received ineligible federal participation payments                 27.5  
Minimum time period of long term purchase commitment   5 years                
Maximum time period of long term purchase commitment   7 years                
Commitment amount spend for capital improvements equipment selected leases and physician recruiting   652.5                
Income guarantee period   12 months                
Period to fulfill physician recruiting commitments   3 years                
Potential future payment in excess of liability   27.4                
Actuarially determined projections period   20 years                
Weighted-average risk-free rate   1.20% 1.30% 1.40%            
Estimated self insured professional and general liability claims   567.8 489.2              
Estimated undiscounted claims   595.7 513.2              
Current portion of self insured professional and general liability claims   98.1 82.9              
Self-insured retention level for professional liability claims 0.5         2.0 4.0 5.0    
Maximum self insured retention per claim   10     10          
Sum of excess coverage insurance layers per occurrence and in the aggregate   95 145              
Period to intervene and to act as plaintiff by government   60 days                
Requested shorter period of time   90 days                
Maximum [Member]
                   
Commitments and Contingencies (Textual) [Abstract]                    
Average Lag Period between Claim Occurrence and Payment of Final Settlement   5 years                
Claims settled as percentage of liability   1.00%                
Amount of Triad claims insured through its wholly owned subsidiary after a specific date   5                
Minimum [Member]
                   
Commitments and Contingencies (Textual) [Abstract]                    
Average Lag Period between Claim Occurrence and Payment of Final Settlement   4 years                
Amount of Triad claims insured through its wholly owned subsidiary after a specific date   1                
Reuille [Member]
                   
Commitments and Contingencies (Textual) [Abstract]                    
Period of stay in litigation   180 days                
Additional Period of stay in litigation   180 days                
California [Member]
                   
Commitments and Contingencies (Textual) [Abstract]                    
Estimated construction cost   73.5                
Amount expended through December 31, 2011   49.3                
Valparaiso [Member]
                   
Commitments and Contingencies (Textual) [Abstract]                    
Estimated construction cost   208.7                
Amount expended through December 31, 2011   137.0                
Siloam Springs [Member]
                   
Commitments and Contingencies (Textual) [Abstract]                    
Estimated construction cost   35.0                
Amount expended through December 31, 2011   24.0                
Birmingham [Member]
                   
Commitments and Contingencies (Textual) [Abstract]                    
Estimated construction cost   280.0                
Amount expended through December 31, 2011   $ 3.5