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Equity Investments (Details Textual) (USD $)
3 Months Ended
Mar. 31, 2012
Mar. 31, 2011
Dec. 31, 2011
Additional Equity Investments (Textual) [Abstract]      
Total company's investment $ 431,900,000   $ 422,200,000
Income from equity methods investments $ 12,013,000 $ 18,134,000  
Four Hospitals in Las Vegas, Nevada [Member]
     
Equity Investments (Textual) [Abstract]      
Company owned equity interests 27.50%    
One Hospital in Las Vegas, Nevada [Member]
     
Equity Investments (Textual) [Abstract]      
Company owned equity interests 26.10%    
Three Hospitals in Macon Georgia, [Member]
     
Equity Investments (Textual) [Abstract]      
Company owned equity interests 38.00%