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Basis of Presentation and Significant Accounting Policies (Tables)
 12 Months Ended
Dec. 31, 2012
Basis of Presentation and Significant Accounting Policies [Abstract]  
Schedule of Operating Revenues, Net of Contractual Allowances and Discounts (But Before the Provision for Bad Debts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year Ended December 31,

 

2012

 

2011

 

2010

Medicare

$
3,955,235 

 

$
3,654,247 

 

$
3,464,117 

Medicaid

 
1,455,650 

 

 
1,318,756 

 

 
1,345,315 

Managed Care and other third-party payors

 
7,629,416 

 

 
7,014,519 

 

 
6,359,322 

Self-pay

 
1,947,878 

 

 
1,638,646 

 

 
1,454,520 

Total

$
14,988,179 

 

$
13,626,168 

 

$
12,623,274 

 

Schedule of Accumulated Other Comprehensive Income (Loss)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Change in Fair Value of Interest Rate Swaps

 

 

Change in Fair Value of Available for Sale Securities

 

 

Change in Unrecognized Pension Cost Components

 

 

Accumulated Other Comprehensive Income (Loss)

Balance as of December 31, 2010

 

$
(217,936)

 

$
2,536 

 

$
(15,527)

 

$
(230,927)

2011 activity, net of tax

 

 
55,145 

 

 
(960)

 

 
(7,737)

 

 
46,448 

Balance as of December 31, 2011

 

 
(162,791)

 

 
1,576 

 

 
(23,264)

 

 
(184,479)

2012 activity, net of tax

 

 
46,409 

 

 
3,012 

 

 
(10,252)

 

 
39,169 

Balance as of December 31, 2012

 

$
(116,382)

 

$
4,588 

 

$
(33,516)

 

$
(145,310)