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Goodwill and Other Intangible Assets (Goodwill Narrative) (Details) (USD $)
In Thousands, unless otherwise specified
Mar. 31, 2013
Dec. 31, 2012
Goodwill [Line Items]    
Goodwill $ 4,408,362 $ 4,408,138
Hospital operations [Member]
   
Goodwill [Line Items]    
Goodwill 4,300,000  
Home Care Agency Operations Reporting Unit [Member]
   
Goodwill [Line Items]    
Goodwill 40,500  
Hospital Management Services Reporting Unit [Member]
   
Goodwill [Line Items]    
Goodwill $ 33,300