XML 105 R119.htm IDEA: XBRL DOCUMENT v2.4.0.8
Commitments and Contingencies (Professional Liability Claims Narrative) (Details) (USD $)
In Millions, unless otherwise specified
12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Malpractice Insurance [Line Items]      
Malpractice loss contingency, historical claims period used by actuary to estimate liability 20 years    
Malpractice Loss Contingency, Discount Rate 1.60% 1.20% 1.20%
Malpractice Loss Contingency, Accrual, Discounted $ 643.9 $ 621.7  
Malpractice Loss Contingency, Accrual, Undiscounted 686.9 649.4  
Malpractice Loss Contingency, Accrual, Discounted, Current 104.4 106.9  
Professional and general liability self-insured claims reported prior to June 1, 2002, per occurrence [Member]
     
Malpractice Insurance [Line Items]      
Malpractice loss contingency, self-insured retention 0.5    
Professional and general liability self-insured reported from June 1, 2002 through June 1, 2003, per occurrence [Member]
     
Malpractice Insurance [Line Items]      
Malpractice loss contingency, self-insured retention 2.0    
Professional and general liability self-insured reported from June 1, 2003 and before June 1, 2005, per occurrence [Member]
     
Malpractice Insurance [Line Items]      
Malpractice loss contingency, self-insured retention 4.0    
Professional and general liability self-insured claims reported on or after June 1, 2005, per occurrence [Member]
     
Malpractice Insurance [Line Items]      
Malpractice loss contingency, self-insured retention 5.0    
Professional and general liability claims reported on or after June 1, 2003 [Member]
     
Malpractice Insurance [Line Items]      
Malpractice Insurance, Maximum Coverage Per Incident 95.0    
Professional and general liability claims incurred and reported after January 1, 2008 [Member]
     
Malpractice Insurance [Line Items]      
Malpractice Insurance, Maximum Coverage Per Incident 145.0    
Professional and general liability claims incurred and reported after January 1, 2010 [Member]
     
Malpractice Insurance [Line Items]      
Malpractice Insurance, Maximum Coverage Per Incident 195.0    
Professional and general liability self-insured claims under certain policy terms until Company total aggregate coverage is met if first aggregate layer becomes fully utilized [Member]
     
Malpractice Insurance [Line Items]      
Malpractice loss contingency, self-insured retention 10.0    
Triad professional and general liability self-insured claims during 2007 [Member]
     
Malpractice Insurance [Line Items]      
Malpractice loss contingency, self-insured retention 10.0    
Minimum [Member]
     
Malpractice Insurance [Line Items]      
Malpractice loss contingency, average lag period from occurence to settlement 4 years    
Minimum [Member] | Triad professional and general liability self-insured claims after December 31, 2006 [Member]
     
Malpractice Insurance [Line Items]      
Malpractice loss contingency, self-insured retention 1.0    
Maximum [Member]
     
Malpractice Insurance [Line Items]      
Malpractice loss contingency, average lag period from occurence to settlement 5 years    
Malpractice loss contingency, settled claims as percent of total liability 1.00%    
Maximum [Member] | Triad professional and general liability self-insured claims after December 31, 2006 [Member]
     
Malpractice Insurance [Line Items]      
Malpractice loss contingency, self-insured retention $ 5.0