Basis of Presentation and Significant Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2013

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,
	2013		2012		2011
Medicare	$	3,681,975	$	3,878,150	$	3,572,407
Medicaid		1,442,120		1,423,761		1,285,420
Managed Care and other third-party payors		7,705,827		7,534,971		6,920,068
Self-pay		2,022,703		1,909,877		1,602,686
Total	$	14,852,625	$	14,746,759	$	13,380,581

Schedule of Accumulated Other Comprehensive Income (Loss)

		Change in Fair		Change in Fair		Change in		Accumulated
		Value of		Value of		Unrecognized		Other
		Interest Rate		Available for		Pension Cost		Comprehensive
		Swaps		Sale Securities		Components		Income (Loss)
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)
2013 activity, net of tax		60,304		2,181		15,320		77,805
Balance as of December 31, 2013	$	(56,078)	$	6,769	$	(18,196)	$	(67,505)