XML 136 R122.htm IDEA: XBRL DOCUMENT v3.10.0.1
Commitments and Contingencies (Professional Liability Claims Narrative) (Details) - USD ($)
$ in Millions
12 Months Ended
Jun. 01, 2018
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Malpractice Insurance [Line Items]        
Malpractice loss contingency, historical claims period used by actuary to estimate liability   20 years    
Malpractice Loss Contingency, Discount Rate   3.10% 2.20% 1.80%
Malpractice Loss Contingency, Accrual, Discounted   $ 650 $ 711  
Malpractice Loss Contingency, Accrual, Undiscounted   710 760  
Malpractice Loss Contingency, Accrual, Discounted, Current   $ 100 $ 115  
Malpractice loss contingency, settled claims as percent of total liability   1.00%    
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   $ 1    
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    
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    
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    
Professional and general liability claims reported on or after June 1, 2014 [Member]        
Malpractice Insurance [Line Items]        
Malpractice loss contingency, self-insured retention   10    
Professional and general liability claims reported on or after June 1, 2003 [Member]        
Malpractice Insurance [Line Items]        
Malpractice Insurance, Maximum Coverage Per Incident   95    
Professional and general liability claims reported on or after June 1, 2015 [Member]        
Malpractice Insurance [Line Items]        
Malpractice Insurance, Maximum Coverage Per Incident   220    
Integrated occurrence claims reported on or after June 1, 2014 [Member]        
Malpractice Insurance [Line Items]        
Malpractice Insurance, Annual Coverage Limit   50    
Integrated occurrence claims reported on or after June 1, 2015 [Member]        
Malpractice Insurance [Line Items]        
Malpractice Insurance, Annual Coverage Limit   75    
Professional and general liability claims incurred and reported after January 1, 2008 [Member]        
Malpractice Insurance [Line Items]        
Malpractice Insurance, Maximum Coverage Per Incident   145    
Professional and general liability claims incurred and reported after June 1, 2010 [Member]        
Malpractice Insurance [Line Items]        
Malpractice Insurance, Maximum Coverage Per Incident   195    
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    
Triad professional and general liability self-insured claims during 2007 [Member]        
Malpractice Insurance [Line Items]        
Malpractice loss contingency, self-insured retention   $ 10    
Minimum [Member]        
Malpractice Insurance [Line Items]        
Malpractice loss contingency, average lag period from occurence to settlement   3 years    
Malpractice loss contingency, self-insured retention   $ 10    
Minimum [Member] | 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 $ 15      
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    
Maximum [Member]        
Malpractice Insurance [Line Items]        
Malpractice loss contingency, average lag period from occurence to settlement   4 years    
Malpractice loss contingency, self-insured retention   $ 15    
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