XML 124 R111.htm IDEA: XBRL DOCUMENT v3.22.4
Commitments and Contingencies - Additional Information (Details) - USD ($)
3 Months Ended 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Commitments And Contingencies [Line Items]          
Physician recruiting commitment, physician income guarantee period     12 months    
Physician recruiting commitment, period of recoverability of physician income guarantee for noncommitment     3 years    
Physician recruiting commitment, maximum potential future payments in excess of liability recorded $ 6,000,000   $ 6,000,000    
Malpractice Loss Contingency, Discount Rate     3.80% 1.80% 1.80%
Malpractice Loss Contingency, Accrual, Discounted 467,000,000 $ 533,000,000 $ 467,000,000 $ 533,000,000  
Malpractice Loss Contingency, Accrual, Undiscounted 516,000,000 564,000,000 516,000,000 564,000,000  
Malpractice Loss Contingency, Accrual, Discounted, Current 159,000,000 162,000,000 159,000,000 162,000,000  
Expenses related to settlement of professional liability claim         $ 50,000,000
Recovery of full settlement amount         $ 50,000,000
Recovery from third-party insurers of professional liability claim   $ 22,000,000      
Change in estimate reserve for professional liability claims     0 $ 0  
Change in estimate for professional liability claims $ 15,000,000   15,000,000    
Professional and general liability self-insured claims reported prior to June 1, 2002, per occurrence [Member]          
Commitments And Contingencies [Line Items]          
Malpractice loss contingency, self-insured retention     1,000,000    
Professional and general liability self-insured reported from June 1, 2002 through June 1, 2003, per occurrence [Member]          
Commitments And Contingencies [Line Items]          
Malpractice loss contingency, self-insured retention     2,000,000    
Professional and general liability self-insured reported from June 1, 2003 and before June 1, 2005, per occurrence [Member]          
Commitments And Contingencies [Line Items]          
Malpractice loss contingency, self-insured retention     4,000,000    
Professional and general liability self-insured claims reported on or after June 1, 2005, per occurrence [Member]          
Commitments And Contingencies [Line Items]          
Malpractice loss contingency, self-insured retention     5,000,000    
Professional and general liability claims reported on or after June 1, 2014 [Member]          
Commitments And Contingencies [Line Items]          
Malpractice loss contingency, self-insured retention     10,000,000    
Professional and general liability claims reported on or after June 1, 2003 [Member]          
Commitments And Contingencies [Line Items]          
Malpractice Insurance, Maximum Coverage Per Incident     95,000,000    
Professional and general liability claims incurred and reported after January 1, 2008 [Member]          
Commitments And Contingencies [Line Items]          
Malpractice Insurance, Maximum Coverage Per Incident     145,000,000    
Professional and general liability claims incurred and reported after June 1, 2010 [Member]          
Commitments And Contingencies [Line Items]          
Malpractice Insurance, Maximum Coverage Per Incident     195,000,000    
Professional and general liability claims reported on or after June 1, 2015 [Member]          
Commitments And Contingencies [Line Items]          
Malpractice Insurance, Maximum Coverage Per Incident     216,000,000    
Integrated professional liability claims reported on or after June1 2014 [Member]          
Commitments And Contingencies [Line Items]          
Malpractice Insurance, Annual Coverage Limit     50,000,000    
Integrated occurrence claims reported on or after June 1, 2015 through June 1, 2020 [Member]          
Commitments And Contingencies [Line Items]          
Malpractice Insurance, Annual Coverage Limit     75,000,000    
Integrated occurrence claims reported between June 1,2020 and June 1,2023 [Member]          
Commitments And Contingencies [Line Items]          
Malpractice Insurance, Annual Coverage Limit     75,000,000    
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]          
Commitments And Contingencies [Line Items]          
Malpractice loss contingency, self-insured retention     $ 10,000,000    
Maximum          
Commitments And Contingencies [Line Items]          
Malpractice loss contingency, average lag period from occurrence to settlement     4 years    
Malpractice loss contingency, settled claims as percent of total liability     7.00%    
Malpractice loss contingency, self-insured retention     $ 15,000,000    
Maximum | Professional And General Liability Claims Incurred And Reported On Or After June 1, 2008 [Member]          
Commitments And Contingencies [Line Items]          
Malpractice loss contingency, self-insured retention     $ 15,000,000    
Minimum          
Commitments And Contingencies [Line Items]          
Malpractice loss contingency, average lag period from occurrence to settlement     3 years    
Malpractice loss contingency, self-insured retention     $ 10,000,000    
Minimum | 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]          
Commitments And Contingencies [Line Items]          
Malpractice loss contingency, self-insured retention     $ 15,000,000    
Northwest Health – Starke [Member]          
Commitments And Contingencies [Line Items]          
Capital commitment, future period after acquisition for completing open capital improvement projects date     Sep. 30, 2026    
Northwest Health – Starke [Member] | Maximum          
Commitments And Contingencies [Line Items]          
Capital commitment, future period after acquisition for completing open capital improvement projects     5 years