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Segment Reporting (Tables)
9 Months Ended
Sep. 30, 2012
Segment Reporting [Abstract]  
Segment Reporting
                                 
    Three months ended September 30, 2012  
    Acute Care
Hospital
Services
    Behavioral
Health
Services
    Other     Total
Consolidated
 
    (Amounts in thousands)  

Gross inpatient revenues

  $ 3,013,482     $ 1,410,170       —       $ 4,423,652  

Gross outpatient revenues

  $ 1,517,261     $ 151,788     $ 14,475     $ 1,683,524  

Total net revenues

  $ 828,399     $ 841,669     $ 10,285     $ 1,680,353  

Income/(loss) before allocation of corporate overhead and income taxes

  $ 48,925     $ 200,711     ($ 126,131   $ 123,505  

Allocation of corporate overhead

  ($ 39,360   ($ 20,533   $ 59,893       0  

Income/(loss) after allocation of corporate overhead and before income taxes

  $ 9,565     $ 180,178     ($ 66,238   $ 123,505  

Total assets as of 9/30/12

  $ 2,987,293     $ 4,459,030     $ 334,743     $ 7,781,066  
   
    Nine months ended September 30, 2012  
    Acute Care
Hospital
Services
    Behavioral
Health
Services
    Other     Total
Consolidated
 
    (Amounts in thousands)  

Gross inpatient revenues

  $ 9,326,344     $ 4,242,528       —       $ 13,568,872  

Gross outpatient revenues

  $ 4,606,680     $ 474,623     $ 39,468     $ 5,120,771  

Total net revenues

  $ 2,598,527     $ 2,572,256     $ 25,690     $ 5,196,473  

Income/(loss) before allocation of corporate overhead and income taxes

  $ 240,375     $ 628,170     ($ 338,278   $ 530,267  

Allocation of corporate overhead

  ($ 118,082   ($ 62,665   $ 180,747       0  

Income/(loss) after allocation of corporate overhead and before income taxes

  $ 122,293     $ 565,505     ($ 157,531   $ 530,267  

Total assets as of 9/30/12

  $ 2,987,293     $ 4,459,030     $ 334,743     $ 7,781,066  
   
    Three months ended September 30, 2011  
    Acute Care
Hospital
Services
    Behavioral
Health
Services
    Other     Total
Consolidated
 
    (Amounts in thousands)  

Gross inpatient revenues

  $ 2,827,617     $ 1,368,405       —       $ 4,196,022  

Gross outpatient revenues

  $ 1,384,084     $ 146,836     $ 13,542     $ 1,544,462  

Total net revenues

  $ 831,775     $ 825,825     $ 5,075     $ 1,662,675  

Income/(loss) before allocation of corporate overhead and income taxes

  $ 57,027     $ 184,304     ($ 94,255   $ 147,076  

Allocation of corporate overhead

  ($ 35,094   ($ 15,438   $ 50,532       0  

Income/(loss) after allocation of corporate overhead and before income taxes

  $ 21,933     $ 168,866     ($ 43,723   $ 147,076  

Total assets as of 9/30/11

  $ 2,797,029     $ 4,421,040     $ 387,862     $ 7,605,931  
   
    Nine months ended September 30, 2011  
    Acute Care
Hospital
Services
    Behavioral
Health
Services
    Other     Total
Consolidated
 
    (Amounts in thousands)  

Gross inpatient revenues

  $ 8,934,701     $ 4,154,117       —       $ 13,088,818  

Gross outpatient revenues

  $ 4,068,566     $ 453,652     $ 41,082     $ 4,563,300  

Total net revenues

  $ 2,587,070     $ 2,493,336     $ 16,820     $ 5,097,226  

Income/(loss) before allocation of corporate overhead and income taxes

  $ 275,156     $ 559,681     ($ 301,336   $ 533,501  

Allocation of corporate overhead

  ($ 98,418   ($ 46,854   $ 145,272       0  

Income/(loss) after allocation of corporate overhead and before income taxes

  $ 176,738     $ 512,827     ($ 156,064   $ 533,501  

Total assets as of 9/30/11

  $ 2,797,029     $ 4,421,040     $ 387,862     $ 7,605,931