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Acquisitions (Details) (USD $)
In Millions, unless otherwise specified
9 Months Ended3 Months Ended6 Months Ended3 Months Ended
Sep. 30, 2011
Sep. 30, 2011
Concentra Inc. Acquisition [Member]
Dec. 31, 2010
Concentra Inc. Acquisition [Member]
Jun. 30, 2011
Concentra Inc. Acquisition [Member]
Dec. 21, 2010
Concentra Inc. Acquisition [Member]
Sep. 30, 2011
Arcadian Management Services, Inc. And MD Care, Inc. [Member]
Date of acquisition December 21, 2010    
Cash consideration    $ 804.7 
Accrual of payment of working capital adjustment to sellers   3.7  
Total consideration paid including final working capital determination 808.4    
Excess of consideration over estimated fair value of net tangible assets acquired 724.5    
Amount allocated to other intangible assets 188.0    
Goodwill acquired 536.5    
Other intangible assets useful life12.213.7    
Acquired goodwill deductible for tax purposes 57.9    
Acquisition-related costs  $ 14.9   
Number of Medicare Advantage HMOs states served     15