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Segment Reporting (Schedule of Financial Information by Operating Segments) (Details) (USD $)
In Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2011
Jun. 30, 2010
Gross inpatient revenues $ 4,417,785 $ 3,178,643 $ 9,031,233 $ 6,506,855
Gross outpatient revenues 1,587,478 1,265,704 3,120,060 2,472,168
Total net revenues 1,902,234 1,338,315 3,812,762 2,685,468
Income/(loss) before income taxes 182,429 117,472 386,425 245,643
Total assets 7,565,753 3,989,757 7,565,753 3,989,757
Acute Care [Member]
        
Gross inpatient revenues 3,013,142 2,624,502 6,235,389 5,407,933
Gross outpatient revenues 1,415,059 1,171,634 2,785,177 2,288,559
Total net revenues 1,033,024 974,010 2,087,317 1,963,321
Income/(loss) before income taxes 91,145 94,744 218,129 196,648
Total assets 2,779,803 2,760,944 2,779,803 2,760,944
Behavioral Health [Member]
        
Gross inpatient revenues 1,404,643 554,141 2,795,844 1,098,922
Gross outpatient revenues 157,748 81,987 307,343 159,964
Total net revenues 863,254 357,008 1,713,557 706,190
Income/(loss) before income taxes 189,590 87,116 375,378 163,973
Total assets 4,381,320 1,002,427 4,381,320 1,002,427
Other [Member]
        
Gross outpatient revenues 14,671 12,083 27,540 23,645
Total net revenues 5,956 7,297 11,888 15,957
Income/(loss) before income taxes (98,306) (64,388) (207,082) (114,978)
Total assets $ 404,630 $ 226,386 $ 404,630 $ 226,386