XML 19 R29.htm IDEA: XBRL DOCUMENT v2.4.0.6
Commitments and Contingencies - Additional Information (Detail) (USD $)
1 Months Ended
Mar. 31, 2013
Dec. 31, 2012
Nov. 15, 2010
Mar. 31, 2013
Puerto Rico
Mar. 31, 2013
Illinois
Dec. 31, 2012
Illinois
Mar. 31, 2013
Self Insurance Programs
Mar. 31, 2013
Other debt and public utility guarantees
Mar. 31, 2013
Earthquake
Mar. 31, 2013
Earthquake
United States
Apr. 30, 2013
Due from Illinois
Illinois
Nov. 15, 2010
Maximum
Mar. 31, 2013
Maximum
Wind Storms
Mar. 31, 2013
Maximum
Earthquake
United States
Mar. 31, 2013
Maximum
Flood
Location 2
Mar. 31, 2013
Maximum
Flood
Location 1
Nov. 15, 2010
Minimum
Mar. 31, 2013
Minimum
Location 2
Mar. 31, 2013
Minimum
Location 1
Mar. 31, 2013
Minimum
Wind Storms
Mar. 31, 2013
Minimum
Earthquake
United States
Nov. 15, 2010
Subsidiaries
Maximum
Jan. 01, 2008
Subsidiaries
Minimum
Mar. 31, 2013
Psychiatric Solutions Inc
Maximum
Mar. 31, 2013
Psychiatric Solutions Inc
Maximum
General and Professional Liability Insurance Policies [Member]
Mar. 31, 2013
Psychiatric Solutions Inc
Minimum
Mar. 31, 2013
Legacy Subsidiaries
Maximum
General and Professional Liability Insurance Policies [Member]
Mar. 31, 2013
Behavioral Health Facilities Acquired from Ascend Health Corporation [Member]
General and Professional Liability Insurance Policies [Member]
Mar. 31, 2013
Behavioral Health Facilities Acquired from Ascend Health Corporation [Member]
Commercial Property Insurance Policies [Member]
Mar. 31, 2013
Behavioral Health Facilities Acquired from Ascend Health Corporation [Member]
Maximum
General and Professional Liability Insurance Policies [Member]
Oct. 30, 2012
Behavioral Health Facilities Acquired from Ascend Health Corporation [Member]
Maximum
General and Professional Liability Insurance Policies [Member]
Commitments and Contingencies Disclosure [Line Items]                                                              
Self-insured for professional and general liability $ 284,000,000 $ 279,000,000                                         $ 10,000,000 $ 75,000,000 $ 3,000,000 $ 3,000,000 $ 10,000,000     $ 20,000,000  
Purchased several excess policies through commercial insurance carriers per occurrence                                           200,000,000                 200,000,000
Percentage of liability for claims paid under commercially insured coverage     10.00%                                                        
Liability for claims paid under commercially insured coverage                       60,000,000         10,000,000                            
Minimum insurance deductible                                   250,000 50,000                 10,000 10,000    
Self-insured for professional and general liability, current 48,000,000 48,000,000                                                          
Workers' compensation liability claims 66,000,000 35,000,000                                                          
Commercial property insurance policies covering catastrophic losses       25,000,000         250,000,000 100,000,000     1,000,000                                    
Percentage of insurance deductible                         5.00% 5.00%           3.00% 1.00%                    
Maximum insurance deductible                             500,000 250,000                              
Accounts receivable, net 1,149,402,000 1,067,197,000     72,000,000 70,000,000                                                  
Accounts receivable net greater than sixty days Past due         46,000,000 51,000,000                                                  
Cash received from collection accounts receivables                     47,000,000                                        
Off-balance sheet contingent obligation $ 85,000,000           $ 70,000,000 $ 15,000,000