XML 41 R44.htm IDEA: XBRL DOCUMENT

Accounts Receivable And Net Patient Service Revenue (Schedule Of Net Patient Service Revenue) (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended								12 Months Ended
	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2011	Dec. 31, 2010	Sep. 30, 2010	Jun. 30, 2010	Mar. 31, 2010	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009
Accounts Receivable And Net Patient Service Revenue [Abstract]
Gross patient service revenue									$ 4,851,500	$ 4,140,312	$ 3,658,459
Contractual adjustments and uncollectibles									(3,362,081)	(2,825,827)	(2,444,222)
Hospital contract administrative fees									98,829	87,074	74,027
Net patient service revenue	$ 404,898	$ 407,665	$ 393,402	$ 382,283	$ 368,480	$ 351,058	$ 349,094	$ 332,927	$ 1,588,248	$ 1,401,559	$ 1,288,264

Amount of revenue recognized during the period for providing services to patients, primarily on an inpatient or outpatient basis and from office visits. For financial reporting purposes, patient service revenue is reflected net of provisions for contractual allowances (the amount needed to reduce the entity's gross billing rates to agreed-upon rates in contracts with third-party payers) and other adjustments. Significant revenue earned under capitation arrangements is reported separately.

+ References+ Details