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Accounts Receivable and Net Patient Service Revenue - Schedule of Net Patient Service Revenue (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 12 Months Ended
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Dec. 31, 2012 | Sep. 30, 2012 | Jun. 30, 2012 | Mar. 31, 2012 | Dec. 31, 2011 | Sep. 30, 2011 | Jun. 30, 2011 | Mar. 31, 2011 | Dec. 31, 2012 | Dec. 31, 2011 | Dec. 31, 2010
Revenues [Line Items] |  |  |  |  |  |  |  |  |  |  |
Gross patient service revenue |  |  |  |  |  |  |  |  | $ 5,691,790 | $ 4,851,500 | $ 4,140,312
Contractual adjustments and uncollectibles |  |  |  |  |  |  |  |  | (3,994,924) | (3,362,081) | (2,825,827)
Hospital contract administrative fees |  |  |  |  |  |  |  |  | 119,746 | 98,829 | 87,074
Net patient service revenue | $ 471,332 | $ 473,134 | $ 449,530 | $ 422,616 | $ 404,898 | $ 407,665 | $ 393,402 | $ 382,283 | $ 1,816,612 | $ 1,588,248 | $ 1,401,559

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- Definition Health care organization patient service revenue, gross. + References No definition available. + Details
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- Definition Amount of revenue recognized for providing services to patients, net of provisions for contractual allowances and discounts. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher AICPA -Name Audit and Accounting Guide (AAG) -Number AAG-HCO -Paragraph 10 -IssueDate 2006-05-01 -Chapter 8 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=9156363&loc=d3e8195-115640 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=9156363&loc=SL9156442-115640 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=9156363&loc=SL9156442-115640 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 50 -Paragraph 4 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=9156300&loc=SL9156464-115641 Reference 6: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 605 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=9156363&loc=d3e8184-115640 + Details
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