v2.4.0.8

Schedule II Valuation and Qualifying Accounts (Details) (USD $)
In Thousands, unless otherwise specified

12 Months Ended

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Allowance for contractual discounts

Movement in Valuation Allowances and Reserves [Roll Forward]

Balance at Beginning of Period

$ 134,257

$ 101,016

$ 54,915

Additions

887,735

^[1]

744,212

^[1]

491,991

^[1]

Deductions

(838,886)

^[2]

(710,971)

^[2]

(445,890)

^[2]

Balance at End of Period

183,106

134,257

101,016

Allowance for uncompensated care

Movement in Valuation Allowances and Reserves [Roll Forward]

Balance at Beginning of Period

121,623

92,995

56,749

Additions

383,636

^[1]

320,221

^[1]

208,888

^[1]

Deductions

(386,647)

^[2]

(291,593)

^[2]

(172,642)

^[2]

Balance at End of Period

$ 118,612

$ 121,623

$ 92,995

[1]	Amounts excluded from revenue.
[2]	Actual write-offs and charges to allowances.

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- Definition

Total of allowances and reserves, the valuation and qualifying accounts that are either netted against the cost of an asset (in order to value it at its carrying value) or that reflect a liability established to represent expected future costs.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 235

-SubTopic 10

-Section S99

-Paragraph 4

-URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e24092-122690



Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Regulation S-X (SX)

-Number 210

-Section 09

-Article 12

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- Definition

Total of allowances and reserves, the valuation and qualifying accounts that are either netted against the cost of an asset (in order to value it at its carrying value) or that reflect a liability established to represent expected future costs, charged to costs and expenses.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 235

-SubTopic 10

-Section S99

-Paragraph 4

-URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e24092-122690



Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Regulation S-X (SX)

-Number 210

-Section 09

-Article 12

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Total of the deductions in a given period to allowances and reserves, the valuation and qualifying accounts that are either netted against the cost of an asset (in order to value it at its carrying value) or that reflect a liability established to represent expected future costs, representing receivables written off as uncollectible and portions of the reserves utilized, respectively.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 235

-SubTopic 10

-Section S99

-Paragraph 4

-URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e24092-122690



Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Regulation S-X (SX)

-Number 210

-Section 09

-Article 12

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