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Contingencies and Healthcare Regulation (Professional and General Liability Insurance) (Details) (USD $)
3 Months Ended 6 Months Ended 12 Months Ended
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2012
Dec. 31, 2011
Jun. 30, 2010
Professional and general liability insurance [Member]
         
Self Insurance Reserve [Line Items]          
Third party maximum coverage amount $ 65,000,000        
Annual self-insured retention amount     15,000,000   10,000,000
Increase (decrease) in self insurance reserve   (5,800,000) (6,200,000) 7,000,000  
Increase (decrease) in self insurance reserve, net of taxes   (3,600,000) (3,800,000) 4,300,000  
Increase (decrease) in self insurance reserve, per diluted share   $ (0.05) $ (0.05) $ 0.06  
Workers compensation insurance [Member]
         
Self Insurance Reserve [Line Items]          
Increase (decrease) in self insurance reserve     (2,200,000) (500,000)  
Increase (decrease) in self insurance reserve, net of taxes     $ (1,300,000) $ (300,000)  
Increase (decrease) in self insurance reserve, per diluted share     $ (0.02) $ (0.01)