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Long-term Debt (Details Textual) (USD $)
In Millions, unless otherwise specified
1 Months Ended3 Months Ended9 Months Ended9 Months Ended3 Months Ended9 Months Ended9 Months Ended
Aug. 31, 2011
Hospital
Sep. 30, 2011
Hospital
Entity
Guarantee
Sep. 30, 2011
Hospital
Entity
Guarantee
Sep. 30, 2010
May 10, 2011
BasisPoints
Mar. 07, 2011
Dec. 31, 2010
Sep. 30, 2011
Line of Credit [Member]
Sep. 30, 2011
7.25% Senior Notes due 2018 [Member]
Mar. 07, 2011
7.25% Senior Notes due 2018 [Member]
Sep. 30, 2011
7.75% Senior Notes due 2022 [Member]
Mar. 07, 2011
7.75% Senior Notes due 2022 [Member]
Sep. 30, 2011
10.75% Senior Notes due 2016 [Member]
Jun. 30, 2011
10.75% Senior Notes due 2016 [Member]
Sep. 30, 2011
10.75% Senior Notes due 2016 [Member]
Sep. 01, 2011
10.75% Senior Notes due 2016 [Member]
Jun. 15, 2011
10.75% Senior Notes due 2016 [Member]
May 10, 2011
Term loan facility [Member]
Sep. 30, 2011
2011 Credit Agreement [Member]
May 10, 2011
2011 Credit Agreement [Member]
Long Term Debt (Textual) [Abstract]                    
Public offering of senior notes     $ 120   $ 60 $ 60        
Issue Price of Senior Notes         103.25% 103.50%        
Net Proceeds From Public Offering of Senior Notes     122              
Amount of proceeds used to Repay outstanding amount under revolving credit facility       45            
Senior Notes Stated Interest Rate        7.25% 7.75% 10.75% 10.75%     
Term loan maturing in 2016 98.898.8   0          100.0  
Initial Interest Rate                 LIBOR plus 2.5%  
Spread above applicable base rate (LIBOR)                 2.50%2.25% 
Maximum future increases of credit agreement                   200
Reduction in contractual interest rates of credit agreement    1.00%               
Maximum Amount Under Senior Secured Revolving Credit Facility                  500 
Letter of credit subfacility                  260 
Percentage of term loan to be Amortized through June 30, 2013                  5.00% 
Percentage of term loan to be Amortized through June 30, 2014                  7.50% 
Percentage of term loan to be Amortized through March 31, 2016                  10.00% 
Debt Extinguishment Senior Notes               165.6335.0   
Current Call Price of 10.75% Senior Notes Due 2016               105.375%    
Total Cash Paid to Call 10.75% Senior Notes Due 2016            175353      
Amount draw on our revolving credit facility to fund optional redemption               50150   
Amount of cash on hand used to fund optional redemption               125203   
Proceeds from the term loan used to fund optional redemption                100   
Remaining Proceeds from Add-on Issuance of Senior Notes Used to Fund Optional Redemption                77   
Loss on early extinguishment of debt 12.738.80.4        12.7 38.8     
Proceeds from Sale of LTCHs to Fund Optional Redemption               $ 108    
Number of long-term acute care hospitals sold555