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Organization and Significant Accounting Policies (Details 3) (USD $)
In Millions, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2012
Dec. 31, 2012
Insurance Risk Programs
Dec. 31, 2011
Insurance Risk Programs
Intangible Assets      
Impairment with respect to goodwill or other recorded intangible assets $ 0    
Insurance risk programs      
Discount rate for provisions for losses for professional liability (as a percent)   3.00% 3.00%
Liability recorded after discounting   92.5 85.7
Value of aggregate liability, if the entity did not discount the provisions for losses   $ 95.6 $ 88.6