955000 - Disclosure - Health Care Organizations

Line Label Object Class Period Type Balance Report ElementName
1 955000 - Disclosure - Health Care Organizations Network

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 http://fasb.org/us-gaap/role/disclosure/HealthCareOrganizations
2 Health Care Organizations [Abstract] Abstract us-gaap:HealthCareOrganizationsAbstract
3 Malpractice Loss Contingency Disclosure [Text Block] Concept (dtr-types:textBlockItemType) For Period us-gaap:MalpracticeLossContingencyDisclosureTextBlock
4 Malpractice Loss Contingency, Accrual [Abstract] Abstract us-gaap:MalpracticeLossContingencyAccrualAbstract
5 Malpractice Loss Contingency, Accrual, Undiscounted [Abstract] Abstract us-gaap:MalpracticeLossContingencyAccrualUndiscountedAbstract
6 Malpractice Loss Contingency, Accrual, Undiscounted, Current Concept (Monetary) As Of Credit us-gaap:MalpracticeLossContingencyAccrualUndiscountedCurrent
7 Malpractice Loss Contingency, Accrual, Undiscounted, Noncurrent Concept (Monetary) As Of Credit us-gaap:MalpracticeLossContingencyAccrualUndiscountedNoncurrent
8 Malpractice Loss Contingency, Accrual, Undiscounted, Total Concept (Monetary) As Of Credit us-gaap:MalpracticeLossContingencyAccrualUndiscounted
9 Malpractice Loss Contingency, Accrual, Discounted [Abstract] Abstract us-gaap:MalpracticeLossContingencyAccrualDiscountedAbstract
10 Malpractice Loss Contingency, Accrual, Discounted, Current Concept (Monetary) As Of Credit us-gaap:MalpracticeLossContingencyAccrualDiscountedCurrent
11 Malpractice Loss Contingency, Accrual, Discounted, Noncurrent Concept (Monetary) As Of Credit us-gaap:MalpracticeLossContingencyAccrualDiscountedNoncurrent
12 Malpractice Loss Contingency, Accrual, Discounted, Total Concept (Monetary) As Of Credit us-gaap:MalpracticeLossContingencyAccrualDiscounted
13 Malpractice Loss Contingency, Accrual Not Recognized Concept (Text/String) For Period us-gaap:MalpracticeLossContingencyAccrualNotRecognized1
14 Malpractice Loss Contingency, Number of Claims Concept (Integer) As Of us-gaap:MalpracticeLossContingencyNumberOfClaims
15 Malpractice Loss Contingency, Letters of Credit and Surety Bonds Concept (Monetary) As Of Credit us-gaap:MalpracticeLossContingencyLettersOfCreditAndSuretyBonds
16 Insurance Receivable for Malpractice [Abstract] Abstract us-gaap:InsuranceReceivableForMalpracticeAbstract
17 Insurance Receivable for Malpractice, Current Concept (Monetary) As Of Debit us-gaap:InsuranceReceivableForMalpracticeCurrent
18 Insurance Receivable for Malpractice, Noncurrent Concept (Monetary) As Of Debit us-gaap:InsuranceReceivableForMalpracticeNoncurrent
19 Insurance Receivable for Malpractice, Total Concept (Monetary) As Of Debit us-gaap:InsuranceReceivableForMalpractice
20 Movement in Malpractice Loss Contingency [Roll Forward] Abstract us-gaap:MovementInMalpracticeLossContingencyRollForward
21 Malpractice Loss Contingency, Accrual, Undiscounted, Beginning Balance Concept (Monetary) As Of Credit us-gaap:MalpracticeLossContingencyAccrualUndiscounted
22 Malpractice Loss Contingency, Period Cost Concept (Monetary) For Period Debit us-gaap:MalpracticeLossContingencyPeriodCost
23 Malpractice Loss Contingency, Premium Costs Concept (Monetary) For Period Debit us-gaap:MalpracticeLossContingencyPremiumCosts
24 Malpractice Loss Contingency, Period Increase (Decrease), Total Concept (Monetary) For Period us-gaap:MalpracticeLossContingencyPeriodIncreaseDecrease
25 Malpractice Loss Contingency, Accrual, Undiscounted, Ending Balance Concept (Monetary) As Of Credit us-gaap:MalpracticeLossContingencyAccrualUndiscounted
26 Malpractice Loss Contingency, Period Cost, Net, Recognized in Income Statement [Abstract] Abstract us-gaap:MalpracticeLossContingencyPeriodCostNetRecognizedInIncomeStatementAbstract
27 Malpractice Loss Contingency, Description Concept (Text/String) For Period us-gaap:MalpracticeLossContingencyDescription
28 Malpractice Loss Contingency, Claims Incurred, Net [Abstract] Abstract us-gaap:MalpracticeLossContingencyClaimsIncurredNetAbstract
29 Malpractice Loss Contingency, Claims Incurred in Period Concept (Monetary) For Period Debit us-gaap:MalpracticeLossContingencyClaimsIncurredInPeriod
30 Malpractice Loss Contingency, Claims Incurred in Prior Periods Concept (Monetary) For Period Debit us-gaap:MalpracticeLossContingencyClaimsIncurredInPriorPeriods
31 Malpractice Loss Contingency, Return of Premiums Concept (Monetary) For Period Credit us-gaap:MalpracticeLossContingencyReturnOfPremiums
32 Malpractice Loss Contingency, Insurance Recoveries Concept (Monetary) For Period Credit us-gaap:MalpracticeLossContingencyInsuranceRecoveries
33 Malpractice Loss Contingency, Claims Incurred, Net, Total Concept (Monetary) For Period Debit us-gaap:MalpracticeLossContingencyClaimsIncurredNet
34 Malpractice Insurance [Abstract] Abstract us-gaap:MalpracticeInsuranceAbstract
35 Malpractice Insurance, Description Concept (Text/String) For Period us-gaap:MalpracticeInsuranceDescription
36 Malpractice Insurance, Method of Accounting for Investment in Captive Insurer Concept (Text/String) For Period us-gaap:MalpracticeInsuranceMethodOfAccountingForInvestmentInCaptiveInsurer
37 Schedule of Malpractice Insurance [Table Text Block] Concept (dtr-types:textBlockItemType) For Period us-gaap:ScheduleOfMalpracticeInsuranceTextBlock
38 Schedule of Malpractice Insurance [Table] Hypercube us-gaap:ScheduleOfMalpracticeInsuranceTable
39 Insurance Type and Tier Identifier [Axis] Dimension us-gaap:ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis
40 Type and Tier Identifier [Domain] Member us-gaap:TypeAndTierIdentifierDomain
41 Professional Malpractice Liability Insurance [Member] Member us-gaap:ProfessionalMalpracticeLiabilityMember
42 Directors and Officers Liability Insurance [Member] Member us-gaap:DirectorsAndOfficersLiabilityInsuranceMember
43 General Liability [Member] Member us-gaap:GeneralLiabilityMember
44 Credit Rating, Moody's [Axis] Dimension srt:CreditRatingMoodysAxis
45 External Credit Rating, Moody's [Domain] Member srt:ExternalCreditRatingMoodysMember
46 Moody's, Aaa Rating [Member] Member srt:MoodysAaaRatingMember
47 Moody's, Aa1 Rating [Member] Member srt:MoodysAa1RatingMember
48 Moody's, Aa2 Rating [Member] Member srt:MoodysAa2RatingMember
49 Moody's, Aa3 Rating [Member] Member srt:MoodysAa3RatingMember
50 Moody's, A1 Rating [Member] Member srt:MoodysA1RatingMember
51 Moody's, A2 Rating [Member] Member srt:MoodysA2RatingMember
52 Moody's, A3 Rating [Member] Member srt:MoodysA3RatingMember
53 Moody's, Baa1 Rating [Member] Member srt:MoodysBaa1RatingMember
54 Moody's, Baa2 Rating [Member] Member srt:MoodysBaa2RatingMember
55 Moody's, Baa3 Rating [Member] Member srt:MoodysBaa3RatingMember
56 Moody's, Ba1 Rating [Member] Member srt:MoodysBa1RatingMember
57 Moody's, Ba2 Rating [Member] Member srt:MoodysBa2RatingMember
58 Moody's, Ba3 Rating [Member] Member srt:MoodysBa3RatingMember
59 Moody's, B1 Rating [Member] Member srt:MoodysB1RatingMember
60 Moody's, B2 Rating [Member] Member srt:MoodysB2RatingMember
61 Moody's, B3 Rating [Member] Member srt:MoodysB3RatingMember
62 Moody's, Caa1 Rating [Member] Member srt:MoodysCaa1RatingMember
63 Moody's, Caa2 Rating [Member] Member srt:MoodysCaa2RatingMember
64 Moody's, Caa3 Rating [Member] Member srt:MoodysCaa3RatingMember
65 Moody's, Ca Rating [Member] Member srt:MoodysCaRatingMember
66 Moody's, C Rating [Member] Member srt:MoodysCRatingMember
67 Credit Rating, Standard & Poor's [Axis] Dimension srt:CreditRatingStandardPoorsAxis
68 External Credit Rating, Standard & Poor's [Domain] Member srt:ExternalCreditRatingStandardPoorsMember
69 Standard & Poor's, AAA Rating [Member] Member srt:StandardPoorsAAARatingMember
70 Standard & Poor's, AA+ Rating [Member] Member srt:StandardPoorsAAPlusRatingMember
71 Standard & Poor's, AA Rating [Member] Member srt:StandardPoorsAARatingMember
72 Standard & Poor's, AA- Rating [Member] Member srt:StandardPoorsAAMinusRatingMember
73 Standard & Poor's, A+ Rating [Member] Member srt:StandardPoorsAPlusRatingMember
74 Standard & Poor's, A Rating [Member] Member srt:StandardPoorsARatingMember
75 Standard & Poor's, A- Rating [Member] Member srt:StandardPoorsAMinusRatingMember
76 Standard & Poor's, BBB+ Rating [Member] Member srt:StandardPoorsBBBPlusRatingMember
77 Standard & Poor's, BBB Rating [Member] Member srt:StandardPoorsBBBRatingMember
78 Standard & Poor's, BBB- Rating [Member] Member srt:StandardPoorsBBBMinusRatingMember
79 Standard & Poor's, BB+ Rating [Member] Member srt:StandardPoorsBBPlusRatingMember
80 Standard & Poor's, BB Rating [Member] Member srt:StandardPoorsBBRatingMember
81 Standard & Poor's, BB- Rating [Member] Member srt:StandardPoorsBBMinusRatingMember
82 Standard & Poor's, B+ Rating [Member] Member srt:StandardPoorsBPlusRatingMember
83 Standard & Poor's, B Rating [Member] Member srt:StandardPoorsBRatingMember
84 Standard & Poor's, B- Rating [Member] Member srt:StandardPoorsBMinusRatingMember
85 Standard & Poor's, CCC+ Rating [Member] Member srt:StandardPoorsCCCPlusRatingMember
86 Standard & Poor's, CCC Rating [Member] Member srt:StandardPoorsCCCRatingMember
87 Standard & Poor's, CCC- Rating [Member] Member srt:StandardPoorsCCCMinusRatingMember
88 Standard & Poor's, CC Rating [Member] Member srt:StandardPoorsCCRatingMember
89 Standard & Poor's, C Rating [Member] Member srt:StandardPoorsCRatingMember
90 Standard & Poor's, D Rating [Member] Member srt:StandardPoorsDRatingMember
91 Credit Rating, AM Best [Axis] Dimension srt:CreditRatingAMBestAxis
92 Credit Rating, AM Best [Domain] Member srt:CreditRatingAMBestDomain
93 AM Best, A++ Rating [Member] Member srt:AMBestAPlusPlusRatingMember
94 AM Best, A+ Rating [Member] Member srt:AMBestAPlusRatingMember
95 AM Best, A Rating [Member] Member srt:AMBestARatingMember
96 AM Best, A- Rating [Member] Member srt:AMBestAMinusRatingMember
97 AM Best, B++ Rating [Member] Member srt:AMBestBPlusPlusRatingMember
98 AM Best, B+ Rating [Member] Member srt:AMBestBPlusRatingMember
99 AM Best, B Rating [Member] Member srt:AMBestBRatingMember
100 AM Best, B- Rating [Member] Member srt:AMBestBMinusRatingMember
101 AM Best, C++ Rating [Member] Member srt:AMBestCPlusPlusRatingMember
102 AM Best, C+ Rating [Member] Member srt:AMBestCPlusRatingMember
103 AM Best, C Rating [Member] Member srt:AMBestCRatingMember
104 AM Best, C- Rating [Member] Member srt:AMBestCMinusRatingMember
105 AM Best, D Rating [Member] Member srt:AMBestDRatingMember
106 AM Best, E Rating [Member] Member srt:AMBestERatingMember
107 AM Best, F Rating [Member] Member srt:AMBestFRatingMember
108 AM Best, S Rating [Member] Member srt:AMBestSRatingMember
109 Credit Rating, Fitch [Axis] Dimension srt:CreditRatingFitchAxis
110 External Credit Rating, Fitch [Domain] Member srt:ExternalCreditRatingFitchMember
111 Fitch, AAA Rating [Member] Member srt:FitchAAARatingMember
112 Fitch, AA+ Rating [Member] Member srt:FitchAAPlusRatingMember
113 Fitch, AA Rating [Member] Member srt:FitchAARatingMember
114 Fitch, AA- Rating [Member] Member srt:FitchAAMinusRatingMember
115 Fitch, A+ Rating [Member] Member srt:FitchAPlusRatingMember
116 Fitch, A Rating [Member] Member srt:FitchARatingMember
117 Fitch, A- Rating [Member] Member srt:FitchAMinusRatingMember
118 Fitch, BBB+ Rating [Member] Member srt:FitchBBBPlusRatingMember
119 Fitch, BBB Rating [Member] Member srt:FitchBBBRatingMember
120 Fitch, BBB- Rating [Member] Member srt:FitchBBBMinusRatingMember
121 Fitch, BB+ Rating [Member] Member srt:FitchBBPlusRatingMember
122 Fitch, BB Rating [Member] Member srt:FitchBBRatingMember
123 Fitch, BB- Rating [Member] Member srt:FitchBBMinusRatingMember
124 Fitch, B+ Rating [Member] Member srt:FitchBPlusRatingMember
125 Fitch, B Rating [Member] Member srt:FitchBRatingMember
126 Fitch, B- Rating [Member] Member srt:FitchBMinusRatingMember
127 Fitch, CCC+ Rating [Member] Member srt:FitchCCCPlusRatingMember
128 Fitch, CCC Rating [Member] Member srt:FitchCCCRatingMember
129 Fitch, CCC- Rating [Member] Member srt:FitchCCCMinusRatingMember
130 Fitch, CC Rating [Member] Member srt:FitchCCRatingMember
131 Fitch, C Rating [Member] Member srt:FitchCRatingMember
132 Fitch, D Rating [Member] Member srt:FitchDRatingMember
133 Statistical Measurement [Axis] Dimension srt:RangeAxis
134 Statistical Measurement [Domain] Member srt:RangeMember
135 Maximum [Member] Member srt:MaximumMember
136 Minimum [Member] Member srt:MinimumMember
137 Malpractice Insurance [Line Items] LineItems us-gaap:MalpracticeInsuranceLineItems
138 Malpractice Insurance, Occurrence or Claims-made [Fixed List] Concept (us-types:MalpracticeInsurance-OccurrenceOrClaims-madeItemType) For Period us-gaap:MalpracticeInsuranceOccurrenceOrClaimsMade
139 Malpractice Insurance, Multiprovider Captive Insurer, Retrospectively Rated [Fixed List] Concept (us-types:yesNoItemType) For Period us-gaap:MalpracticeInsuranceRetrospectivelyRated
140 Malpractice Insurance, Multiprovider Captive Insurer, Retrospectively Rated, Premium, Accrual Basis [true false] Concept (Yes/No) As Of us-gaap:MalpracticeInsuranceMultiproviderCaptiveInsurerRetrospectivelyRatedPremiumAccrualBasis
141 Malpractice Insurance, Coverage Floor Concept (Monetary) For Period Debit us-gaap:MalpracticeInsuranceCoverageFloor
142 Malpractice Insurance, Annual Coverage Limit Concept (Monetary) For Period Debit us-gaap:MalpracticeInsuranceAnnualCoverageLimit
143 Malpractice Insurance, Maximum Coverage Per Incident Concept (Monetary) For Period Debit us-gaap:MalpracticeInsuranceMaximumCoveragePerIncident
144 Malpractice Insurance, Deductible Concept (Monetary) For Period Debit us-gaap:MalpracticeInsuranceDeductible1
145 Malpractice Insurance, Self Insured Status [Fixed List] Concept (us-types:yesNoItemType) For Period us-gaap:MalpracticeInsuranceSelfInsuredStatus
146 Malpractice Insurance, Third Party Coverage [Fixed List] Concept (us-types:yesNoItemType) For Period us-gaap:MalpracticeInsuranceThirdPartyCoverage
147 Malpractice Insurance, Ownership in Captive Insurer [Fixed List] Concept (us-types:yesNoItemType) For Period us-gaap:MalpracticeInsuranceOwnershipInCaptiveInsurer
148 Malpractice Insurance, Percentage of Ownership in Captive Insurer Concept (dtr-types:percentItemType) As Of us-gaap:MalpracticeInsurancePercentageOfOwnershipInCaptiveInsurer
149 Malpractice Insurance, Percentage of Premiums Paid to Captive Insurer Concept (dtr-types:percentItemType) As Of us-gaap:MalpracticeInsurancePercentageOfPremiumsPaidToCaptiveInsurer
150 Health Care Organization, Expenses, Net [Abstract] Abstract us-gaap:HealthCareOrganizationExpensesNetAbstract
151 Health Care Organization, Expenses, Gross [Abstract] Abstract us-gaap:HealthCareOrganizationExpensesGrossAbstract
152 Health Care Organization, Stop Loss Insurance Premium Expense Concept (Monetary) For Period Debit us-gaap:HealthCareOrganizationStopLossInsurancePremiumExpense
153 Health Care Organization, Contract Acquisition Expense Concept (Monetary) For Period Debit us-gaap:HealthCareOrganizationContractAcquisitionExpense
154 Health Care Organization, Expenses, Gross, Total Concept (Monetary) For Period Debit us-gaap:HealthCareOrganizationHealthCareCostsGross
155 Health Care Organization, Stop Loss Insurance Recoveries Concept (Monetary) For Period Credit us-gaap:HealthCareOrganizationStopLossInsuranceRecoveries
156 Health Care Organization, Expenses, Net, Total Concept (Monetary) For Period Debit us-gaap:HealthCareOrganizationExpensesNet
157 Charity Care [Abstract] Abstract us-gaap:CharityCareAbstract
158 Charity Care, Direct and Indirect Cost Basis, Amount Concept (Monetary) For Period Debit us-gaap:CharityCareDirectAndIndirectCostBasisAmount
159 Charity Care, Other Measurement Basis, Amount Concept (Monetary) For Period Debit us-gaap:CharityCareOtherMeasurementBasisAmount
160 Charity Care, Reimbursements Received Concept (Monetary) For Period Credit us-gaap:CharityCareReimbursementsReceived
161 Charity Care Disclosure, Policy [Policy Text Block] Concept (dtr-types:textBlockItemType) For Period us-gaap:CharityCareDisclosureTextBlock
162 Charity Care, Methodology Concept (Text/String) For Period us-gaap:CharityCareMethodology
163 Continuing Care Retirement Communities [Abstract] Abstract us-gaap:ContinuingCareRetirementCommunitiesAbstract
164 Continuing Care Retirement Communities, Description Concept (Text/String) For Period us-gaap:ContinuingCareRetirementCommunitiesDescription
165 Continuing Care Retirement Communities, Obligation for Future Service, Amount Concept (Monetary) As Of Credit us-gaap:ContinuingCareRetirementCommunitiesObligationForFutureServiceAmount
166 Continuing Care Retirement Communities, Obligation for Future Service, Interest Rate Concept (dtr-types:percentItemType) As Of us-gaap:ContinuingCareRetirementCommunitiesObligationForFutureServiceInterestRate
167 Continuing Care Retirement Communities, Refund Obligation Concept (Monetary) As Of Credit us-gaap:ContinuingCareRetirementCommunitiesAdvanceFeesObligationForFutureServicesAmount
168 Continuing Care Retirement Community, Refund Policy [Policy Text Block] Concept (dtr-types:textBlockItemType) For Period us-gaap:ContinuingCareRetirementCommunitiesAdvanceFeesPolicyPolicyTextBlock
169 Business and Contractual Arrangements for Prepaid Health Care Service Providers [Text Block] Concept (dtr-types:textBlockItemType) For Period us-gaap:BusinessAndContractualArrangementsDisclosureTextBlock
170 Contractual Adjustments and Third Party Settlements, Policy [Policy Text Block] Concept (dtr-types:textBlockItemType) For Period us-gaap:ContractualAdjustmentsAndThirdPartySettlementsPolicyPolicyTextBlock
171 Health Care Organization, Accounts Payable to Third-Party Payor Concept (Monetary) As Of Credit us-gaap:HealthCareOrganizationAccountsPayableToThirdPartyPayor
172 Health Care Organization, Accounts Receivable Due from Third-Party Payor, Retroactive Adjustment Concept (Monetary) As Of Debit us-gaap:HealthCareOrganizationAccountsReceivableDueFromThirdPartyPayorRetroactiveAdjustment
173 Health Care Organization, Insurance Policy, Retrospectively Rated [true false] Concept (Yes/No) As Of us-gaap:HealthCareOrganizationInsurancePolicyRetrospectivelyRated
174 Health Care Organization, Insurance Policy, Retrospectively Rated, Premium, Accrual Basis [true false] Concept (Yes/No) As Of us-gaap:HealthCareOrganizationInsurancePolicyRetrospectivelyRatedPremiumAccrualBasis
175 Health Care Trust Fund, Existence [true false] Concept (Yes/No) As Of us-gaap:HealthCareTrustFundExistence
176 Health Care Trust Fund, Irrevocable [true false] Concept (Yes/No) As Of us-gaap:HealthCareTrustFundIrrevocable