2012 Q4 Form 10-K Financial Statement

#000110465913014113 Filed on February 26, 2013

View on sec.gov

Income Statement

Concept 2012 Q4 2011 Q4 2010 Q4
Revenue $2.331B $2.172B $2.111B
YoY Change 7.32% 2.89% -6.63%
Cost Of Revenue $388.0M $381.0M $394.0M
YoY Change 1.84% -3.3% 0.0%
Gross Profit $1.943B $1.791B $1.717B
YoY Change 8.49% 4.31% -8.03%
Gross Profit Margin 83.35% 82.46% 81.34%
Selling, General & Admin $1.091B $1.014B $967.0M
YoY Change 7.59% 4.86% -17.35%
% of Gross Profit 56.15% 56.62% 56.32%
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization $116.0M $100.0M $101.0M
YoY Change 16.0% -0.99% 6.32%
% of Gross Profit 5.97% 5.58% 5.88%
Operating Expenses $1.723B $1.603B $1.537B
YoY Change 7.49% 4.29% -11.87%
Operating Profit $220.0M $188.0M $180.0M
YoY Change 17.02% 4.44% 46.34%
Interest Expense -$110.0M -$100.0M -$101.0M
YoY Change 10.0% -0.99% -0.98%
% of Operating Profit -50.0% -53.19% -56.11%
Other Income/Expense, Net
YoY Change
Pretax Income $97.00M -$62.00M $62.00M
YoY Change -256.45% -200.0% -663.64%
Income Tax $35.00M -$12.00M $2.000M
% Of Pretax Income 36.08% 3.23%
Net Earnings $49.00M -$70.00M $80.00M
YoY Change -170.0% -187.5% 220.0%
Net Earnings / Revenue 2.1% -3.22% 3.79%
Basic Earnings Per Share
Diluted Earnings Per Share $426.1K -$647.5K $569.4K
COMMON SHARES
Basic Shares Outstanding 106.5M shares
Diluted Shares Outstanding

Balance Sheet

Concept 2012 Q4 2011 Q4 2010 Q4
SHORT-TERM ASSETS
Cash & Short-Term Investments $364.0M $113.0M $406.0M
YoY Change 222.12% -72.17% -42.25%
Cash & Equivalents $364.0M $113.0M $405.0M
Short-Term Investments $1.000M
Other Short-Term Assets $458.0M $378.0M $289.0M
YoY Change 21.16% 30.8% -31.68%
Inventory $153.0M $161.0M $156.0M
Prepaid Expenses $76.00M $73.00M $70.00M
Receivables $1.345B $1.278B $1.143B
Other Receivables $7.000M $7.000M $22.00M
Total Short-Term Assets $2.681B $2.357B $2.311B
YoY Change 13.75% 1.99% -6.51%
LONG-TERM ASSETS
Property, Plant & Equipment $4.293B $4.350B $4.304B
YoY Change -1.31% 1.07% -0.21%
Goodwill $916.0M $736.0M $652.0M
YoY Change 24.46% 12.88% 7.41%
Intangibles
YoY Change
Long-Term Investments $22.00M $23.00M $27.00M
YoY Change -4.35% -14.81% -85.16%
Other Assets $342.0M $374.0M $627.0M
YoY Change -8.56% -40.35%
Total Long-Term Assets $6.363B $6.105B $6.189B
YoY Change 4.23% -1.36% 12.92%
TOTAL ASSETS
Total Short-Term Assets $2.681B $2.357B $2.311B
Total Long-Term Assets $6.363B $6.105B $6.189B
Total Assets $9.044B $8.462B $8.500B
YoY Change 6.88% -0.45% 6.88%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $722.0M $760.0M $720.0M
YoY Change -5.0% 5.56% -2.57%
Accrued Expenses $540.0M $552.0M $486.0M
YoY Change -2.17% 13.58% -15.18%
Deferred Revenue
YoY Change
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due $94.00M $66.00M $67.00M
YoY Change 42.42% -1.49% 3250.0%
Total Short-Term Liabilities $1.763B $1.815B $1.725B
YoY Change -2.87% 5.22% -3.25%
LONG-TERM LIABILITIES
Long-Term Debt $5.158B $4.294B $3.997B
YoY Change 20.12% 7.43% -6.44%
Other Long-Term Liabilities $305.0M $506.0M $554.0M
YoY Change -39.72% -8.66% -47.39%
Total Long-Term Liabilities $305.0M $506.0M $554.0M
YoY Change -39.72% -8.66% -89.6%
TOTAL LIABILITIES
Total Short-Term Liabilities $1.763B $1.815B $1.725B
Total Long-Term Liabilities $305.0M $506.0M $554.0M
Total Liabilities $7.810B $6.954B $6.681B
YoY Change 12.31% 4.09% -8.57%
SHAREHOLDERS EQUITY
Retained Earnings -$1.288B -$1.440B -$1.522B
YoY Change -10.56% -5.39%
Common Stock $7.000M $7.000M $27.00M
YoY Change 0.0% -74.07%
Preferred Stock
YoY Change
Treasury Stock (at cost) $1.979B $1.853B $1.479B
YoY Change 6.8% 25.29%
Treasury Stock Shares 37.73M shares 34.11M shares 65.10M shares
Shareholders Equity $1.143B $1.423B $1.766B
YoY Change
Total Liabilities & Shareholders Equity $9.044B $8.462B $8.500B
YoY Change 6.88% -0.45% 6.88%

Cashflow Statement

Concept 2012 Q4 2011 Q4 2010 Q4
OPERATING ACTIVITIES
Net Income $49.00M -$70.00M $80.00M
YoY Change -170.0% -187.5% 220.0%
Depreciation, Depletion And Amortization $116.0M $100.0M $101.0M
YoY Change 16.0% -0.99% 6.32%
Cash From Operating Activities $256.0M $173.0M $175.0M
YoY Change 47.98% -1.14% 24.11%
INVESTING ACTIVITIES
Capital Expenditures -$148.0M -$173.0M -$196.0M
YoY Change -14.45% -11.73% 2.08%
Acquisitions
YoY Change
Other Investing Activities -$168.0M -$6.000M $47.00M
YoY Change 2700.0% -112.77% 291.67%
Cash From Investing Activities -$316.0M -$179.0M -$149.0M
YoY Change 76.54% 20.13% -17.22%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net $100.0M
YoY Change
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities 341.0M -66.00M -19.00M
YoY Change -616.67% 247.37% 850.0%
NET CHANGE
Cash From Operating Activities 256.0M 173.0M 175.0M
Cash From Investing Activities -316.0M -179.0M -149.0M
Cash From Financing Activities 341.0M -66.00M -19.00M
Net Change In Cash 281.0M -72.00M 7.000M
YoY Change -490.28% -1128.57% -117.07%
FREE CASH FLOW
Cash From Operating Activities $256.0M $173.0M $175.0M
Capital Expenditures -$148.0M -$173.0M -$196.0M
Free Cash Flow $404.0M $346.0M $371.0M
YoY Change 16.76% -6.74% 11.41%

Facts In Submission

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CY2011 thc Increase In Revenue Due To Adjustments For Prior Year Cost Reports And Related Valuation Allowances
IncreaseInRevenueDueToAdjustmentsForPriorYearCostReportsAndRelatedValuationAllowances
1000000 USD
CY2010 thc Increase In Revenue Due To Adjustments For Prior Year Cost Reports And Related Valuation Allowances
IncreaseInRevenueDueToAdjustmentsForPriorYearCostReportsAndRelatedValuationAllowances
1000000 USD
CY2012 thc Health Care Organization Revenue Gross
HealthCareOrganizationRevenueGross
9904000000 USD
CY2012 thc Provision For Doubtful Accounts Look Back Period
ProvisionForDoubtfulAccountsLookBackPeriod
P18M
CY2012 thc Percentage Of Medicaid Incentive Payments Federally Funded
PercentageOfMedicaidIncentivePaymentsFederallyFunded
1.00 pure
CY2012 thc Number Of Hospitals Operated By Subsidiaries
NumberOfHospitalsOperatedBySubsidiaries
49 item
CY2012 thc Number Of Licensed Beds In Hospitals Operated By Subsidiaries
NumberOfLicensedBedsInHospitalsOperatedBySubsidiaries
13216 item
CY2012 thc Cost Report Filing Period After End Of Annual Cost Reporting Period
CostReportFilingPeriodAfterEndOfAnnualCostReportingPeriod
P5M
CY2012 thc Increase In Revenue Due To Adjustments For Prior Year Cost Reports And Related Valuation Allowances
IncreaseInRevenueDueToAdjustmentsForPriorYearCostReportsAndRelatedValuationAllowances
114000000 USD
CY2012 thc Incentive Payments For Technology Certification
IncentivePaymentsForTechnologyCertification
40000000 USD
CY2011 thc Incentive Payments For Technology Certification
IncentivePaymentsForTechnologyCertification
55000000 USD
CY2012Q4 us-gaap Accounts Payable Current And Noncurrent
AccountsPayableCurrentAndNoncurrent
232000000 USD
CY2011Q4 us-gaap Accounts Payable Current And Noncurrent
AccountsPayableCurrentAndNoncurrent
252000000 USD
CY2011 thc Repatriated Cash From Subsidiaries
RepatriatedCashFromSubsidiaries
21000000 USD
CY2011 us-gaap Capital Expenditures Incurred But Not Yet Paid
CapitalExpendituresIncurredButNotYetPaid
109000000 USD
CY2011Q4 thc Capital Expenditures Incurred But Not Yet Paid Current
CapitalExpendituresIncurredButNotYetPaidCurrent
104000000 USD
CY2012 us-gaap Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
88000000 USD
CY2012 thc Property Plant And Equipment Additions Minimum Value
PropertyPlantAndEquipmentAdditionsMinimumValue
500 USD
CY2012 thc Property Plant And Equipment Additions Minimum Useful Life
PropertyPlantAndEquipmentAdditionsMinimumUsefulLife
P1Y
CY2012 us-gaap Interest Costs Capitalized
InterestCostsCapitalized
6000000 USD
CY2011 us-gaap Interest Costs Capitalized
InterestCostsCapitalized
8000000 USD
CY2010 us-gaap Interest Costs Capitalized
InterestCostsCapitalized
4000000 USD
CY2011 us-gaap Malpractice Loss Contingency Discount Rate
MalpracticeLossContingencyDiscountRate
0.0135 pure
CY2012 us-gaap Malpractice Loss Contingency Discount Rate
MalpracticeLossContingencyDiscountRate
0.0118 pure
CY2011 thc Percentage Of Net Operating Revenues Generated By General Hospitals
PercentageOfNetOperatingRevenuesGeneratedByGeneralHospitals
0.967 pure
CY2012 thc Percentage Of Net Operating Revenues Generated By General Hospitals
PercentageOfNetOperatingRevenuesGeneratedByGeneralHospitals
0.953 pure
CY2010 thc Percentage Of Net Operating Revenues Generated By General Hospitals
PercentageOfNetOperatingRevenuesGeneratedByGeneralHospitals
0.974 pure
CY2012Q4 us-gaap Commitments And Contingencies
CommitmentsAndContingencies
USD
CY2011Q4 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
16000000 USD
CY2011Q4 us-gaap Preferred Stock Value
PreferredStockValue
334000000 USD
CY2011Q4 us-gaap Common Stock Value
CommonStockValue
7000000 USD
CY2011Q4 us-gaap Additional Paid In Capital
AdditionalPaidInCapital
4427000000 USD
CY2011Q4 us-gaap Accumulated Other Comprehensive Income Loss Net Of Tax
AccumulatedOtherComprehensiveIncomeLossNetOfTax
-52000000 USD
CY2011Q4 us-gaap Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
-1440000000 USD
CY2011Q4 us-gaap Treasury Stock Value
TreasuryStockValue
1853000000 USD
CY2011Q4 us-gaap Stockholders Equity
StockholdersEquity
1423000000 USD
CY2011Q4 us-gaap Minority Interest
MinorityInterest
69000000 USD
CY2012 dei Entity Well Known Seasoned Issuer
EntityWellKnownSeasonedIssuer
Yes
CY2012 dei Entity Voluntary Filers
EntityVoluntaryFilers
No
CY2011Q4 us-gaap Litigation Reserve Current
LitigationReserveCurrent
64000000 USD
CY2011Q4 us-gaap Other Liabilities Current
OtherLiabilitiesCurrent
362000000 USD
CY2011Q4 us-gaap Liabilities Current
LiabilitiesCurrent
1815000000 USD
CY2011Q4 us-gaap Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
4294000000 USD
CY2011Q4 us-gaap Self Insurance Reserve Noncurrent
SelfInsuranceReserveNoncurrent
337000000 USD
CY2011Q4 us-gaap Litigation Reserve Noncurrent
LitigationReserveNoncurrent
2000000 USD
CY2011Q4 us-gaap Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
506000000 USD
CY2011Q4 us-gaap Liabilities
Liabilities
6954000000 USD
CY2011Q4 us-gaap Commitments And Contingencies
CommitmentsAndContingencies
USD
CY2010Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
1819000000 USD
CY2009Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest
697000000 USD
CY2012 us-gaap Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
12000000 USD
CY2011 us-gaap Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
10000000 USD
CY2010 us-gaap Minority Interest Decrease From Distributions To Noncontrolling Interest Holders
MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders
8000000 USD
CY2010 us-gaap Minority Interest Increase From Stock Issuance
MinorityInterestIncreaseFromStockIssuance
1000000 USD
CY2012 us-gaap Stock Issued During Period Value Acquisitions
StockIssuedDuringPeriodValueAcquisitions
37000000 USD
CY2011 us-gaap Stock Issued During Period Value Acquisitions
StockIssuedDuringPeriodValueAcquisitions
14000000 USD
CY2012 us-gaap Dividends Preferred Stock
DividendsPreferredStock
11000000 USD
CY2012 dei Current Fiscal Year End Date
CurrentFiscalYearEndDate
--12-31
CY2011Q4 us-gaap Assets Current
AssetsCurrent
2357000000 USD
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LongTermInvestmentsAndReceivablesNet
156000000 USD
CY2011Q4 us-gaap Deferred Tax Assets Net Noncurrent
DeferredTaxAssetsNetNoncurrent
374000000 USD
CY2011Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
4350000000 USD
CY2011Q4 us-gaap Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
489000000 USD
CY2011Q4 us-gaap Assets
Assets
8462000000 USD
CY2011Q4 us-gaap Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
66000000 USD
CY2011Q4 us-gaap Accounts Payable Current
AccountsPayableCurrent
760000000 USD
CY2011Q4 us-gaap Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
376000000 USD
CY2011Q4 us-gaap Self Insurance Reserve Current
SelfInsuranceReserveCurrent
75000000 USD
CY2011Q4 us-gaap Interest Payable Current
InterestPayableCurrent
112000000 USD
CY2012 us-gaap Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
126000000 USD
CY2011 us-gaap Stock Repurchased During Period Value
StockRepurchasedDuringPeriodValue
374000000 USD
CY2012 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
10000000 USD
CY2011 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
-18000000 USD
CY2010 us-gaap Stock Issued During Period Value Share Based Compensation
StockIssuedDuringPeriodValueShareBasedCompensation
12000000 USD
CY2012Q4 us-gaap Stock Repurchase Program Authorized Amount
StockRepurchaseProgramAuthorizedAmount
500000000 USD
us-gaap Stock Repurchased During Period Shares
StockRepurchasedDuringPeriodShares
18942000 shares
CY2012 us-gaap Stock Repurchased During Period Shares
StockRepurchasedDuringPeriodShares
20269000 shares
us-gaap Treasury Stock Acquired Average Cost Per Share
TreasuryStockAcquiredAverageCostPerShare
19.75
CY2012Q1 us-gaap Treasury Stock Acquired Average Cost Per Share
TreasuryStockAcquiredAverageCostPerShare
19.74
us-gaap Stock Repurchase Program Remaining Authorized Repurchase Amount
StockRepurchaseProgramRemainingAuthorizedRepurchaseAmount
26000000 USD
CY2012Q1 us-gaap Stock Repurchase Program Remaining Authorized Repurchase Amount
StockRepurchaseProgramRemainingAuthorizedRepurchaseAmount
0 USD
CY2012 us-gaap Stock Repurchase Program Remaining Authorized Repurchase Amount
StockRepurchaseProgramRemainingAuthorizedRepurchaseAmount
0 USD
CY2011Q4 us-gaap Assets Held For Sale Long Lived
AssetsHeldForSaleLongLived
20000000 USD
CY2010Q4 us-gaap Assets Held For Sale Long Lived
AssetsHeldForSaleLongLived
25000000 USD
CY2012 thc Cash Payments To Be Applied Against Accruals Due Within One Year
CashPaymentsToBeAppliedAgainstAccrualsDueWithinOneYear
7000000 USD
CY2012 thc Cash Payments To Be Applied Against Accruals Due Thereafter
CashPaymentsToBeAppliedAgainstAccrualsDueThereafter
5000000 USD
CY2012Q4 us-gaap Restructuring Reserve
RestructuringReserve
12000000 USD
CY2011Q4 us-gaap Restructuring Reserve
RestructuringReserve
11000000 USD
CY2012Q4 us-gaap Stock Repurchased During Period Shares
StockRepurchasedDuringPeriodShares
1095000 shares
CY2012Q4 us-gaap Stock Repurchased During Period Shares
StockRepurchasedDuringPeriodShares
2311000 shares
CY2012Q4 us-gaap Treasury Stock Acquired Average Cost Per Share
TreasuryStockAcquiredAverageCostPerShare
30.47
CY2012Q4 us-gaap Treasury Stock Acquired Average Cost Per Share
TreasuryStockAcquiredAverageCostPerShare
27.00
CY2012Q4 us-gaap Stock Repurchase Program Remaining Authorized Repurchase Amount
StockRepurchaseProgramRemainingAuthorizedRepurchaseAmount
400000000 USD
CY2012Q4 thc Common Stock Shares Authorized Before Reverse Stock Split
CommonStockSharesAuthorizedBeforeReverseStockSplit
1050000000 shares
CY2012Q4 us-gaap Accounts Receivable Net Current
AccountsReceivableNetCurrent
1345000000 USD
CY2012 us-gaap Disposal Group Including Discontinued Operation Revenue
DisposalGroupIncludingDiscontinuedOperationRevenue
154000000 USD
CY2011 us-gaap Disposal Group Including Discontinued Operation Revenue
DisposalGroupIncludingDiscontinuedOperationRevenue
216000000 USD
CY2010 us-gaap Disposal Group Including Discontinued Operation Revenue
DisposalGroupIncludingDiscontinuedOperationRevenue
240000000 USD
CY2011 thc Number Of Lawsuits
NumberOfLawsuits
2 lawsuit
CY2011 thc Litigation Settlements Net Of Insurance Recoveries
LitigationSettlementsNetOfInsuranceRecoveries
14000000 USD
CY2011 us-gaap Insurance Recoveries
InsuranceRecoveries
10000000 USD
CY2010Q4 us-gaap Litigation Reserve
LitigationReserve
5000000 USD
CY2011 us-gaap Loss Contingency Accrual Carrying Value Period Increase Decrease
LossContingencyAccrualCarryingValuePeriodIncreaseDecrease
17000000 USD
CY2012 us-gaap Restructuring Settlement And Impairment Provisions
RestructuringSettlementAndImpairmentProvisions
19000000 USD
CY2010Q4 us-gaap Restructuring Reserve
RestructuringReserve
10000000 USD
CY2009Q4 us-gaap Restructuring Reserve
RestructuringReserve
14000000 USD
CY2012 us-gaap Restructuring Charges
RestructuringCharges
-14000000 USD
CY2011 us-gaap Restructuring Charges
RestructuringCharges
-13000000 USD
CY2010 us-gaap Restructuring Charges
RestructuringCharges
-1000000 USD
CY2012 us-gaap Restructuring Reserve Settled With Cash
RestructuringReserveSettledWithCash
13000000 USD
CY2011 us-gaap Restructuring Reserve Settled With Cash
RestructuringReserveSettledWithCash
11000000 USD
CY2010 us-gaap Restructuring Reserve Settled With Cash
RestructuringReserveSettledWithCash
5000000 USD
CY2012 us-gaap Restructuring Reserve Accrual Adjustment
RestructuringReserveAccrualAdjustment
0 USD
CY2011 us-gaap Restructuring Reserve Accrual Adjustment
RestructuringReserveAccrualAdjustment
-1000000 USD
CY2010 us-gaap Restructuring Reserve Accrual Adjustment
RestructuringReserveAccrualAdjustment
0 USD
CY2012Q4 us-gaap Capital Lease Obligations
CapitalLeaseObligations
119000000 USD
CY2011Q4 us-gaap Capital Lease Obligations
CapitalLeaseObligations
32000000 USD
CY2012Q4 us-gaap Debt Instrument Unamortized Discount Premium Net
DebtInstrumentUnamortizedDiscountPremiumNet
116000000 USD
CY2011Q4 us-gaap Debt Instrument Unamortized Discount Premium Net
DebtInstrumentUnamortizedDiscountPremiumNet
129000000 USD
CY2012Q4 us-gaap Debt And Capital Lease Obligations
DebtAndCapitalLeaseObligations
5252000000 USD
CY2011Q4 us-gaap Debt And Capital Lease Obligations
DebtAndCapitalLeaseObligations
4360000000 USD
CY2012Q4 us-gaap Long Term Debt And Capital Lease Obligations Current
LongTermDebtAndCapitalLeaseObligationsCurrent
94000000 USD
CY2012Q4 us-gaap Long Term Debt And Capital Lease Obligations
LongTermDebtAndCapitalLeaseObligations
5158000000 USD
CY2012Q4 us-gaap Five Year Schedule Of Maturities Of Parent Company Repayments Of Principle Within One Year
FiveYearScheduleOfMaturitiesOfParentCompanyRepaymentsOfPrincipleWithinOneYear
94000000 USD
CY2012Q4 us-gaap Five Year Schedule Of Maturities Of Parent Company Repayments Of Principle In Year Two
FiveYearScheduleOfMaturitiesOfParentCompanyRepaymentsOfPrincipleInYearTwo
104000000 USD
CY2012Q4 us-gaap Five Year Schedule Of Maturities Of Parent Company Repayment Of Principle In Year Three
FiveYearScheduleOfMaturitiesOfParentCompanyRepaymentOfPrincipleInYearThree
497000000 USD
CY2012Q4 us-gaap Five Year Schedule Of Maturities Of Parent Company Repayments Of Principle In Year Four
FiveYearScheduleOfMaturitiesOfParentCompanyRepaymentsOfPrincipleInYearFour
3000000 USD
CY2010 us-gaap Operating Leases Rent Expense Sublease Rentals1
OperatingLeasesRentExpenseSubleaseRentals1
12000000 USD
CY2012Q4 us-gaap Debt Instrument Carrying Amount
DebtInstrumentCarryingAmount
5368000000 USD
CY2012Q4 us-gaap Five Year Schedule Of Maturities Of Parent Company Repayments Of Principle In Year Five
FiveYearScheduleOfMaturitiesOfParentCompanyRepaymentsOfPrincipleInYearFive
3000000 USD
CY2012Q4 us-gaap Five Year Schedule Of Maturities Of Parent Company Repayments Of Principal After Year Five
FiveYearScheduleOfMaturitiesOfParentCompanyRepaymentsOfPrincipalAfterYearFive
4667000000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due
OperatingLeasesFutureMinimumPaymentsDue
439000000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due Current
OperatingLeasesFutureMinimumPaymentsDueCurrent
118000000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due In Two Years
OperatingLeasesFutureMinimumPaymentsDueInTwoYears
77000000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due In Three Years
OperatingLeasesFutureMinimumPaymentsDueInThreeYears
58000000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due In Four Years
OperatingLeasesFutureMinimumPaymentsDueInFourYears
48000000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due In Five Years
OperatingLeasesFutureMinimumPaymentsDueInFiveYears
35000000 USD
CY2012Q4 us-gaap Operating Leases Future Minimum Payments Due Thereafter
OperatingLeasesFutureMinimumPaymentsDueThereafter
103000000 USD
CY2012 us-gaap Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
156000000 USD
CY2011 us-gaap Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
143000000 USD
CY2010 us-gaap Operating Leases Rent Expense Net
OperatingLeasesRentExpenseNet
134000000 USD
CY2012 us-gaap Operating Leases Rent Expense Sublease Rentals1
OperatingLeasesRentExpenseSubleaseRentals1
8000000 USD
CY2011 us-gaap Operating Leases Rent Expense Sublease Rentals1
OperatingLeasesRentExpenseSubleaseRentals1
8000000 USD
CY2012 us-gaap Defined Benefit Plan Service Cost
DefinedBenefitPlanServiceCost
2000000 USD
CY2011Q4 us-gaap Defined Benefit Plan Funded Status Of Plan
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285000000 USD
CY2012Q4 thc Common Stock Fair Value Per Share
CommonStockFairValuePerShare
32.47
CY2012Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
4289192 shares
CY2012 thc Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Percentage Of Total
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingPercentageOfTotal
1.000 pure
CY2012 thc Defined Contribution Plan Employee Contribution Percentage Minimum
DefinedContributionPlanEmployeeContributionPercentageMinimum
0.01 pure
CY2012 thc Defined Contribution Plan Employee Contribution Percentage Maximum
DefinedContributionPlanEmployeeContributionPercentageMaximum
0.75 pure
CY2012 us-gaap Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
32000000 USD
CY2011 us-gaap Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
32000000 USD
CY2010 us-gaap Defined Contribution Plan Cost Recognized
DefinedContributionPlanCostRecognized
26000000 USD
CY2012 thc Defined Benefit Pension Plan Active Number
DefinedBenefitPensionPlanActiveNumber
1 plan
CY2012 thc Defined Benefit Pension Plan Frozen Number
DefinedBenefitPensionPlanFrozenNumber
2 plan
CY2012 us-gaap Defined Benefit Plan Interest Cost
DefinedBenefitPlanInterestCost
14000000 USD
CY2012 us-gaap Defined Benefit Plan Actuarial Gain Loss
DefinedBenefitPlanActuarialGainLoss
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CY2012Q4 us-gaap Defined Benefit Plan Benefit Obligation
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312000000 USD
CY2012 us-gaap Defined Benefit Plan Benefits Paid
DefinedBenefitPlanBenefitsPaid
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DefinedBenefitPlanFairValueOfPlanAssets
0 USD
CY2011Q4 us-gaap Defined Benefit Plan Benefit Obligation
DefinedBenefitPlanBenefitObligation
-285000000 USD
CY2011 us-gaap Defined Benefit Plan Service Cost
DefinedBenefitPlanServiceCost
2000000 USD
CY2011 us-gaap Defined Benefit Plan Interest Cost
DefinedBenefitPlanInterestCost
14000000 USD
CY2011 us-gaap Defined Benefit Plan Actuarial Gain Loss
DefinedBenefitPlanActuarialGainLoss
-19000000 USD
CY2011 us-gaap Defined Benefit Plan Benefits Paid
DefinedBenefitPlanBenefitsPaid
-18000000 USD
CY2011Q4 us-gaap Defined Benefit Plan Fair Value Of Plan Assets
DefinedBenefitPlanFairValueOfPlanAssets
0 USD
CY2012Q4 us-gaap Pension And Other Postretirement Defined Benefit Plans Liabilities Noncurrent
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292000000 USD
CY2012Q4 us-gaap Defined Benefit Plan Accumulated Other Comprehensive Income Before Tax
DefinedBenefitPlanAccumulatedOtherComprehensiveIncomeBeforeTax
90000000 USD
CY2012Q4 us-gaap Defined Benefit Plan Assumptions Used Calculating Benefit Obligation Discount Rate
DefinedBenefitPlanAssumptionsUsedCalculatingBenefitObligationDiscountRate
0.0400 pure
CY2011Q4 us-gaap Defined Benefit Plan Assumptions Used Calculating Benefit Obligation Discount Rate
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UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
15000000 USD
CY2011 us-gaap Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
3000000 USD
CY2011 us-gaap Unrecognized Tax Benefits Decreases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromCurrentPeriodTaxPositions
0 USD
CY2011 us-gaap Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities
UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities
12000000 USD
CY2011 us-gaap Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
4000000 USD
CY2012Q4 us-gaap Unrecognized Tax Benefits
UnrecognizedTaxBenefits
32000000 USD
CY2012 us-gaap Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions
0 USD
CY2012 us-gaap Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsIncreasesResultingFromCurrentPeriodTaxPositions
2000000 USD
CY2012 us-gaap Unrecognized Tax Benefits Decreases Resulting From Current Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromCurrentPeriodTaxPositions
0 USD
CY2012 us-gaap Unrecognized Tax Benefits Decreases Resulting From Settlements With Taxing Authorities
UnrecognizedTaxBenefitsDecreasesResultingFromSettlementsWithTaxingAuthorities
3000000 USD
CY2012 us-gaap Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations
UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations
0 USD
CY2010Q4 us-gaap Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
23000000 USD
CY2011 thc Income Tax Benefit Due To Reduction Of Liabilities For Uncertain Tax Positions
IncomeTaxBenefitDueToReductionOfLiabilitiesForUncertainTaxPositions
21000000 USD
CY2011 thc Income Tax Benefit Due To Reduction Of Liabilities For Uncertain Tax Positions Continuing Operations
IncomeTaxBenefitDueToReductionOfLiabilitiesForUncertainTaxPositionsContinuingOperations
2000000 USD
CY2011 thc Income Tax Benefit Due To Reduction Of Liabilities For Uncertain Tax Positions Discontinued Operations
IncomeTaxBenefitDueToReductionOfLiabilitiesForUncertainTaxPositionsDiscontinuedOperations
19000000 USD
CY2011Q4 us-gaap Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
35000000 USD
CY2010 thc Income Tax Benefit Due To Reduction Of Liabilities For Uncertain Tax Positions
IncomeTaxBenefitDueToReductionOfLiabilitiesForUncertainTaxPositions
58000000 USD
CY2010 thc Income Tax Benefit Due To Reduction Of Liabilities For Uncertain Tax Positions Continuing Operations
IncomeTaxBenefitDueToReductionOfLiabilitiesForUncertainTaxPositionsContinuingOperations
45000000 USD
CY2010 thc Income Tax Benefit Due To Reduction Of Liabilities For Uncertain Tax Positions Discontinued Operations
IncomeTaxBenefitDueToReductionOfLiabilitiesForUncertainTaxPositionsDiscontinuedOperations
13000000 USD
CY2012 thc Unrecognized Tax Benefits Income Tax Penalties And Interest Expense To Continuing Operations
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestExpenseToContinuingOperations
1000000 USD
CY2012Q4 us-gaap Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued
UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued
8000000 USD
CY2012Q4 us-gaap Significant Change In Unrecognized Tax Benefits Is Reasonably Possible Amount Of Unrecorded Benefit
SignificantChangeInUnrecognizedTaxBenefitsIsReasonablyPossibleAmountOfUnrecordedBenefit
8000000 USD
CY2012 thc Operating Loss Carryforward Limitation On Use Percent Of Shareholders
OperatingLossCarryforwardLimitationOnUsePercentOfShareholders
0.05 pure
CY2012 us-gaap Income Loss From Continuing Operations
IncomeLossFromContinuingOperations
185000000 USD
CY2010 us-gaap Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
9.09
CY2012 us-gaap Amount Of Dilutive Securities Stock Options And Restrictive Stock Units
AmountOfDilutiveSecuritiesStockOptionsAndRestrictiveStockUnits
0 USD
CY2011 us-gaap Amount Of Dilutive Securities Stock Options And Restrictive Stock Units
AmountOfDilutiveSecuritiesStockOptionsAndRestrictiveStockUnits
0 USD
CY2010 us-gaap Amount Of Dilutive Securities Stock Options And Restrictive Stock Units
AmountOfDilutiveSecuritiesStockOptionsAndRestrictiveStockUnits
24000000 USD
CY2012 us-gaap Incremental Common Shares Attributable To Conversion Of Preferred Stock
IncrementalCommonSharesAttributableToConversionOfPreferredStock
4726000 shares
CY2011 us-gaap Incremental Common Shares Attributable To Conversion Of Preferred Stock
IncrementalCommonSharesAttributableToConversionOfPreferredStock
4113000 shares
CY2010 us-gaap Incremental Common Shares Attributable To Conversion Of Preferred Stock
IncrementalCommonSharesAttributableToConversionOfPreferredStock
19078000 shares
CY2012 thc Effect Of Dilutive Stock Options Restricted Stock Units And Mandatory Convertible Preferred Stock Per Share Amount
EffectOfDilutiveStockOptionsRestrictedStockUnitsAndMandatoryConvertiblePreferredStockPerShareAmount
-0.07
CY2011 thc Effect Of Dilutive Stock Options Restricted Stock Units And Mandatory Convertible Preferred Stock Per Share Amount
EffectOfDilutiveStockOptionsRestrictedStockUnitsAndMandatoryConvertiblePreferredStockPerShareAmount
-0.02
CY2010 thc Effect Of Dilutive Stock Options Restricted Stock Units And Mandatory Convertible Preferred Stock Per Share Amount
EffectOfDilutiveStockOptionsRestrictedStockUnitsAndMandatoryConvertiblePreferredStockPerShareAmount
-1.06
CY2012 thc Capital Expenditure
CapitalExpenditure
508000000 USD
CY2012 us-gaap Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
185000000 USD
CY2011 thc Capital Expenditure
CapitalExpenditure
475000000 USD
CY2011 us-gaap Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
68000000 USD
CY2010 us-gaap Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
1125000000 USD
CY2011 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
121295000 shares
CY2010 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
140158000 shares
CY2011 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
0.56
CY2010 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
8.03
CY2012 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
2876000 shares
CY2011 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
3421000 shares
CY2010 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
5043000 shares
CY2011Q4 us-gaap Long Lived Assets Held For Sale Impairment Charge
LongLivedAssetsHeldForSaleImpairmentCharge
12000000 USD
CY2011Q4 thc Estimated Fair Value Of Debt Instrument As Percentage Of Carrying Value
EstimatedFairValueOfDebtInstrumentAsPercentageOfCarryingValue
1.049 pure
CY2012Q4 thc Estimated Fair Value Of Debt Instrument As Percentage Of Carrying Value
EstimatedFairValueOfDebtInstrumentAsPercentageOfCarryingValue
1.082 pure
CY2012Q4 thc Preferred Stock And Other Securities Held By Captive Insurance Subsidiaries
PreferredStockAndOtherSecuritiesHeldByCaptiveInsuranceSubsidiaries
1000000 USD
CY2012 us-gaap Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
6000000 USD
CY2011 us-gaap Business Combination Acquisition Related Costs
BusinessCombinationAcquisitionRelatedCosts
4000000 USD
CY2012 us-gaap Number Of Reportable Segments
NumberOfReportableSegments
1 segment
CY2012 thc Number Of Hospitals Owned By Subsidiaries
NumberOfHospitalsOwnedBySubsidiaries
49 item
CY2012 thc Number Of Licensed Beds In Hospitals Operated By The Subsidiaries
NumberOfLicensedBedsInHospitalsOperatedByTheSubsidiaries
13216 item
CY2012 thc Number Of Free Standing And Provider Based Diagnostic Imaging Centers And Ambulatory Surgery Centers Operated By Subsidiaries Excluding Classified In Discontinued Operations
NumberOfFreeStandingAndProviderBasedDiagnosticImagingCentersAndAmbulatorySurgeryCentersOperatedBySubsidiariesExcludingClassifiedInDiscontinuedOperations
117 item
CY2012 thc Number Of Hospitals To Which Segment Of The Entity Provides Revenue Cycle Services
NumberOfHospitalsToWhichSegmentOfTheEntityProvidesRevenueCycleServices
600 item
CY2010 thc Capital Expenditure
CapitalExpenditure
476000000 USD
CY2012 us-gaap Revenues From Transactions With Other Operating Segments Of Same Entity
RevenuesFromTransactionsWithOtherOperatingSegmentsOfSameEntity
-371000000 USD
CY2011 us-gaap Revenues From Transactions With Other Operating Segments Of Same Entity
RevenuesFromTransactionsWithOtherOperatingSegmentsOfSameEntity
-261000000 USD
CY2010 us-gaap Revenues From Transactions With Other Operating Segments Of Same Entity
RevenuesFromTransactionsWithOtherOperatingSegmentsOfSameEntity
-206000000 USD
CY2012 thc Adjusted Earnings Before Interest Tax Depreciation And Amortization
AdjustedEarningsBeforeInterestTaxDepreciationAndAmortization
1203000000 USD
CY2011 thc Adjusted Earnings Before Interest Tax Depreciation And Amortization
AdjustedEarningsBeforeInterestTaxDepreciationAndAmortization
1126000000 USD
CY2010 thc Adjusted Earnings Before Interest Tax Depreciation And Amortization
AdjustedEarningsBeforeInterestTaxDepreciationAndAmortization
1036000000 USD
CY2012 us-gaap Depreciation And Amortization
DepreciationAndAmortization
430000000 USD
CY2012 us-gaap Interest Expense
InterestExpense
412000000 USD
CY2012 us-gaap Asset Impairment Charges
AssetImpairmentCharges
19000000 USD
CY2011 us-gaap Asset Impairment Charges
AssetImpairmentCharges
20000000 USD
CY2010 us-gaap Asset Impairment Charges
AssetImpairmentCharges
10000000 USD
CY2012 us-gaap Gain Loss On Investments
GainLossOnInvestments
1000000 USD
CY2012Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
106000000 USD
CY2011 us-gaap Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Before Tax
OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax
0 USD
CY2012Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Two
FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo
95000000 USD
CY2011 us-gaap Other Comprehensive Income Loss Reclassification Adjustment For Sale Of Securities Included In Net Income Before Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentForSaleOfSecuritiesIncludedInNetIncomeBeforeTax
0 USD
CY2012Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Three
FiniteLivedIntangibleAssetsAmortizationExpenseYearThree
79000000 USD
CY2012Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Four
FiniteLivedIntangibleAssetsAmortizationExpenseYearFour
71000000 USD
CY2011 us-gaap Unrealized Gain Loss On Derivatives
UnrealizedGainLossOnDerivatives
0 USD
CY2011 thc Construction Of New And Replacement Hospitals
ConstructionOfNewAndReplacementHospitals
0 USD
CY2011 us-gaap Proceeds From Divestiture Of Businesses
ProceedsFromDivestitureOfBusinesses
0 USD
CY2011 us-gaap Increase Decrease In Restricted Cash
IncreaseDecreaseInRestrictedCash
0 USD
CY2010 us-gaap Repayments Of Long Term Lines Of Credit
RepaymentsOfLongTermLinesOfCredit
0 USD
CY2012Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseYearFive
57000000 USD
CY2012Q4 us-gaap Finite Lived Intangible Assets Amortization Expense After Year Five
FiniteLivedIntangibleAssetsAmortizationExpenseAfterYearFive
242000000 USD
CY2012 thc Stock Repurchase Program Expiration Date
StockRepurchaseProgramExpirationDate
09-May-12
CY2012Q4 thc Stockholders Equity Reverse Stock Split Conversion Ratio
StockholdersEquityReverseStockSplitConversionRatio
0.25 shares
CY2012 us-gaap Goodwill Purchase Accounting Adjustments
GoodwillPurchaseAccountingAdjustments
1000000 USD
CY2012Q2 us-gaap Payments For Repurchase Of Preferred Stock And Preference Stock
PaymentsForRepurchaseOfPreferredStockAndPreferenceStock
289000000 USD
CY2010 us-gaap Proceeds From Long Term Lines Of Credit
ProceedsFromLongTermLinesOfCredit
0 USD
CY2010 us-gaap Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
0 USD
CY2010 thc Proceeds From Interest Rate Swap Agreement
ProceedsFromInterestRateSwapAgreement
0 USD
CY2012 thc Allowance For Doubtful Accounts Lookback Period Used As Basis For Estimate
AllowanceForDoubtfulAccountsLookbackPeriodUsedAsBasisForEstimate
P18M
CY2012 thc Adjusted Earnings Before Income Tax
AdjustedEarningsBeforeIncomeTax
334000000 USD
CY2011 thc Adjusted Earnings Before Income Tax
AdjustedEarningsBeforeIncomeTax
164000000 USD
CY2010 thc Adjusted Earnings Before Income Tax
AdjustedEarningsBeforeIncomeTax
158000000 USD
CY2010 thc Discontinued Operation Restructuring Settlement And Impairment Provisions Before Income Tax
DiscontinuedOperationRestructuringSettlementAndImpairmentProvisionsBeforeIncomeTax
1000000 USD
CY2012 us-gaap Other Comprehensive Income Unrealized Holding Gain Loss On Securities Arising During Period Before Tax
OtherComprehensiveIncomeUnrealizedHoldingGainLossOnSecuritiesArisingDuringPeriodBeforeTax
0 USD
CY2012 us-gaap Other Comprehensive Income Loss Reclassification Adjustment For Sale Of Securities Included In Net Income Before Tax
OtherComprehensiveIncomeLossReclassificationAdjustmentForSaleOfSecuritiesIncludedInNetIncomeBeforeTax
0 USD
CY2010 thc Electronic Health Record Incentives
ElectronicHealthRecordIncentives
0 USD
CY2010 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
0.15
CY2010 thc Litigation And Investigation Costs
LitigationAndInvestigationCosts
0 USD
CY2010 us-gaap Discontinued Operation Gain Loss From Disposal Of Discontinued Operation Before Income Tax
DiscontinuedOperationGainLossFromDisposalOfDiscontinuedOperationBeforeIncomeTax
0 USD
CY2010 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
9.24
CY2011 us-gaap Discontinued Operation Gain Loss From Disposal Of Discontinued Operation Before Income Tax
DiscontinuedOperationGainLossFromDisposalOfDiscontinuedOperationBeforeIncomeTax
0 USD
CY2012 us-gaap Discontinued Operation Income Loss From Discontinued Operation Before Income Tax
DiscontinuedOperationIncomeLossFromDiscontinuedOperationBeforeIncomeTax
-101000000 USD
CY2012Q4 us-gaap Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Outstanding Options
ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfOutstandingOptions
4289192 shares
CY2012 us-gaap Sharebased Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Outstanding Options Weighted Average Remaining Contractual Term2
SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeOutstandingOptionsWeightedAverageRemainingContractualTerm2
P4Y1M6D
CY2012Q4 us-gaap Sharebased Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Outstanding Options Weighted Average Exercise Price Beginning Balance1
SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeOutstandingOptionsWeightedAverageExercisePriceBeginningBalance1
30.49
CY2012Q4 us-gaap Share Based Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Number Of Exercisable Options
ShareBasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeNumberOfExercisableOptions
3815870 shares
CY2012Q4 us-gaap Sharebased Compensation Shares Authorized Under Stock Option Plans Exercise Price Range Exercisable Options Weighted Average Exercise Price1
SharebasedCompensationSharesAuthorizedUnderStockOptionPlansExercisePriceRangeExercisableOptionsWeightedAverageExercisePrice1
31.47
CY2012 thc Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Percentage
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingPercentage
1.000 pure
CY2011Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
7736000000 USD
CY2012Q4 us-gaap Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
650000000 USD
CY2012 thc Period For Use Of Ehr Technology To Become Eligible For Annual Medicare Incentive Payments
PeriodForUseOfEHRTechnologyToBecomeEligibleForAnnualMedicareIncentivePayments
P4Y
CY2012 us-gaap Cash Provided By Used In Operating Activities Discontinued Operations
CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
-35000000 USD
CY2012 thc Payments To Acquire Property Plant And Equipment For Continuing Operations
PaymentsToAcquirePropertyPlantAndEquipmentForContinuingOperations
506000000 USD
CY2012 thc Construction Of New And Replacement Hospitals
ConstructionOfNewAndReplacementHospitals
0 USD
CY2012 thc Payments To Acquire Property Plant And Equipment For Discontinued Operations
PaymentsToAcquirePropertyPlantAndEquipmentForDiscontinuedOperations
2000000 USD
CY2012Q4 us-gaap Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
100000000 USD
CY2012Q4 us-gaap Stock Repurchased During Period Shares
StockRepurchasedDuringPeriodShares
3406324 shares
CY2011 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.35 pure
CY2010 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.35 pure
CY2012 us-gaap Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate
EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate
0.35 pure
CY2012 us-gaap Gains Losses On Extinguishment Of Debt
GainsLossesOnExtinguishmentOfDebt
-4000000 USD
CY2011Q2 thc Stock Repurchase Program Additional Authorized Amount
StockRepurchaseProgramAdditionalAuthorizedAmount
400000000 USD
CY2011 thc Number Of Business Lines
NumberOfBusinessLines
1 segment
CY2012Q4 us-gaap Accounts Payable Current
AccountsPayableCurrent
722000000 USD
CY2012Q4 us-gaap Employee Related Liabilities Current
EmployeeRelatedLiabilitiesCurrent
415000000 USD
CY2012 us-gaap Other Cost And Expense Operating
OtherCostAndExpenseOperating
2147000000 USD
CY2012 thc Electronic Health Record Incentives
ElectronicHealthRecordIncentives
-40000000 USD
CY2012 thc Number Of Free Standing And Provider Based Out Patient Centers Operated By Subsidiaries
NumberOfFreeStandingAndProviderBasedOutPatientCentersOperatedBySubsidiaries
117 item
CY2012Q4 us-gaap Self Insurance Reserve Current
SelfInsuranceReserveCurrent
64000000 USD
CY2012Q4 us-gaap Interest Payable Current
InterestPayableCurrent
125000000 USD
CY2012Q4 us-gaap Litigation Reserve Current
LitigationReserveCurrent
8000000 USD
CY2012Q4 us-gaap Other Liabilities Current
OtherLiabilitiesCurrent
335000000 USD
CY2012Q4 us-gaap Self Insurance Reserve Noncurrent
SelfInsuranceReserveNoncurrent
292000000 USD
CY2012Q4 us-gaap Litigation Reserve Noncurrent
LitigationReserveNoncurrent
2000000 USD
CY2012Q4 us-gaap Other Liabilities Noncurrent
OtherLiabilitiesNoncurrent
595000000 USD
CY2012Q4 us-gaap Redeemable Noncontrolling Interest Equity Carrying Amount
RedeemableNoncontrollingInterestEquityCarryingAmount
16000000 USD
CY2012Q4 us-gaap Common Stock Value
CommonStockValue
7000000 USD
CY2012Q4 us-gaap Additional Paid In Capital
AdditionalPaidInCapital
4471000000 USD
CY2012Q4 us-gaap Retained Earnings Accumulated Deficit
RetainedEarningsAccumulatedDeficit
-1288000000 USD
CY2012Q4 us-gaap Treasury Stock Value
TreasuryStockValue
1979000000 USD
CY2012Q4 us-gaap Minority Interest
MinorityInterest
75000000 USD
CY2012 us-gaap Provision For Doubtful Accounts
ProvisionForDoubtfulAccounts
785000000 USD
CY2012 us-gaap Labor And Related Expense
LaborAndRelatedExpense
4257000000 USD
CY2012 us-gaap Health Care Organization Medical Supplies And Drugs Expense
HealthCareOrganizationMedicalSuppliesAndDrugsExpense
1552000000 USD
CY2012 us-gaap Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
334000000 USD
CY2012 us-gaap Discontinued Operation Income Loss From Discontinued Operation During Phase Out Period Before Income Tax
DiscontinuedOperationIncomeLossFromDiscontinuedOperationDuringPhaseOutPeriodBeforeIncomeTax
-2000000 USD
CY2012 thc Discontinued Operation Restructuring Settlement And Impairment Provisions Before Income Tax
DiscontinuedOperationRestructuringSettlementAndImpairmentProvisionsBeforeIncomeTax
100000000 USD
CY2012 us-gaap Discontinued Operation Tax Effect Of Discontinued Operation
DiscontinuedOperationTaxEffectOfDiscontinuedOperation
-25000000 USD
CY2012 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
-76000000 USD
CY2011 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
-0.08
CY2011 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
0.48
CY2010 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
0.13
CY2010 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
8.16
CY2012 us-gaap Other Comprehensive Income Loss Pension And Other Postretirement Benefit Plans Adjustment Before Tax
OtherComprehensiveIncomeLossPensionAndOtherPostretirementBenefitPlansAdjustmentBeforeTax
25000000 USD
CY2012 us-gaap Other Comprehensive Income Loss Tax
OtherComprehensiveIncomeLossTax
-9000000 USD
CY2012 us-gaap Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
-19000000 USD
CY2012 us-gaap Minority Interest Increase From Stock Issuance
MinorityInterestIncreaseFromStockIssuance
3000000 USD
CY2012 us-gaap Deferred Income Tax Expense Benefit
DeferredIncomeTaxExpenseBenefit
92000000 USD
CY2012 us-gaap Share Based Compensation
ShareBasedCompensation
32000000 USD
CY2012 us-gaap Unrealized Gain Loss On Derivatives
UnrealizedGainLossOnDerivatives
0 USD
CY2012 us-gaap Amortization Of Financing Costs And Discounts
AmortizationOfFinancingCostsAndDiscounts
22000000 USD
CY2012 us-gaap Other Noncash Income Expense
OtherNoncashIncomeExpense
12000000 USD
CY2012 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
868000000 USD
CY2012 thc Increase Decrease In Inventories And Other Assets Current
IncreaseDecreaseInInventoriesAndOtherAssetsCurrent
59000000 USD
CY2012 us-gaap Increase Decrease In Income Taxes Receivable
IncreaseDecreaseInIncomeTaxesReceivable
5000000 USD
CY2012 us-gaap Increase Decrease In Accounts Payable And Accrued Liabilities
IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
9000000 USD
CY2012 us-gaap Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
3000000 USD
CY2012 thc Payments For Restructuring And Litigation Costs
PaymentsForRestructuringAndLitigationCosts
63000000 USD
CY2012 us-gaap Payments To Acquire Businesses Gross
PaymentsToAcquireBusinessesGross
211000000 USD
CY2012 us-gaap Proceeds From Divestiture Of Businesses
ProceedsFromDivestitureOfBusinesses
45000000 USD
CY2012 thc Proceeds From Sale Of Marketable Securities Long Term Investments And Other Assets
ProceedsFromSaleOfMarketableSecuritiesLongTermInvestmentsAndOtherAssets
17000000 USD
CY2012 us-gaap Increase Decrease In Restricted Cash
IncreaseDecreaseInRestrictedCash
0 USD
CY2012 us-gaap Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
5000000 USD
CY2012 us-gaap Repayments Of Long Term Lines Of Credit
RepaymentsOfLongTermLinesOfCredit
1773000000 USD
CY2012 us-gaap Proceeds From Long Term Lines Of Credit
ProceedsFromLongTermLinesOfCredit
1693000000 USD
CY2012 us-gaap Repayments Of Long Term Debt And Capital Securities
RepaymentsOfLongTermDebtAndCapitalSecurities
248000000 USD
CY2012 thc Income Tax Expense Due To Increase In Liabilities For Uncertain Tax Positions
IncomeTaxExpenseDueToIncreaseInLiabilitiesForUncertainTaxPositions
3000000 USD
CY2012 us-gaap Interest Paid Net
InterestPaidNet
-376000000 USD
CY2012 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
-13000000 USD
CY2011 us-gaap Income Loss From Continuing Operations Attributable To Noncontrolling Entity
IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity
11000000 USD
CY2010 us-gaap Income Loss From Continuing Operations Attributable To Noncontrolling Entity
IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity
10000000 USD
CY2010 us-gaap Income Loss From Discontinued Operations Net Of Tax Attributable To Noncontrolling Interest
IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToNoncontrollingInterest
-1000000 USD
CY2012 us-gaap Proceeds From Issuance Of Long Term Debt And Capital Securities Net
ProceedsFromIssuanceOfLongTermDebtAndCapitalSecuritiesNet
1092000000 USD
CY2012 us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
17000000 USD
CY2012 us-gaap Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
126000000 USD
CY2012 us-gaap Payments Of Dividends Preferred Stock And Preference Stock
PaymentsOfDividendsPreferredStockAndPreferenceStock
14000000 USD
CY2012 thc Increase In Revenue Due To Adjustments For Prior Year Cost Reports And Related Valuation Allowances Related To Industry Wide Medicare Rural Floor Budget Neutrality Adjustment Settlement
IncreaseInRevenueDueToAdjustmentsForPriorYearCostReportsAndRelatedValuationAllowancesRelatedToIndustryWideMedicareRuralFloorBudgetNeutralityAdjustmentSettlement
81000000 USD
CY2012 us-gaap Income Loss From Discontinued Operations Net Of Tax Attributable To Noncontrolling Interest
IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToNoncontrollingInterest
-32000000 USD
CY2012 us-gaap Payments Of Dividends Minority Interest
PaymentsOfDividendsMinorityInterest
15000000 USD
CY2012 us-gaap Proceeds From Payments For Other Financing Activities
ProceedsFromPaymentsForOtherFinancingActivities
20000000 USD
CY2012 thc Proceeds From Interest Rate Swap Agreement
ProceedsFromInterestRateSwapAgreement
0 USD
CY2011 thc Adjusted Supplemental Earnings Before Interest Tax Depreciation And Amortization
AdjustedSupplementalEarningsBeforeInterestTaxDepreciationAndAmortization
1126000000 USD
CY2010 thc Adjusted Supplemental Earnings Before Interest Tax Depreciation And Amortization
AdjustedSupplementalEarningsBeforeInterestTaxDepreciationAndAmortization
1036000000 USD
CY2012Q4 us-gaap Unrecognized Tax Benefits That Would Impact Effective Tax Rate
UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate
32000000 USD
CY2012 thc Income Tax Benefit Due To Reduction Of Liabilities For Uncertain Tax Positions Continuing Operations
IncomeTaxBenefitDueToReductionOfLiabilitiesForUncertainTaxPositionsContinuingOperations
3000000 USD
CY2012 us-gaap Income Loss From Continuing Operations Attributable To Noncontrolling Entity
IncomeLossFromContinuingOperationsAttributableToNoncontrollingEntity
13000000 USD
CY2012 thc Adjusted Supplemental Earnings Before Interest Tax Depreciation And Amortization
AdjustedSupplementalEarningsBeforeInterestTaxDepreciationAndAmortization
1203000000 USD
CY2011 us-gaap Income Loss From Discontinued Operations Net Of Tax Attributable To Noncontrolling Interest
IncomeLossFromDiscontinuedOperationsNetOfTaxAttributableToNoncontrollingInterest
1000000 USD
CY2013Q1 dei Entity Common Stock Shares Outstanding
EntityCommonStockSharesOutstanding
104285643 shares
CY2012Q4 us-gaap Inventory Net
InventoryNet
153000000 USD
CY2012Q4 us-gaap Income Taxes Receivable
IncomeTaxesReceivable
7000000 USD
CY2012Q4 us-gaap Assets Held For Sale Current
AssetsHeldForSaleCurrent
0 USD
CY2012Q4 us-gaap Preferred Stock Value
PreferredStockValue
0 USD
CY2012 thc Litigation And Investigation Costs
LitigationAndInvestigationCosts
0 USD
CY2012 us-gaap Payments For Repurchase Of Convertible Preferred Stock
PaymentsForRepurchaseOfConvertiblePreferredStock
292000000 USD
CY2012 us-gaap Cash And Cash Equivalents Period Increase Decrease
CashAndCashEquivalentsPeriodIncreaseDecrease
251000000 USD
CY2011 us-gaap Payments For Repurchase Of Convertible Preferred Stock
PaymentsForRepurchaseOfConvertiblePreferredStock
0 USD
CY2010 us-gaap Payments For Repurchase Of Convertible Preferred Stock
PaymentsForRepurchaseOfConvertiblePreferredStock
0 USD
CY2012 thc Preferred Stock Repurchased During Period Value
PreferredStockRepurchasedDuringPeriodValue
289000000 USD
CY2012 us-gaap Deferred State And Local Income Tax Expense Benefit
DeferredStateAndLocalIncomeTaxExpenseBenefit
0 USD
CY2011 us-gaap Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions
UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions
2000000 USD
CY2012 us-gaap Defined Contribution Plan Employer Matching Contribution Percent
DefinedContributionPlanEmployerMatchingContributionPercent
0.015 pure
CY2011 us-gaap Defined Contribution Plan Employer Matching Contribution Percent
DefinedContributionPlanEmployerMatchingContributionPercent
0.015 pure
CY2010 us-gaap Defined Contribution Plan Employer Matching Contribution Percent
DefinedContributionPlanEmployerMatchingContributionPercent
0.015 pure
CY2010Q4 us-gaap Defined Benefit Plan Benefit Obligation
DefinedBenefitPlanBenefitObligation
-268000000 USD
CY2011 us-gaap Stockholders Equity Period Increase Decrease
StockholdersEquityPeriodIncreaseDecrease
-327000000 USD
CY2012Q4 us-gaap Treasury Stock Acquired Average Cost Per Share
TreasuryStockAcquiredAverageCostPerShare
29.36
CY2011 us-gaap Capital Lease Obligations Incurred
CapitalLeaseObligationsIncurred
23000000 USD
CY2012Q4 us-gaap Convertible Preferred Stock Shares Issued Upon Conversion
ConvertiblePreferredStockSharesIssuedUponConversion
46300 shares
CY2010Q4 us-gaap Assets
Assets
8500000000 USD
CY2012 thc Maximum Number Of Hospital To Which Business Process Solution Is Provided By Subsidiaries
MaximumNumberOfHospitalToWhichBusinessProcessSolutionIsProvidedBySubsidiaries
600 item
CY2012Q4 us-gaap Goodwill
Goodwill
916000000 USD
CY2011Q4 us-gaap Goodwill
Goodwill
736000000 USD

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