| Standard label: | Malpractice Loss Contingency, Discount Rate | 
| Name: | us-gaap:MalpracticeLossContingencyDiscountRate | 
| Documentation: | The interest rate used to discount the estimated cash flows associated with the payment of malpractice claims. | 
| Object type: | cm:Concept | 
| Data type: | Percent (num:percentItemType) | 
| Period type: | For Period (duration) | 
| Balance type: | (no balance type) | 
| Abstract: | false | 
| Workiva Wdesk Taxonomy Analyzer: | us-gaap:MalpracticeLossContingencyDiscountRate | 
| Label | Role | Language | 
| Malpractice Loss Contingency, Discount Rate | http://www.xbrl.org/2003/role/label | en-US | 
| Reference | Role | Topic | 
| FASB Accounting Standards Codification 235 10 50 3 | http://fasb.org/us-gaap/role/ref/legacyRef | 235 | 
| FASB Accounting Standards Codification 954 450 50 2 | http://fasb.org/us-gaap/role/ref/legacyRef | 954 |