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Valuation and Qualifying Accounts (Details) (Allowance for doubtful accounts, USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Allowance for doubtful accounts
     
Valuation and qualifying accounts      
Balance at Beginning of Period $ 29,650 $ 16,372 $ 15,207
Charged to Costs and Expenses 94,678 115,478 112,025
Deductions (112,412) (102,200) (110,860)
Balance at End of Period $ 11,916 $ 29,650 $ 16,372