Business and Summary of Significant Accounting Policies (Tables)

12 Months Ended

Dec. 31, 2011

Business and Summary of Significant Accounting Policies [Abstract]

Accumulated Other Comprehensive Income (Loss)

	Change in Fair Value of Interest Rate Swaps			Change in Fair Value of Available for Sale Securities			Change in Unrecognized Pension Cost Components			Accumulated Other Comprehensive Income (Loss)
Balance as of December 31, 2009	$	(202,260	)	$	(1,180	)	$	(17,945	)	$	(221,385	)
2010 Activity, net of tax		(15,676	)		3,716			2,418			(9,542	)
Balance as of December 31, 2010		(217,936	)		2,536			(15,527	)		(230,927	)
2011 Activity, net of tax		55,145			(960	)		(7,737	)		46,448
Balance as of December 31, 2011	$	(162,791	)	$	1,576		$	(23,264	)	$	(184,479	)

Recent Accounting Pronouncements

	Year Ended December 31,
	2011			2010			2009
Net operating revenues (net of contractual allowances and discounts)	$	13,626,168		$	12,623,274		$	11,742,454
Provision for bad debts		(1,719,956	)		(1,530,852	)		(1,408,953	)
Net operating revenues, less provision for bad debts	$	11,906,212		$	11,092,422		$	10,333,501