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General (Details 3) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 6 Months Ended
Jun. 30, 2014
Jun. 30, 2013
Jun. 30, 2014
Jun. 30, 2013
Concentration of Business        
Net revenue $ 888,014 $ 842,748 $ 1,854,489 $ 1,664,509
Minimum
       
Concentration of Business        
Term of Contract     1 year  
Term of renewed contract     1 year  
Notice period for termination of contract     60 days  
Maximum
       
Concentration of Business        
Term of Contract     3 years  
Term of renewed contract     2 years  
Notice period for termination of contract     180 days  
Pennsylvania Counties
       
Concentration of Business        
Net revenue     179,000 178,000
Florida Areas
       
Concentration of Business        
Net revenue     $ 56,500 $ 66,300