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Significant Accounting Policies (Details 2) (USD $)
12 Months Ended
Dec. 31, 2011
M
Dec. 31, 2010
Dec. 31, 2009
Cash and cash equivalents      
Cash and cash equivalents, maximum maturity period (in months) 3    
Short-term investments      
Minimum initial maturities of short-term investments (in months) 3    
Fair Value of Financial Instruments      
Carrying amount of long-term debt $ 9,300,000,000    
Estimated fair value of long-term debt 10,800,000,000    
Fair value of outstanding letters of credit 6,000,000 6,000,000  
Activity in the allowance for doubtful trade accounts receivable      
Beginning balance 182,000,000 224,000,000 189,000,000
Additions charged to bad debt expense 129,000,000 73,000,000 135,000,000
Write-offs charged to allowance (122,000,000) (115,000,000) (100,000,000)
Ending balance 189,000,000 182,000,000 224,000,000
Components of property and equipment      
Property and equipment, gross 15,400,000,000 14,283,000,000  
Accumulated depreciation and amortization (6,933,000,000) (5,961,000,000)  
Property and equipment, net 8,467,000,000 8,322,000,000  
Property and equipment under capital leases 211,000,000 191,000,000  
Building
     
Components of property and equipment      
Estimated useful life, minimum (in years) 10    
Estimated useful life, maximum (in years) 40    
Building improvements
     
Components of property and equipment      
Estimated useful life, minimum (in years) 10    
Estimated useful life, maximum (in years) 40    
Property and equipment, gross 2,404,000,000 2,265,000,000  
Leasehold improvements
     
Components of property and equipment      
Estimated useful life, minimum (in years) 10    
Estimated useful life, maximum (in years) 40    
Property and equipment, gross 3,021,000,000 2,866,000,000  
Fixtures
     
Components of property and equipment      
Estimated useful life, minimum (in years) 3    
Estimated useful life, maximum (in years) 10    
Equipment
     
Components of property and equipment      
Estimated useful life, minimum (in years) 3    
Estimated useful life, maximum (in years) 10    
Internally developed software
     
Components of property and equipment      
Estimated useful life, minimum (in years) 3    
Estimated useful life, maximum (in years) 10    
Land
     
Components of property and equipment      
Property and equipment, gross 1,295,000,000 1,247,000,000  
Fixtures and equipment
     
Components of property and equipment      
Property and equipment, gross 7,582,000,000 7,148,000,000  
Software
     
Components of property and equipment      
Property and equipment, gross $ 1,098,000,000 $ 757,000,000