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Income Taxes (Details 2)
12 Months Ended
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Effective tax rate reconciliation      
Statutory U.S. federal tax rate 35.00% 35.00% 35.00%
Increase (decrease) in rate resulting from:      
Effect of qualified domestic production deduction (1.60%) (1.10%) (0.40%)
Effect of Patient Protection and Affordable Care Act    1.40%   
State and local income taxes, net of related federal taxes 2.70% 2.50% 2.80%
Other, net (1.60%) (0.10%) (1.70%)
Effective tax rate 34.50% 37.70% 35.70%