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Accounts Receivable
3 Months Ended
Mar. 31, 2012
Accounts Receivable [Abstract]  
Accounts Receivable
4. Accounts Receivable:

Accounts receivable, net consists of the following (in thousands):

 

     March 31, 2012     December 31, 2011  

Gross accounts receivable

   $ 865,807      $ 806,418   

Allowance for contractual adjustments and uncollectibles

     (629,090     (576,030
  

 

 

   

 

 

 
   $ 236,717      $ 230,388