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Valuation and Qualifying Accounts (Details) (Allowance for Doubtful Accounts [Member], USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Allowance for Doubtful Accounts [Member]
     
Valuation and Qualifying Accounts Disclosure [Line Items]      
Balance at Beginning of period $ 24,919 $ 24,568 $ 26,326
Additions Charged to Income 66,641 62,137 58,722
Additions Charged to Other Accounts 0 0 0
Deductions 65,405 61,786 60,480
Balance at End of Period $ 26,155 $ 24,919 $ 24,568