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Valuation and Qualifying Accounts (Detail) (USD $) In Thousands, unless otherwise specified | 12 Months Ended
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Dec. 31, 2014 | Dec. 31, 2013 | Dec. 31, 2012
Allowance for Doubtful Accounts Receivable |  |  |
Valuation and Qualifying Accounts Disclosure [Line Items] |  |  |
Balance at beginning of period | $ 395,035 us-gaap_ValuationAllowancesAndReservesBalance / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember | $ 311,387 us-gaap_ValuationAllowancesAndReservesBalance / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember | $ 253,405 us-gaap_ValuationAllowancesAndReservesBalance / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember
Charges to costs and expenses | 698,983 us-gaap_ValuationAllowancesAndReservesChargedToCostAndExpense / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember | 1,127,216 us-gaap_ValuationAllowancesAndReservesChargedToCostAndExpense / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember | 726,671 us-gaap_ValuationAllowancesAndReservesChargedToCostAndExpense / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember
Acquisitions of business | 506 us-gaap_ValuationAllowancesAndReservesReservesOfBusinessesAcquired / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember |  | 5,632 us-gaap_ValuationAllowancesAndReservesReservesOfBusinessesAcquired / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember
Write-off of uncollectible accounts | (769,876)us-gaap_ValuationAllowancesAndReservesDeductions / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember | (1,043,568)us-gaap_ValuationAllowancesAndReservesDeductions / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember | (674,321)us-gaap_ValuationAllowancesAndReservesDeductions / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember
Balance at end of period | 324,648 us-gaap_ValuationAllowancesAndReservesBalance / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember | 395,035 us-gaap_ValuationAllowancesAndReservesBalance / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember | 311,387 us-gaap_ValuationAllowancesAndReservesBalance / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_AllowanceForDoubtfulAccountsMember
Valuation Allowance for Deferred Tax Assets |  |  |
Valuation and Qualifying Accounts Disclosure [Line Items] |  |  |
Balance at beginning of period | 46,841 us-gaap_ValuationAllowancesAndReservesBalance / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_ValuationAllowanceOfDeferredTaxAssetsMember | 44,511 us-gaap_ValuationAllowancesAndReservesBalance / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_ValuationAllowanceOfDeferredTaxAssetsMember | 42,143 us-gaap_ValuationAllowancesAndReservesBalance / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_ValuationAllowanceOfDeferredTaxAssetsMember
Charges to costs and expenses | 5,923 us-gaap_ValuationAllowancesAndReservesChargedToCostAndExpense / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_ValuationAllowanceOfDeferredTaxAssetsMember | 2,330 us-gaap_ValuationAllowancesAndReservesChargedToCostAndExpense / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_ValuationAllowanceOfDeferredTaxAssetsMember | 2,368 us-gaap_ValuationAllowancesAndReservesChargedToCostAndExpense / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_ValuationAllowanceOfDeferredTaxAssetsMember
Balance at end of period | $ 52,764 us-gaap_ValuationAllowancesAndReservesBalance / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_ValuationAllowanceOfDeferredTaxAssetsMember | $ 46,841 us-gaap_ValuationAllowancesAndReservesBalance / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_ValuationAllowanceOfDeferredTaxAssetsMember | $ 44,511 us-gaap_ValuationAllowancesAndReservesBalance / us-gaap_ValuationAllowancesAndReservesTypeAxis = us-gaap_ValuationAllowanceOfDeferredTaxAssetsMember

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- Definition Total of allowances and reserves, the valuation and qualifying accounts that are either netted against the cost of an asset (in order to value it at its carrying value) or that reflect a liability established to represent expected future costs. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e24092-122690 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 09 -Article 12 + Details
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- Definition Total of allowances and reserves, the valuation and qualifying accounts that are either netted against the cost of an asset (in order to value it at its carrying value) or that reflect a liability established to represent expected future costs, charged to costs and expenses. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e24092-122690 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 09 -Article 12 + Details
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- Definition Total of the deductions in a given period to allowances and reserves, the valuation and qualifying accounts that are either netted against the cost of an asset (in order to value it at its carrying value) or that reflect a liability established to represent expected future costs, representing receivables written off as uncollectible and portions of the reserves utilized, respectively. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e24092-122690 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 09 -Article 12 + Details
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- Definition Total of allowances and reserves, the valuation and qualifying accounts that are either netted against the cost of an asset (in order to value it at its carrying value) or that reflect a liability established to represent expected future costs, acquired in a business combination. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e24092-122690 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 09 -Article 12 + Details
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