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Accounts Receivable and Net Patient Service Revenue: (Tables) | 12 Months Ended
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Dec. 31, 2012
Schedule of Accounts Receivable, Net | Accounts receivable, net consists of the following (in thousands):
|  | December 31, |
|  | 2012 |  |  | 2011 |
Gross accounts receivable |  | $ | 872,962 |  |  | $ | 806,418 |
Allowance for contractual adjustments and uncollectibles |  |  | (624,896 | ) |  |  | (576,030) |
|  | $ | 248,066 |  |  | $ | 230,388 |
Schedule of Net Patient Service Revenue | Net patient service revenue consists of the following (in thousands):
|  | Years Ended December 31, |
|  | 2012 |  |  | 2011 |  |  | 2010 |
Gross patient service revenue |  | $ | 5,691,790 |  |  | $ | 4,851,500 |  |  | $ | 4,140,312 |
Contractual adjustments and uncollectibles |  |  | (3,994,924 | ) |  |  | (3,362,081 | ) |  |  | (2,825,827 | )
Hospital contract administrative fees |  |  | 119,746 |  |  |  | 98,829 |  |  |  | 87,074 |
|  | $ | 1,816,612 |  |  | $ | 1,588,248 |  |  | $ | 1,401,559 |

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- Definition Tabular disclosure of the various types of trade accounts and notes receivable and for each the gross carrying value, allowance, and net carrying value as of the balance sheet date. Presentation is categorized by current, noncurrent and unclassified receivables. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.3,4) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 3, 4 -Article 5 + Details
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- Definition Tabular disclosure of health care organization trust fund, including whether the fund is legally revocable or irrevocable, the amount of assets expected to be liquidated to pay malpractice claims classified as current assets, noncurrent assets of the fund, revenues, administrative expenses and any other pertinent facts about the trust fund. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 810 -Section 45 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=6875368&loc=d3e10314-115658 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher AICPA -Name Audit and Accounting Guide (AAG) -Number AAG-HCO -Paragraph 21, 22, 23 -IssueDate 2006-05-01 -Chapter 8 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 954 -SubTopic 810 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6923141&loc=d3e10459-115659 + Details
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