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Accounts Receivable and Net Patient Service Revenue: (Tables)

12 Months Ended

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

X

- 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

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X

- 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-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009.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

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