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Accounts Receivable (Tables)
6 Months Ended
Jun. 30, 2013
Receivables [Abstract]  
Schedule of Accounts Receivable, Net

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

 

     June 30, 2013     December 31, 2012  

Gross accounts receivable

   $ 921,461      $ 872,962   

Allowance for contractual adjustments and uncollectibles

     (651,687     (624,896
  

 

 

   

 

 

 
   $ 269,774      $ 248,066