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Accounts Receivable: (Tables)
6 Months Ended
Jun. 30, 2014
Receivables [Abstract]  
Schedule of Accounts Receivable, Net

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

 

     June 30, 2014     December 31, 2013  

Gross accounts receivable

   $ 1,149,989      $ 997,682   

Allowance for contractual adjustments and uncollectibles

     (822,579     (712,285
  

 

 

   

 

 

 
   $ 327,410      $ 285,397