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Basis of Presentation and Significant Accounting Policies - Schedule of Total Accrued Medical Malpractice Reserves and Related Insurance Receivables (Details) (USD $) In Thousands, unless otherwise specified
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Mar. 31, 2015
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Dec. 31, 2014
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| Assets |
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| Insurance receivable for malpractice claims, current portion |
$ 13,038 |
$ 12,564 |
| Insurance receivable for malpractice claims, less current portion |
22,409 |
21,574 |
| Insurance receivable for malpractice claims, total |
35,447 |
34,138 |
| Liabilities |
|
|
| Medical malpractice and self-insurance reserves, current portion |
13,618 |
13,079 |
| Medical malpractice and self-insurance reserves, less current portion |
48,659 |
47,239 |
| Medical malpractice and self-insurance reserves, total |
62,277 |
60,318 |
| Claims Reserve |
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|
| Liabilities |
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| Medical malpractice and self-insurance reserves, current portion |
13,038 |
12,564 |
| Medical malpractice and self-insurance reserves, less current portion |
22,409 |
21,574 |
| Medical malpractice and self-insurance reserves, total |
35,447 |
34,138 |
| IBNR Reserve |
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|
| Liabilities |
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| Medical malpractice and self-insurance reserves, current portion |
580 |
515 |
| Medical malpractice and self-insurance reserves, less current portion |
26,250 |
25,665 |
| Medical malpractice and self-insurance reserves, total |
$ 26,830 |
$ 26,180 |