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Basis of Presentation, Summary of Significant Accounting Policies and Change in Accounting Principle (Tables)
3 Months Ended
Mar. 31, 2017
Accounting Policies [Abstract]  
Schedule of restricted cash and cash equivalents
Restricted cash and restricted investments are carried at cost and include cash and investments used to collateralize various contractual obligations (in thousands) as follows:

 
As of
 
 
As of
 
 
March 31,
 
December 31,
 
2017
 
 
2016
 
Collateral for letters of credit
 
 
 
 
 
for facility leases (1)
$
3,948

 
 
$
4,852

 
Collateral with financial institutions (2)
4,950

 
 
4,950

 
Pharmacy benefit management
 
 
 
 
 
and claims processing services (3)
22,035

 
 
30,555

 
Other
982

 
 
59

 
Total restricted cash
 
 
 
 
 
and restricted investments
31,915

 
 
40,416

 
 
 
 
 
 
 
Non-current restricted investments (2)
4,950

 
 
4,950

 
Non-current restricted cash (1)
3,711

 
 
1,050

 
Total non-current restricted cash
 
 
 
 
 
and restricted investments
8,661

 
 
6,000

 
Current restricted cash
 
 
 
 
 
and restricted investments
$
23,254

 
 
$
34,416

 

(1) Represents restricted cash related to collateral for letters of credit required in conjunction with lease agreements. See Note 9 for further discussion of our lease commitments.
(2) Represents collateral for letters of credit held with financial institutions for risk-sharing arrangements. The collateral amount is invested in restricted certificates of deposit with original maturities in excess of 12 months. The restricted investments are classified as held-to-maturity and stated at amortized cost. Fair value of the certificates of deposit is determined using Level 2 inputs and approximates cost as of March 31, 2017. See Note 9 for further discussion of our risk-sharing arrangements.
(3) Represents cash held on behalf of clients to process PBM and other claims.