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Summary of Significant Accounting Policies - Redeemable non-Controlling Interest (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Redeemable Non-Controlling Interest disclosures    
Redeemable non-controlling interest $ 5,937 $ 5,957
Alpha Care Holdings Inc.    
Redeemable Non-Controlling Interest disclosures    
Percentage of ownership held by reporting entity 82.00%  
Percentage of remaining shares which the entity may be required to purchase in the event of exercise of put options by other shareholders 50.00%  
Redeemable non-controlling interest $ 5,900 $ 6,000
Increase (Reduction) in carrying value as a result of operating losses (income) $ (100)