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Summary of Significant Accounting Policies - Redeemable non-Controlling Interest (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Redeemable Non-Controlling Interest disclosures    
Redeemable non-controlling interest $ 4,770 $ 5,937
Alpha Care Holdings Inc.    
Redeemable Non-Controlling Interest disclosures    
Percentage of ownership held by reporting entity 84.00%  
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 $ 4,800 $ 5,900
Increase (Reduction) in carrying value as a result of operating losses (income) $ (1,100)