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Long-Term Debt (Tables)
3 Months Ended
Mar. 31, 2015
Long-Term Debt [Abstract]  
Schedule of Debt [Table Text Block]
The Company's long-term debt consists of the following at March 31, 2015 and December 31, 2014:
 
(In thousands)
 
March 31, 2015
  
December 31, 2014
 
Cash Convertible Notes, net of unamortized discount
 
$
124,873
  
$
123,148
 
CareFirst Convertible Note
  
20,000
   
20,000
 
Fifth Amended Credit Agreement:
        
Term Loan
  
93,750
   
97,500
 
Revolver
  
19,100
   
4,950
 
Capital lease obligations and other
  
5,599
   
6,127
 
 
  
263,322
   
251,725
 
Less: current portion
  
(21,694
)
  
(20,613
)
 
 
$
241,628
  
$
231,112