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Related Party Transactions (Tables)
12 Months Ended
Dec. 31, 2014
Related Party Transactions [Abstract]  
Schedule of Related Party Payments
Related party payments for the years ended December 31, 2014, 2013 and 2012 were as follows (in thousands):
  
2014
 
2013
 
2012
Operating leases
$
27,559

 
$
29,240

 
$
29,079

Salaries and benefits
66,763

 
72,892

 
65,908

Billing fees
9,899

 
11,591

 
11,126

Medical advisory services
2,811

 
2,993

 
2,671