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Basis of Presentation (Details)
$ in Thousands
Sep. 30, 2015
USD ($)
center
Dec. 31, 2014
USD ($)
Ownership Interests [Line Items]    
Number of ownership interests of less than 51% | center 15  
Restricted Cash and Marketable Securities    
Restricted cash and marketable securities, total $ 30,100 $ 30,300
Restricted cash and marketable securities, current 11,789 10,219
Restricted cash and investments, noncurrent 18,300 20,100
Restricted marketable securities $ 500 $ 3,000
Consolidated [Member]    
Ownership Interests [Line Items]    
Number of ownership interests of less than 51% | center 2  
Nonconsolidated [Member]    
Ownership Interests [Line Items]    
Number of ownership interests of less than 51% | center 13