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Related Party Transactions (Tables)
12 Months Ended
Dec. 31, 2015
Related Party Transactions [Abstract]  
Schedule of Related Party Payments
elated party payments for the years ended December 31, 2015, 2014 and 2013 were as follows (in thousands):
 
2015
 
2014
 
2013
Operating leases
$
27,622

 
$
27,559

 
$
29,240

Salaries and benefits
62,590

 
66,763

 
72,892

Billing fees
10,873

 
9,899

 
11,591

Medical advisory services
2,635

 
2,811

 
2,993