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Other Accrued Liabilities (Tables)
6 Months Ended
Jun. 30, 2016
Accrued Liabilities, Current [Abstract]  
Schedule of Accounts Payable and Accrued Liabilities [Table Text Block]
The following table presents a summary of items comprising other accrued liabilities in the accompanying consolidated balance sheets as of June 30, 2016 and December 31, 2015 (in thousands):
 
June 30,
 
December 31,
 
2016
 
2015
Accrued professional liabilities
$
14,541

 
$
14,362

Contingent purchase price payable
1,000

 
5,509

Current income taxes payable

 
7,892

Refunds payable
29,626

 
48,415

Other
47,404

 
43,059

Total other accrued liabilities
$
92,571

 
$
119,237