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Other Accrued Liabilities
9 Months Ended
Sep. 30, 2016
Accrued Liabilities, Current [Abstract]  
Accounts Payable, Accrued Liabilities, and Other Liabilities Disclosure, Current [Text Block]
Other Accrued Liabilities

The following table presents a summary of items comprising other accrued liabilities in the accompanying consolidated balance sheets as of September 30, 2016 and December 31, 2015 (in thousands):
 
September 30,
 
December 31,
 
2016
 
2015
Accrued professional liabilities
$
15,346

 
$
14,362

Contingent purchase price payable
1,000

 
5,509

Current income taxes payable
1,449

 
7,892

Refunds payable
31,331

 
48,415

Other
52,499

 
43,059

Total other accrued liabilities
$
101,625

 
$
119,237