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Fair Value of Financial Instruments (Details 1) (USD $) In Thousands, unless otherwise specified	Jun. 30, 2013	Dec. 31, 2012
Carrying Amount [Member]
Assets:
Note receivable from CareCentrix	$ 25,000	$ 25,000
Seller financing note receivable from CareCentrix	3,471	3,471
Liabilities:
Long-term obligation	910,182	935,182
Estimate Fair Value [Member]
Assets:
Note receivable from CareCentrix	25,291	25,220
Seller financing note receivable from CareCentrix	3,471	3,471
Liabilities:
Long-term obligation	$ 910,606	$ 912,818

This element represents the portion of the balance sheet assertion valued at fair value by the entity whether such amount is presented as a separate caption or as a parenthetical disclosure. Additionally, this element may be used in connection with the fair value disclosures required in the footnote disclosures to the financial statements. The element may be used in both the balance sheet and disclosure in the same submission. This item represents loan receivable as presented on the statement of financial position which may include mortgage loans held for investment, finance receivables held for investment, policy loans on insurance contracts, or any other loans which are due the Company as of the balance sheet date.

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