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Fair Value of Financial Instruments (Tables)
3 Months Ended
Mar. 31, 2014
Fair Value, Assets, Liabilities and Stockholders' Equity Measured on Recurring Basis [Abstract]  
Financial assets measured at fair value on a recurring basis
The Company’s fair value hierarchy for its financial assets and liabilities measured at fair value on a recurring basis was as follows (in thousands): 
 
March 31, 2014
 
December 31, 2013
 
Level 1
 
Level 2
 
Level 3
 
Total
 
Level 1
 
Level 2
 
Level 3
 
Total
Assets:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Money market funds
$
23,083

 
$

 
$

 
$
23,083

 
$
23,695

 
$

 
$

 
$
23,695

Rabbi Trust:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Mutual funds
29,926

 

 

 
29,926

 
28,945

 

 

 
28,945

Money market funds
4,965

 

 

 
4,965

 
5,737

 

 

 
5,737

Total assets
$
57,974

 
$

 
$

 
$
57,974

 
$
58,377

 
$

 
$

 
$
58,377

Liabilities:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Payables to plan participants
$
34,891

 
$

 
$

 
$
34,891

 
$
34,682

 
$

 
$

 
$
34,682

Acquisition contingent liability

 

 
8,202

 
8,202

 

 

 
8,110

 
8,110

Total liabilities
$
34,891

 
$

 
$
8,202

 
$
43,093

 
$
34,682

 
$

 
$
8,110

 
$
42,792

Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
The following table provides a summary of changes in fair value of the Company's Level 3 financial assets (in thousands):
 
 
Estimated
Fair Value
 
Balance at December 31, 2013
 
$
8,110

 
Included in earnings
 
92

(1) 
Balance at March 31, 2014
 
$
8,202

 

(1)
Accretion of the present value of the contingent liability is recorded in interest expense and other in the Company's consolidated statements of comprehensive income. A 1 percent change in the discount rate would have an impact on the fair value of the contingent liability of approximately $0.2 million.
Carrying amount and estimated fair value of financial instruments
The carrying amount and estimated fair value of the Company’s other financial instruments were as follows (in thousands):
 
March 31, 2014
 
December 31, 2013
 
Carrying
Amount
 
Estimated
Fair Value
 
Carrying
Amount
 
Estimated
Fair Value
Assets:
 
 
 
 
 
 
 
Note receivable from CareCentrix
$
25,000

 
$
26,836

 
$
25,000

 
$
26,403

Seller financing note receivable from CareCentrix
3,471

 
3,471

 
3,471

 
3,471

Liabilities:
 
 
 
 
 
 
 
Long-term obligations
$
1,172,419

 
$
1,181,202

 
$
1,177,000

 
$
1,183,863