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Revenue and Accounts Receivable (Tables)
12 Months Ended
Dec. 31, 2015
REVENUE AND ACCOUNTS RECEIVABLE [Abstract]  
Schedule of Revenue Sources, Health Care Organization [Table Text Block]
 
Year Ended December 31,
 
2015
 
2014
 
2013
 
Revenue
 
% of
Revenue
 
Revenue
 
% of
Revenue
 
Revenue
 
% of
Revenue
Medicaid
$
439,996

 
32.8
%
 
$
358,119

 
34.9
%
 
$
323,803

 
35.8
%
Medicare
395,503

 
29.5

 
313,144

 
30.5

 
292,917

 
32.4

Medicaid — skilled
71,905

 
5.4

 
51,157

 
5.0

 
36,085

 
4.0

Total Medicaid and Medicare
907,404

 
67.7

 
722,420

 
70.4

 
652,805

 
72.2

Managed care
206,770

 
15.4

 
145,796

 
14.2

 
118,168

 
13.1
%
Private and other payors(1)
227,652

 
16.9

 
159,190

 
15.4

 
133,583

 
14.7
%
Revenue
$
1,341,826

 
100.0
%
 
$
1,027,406

 
100.0
%
 
$
904,556

 
100.0
%

(1) Private and other payors also includes revenue from urgent care centers and mobile ancillary services.

Schedule of Accounts, Notes, Loans and Financing Receivable [Table Text Block]
 
December 31,
 
2015
 
2014
Medicaid
$
90,677

 
$
45,943

Managed care
56,411

 
39,782

Medicare
49,970

 
32,861

Private and other payors
42,276

 
31,903

 
239,334

 
150,489

Less: allowance for doubtful accounts
(30,308
)
 
(20,438
)
Accounts receivable
$
209,026

 
$
130,051