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Income Taxes Deferred Income Taxes (Details) - USD ($)
$ in Thousands
Dec. 31, 2015
Dec. 31, 2014
Deferred Income Taxes and Other Assets [Abstract]    
Accrued expenses $ 18,957 $ 13,913
Allowance for doubtful accounts 12,313 8,324
Tax credits 3,439 3,375
Insurance 5,814 6,477
Total deferred tax assets 40,523 32,089
State taxes (420) (670)
Depreciation and amortization (14,773) (6,590)
Prepaid expenses (4,478) (2,705)
Total deferred tax liabilities (19,671) (9,965)
Net deferred tax assets $ 20,852 $ 22,124