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General (Details 4) - USD ($)
$ in Thousands
Sep. 30, 2015
Dec. 31, 2014
Assets    
Restricted Cash $ 135,366 $ 215,325
Investments 370,805 267,654
Cash held in bank accounts by the Company, unrestricted 51,800 116,000
Cash held in bank accounts by the Company, restricted 74,100 149,300
Liabilities    
Contingent consideration 108,443 58,153
Level 2 | Term Loan    
Liabilities    
Fair value of debt 237,500  
Fair value measured on recurring basis    
Assets    
Total assets measured at fair value 477,116 472,926
Liabilities    
Contingent consideration 108,443 58,153
Total liabilities held at fair value 108,443 58,153
Fair value measured on recurring basis | Other than cash held in bank accounts by Company    
Assets    
Cash and Cash Equivalents 45,091 139,280
Restricted Cash 61,220 65,992
Fair value measured on recurring basis | U.S. Government and agency securities    
Assets    
Investments 4,982 4,303
Fair value measured on recurring basis | Obligations of government-sponsored enterprises    
Assets    
Investments 43,067 15,315
Fair value measured on recurring basis | Corporate debt securities    
Assets    
Investments 321,606 246,886
Fair value measured on recurring basis | Certificates of deposit    
Assets    
Investments 1,150 1,150
Fair value measured on recurring basis | Level 1    
Assets    
Total assets measured at fair value 4,982 4,303
Fair value measured on recurring basis | Level 1 | U.S. Government and agency securities    
Assets    
Investments 4,982 4,303
Fair value measured on recurring basis | Level 2    
Assets    
Total assets measured at fair value 472,134 468,623
Fair value measured on recurring basis | Level 2 | Other than cash held in bank accounts by Company    
Assets    
Cash and Cash Equivalents 45,091 139,280
Restricted Cash 61,220 65,992
Fair value measured on recurring basis | Level 2 | Obligations of government-sponsored enterprises    
Assets    
Investments 43,067 15,315
Fair value measured on recurring basis | Level 2 | Corporate debt securities    
Assets    
Investments 321,606 246,886
Fair value measured on recurring basis | Level 2 | Certificates of deposit    
Assets    
Investments 1,150 1,150
Fair value measured on recurring basis | Level 3    
Liabilities    
Contingent consideration 108,443 58,153
Total liabilities held at fair value $ 108,443 $ 58,153