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Accounts Receivable, Net and Supplemental Balance-Sheet Information (Tables)
3 Months Ended
Mar. 31, 2018
Accounts Receivable, Net and Supplemental Balance-Sheet Information [Abstract] [Abstract]  
Accounts receivable, net [Table Text Block]
Accounts receivable, net, consisted of the following:
Accounts receivable, net
March 31,
2018
 
December 31,
2017
Accounts receivable
$
110,712

 
$
143,244

Receivables under contractual arrangements
51,852

 
29,895

 
162,564

 
173,139

Less allowances for doubtful accounts
4,486

 
4,468

Accounts receivable, net
$
158,078

 
$
168,671

Schedule of Other Current Assets [Table Text Block]
The following items comprise the amounts included in the balance sheets:
Other current assets
March 31,
2018
 
December 31,
2017
Refundable income taxes
$
1,229

 
$
587

Prepaid expense
13,735

 
15,893

Other
189

 
784

Total
$
15,153

 
$
17,264


Accrued expenses [Table Text Block]
Accrued expenses
March 31,
2018
 
December 31,
2017
Employee compensation
$
12,010

 
$
20,794

Accrued compensated absences
9,590

 
9,267

Self-insured medical claims
4,447

 
3,193

Income tax payable
623

 
3,443

Customer advances, deposits
72

 
1,672

Taxes, other than income
3,662

 
2,279

Other
1,908

 
2,168

Total
$
32,312

 
$
42,816

Other current liabilities [Table Text Block]
Other current liabilities
March 31,
2018
 
December 31,
2017
Note Payable
$

 
$
149

Current portion of:
 
 
 
Long-term debt
13,155

 
16,817

Self-insurance accruals
23,846

 
23,782

Total
$
37,001

 
$
40,748