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Commitments and Contingencies (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Commitments and Contingencies Disclosure [Abstract]    
Settlement, litigation and other related charges $ 9,820ocr_LitigationAndOtherProfessionalFees $ 7,052ocr_LitigationAndOtherProfessionalFees