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Long-Term Debt (Tables)
9 Months Ended
Sep. 30, 2015
Long-Term Debt [Abstract]  
Schedule of Debt [Table Text Block]
The Company's long-term debt consists of the following at September 30, 2015 and December 31, 2014:
 
(In thousands)
 
September 30, 2015
  
December 31, 2014
 
Cash Convertible Notes, net of unamortized discount
 
$
128,456
  
$
123,148
 
CareFirst Convertible Note
  
20,000
   
20,000
 
Fifth Amended Credit Agreement:
        
Term Loan
  
85,000
   
97,500
 
Revolver
  
12,300
   
4,950
 
Capital lease obligations and other
  
6,143
   
6,127
 
 
  
251,899
   
251,725
 
Less: current portion
  
(23,622
)
  
(20,613
)
 
 
$
228,277
  
$
231,112