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Nature of Operations and Summary of Significant Accounting Policies - Deferred Credits (Details) - USD ($)
$ in Thousands
Dec. 31, 2015
Dec. 31, 2014
Organization, Consolidation and Presentation of Financial Statements [Abstract]    
USDA grant $ 1,949 $ 2,486
LCD reimbursement 1,042 1,125
Lawrenceburg reimbursement 411 488
Total $ 3,402 $ 4,099