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Business Combinations and Dispositions (Details 1) - USD ($)
$ in Thousands
Dec. 31, 2016
Mar. 31, 2016
Jan. 04, 2016
Fair value of identifiable intangible assets acquired:      
Goodwill $ 185,888 $ 188,837  
HealthFusion [Member]      
Fair value of the net tangible assets acquired and liabilities assumed:      
Deferred revenues     $ (1,067)
Fair value of identifiable intangible assets acquired:      
Goodwill     $ 112,375