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Business Combinations - Goodwill (Details) - USD ($)
$ in Thousands
Dec. 31, 2016
Dec. 31, 2015
Aug. 17, 2015
Dec. 31, 2014
Nov. 12, 2014
Business Acquisition [Line Items]          
Goodwill $ 639,484 $ 639,188   $ 205,824  
CBR          
Business Acquisition [Line Items]          
Goodwill     $ 441,371    
Lumara Health          
Business Acquisition [Line Items]          
Goodwill         $ 198,113