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Business Combinations - Pro forma (Details) - 10K - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
Dec. 31, 2015
Aug. 17, 2015
Nov. 12, 2014
Pro Forma Supplemental Information          
Income Tax Expense (Benefit) $ (2,540) $ 5,608      
Goodwill not deductible for tax $ 639,484   $ 639,188    
2023 Senior Notes          
Pro Forma Supplemental Information          
Interest rate (as a percent) 7.875%        
Acquisitions          
Pro Forma Supplemental Information          
Goodwill not deductible for tax $ 639,500        
CBR Acquisition Holdings Corp          
Pro Forma Supplemental Information          
Goodwill not deductible for tax $ 441,400     $ 441,371  
Lumara Health          
Pro Forma Supplemental Information          
Interest rate (as a percent) 5.00%        
Goodwill not deductible for tax $ 198,100       $ 198,113