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Acquisitions - Summary of Acquisitions (Details)
12 Months Ended
Dec. 31, 2015
Laboratory
Hospital
Dec. 31, 2014
Laboratory
Hospital
Dec. 31, 2013
Laboratory
Hospital
Animal Hospital [Member]      
Summary of acquisitions of animal hospitals and laboratories      
Acquisitions | Hospital 55 47 20
Acquisitions, merged | Hospital (7) (4) (2)
Sold, closed or merged | Hospital (9) (9) (18)
Net increase | Hospital 39 34 0
Laboratories [Member]      
Summary of acquisitions of animal hospitals and laboratories      
Acquisitions | Laboratory 1 0 1
Acquisitions, merged | Laboratory (1) 0 0
New facilities | Laboratory 1 3 0
Net increase | Laboratory 1 3 1