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Acquisitions - Animal Hospital Acquisitions (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Dec. 31, 2016
Consideration:      
Cash, net of cash acquired $ 81,721 $ 160,385  
Earn-outs 8,600   $ 9,200
Allocation of the Purchase Price:      
Goodwill 2,228,189   $ 2,164,422
Animal Hospital      
Consideration:      
Cash, net of cash acquired 81,721 157,325  
Assumed debt 8,374 1,361  
Holdbacks 1,600 3,508  
Earn-outs 0 3,437  
Fair value of total consideration transferred 91,695 165,631  
Allocation of the Purchase Price:      
Tangible assets 5,395 17,541  
Identifiable intangible assets 10,303 18,844  
Goodwill 75,884 129,246  
Other liabilities assumed 113 0  
Fair value of assets acquired and liabilities assumed $ 91,695 165,631  
Weighted average amortization period 5 years    
Goodwill recorded for acquisitions, fully deductible for income tax purposes $ 75,900 $ 129,200  
Animal Hospital | Customer Relationships      
Allocation of the Purchase Price:      
Weighted average amortization period 5 years    
Animal Hospital | Trademarks      
Allocation of the Purchase Price:      
Weighted average amortization period 2 years    
Animal Hospital | Covenants      
Allocation of the Purchase Price:      
Weighted average amortization period 5 years