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Fair value measurements Fair value measurements (Summary of assets and liabilities recorded at fair value) (Details) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2012
Dec. 31, 2011
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value $ 2,194,748 $ 9,072,646
Equity securities, fair value 0 8,503
Derivatives, assets 14,823 100,475
Fair value, total 2,209,571 9,181,624
Contingent consideration 205,060 135,591
Derivatives, liabilities 65,248 5,710
Fair value, total 270,308 141,301
US treasury securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 81,903 0
Money market funds [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 1,416,355 7,455,982
Certificates of deposit [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 1,139,982
US government agencies securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 248,952 0
Municipal debt securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 12,088 0
Non-U.S. government securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 24,741
Corporate debt securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 352,718 404,989
Residential mortgage-backed and asset-backed securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 82,732 0
Student loan-backed securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 46,952
Level 1 [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 1,498,258 7,455,982
Equity securities, fair value 0 8,503
Derivatives, assets 0 0
Fair value, total 1,498,258 7,464,485
Contingent consideration 0 0
Derivatives, liabilities 0 0
Fair value, total 0 0
Level 1 [Member] | US treasury securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 81,903 0
Level 1 [Member] | Money market funds [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 1,416,355 7,455,982
Level 1 [Member] | Certificates of deposit [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 1 [Member] | US government agencies securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 1 [Member] | Municipal debt securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 1 [Member] | Non-U.S. government securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 1 [Member] | Corporate debt securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 1 [Member] | Residential mortgage-backed and asset-backed securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 1 [Member] | Student loan-backed securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 2 [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 696,490 1,544,971
Equity securities, fair value 0 0
Derivatives, assets 14,823 100,475
Fair value, total 711,313 1,645,446
Contingent consideration 0 0
Derivatives, liabilities 65,248 5,710
Fair value, total 65,248 5,710
Level 2 [Member] | US treasury securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 2 [Member] | Money market funds [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 2 [Member] | Certificates of deposit [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 1,139,982
Level 2 [Member] | US government agencies securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 248,952 0
Level 2 [Member] | Municipal debt securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 12,088 0
Level 2 [Member] | Non-U.S. government securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 2 [Member] | Corporate debt securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 352,718 404,989
Level 2 [Member] | Residential mortgage-backed and asset-backed securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 82,732 0
Level 2 [Member] | Student loan-backed securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 3 [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 71,693
Equity securities, fair value 0 0
Derivatives, assets 0 0
Fair value, total 0 71,693
Contingent consideration 205,060 135,591
Derivatives, liabilities 0 0
Fair value, total 205,060 135,591
Level 3 [Member] | US treasury securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 3 [Member] | Money market funds [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 3 [Member] | Certificates of deposit [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 3 [Member] | US government agencies securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 3 [Member] | Municipal debt securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 3 [Member] | Non-U.S. government securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 24,741
Level 3 [Member] | Corporate debt securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 3 [Member] | Residential mortgage-backed and asset-backed securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value 0 0
Level 3 [Member] | Student loan-backed securities [Member]
   
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Debt securities, fair value $ 0 $ 46,952