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Business Acquisitions (Details)
$ in Thousands
6 Months Ended
Jun. 30, 2016
USD ($)
Business
Jan. 07, 2016
Dec. 31, 2015
USD ($)
Business Acquisition [Line Items]      
Goodwill $ 5,973,770   $ 5,824,726
Customer Relationships [Member]      
Business Acquisition [Line Items]      
Finite lived intangible assets $ 97,000    
Weighted average useful life 20 years    
Unpatented Technology [Member]      
Business Acquisition [Line Items]      
Finite lived intangible assets $ 56,000    
Weighted average useful life 9 years    
Trade names [Member]      
Business Acquisition [Line Items]      
Indefinite lived intangible assets $ 10,000    
Business Acquisitions 2016 [Member]      
Business Acquisition [Line Items]      
Number of business acquired | Business 3    
Cost of acquired entity purchase price $ 283,000    
Goodwill 163,000    
Intangible assets other than goodwill 163,000    
Finite lived intangible assets $ 153,000    
Weighted average useful life 16 years    
CliniSys Group, Ltd. [Member]      
Business Acquisition [Line Items]      
Percentage of voting interest acquired   100.00%  
GeneInsight Inc. [Member]      
Business Acquisition [Line Items]      
Percentage of voting interest acquired   100.00%