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Acquisitions Of Businesses (Details)
$ in Thousands
9 Months Ended
Apr. 15, 2016
USD ($)
Company
Apr. 01, 2016
Company
Oct. 13, 2015
Company
Jun. 01, 2015
Company
Sep. 30, 2016
USD ($)
Dec. 31, 2015
USD ($)
Business Acquisition [Line Items]            
Goodwill         $ 979,339 $ 843,170
Number of businesses acquired | Company 1 1 1 1    
Ardent [Member]            
Business Acquisition [Line Items]            
Business acquisition, percentage of voting interests acquired 100.00%          
Purchase price $ 201,400          
Working capital acquired 36,500          
Other net assets 3,900          
Goodwill 119,500          
Identifiable intangible assets 41,500          
Acquired goodwill, tax deductible amount $ 99,700          
Intangible amortization period         13 years 6 months