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Acquisitions Of Businesses (Details)
$ in Thousands
12 Months Ended
Apr. 15, 2016
USD ($)
Company
Apr. 01, 2016
Company
Oct. 19, 2015
Company
Oct. 13, 2015
Company
Jun. 01, 2015
Company
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Business Acquisition [Line Items]                
Goodwill           $ 979,628 $ 843,170 $ 834,102
Amortization periods           10 years 6 months    
Number of businesses acquired | Company 1 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 36,200              
Other net assets 3,900              
Goodwill 119,800              
Identifiable intangible assets 41,500              
Acquired goodwill, tax deductible amount $ 99,700              
Amortization periods           13 years 6 months