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Reconciliation Of Segment EBITDA To Net Income (Details) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2015
Sep. 30, 2015
Jun. 30, 2015
Mar. 31, 2015
Dec. 31, 2014
Sep. 30, 2014
Jun. 30, 2014
Mar. 31, 2014
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Segment Reporting [Abstract]                      
Segment EBITDA                 $ 854,529 $ 790,551 $ 628,587
Restructuring and acquisition related expenses                 19,511 14,806 10,173
Change in fair value of contingent consideration liabilities                 (454) 1,851 (2,504)
Equity in earnings of unconsolidated subsidiaries                 (6,104) (2,105) 0
EBITDA                 828,460 775,491 615,910
Cost of Goods Sold, Depreciation and Amortization                 6,072 4,718 5,494
Depreciation and amortization                 122,120 120,719 80,969
Interest expense, net                 57,342 63,947 50,825
Loss on debt extinguishment                 0 (324) (2,795)
Provision for income taxes                 219,703 204,264 164,204
Net income $ 95,060 $ 101,346 $ 119,722 $ 107,095 $ 80,469 $ 91,515 $ 104,882 $ 104,653 $ 423,223 $ 381,519 $ 311,623