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1. Significant Accounting Policies Property, Plant and Equipment (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended |  |
--- | --- | --- | --- | ---
Dec. 31, 2017 | Sep. 30, 2017 | Jun. 30, 2017 | Mar. 31, 2017 | Dec. 31, 2016 | Sep. 30, 2016 | Jun. 30, 2016 | Mar. 31, 2016 | Dec. 31, 2017 | Dec. 31, 2016 | Dec. 31, 2015 | Jan. 01, 2018 | Jan. 01, 2017
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Long-term Debt and Capital Lease Obligations | $ 1,830,439 |  |  |  | $ 1,828,581 |  |  |  | $ 1,830,439 | $ 1,828,581 |  |  |
Other assets | 94,949 |  |  |  | 47,852 |  |  |  | 94,949 | 47,852 |  |  |
Prepaid Taxes | 14,500 |  |  |  |  |  |  |  | 14,500 |  |  |  |
Equipment | 971,140 |  |  |  | 908,659 |  |  |  | 971,140 | 908,659 |  |  |
Deferred income taxes | 222,209 |  |  |  | 225,299 |  |  |  | 222,209 | 225,299 |  |  |
Income Tax Expense (Benefit) | 36,800 | $ (8,600) | $ 3,900 | $ (7,700) | 9,500 | $ (5,600) | $ (10,300) | $ (9,200) | $ 24,444 | (15,560) | $ (36,608) |  |
Minimum [Member] | Software [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment, Useful Life |  |  |  |  |  |  |  |  | 3 years |  |  |  |
Minimum [Member] | Building and Building Improvements [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment, Useful Life |  |  |  |  |  |  |  |  | 15 years |  |  |  |
Minimum [Member] | Reagent Rental Equipment [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment, Useful Life |  |  |  |  |  |  |  |  | 1 year |  |  |  |
Minimum [Member] | Equipment [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment, Useful Life |  |  |  |  |  |  |  |  | 3 years |  |  |  |
Maximum [Member] | Software [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment, Useful Life |  |  |  |  |  |  |  |  | 12 years |  |  |  |
Maximum [Member] | Building and Building Improvements [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment, Useful Life |  |  |  |  |  |  |  |  | 30 years |  |  |  |
Maximum [Member] | Reagent Rental Equipment [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment, Useful Life |  |  |  |  |  |  |  |  | 5 years |  |  |  |
Maximum [Member] | Equipment [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment, Useful Life |  |  |  |  |  |  |  |  | 12 years |  |  |  |
Adjustments for New Accounting Pronouncement [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Long-term Debt and Capital Lease Obligations | (120,100) |  |  |  |  |  |  |  | $ (120,100) |  |  | $ (17,000) | $ (300)
Other assets |  |  |  |  |  |  |  |  |  |  |  | $ (17,000) |
Scenario, Adjustment [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Long-term Debt and Capital Lease Obligations |  |  |  |  | (7,599) |  |  |  |  | (7,599) | (200) |  |
Equipment |  |  |  |  | (10,467) |  |  |  |  | (10,467) |  |  |
Deferred income taxes |  |  |  |  | 2,380 |  |  |  |  | 2,380 |  |  |
Income Tax Expense (Benefit) | $ 4,600 | $ 2,900 | $ 0 | $ 0 | $ 1,900 | $ (1,300) | $ (1,400) | $ (1,300) |  | (2,125) | (3,854) |  |
First Tax Misstatement [Member] | Scenario, Adjustment [Member] |  |  |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |
Income Tax Expense (Benefit) |  |  |  |  |  |  |  |  |  | $ 200 | $ 181 |  |

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