Goodwill and Other Intangible Assets (Other Intangible Assets) (Narrative) (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018	Sep. 30, 2019	Sep. 30, 2018
Amortized Intangible Assets [Line Items]
Goodwill and other long-lived asset impairment charge	$ 372	$ 8,109	$ 1,065	$ 8,109
Amortization of Intangible Assets
Amortization of intangible assets	13,572	12,269	39,512	$ 34,052
Estimated amortization of intangible assets, remainder of 2019	14,000		14,000
Estimated amortization of intangible assets, 2020	53,000		53,000
Estimated amortization of intangible assets, 2021	47,000		47,000
Estimated amortization of intangible assets, 2022	41,000		41,000
Estimated amortization of intangible assets, 2023	33,000		33,000
Estimated amortization of intangible assets, after 2023	$ 57,000		$ 57,000
Healthcare [Member]
Amortized Intangible Assets [Line Items]
Intangible asset impairment charge		$ 7,900