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Fair Value - Change in Carrying Value Associated with Contingent Payment Arrangements Level 3 Instruments (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]    
Balance as of beginning of period $ 42,436 $ 38,205
Addition 0 9,365
Accretion 1,770 1,593
Changes in estimates (7,211) (4,375)
Payments (5,596) (2,352)
Balance as of end of period $ 31,399 $ 42,436