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Summary of Significant Accounting Policies - Significant Customers (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2015
USD ($)
Sep. 30, 2015
USD ($)
Jun. 30, 2015
USD ($)
Mar. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Sep. 30, 2014
USD ($)
Jun. 30, 2014
USD ($)
Mar. 31, 2014
USD ($)
item
Dec. 31, 2015
USD ($)
item
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Significant customers                      
Revenues generated $ 1,268,743 $ 1,190,082 $ 1,157,607 $ 980,968 $ 982,459 $ 923,170 $ 888,014 $ 966,475 $ 4,597,400 $ 3,760,118 $ 3,546,317
Iowa Contracts                      
Significant customers                      
Revenues generated                 530,300 465,000 321,100
Maricopa County Regional Behavioral Health Authority                      
Significant customers                      
Number of members receiving behavioral healthcare management and other related services | item               680,000      
Revenues generated                   216,600 755,000
Healthcare | Customer A | Service                      
Significant customers                      
Revenues generated                 439,481 253,661 128,607
Pharmacy Management | Customer B | Service                      
Significant customers                      
Revenues generated                 $ 130,200 123,812 133,724
Minimum number of contracts per customer | item                 1    
Pharmacy Management | Customer C | Service                      
Significant customers                      
Revenues generated                 $ 324,809 171,936  
Pharmacy Management | Customer D | Service                      
Significant customers                      
Revenues generated                   $ 2,612 $ 92,647