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Summary of Significant Accounting Policies - Goodwill (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Apr. 01, 2015
Goodwill      
Goodwill $ 566,106 $ 488,206  
Changes in goodwill      
Balance as of beginning of period 566,106 488,206  
Other acquisitions and measurment period adjustments 6,148 8,808  
Balance as of end of period 621,390 566,106  
CDMI      
Changes in goodwill      
Acquisition   69,092  
4D Pharmacy Management Systems, Inc.      
Goodwill      
Goodwill     $ 49,136
Changes in goodwill      
Acquisition 49,136    
Healthcare | Commercial      
Goodwill      
Goodwill 233,591 233,591  
Changes in goodwill      
Balance as of beginning of period 233,591    
Balance as of end of period 242,255 233,591  
Healthcare | Government      
Goodwill      
Goodwill 20,879 20,879  
Changes in goodwill      
Balance as of beginning of period 20,879    
Balance as of end of period 18,363 20,879  
Pharmacy Management      
Goodwill      
Goodwill 311,636 311,636  
Changes in goodwill      
Balance as of beginning of period 311,636    
Balance as of end of period $ 360,772 $ 311,636