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Acquisitions (Details) (USD $)
In Thousands, except Per Share data, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2011
Sep. 30, 2011
Jun. 30, 2011
Mar. 31, 2011
Dec. 31, 2010
Sep. 30, 2010
Jun. 30, 2010
Mar. 31, 2010
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Significant Acquisitions and Disposals [Line Items]                      
Other Cost and Expense, Operating $ 5,154 $ 6,718 $ 2,332 $ 1,889 $ 65,297 $ 72,782 $ 5,285 $ 5,765 $ 16,093 $ 149,129 $ 28,349
Payments to Acquire Businesses, Net of Cash Acquired                 101,933 111,812 92,889
Initial tender offer for Pharmerica                 $ 15.00    
Acquisition And Other Related Costs [Member]
                     
Significant Acquisitions and Disposals [Line Items]                      
Other Cost and Expense, Operating                 $ 25,549 $ 5,319 $ 1,399