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Fair Value Measurements (Details 1) - Fair Value, Inputs, Level 3 - USD ($)
$ in Thousands
9 Months Ended 12 Months Ended
Sep. 30, 2015
Dec. 31, 2014
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]    
Beginning Balance of contingent payments $ 172,227 $ 151,848
Payments (77,196) (61,441)
Grants 163,168 68,642
Redemption value adjustments (2,350) 20,816
Transfers (to) from fixed payments 0 (5,146)
Foreign translation adjustment (3,579) (2,492)
Ending Balance of contingent payments $ 252,270 $ 172,227