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Business Acquisitions (Details) (USD $)
6 Months Ended 6 Months Ended
Jun. 30, 2013
Dec. 31, 2012
Jun. 30, 2013
Mha Acquisition [Member]
May 01, 2013
Mha Acquisition [Member]
Jun. 30, 2013
Mha Acquisition [Member]
Customer Relationships [Member]
Jun. 30, 2013
Mha Acquisition [Member]
Unpatented Technology [Member]
Business Acquisition [Line Items]            
Business Acquisition, Effective Date of Acquisition     May 01, 2013      
Payments to Acquire Businesses, Gross     $ 1,000,000,000      
Business Acquisition, Percentage of Voting Interests Acquired     100.00%      
Name of Acquired Entity     Managed Health Care Associates, Inc. ("MHA")      
Description of Acquired Entity     MHA is a leading provider of services and technologies to support the diverse and complex needs of alternate site health care providers who deliver services outside of an acute care hospital setting.      
Reason for Business Combination     The acquisition of MHA complements and expands the Company's medical platform.      
Cost of Acquired Entity Transaction Costs     2,300,000      
Business Combination, Admin Fee Receivables [Abstract]            
Business Combination, Acquired Receivables, Description     The fair value of current assets acquired also includes an adjustment of $35.0 million for administrative fees related to customer purchases that occurred prior to the acquisition date but not reported to MHA until after the acquisition date. In the ordinary course, these administrative fees are recorded as revenue when reported; however, GAAP accounting for business acquisitions requires the Company to estimate the amount of purchases occurring prior to the acquisition date and record the fair value of the administrative fees to be received from those purchases as an accounts receivable. The Company also recorded a fair value liability of $8.6 million included in current liabilities related to corresponding revenue share obligation owed to customers that generated the administrative fees. During the quarter ended June 30, 2013, a net of $18.5 million of these fair value adjustments was amortized, and at June 30, 2013 the receivable balance was $10.6 million, and the corresponding liability balance was $2.7 million. The Company expects the remaining net balance of $7.9 million to be amortized during the third quarter of 2013.      
Business Combination, Liability Related to Acquired Receivables, Description     The Company also recorded a fair value liability of $8.6 million included in current liabilities related to corresponding revenue share obligation owed to customers that generated the administrative fees.      
Business Combination, Acquired Receivables, Fair Value     10,600,000 35,000,000    
Business Combination, Liability Related to Acquired Receivables, Fair Value     2,700,000 8,600,000    
Business Combination, Acquired Receivables, Fair Value Net of Liability     7,900,000      
Indefinite-lived Intangible Assets Acquired     28,000,000      
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest [Abstract]            
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other     59,813,000      
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill, Total     465,500,000      
Goodwill 4,521,774,000 3,868,857,000 679,999,000      
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets     5,798,000      
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets, Total     1,211,110,000      
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Other     24,717,000      
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities Noncurrent     164,319,000      
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Other     6,524,000      
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net, Total     1,015,550,000      
Acquired Finite-Lived Intangible Assets [Line Items]            
Finite-lived Intangible Assets Acquired         $ 433,000,000 $ 5,000,000
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life         20 years 3 years