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Business Combinations MedTouch (Details) - USD ($)
$ in Thousands
Jan. 06, 2020
Mar. 31, 2020
Dec. 31, 2019
Business Acquisition [Line Items]      
Goodwill   $ 361,537 $ 335,564
MedTouch [Member]      
Business Acquisition [Line Items]      
Total purchase price $ 21,300    
Cash paid for acquisition 13,900    
Common stock issued 1,900    
Net working capital settlement 1,400    
Initial fair value estimate of additional earnings-based contingent consideration 4,100    
Contingent consideration, maximum cash payout 10,200    
Transaction Costs 600    
Tax deductible amount of Goodwill 12,700    
Acquired tangible assets 4,600    
Acquired intangible assets 6,700    
Liabilities assumed (6,000)    
Goodwill $ 16,000