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Goodwill and Other Intangible Assets - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Mar. 31, 2020
Mar. 31, 2019
Dec. 31, 2019
Business Acquisition [Line Items]          
Amortization expense $ 23,999 $ 48,547 $ 59,270 $ 95,685  
Amortization expense, fiscal year maturity          
2020 111,100   111,100    
2021 101,500   101,500    
2022 99,900   99,900    
2023 98,400   98,400    
2024 97,300   97,300    
Thereafter 801,400   801,400    
Impairment of long-lived assets 223,652 570,000 $ 361,652 $ 570,000  
Pharmedium Healthcare Holdings Inc          
Amortization expense, fiscal year maturity          
Asset group's fair value         $ 145,000
Impairment of long-lived assets $ 223,700        
Discount rate 17.00%   17.00%    
Impairment to finite-lived intangibles     $ 123,200    
Impairment to property and equipment     11,600    
Impairment to ROU assets     $ 3,200    
Pharmedium Healthcare Holdings Inc          
Amortization expense, fiscal year maturity          
Impairment of long-lived assets   $ 138,000