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Acquisitions Acquisitions - LifeWatch AG - Narrative (Details) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Mar. 01, 2019
Jul. 12, 2017
Jan. 31, 2018
Sep. 30, 2017
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Sep. 30, 2018
Dec. 31, 2017
Dec. 31, 2019
Dec. 31, 2018
Business Acquisition                      
Current portion of long-term debt   $ 3,000                  
Goodwill           $ 223,105     $ 223,105 $ 301,321 $ 238,814
Geneva Healthcare, Inc.                      
Business Acquisition                      
Cash consideration $ 45,900                    
LifeWatch                      
Business Acquisition                      
Acquisition Related Costs                 31,000    
Business acquisition, initial percentage of outstanding shares acquired   97.00%                  
Number of shares issued in a business acquisition   3,615,840     58,786 19,806          
Fair value of shares issued in business acquisition   $ 116,800 $ 2,000     $ 600     $ 600    
Cash consideration   165,800 $ 2,900       $ 4,800        
Business Combination Shares Acquired       343,525              
Percentage of ownership           100.00%     100.00%    
Current portion of long-term debt   3,027                  
Goodwill   198,783                  
Goodwill, expected tax deductible amount   0                  
Healthcare Financial Solutions                      
Business Acquisition                      
Outstanding debt paid                 $ 24,900    
Term Loan | Suntrust Bank                      
Business Acquisition                      
Loans Payable to Bank   205,000                  
Revolving Loan | Suntrust Bank                      
Business Acquisition                      
Long-term Line of Credit   $ 50,000                  
Accrued Liabilities | LifeWatch                      
Business Acquisition                      
Measurement period adjustment               $ 5,700      
Other Noncurrent Liabilities | LifeWatch                      
Business Acquisition                      
Measurement period adjustment               $ 8,900