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Acquisitions Acquisitions - LifeWatch AG - Fair Value Estimates (Details) - USD ($)
$ in Thousands
Jul. 12, 2017
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Fair value of liabilities assumed        
Current portion of long-term debt $ 3,000      
Goodwill   $ 301,321 $ 238,814 $ 223,105
LifeWatch        
Fair value of assets acquired        
Cash and cash equivalents 4,303      
Healthcare accounts receivable 10,089      
Inventory 1,136      
Prepaid expenses and other current assets 3,798      
Property and equipment 27,507      
Other assets 713      
Identifiable intangible assets 130,017      
Total assets acquired 177,563      
Fair value of liabilities assumed        
Accounts payable 10,292      
Accrued liabilities 15,579      
Current portion of capital lease obligations 4,664      
Current portion of long-term debt 3,027      
Long-term capital lease obligations 3,420      
Deferred tax liabilities 14,465      
Other long-term liabilities 32,364      
Fair value of noncontrolling interest (9,961)      
Goodwill 198,783      
Customer relationships | LifeWatch        
Fair value of assets acquired        
Identifiable intangible assets $ 126,800      
Weighted average life 10 years      
Technology | LifeWatch        
Fair value of assets acquired        
Identifiable intangible assets $ 3,217      
Weighted average life 3 years      
Fair value of liabilities assumed        
Total liabilities assumed $ 83,811      
Total identifiable net assets 93,752      
Net assets acquired $ 282,574