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Other Charges - Narrative (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Asset impairment charges $ 0 $ 0 $ 12,045
Impairment of Intangible Assets (Excluding Goodwill) 0 0  
Information technology incident costs $ 2,992 $ 0 0
Healthcare      
Asset impairment charges     0
Research      
Asset impairment charges     0
Corporate and Other      
Asset impairment charges     $ 12,045