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Goodwill - Changes In Carrying Amounts (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2020
USD ($)
Changes in the carrying amounts of goodwill by segment  
December 31, 2019 $ 301,321
Currency translation (171)
March 31, 2020 301,150
Healthcare  
Changes in the carrying amounts of goodwill by segment  
December 31, 2019 276,014
Currency translation (171)
March 31, 2020 275,843
Research  
Changes in the carrying amounts of goodwill by segment  
December 31, 2019 16,293
Currency translation 0
March 31, 2020 16,293
Corporate and Other  
Changes in the carrying amounts of goodwill by segment  
December 31, 2019 9,014
Currency translation 0
March 31, 2020 $ 9,014