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Goodwill and Intangible Assets, Net - Schedule of Goodwill (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Goodwill [Roll Forward]      
Balance as of beginning of period $ 768,124 $ 628,186  
Goodwill acquired 3,416 140,169  
Measurement period adjustments 351 (117)  
Impairment (199,800) 0 $ 0
Foreign currency translation (27) (114)  
Balance as of end of period 572,064 768,124 628,186
Services      
Goodwill [Roll Forward]      
Balance as of beginning of period 762,419 628,186  
Goodwill acquired 3,416 134,343  
Measurement period adjustments 351 4  
Impairment (199,800)    
Foreign currency translation (27) (114)  
Balance as of end of period 566,359 762,419 628,186
True Health      
Goodwill [Roll Forward]      
Balance as of beginning of period 5,705 0  
Goodwill acquired 0 5,826  
Measurement period adjustments 0 (121)  
Impairment 0    
Foreign currency translation 0 0  
Balance as of end of period $ 5,705 $ 5,705 $ 0