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Business Combinations - (Details)
$ in Thousands
3 Months Ended
Dec. 12, 2023
USD ($)
Oct. 10, 2023
USD ($)
Jun. 20, 2023
USD ($)
Mar. 31, 2024
USD ($)
acquisition
Mar. 31, 2023
USD ($)
Dec. 31, 2023
USD ($)
Business Acquisition [Line Items]            
Number of businesses acquired | acquisition       20    
Goodwill       $ 715,620   $ 716,333
Contingent liabilities       44,982   $ 54,457
Change in fair value of contingent considerations       $ 2,878 $ 1,261  
Software or Technology Related Acquisitions            
Business Acquisition [Line Items]            
Number of businesses acquired | acquisition       13    
Drug Interaction Solutions University of Washington (DIDB)            
Business Acquisition [Line Items]            
Business combination, consideration transferred     $ 8,340      
Goodwill     $ 2,289      
Contingent consideration earn out period     2 years      
Contingent liabilities       $ 136    
Contingent consideration arrangements, range of outcomes, high     $ 2,000 2,000    
Change in fair value of contingent considerations       4    
Drug Interaction Solutions University of Washington (DIDB) | Revenue Target            
Business Acquisition [Line Items]            
Contingent liabilities     790      
Drug Interaction Solutions University of Washington (DIDB) | Developed Technology Rights            
Business Acquisition [Line Items]            
Finite-lived intangible assets acquired     5,600      
Drug Interaction Solutions University of Washington (DIDB) | Customer Relationships            
Business Acquisition [Line Items]            
Finite-lived intangible assets acquired     360      
Drug Interaction Solutions University of Washington (DIDB) | Trademarks            
Business Acquisition [Line Items]            
Finite-lived intangible assets acquired     $ 330      
Formedix            
Business Acquisition [Line Items]            
Business combination, consideration transferred   $ 41,389        
Goodwill   $ 25,062        
Contingent consideration earn out period   2 years        
Contingent liabilities   $ 5,161   3,189    
Contingent consideration arrangements, range of outcomes, high   9,000   9,000    
Change in fair value of contingent considerations       (507)    
Formedix | Revenue Target            
Business Acquisition [Line Items]            
Contingent liabilities   4,380        
Formedix | Developed Technology Rights            
Business Acquisition [Line Items]            
Finite-lived intangible assets acquired   11,700        
Formedix | Customer Relationships            
Business Acquisition [Line Items]            
Finite-lived intangible assets acquired   $ 3,100        
Applied Biomath            
Business Acquisition [Line Items]            
Business combination, consideration transferred $ 36,594          
Goodwill $ 15,872          
Contingent consideration earn out period 2 years          
Contingent liabilities       4,442    
Contingent consideration arrangements, range of outcomes, high $ 17,550     17,550    
Change in fair value of contingent considerations       $ (938)    
Applied Biomath | Revenue Target            
Business Acquisition [Line Items]            
Contingent liabilities 5,357          
Applied Biomath | Developed Technology Rights            
Business Acquisition [Line Items]            
Finite-lived intangible assets acquired 4,600          
Applied Biomath | Customer Relationships            
Business Acquisition [Line Items]            
Finite-lived intangible assets acquired 13,700          
Applied Biomath | Noncompete Agreements            
Business Acquisition [Line Items]            
Finite-lived intangible assets acquired $ 800