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Acquisitions and Divestitures - Merger and Integration Expenses (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Business Acquisition [Line Items]        
Merger and integration expense $ 8,989 $ 11,349 $ 23,296 $ 85,839
Professional fees        
Business Acquisition [Line Items]        
Merger and integration expense 3,507 4,593 9,852 19,217
Employee compensation, incentives and benefits        
Business Acquisition [Line Items]        
Merger and integration expense 1,473 3,112 4,462 12,198
Contract employment and outsourcing        
Business Acquisition [Line Items]        
Merger and integration expense 223 599 240 3,701
Occupancy        
Business Acquisition [Line Items]        
Merger and integration expense (76) 115 1,547 2,374
Miscellaneous expense        
Business Acquisition [Line Items]        
Merger and integration expense 1,022 1,381 2,170 6,514
All other expense        
Business Acquisition [Line Items]        
Merger and integration expense $ 2,840 $ 1,549 $ 5,025 $ 41,835