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Goodwill (Details) - USD ($)
$ in Thousands
1 Months Ended 12 Months Ended
Nov. 01, 2015
Jun. 30, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Goodwill [Roll Forward]          
Beginning balance     $ 334,680 $ 336,974 $ 338,800
Ending balance     334,680 334,680 336,974
Proceeds from sale of business     0 5,156 0
Goodwill, gross     517,000 517,000  
Goodwill, impaired, accumulated impairment loss     $ 182,400 182,400  
Navvis [Member]          
Goodwill [Roll Forward]          
Sale of business         $ (1,826)
Proceeds from sale of business $ 4,400        
Gain (loss) on sale of business $ 1,873        
MeYou Health [Member]          
Goodwill [Roll Forward]          
Sale of business       $ (2,294)  
Proceeds from sale of business   $ 5,500      
Gain (loss) on sale of business   (4,826)      
MeYou Health [Member] | Maximum [Member]          
Goodwill [Roll Forward]          
Additional contingent consideration received   $ 1,500