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Intangible Assets and Goodwill - Reconciliation of Goodwill Balance (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2020
USD ($)
Goodwill [Line Items]  
Beginning balance $ 654,635
Impairment loss (119,500)
Ending balance 535,135
Healthcare  
Goodwill [Line Items]  
Beginning balance 334,680
Ending balance 334,680
Nutrition  
Goodwill [Line Items]  
Beginning balance 319,955
Impairment loss (119,500)
Ending balance $ 200,455