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Intangible Assets and Goodwill - Reconciliation of Goodwill Balance (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2020
Mar. 31, 2020
Sep. 30, 2020
Goodwill [Line Items]      
Beginning balance   $ 654,635 $ 654,635
Impairment loss $ (66,200) (119,500) (185,698)
Ending balance 468,937   468,937
Healthcare      
Goodwill [Line Items]      
Beginning balance   334,680 334,680
Ending balance 334,680   334,680
Nutrition      
Goodwill [Line Items]      
Beginning balance   319,955 319,955
Impairment loss (66,200) $ (119,500) (185,698)
Ending balance $ 134,257   $ 134,257