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Business and Basis of Presentation - Narrative (Details) $ in Thousands	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2020 USD ($) enterprise country	Sep. 30, 2019 USD ($)	Sep. 30, 2020 USD ($) enterprise segment country	Sep. 30, 2019 USD ($)	Dec. 31, 2019 USD ($)
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Number of organizations Company serves \| enterprise	14,000		14,000
Number of countries in which entity operates \| country	100		100
Number of reportable segments \| segment			3
Acquisition and integration charges	$ 1,722	$ 1,742	$ 5,438	$ 4,156
Deferred consideration					$ 2,300
Loss from divested operations	$ 0	$ 0	$ 0	$ 2,075

Amount before tax of income (loss) from a discontinued operation. Includes, but is not limited to, the income (loss) from operations during the phase-out period, gain (loss) on disposal, gain (loss) for reversal of write-down (write-down) to fair value, less cost to sell, and adjustments to a prior period gain (loss) on disposal.

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