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Goodwill and Intangible Assets - Carrying Amount of Goodwill (Details)
$ in Thousands
9 Months Ended
Sep. 30, 2018
USD ($)
Goodwill [Roll Forward]  
Beginning balance $ 337,751
Foreign currency exchange rate fluctuations (1,234)
Ending balance 336,517
Automation and analytics  
Goodwill [Roll Forward]  
Beginning balance 220,851
Foreign currency exchange rate fluctuations (882)
Ending balance 219,969
Medication adherence  
Goodwill [Roll Forward]  
Beginning balance 116,900
Foreign currency exchange rate fluctuations (352)
Ending balance $ 116,548