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Business Combinations - Narrative (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Oct. 01, 2020
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Acquired Finite-Lived Intangible Assets [Line Items]          
Goodwill   $ 499,309 $ 499,309 $ 336,539 $ 335,887
340B Link Business          
Acquired Finite-Lived Intangible Assets [Line Items]          
Purchase price $ 225,000        
Goodwill 161,117        
Goodwill expected to be deductible for tax purposes $ 93,900        
Acquisition related costs     $ 6,500    
Revenue from operations since the acquisition date   10,200      
Earnings from operations since the acquisition date   $ 1,300      
340B Link Business | Discount Rate          
Acquired Finite-Lived Intangible Assets [Line Items]          
Measurement input used in estimating the fair values of intangible assets 0.140        
340B Link Business | Acquired Technology | Royalty Rate          
Acquired Finite-Lived Intangible Assets [Line Items]          
Measurement input used in estimating the fair values of intangible assets 0.100        
340B Link Business | Trade Names | Royalty Rate          
Acquired Finite-Lived Intangible Assets [Line Items]          
Measurement input used in estimating the fair values of intangible assets 0.005