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ACQUISITIONS - Assets Acquired and Liabilities Assumed (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Sep. 18, 2019
Dec. 31, 2018
Oct. 17, 2018
Sep. 04, 2018
Business Acquisition [Line Items]            
Goodwill $ 23,871,451 $ 23,759,740        
Total System Services, Inc.            
Business Acquisition [Line Items]            
Cash and cash equivalents 446,009 446,009        
Accounts receivable 440,188 442,848        
Identified intangible assets 10,980,978 10,980,000 $ 10,980,000      
Property and equipment 643,106 644,084        
Other assets 1,471,856 1,474,825        
Accounts payable and accrued liabilities (625,959) (614,060)        
Debt (3,290,555) (3,295,342)        
Deferred income tax liabilities (2,635,251) (2,687,849)        
Other liabilities (314,588) (314,415)        
Total identifiable net assets 7,115,784 7,076,100        
Goodwill 17,359,169 17,398,853        
Total purchase consideration 24,474,953 24,474,953        
Measurement- Period Adjustments            
Cash and cash equivalents 0          
Accounts receivable (2,660)          
Identified intangible assets 978          
Property and equipment (978)          
Other assets (2,969)          
Accounts payable and accrued liabilities (11,899)          
Debt 4,787          
Deferred income tax liabilities 52,598          
Other liabilities (173)          
Total identifiable net assets 39,684          
Goodwill (39,684)          
Total purchase consideration $ 0          
SICOM            
Business Acquisition [Line Items]            
Cash and cash equivalents   7,540   $ 7,540    
Identified intangible assets   188,294   188,294 $ 188,294  
Property and equipment   5,838   5,943    
Other assets   22,275   22,278    
Deferred income tax liabilities   (47,610)   (48,448)    
Other liabilities   (31,350)   (31,250)    
Total identifiable net assets   144,987   144,357    
Goodwill   265,214   264,844    
Total purchase consideration   410,201   409,201    
Measurement- Period Adjustments            
Cash and cash equivalents   0        
Identified intangible assets   0        
Property and equipment   (105)        
Other assets   (3)        
Deferred income tax liabilities   838        
Other liabilities   (100)        
Total identifiable net assets   630        
Goodwill   370        
Total purchase consideration   1,000        
AdvancedMD            
Business Acquisition [Line Items]            
Cash and cash equivalents   7,657   7,657    
Identified intangible assets   419,500   419,500   $ 419,500
Property and equipment   5,672   5,672    
Other assets   11,785   11,958    
Deferred income tax liabilities   (94,044)   (98,979)    
Other liabilities   (15,647)   (15,624)    
Total identifiable net assets   334,923   330,184    
Goodwill   371,962   376,701    
Total purchase consideration   706,885   $ 706,885    
Measurement- Period Adjustments            
Cash and cash equivalents   0        
Identified intangible assets   0        
Property and equipment   0        
Other assets   (173)        
Deferred income tax liabilities   4,935        
Other liabilities   (23)        
Total identifiable net assets   4,739        
Goodwill   (4,739)        
Total purchase consideration   $ 0