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Goodwill - Schedule of Reporting Units Goodwill Balances (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Goodwill [Line Items]      
Goodwill $ 7,112,560 $ 7,076,610 $ 7,046,241
Impairment charges 26,083 $ 0 $ 0
Transplant Software Reporting Unit      
Goodwill [Line Items]      
Goodwill 14,424    
Goodwill, Impairment Loss, Net of Tax 19,575    
Impairment charges $ 26,083