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Acquisitions - Schedules of Assets and Liabilities Acquired (Details) - USD ($)
$ in Thousands
 6 Months Ended
Mar. 05, 2019
Jun. 30, 2019
Jun. 30, 2018
Dec. 31, 2018
Business Acquisition [Line Items]        
Cash consideration, net of $125,865 in cash and restricted cash acquired   $ 571,552 $ 0  
Less:        
Recorded goodwill   2,325,942   $ 1,832,129
Weighted average life (in years) 7 years      
Discovery Benefits        
Business Acquisition [Line Items]        
Cash consideration, net of $125,865 in cash and restricted cash acquired $ 249,781      
Fair value of redeemable non-controlling interest 100,000      
Deferred cash consideration 50,000      
Restricted cash   125,865    
Less:        
Accounts receivable 10,722      
Other assets 13,601      
Accounts payable (3,071)      
Accrued expenses (7,563)      
Restricted cash payable (125,346)      
Deferred income taxes (22,200)      
Other liabilities (9,814)      
Recorded goodwill $ 272,248      
Noventis        
Business Acquisition [Line Items]        
Total consideration   293,767    
Restricted cash   44,947    
Less:        
Accounts receivable   22,134    
Property and equipment   549    
Other assets   2,379    
Accounts payable   (33,521)    
Deferred income taxes   (24,121)    
Other liabilities   (2,367)    
Recorded goodwill   $ 212,814    
Weighted average life (in years)   7 years 7 months 6 days    
Customer relationships        
Less:        
Weighted average life (in years) 7 years 3 months 18 days      
Customer relationships | Discovery Benefits        
Business Acquisition [Line Items]        
Total consideration $ 399,781      
Less:        
Property and equipment 4,904      
Intangible assets $ 213,600      
Customer relationships | Noventis        
Less:        
Intangible assets   $ 100,900    
Weighted average life (in years)   8 years 3 months 18 days    
Developed technologies        
Less:        
Weighted average life (in years) 5 years 4 months 24 days      
Developed technologies | Discovery Benefits        
Less:        
Intangible assets $ 38,900      
Developed technologies | Noventis        
Less:        
Intangible assets   $ 15,000    
Weighted average life (in years)   2 years 10 months 24 days    
Trademarks and trade names        
Less:        
Weighted average life (in years) 7 years 3 months 18 days      
Trademarks and trade names | Discovery Benefits        
Less:        
Intangible assets $ 13,800