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Goodwill and Intangible Assets (Changes in Carrying Amount of Goodwill, by Segment) (Detail) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2020 | Sep. 30, 2019 | Jun. 30, 2020
Goodwill [Line Items] |  |  |
Goodwill beginning balance | $ 686,214 | $ 687,256 | $ 686,992
Purchase Accounting Adjustments |  |  | (92)
Foreign exchange rate changes | 266 | (264) | (686)
Goodwill ending balance | 686,480 | 686,992 | 686,214
Medical and Healthcare [Member] |  |  |
Goodwill [Line Items] |  |  |
Goodwill beginning balance | 310,210 | 310,210 | 310,210
Purchase Accounting Adjustments |  |  | 0
Foreign exchange rate changes | 0 | 0 | 0
Goodwill ending balance | 310,210 | 310,210 | 310,210
Financial Services [Member] |  |  |
Goodwill [Line Items] |  |  |
Goodwill beginning balance | 376,004 | 377,046 | 376,782
Purchase Accounting Adjustments |  |  | (92)
Foreign exchange rate changes | 266 | (264) | (686)
Goodwill ending balance | $ 376,270 | $ 376,782 | $ 376,004

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- Definition Amount of foreign currency translation gain (loss) which increases (decreases) an asset representing future economic benefits from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (f) -URI http://asc.fasb.org/extlink&oid=121556970&loc=d3e13816-109267 + Details
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- Definition Amount before accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=121556970&loc=d3e13816-109267 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (h) -URI http://asc.fasb.org/extlink&oid=121556970&loc=d3e13816-109267 + Details
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- Definition Amount of increase (decrease) from adjustments after acquisition date under purchase accounting of an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 25 -Paragraph 16 -URI http://asc.fasb.org/extlink&oid=116868678&loc=d3e961-128460 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (g) -URI http://asc.fasb.org/extlink&oid=121556970&loc=d3e13816-109267 + Details
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