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Intangible Assets, Net and Goodwill - Schedule of Goodwill (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2020
USD ($)
Goodwill [Roll Forward]  
Balance at December 31, 2019 $ 164,470
Goodwill of acquired businesses 33,061
Balance at March 31, 2020 197,531
Middle Market  
Goodwill [Roll Forward]  
Balance at December 31, 2019 52,932
Goodwill of acquired businesses 23,739
Balance at March 31, 2020 76,671
Specialty  
Goodwill [Roll Forward]  
Balance at December 31, 2019 60,115
Goodwill of acquired businesses 4,228
Balance at March 31, 2020 64,343
MainStreet  
Goodwill [Roll Forward]  
Balance at December 31, 2019 38,892
Goodwill of acquired businesses 0
Balance at March 31, 2020 38,892
Medicare  
Goodwill [Roll Forward]  
Balance at December 31, 2019 12,531
Goodwill of acquired businesses 5,094
Balance at March 31, 2020 $ 17,625