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Goodwill and Intangible Assets - Carrying Amount of Goodwill (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2018
USD ($)
Goodwill [Roll Forward]  
Beginning balance $ 337,751
Foreign currency exchange rate fluctuations 1,197
Ending balance 338,948
Automation and analytics  
Goodwill [Roll Forward]  
Beginning balance 220,851
Foreign currency exchange rate fluctuations 831
Ending balance 221,682
Medication adherence  
Goodwill [Roll Forward]  
Beginning balance 116,900
Foreign currency exchange rate fluctuations 366
Ending balance $ 117,266