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Amount of other assets expected to be realized or consumed before one year or the normal operating cycle, if longer, acquired at the acquisition date.

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Amount of asset related to consideration paid in advance for costs that provide economic benefits in future periods, and amount of other assets that are expected to be realized or consumed within one year or the normal operating cycle, if longer, acquired at the acquisition date.

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Amount, after accumulated impairment loss, of asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized.

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Acquisitions - Estimated fair values of assets acquired and liabilities assumed (Details) - USD ($) $ in Thousands	Sep. 30, 2024	Dec. 31, 2023	Aug. 03, 2023
Acquisitions
Goodwill	$ 3,019,826	$ 3,030,013
HealthPay24
Acquisitions
Cash and cash equivalents			$ 1,374
Accounts receivable			1,772
Prepaid and other current assets			255
Other assets			229
Goodwill			13,935
Total acquired assets			33,265
Other current liabilities			845
Deferred revenue			821
Other liabilities			225
Total acquired liabilities			1,891
Total net assets acquired			31,374
HealthPay24 \| Customer relationships
Acquisitions
Finite lived intangible assets			14,500
HealthPay24 \| Developed technology
Acquisitions
Finite lived intangible assets			800
HealthPay24 \| Tradenames and trademarks
Acquisitions
Finite lived intangible assets			$ 400