Goodwill and Other Intangible Assets - Goodwill (Details) - USD ($) $ in Thousands |
3 Months Ended | 9 Months Ended | ||||
|---|---|---|---|---|---|---|
Sep. 30, 2024 |
Sep. 30, 2023 |
Sep. 30, 2024 |
Sep. 30, 2023 |
Dec. 31, 2023 |
Aug. 03, 2023 |
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| Goodwill [Line Items] | ||||||
| Goodwill | $ 3,019,826 | $ 3,019,826 | $ 3,030,013 | |||
| Increased deferred tax assets | 11,500 | 11,500 | ||||
| Increased income tax benefit | 1,300 | 1,300 | ||||
| Unrecognized deferred tax asset | 10,200 | 10,200 | ||||
| Additions to goodwill | 0 | $ 0 | 0 | $ 0 | ||
| Disposals to goodwill | 0 | 0 | 0 | 0 | ||
| Impairment to goodwill | $ 0 | 0 | $ 0 | 0 | ||
| HealthPay24 | ||||||
| Goodwill [Line Items] | ||||||
| Goodwill | $ 13,935 | |||||
| Additions to goodwill | $ 13,400 | $ 13,400 | ||||
| X | ||||||||||
- Definition Amount of valuation allowance for deferred tax asset related to goodwill and intangible asset acquired in business combination or from joint venture formation or both. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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| X | ||||||||||
- Definition 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. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- Definition Amount of increase in asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized resulting from a business combination. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- Definition Amount of impairment loss from 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. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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| X | ||||||||||
- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- Definition Amount of (increase) decrease from subsequent recognition of deferred tax asset for 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. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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| X | ||||||||||
- Definition Amount of divestiture 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. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- Definition It represents the amount increases in income tax benefit. No definition available.
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- Details
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