Acquisitions (Details) - USD ($) $ in Thousands |
12 Months Ended | |||||
|---|---|---|---|---|---|---|
Oct. 31, 2023 |
Aug. 03, 2023 |
Dec. 31, 2023 |
Dec. 31, 2024 |
Dec. 31, 2022 |
Dec. 31, 2021 |
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| Acquisitions | ||||||
| Goodwill | $ 3,030,013 | $ 3,019,999 | $ 3,009,558 | $ 3,009,769 | ||
| HealthPay24 | ||||||
| Acquisitions | ||||||
| Consideration paid | $ 31,400 | |||||
| Useful lives | 12 years 1 month 6 days | |||||
| Goodwill | $ 13,935 | |||||
| HealthPay24 | General and administrative | ||||||
| Acquisitions | ||||||
| Total acquisition costs | $ 900 | |||||
| HealthPay24 | Customer relationships | ||||||
| Acquisitions | ||||||
| Useful lives | 19 years | |||||
| Total intangible assets | $ 14,500 | |||||
| HealthPay24 | Developed technology | ||||||
| Acquisitions | ||||||
| Useful lives | 8 years | |||||
| Total intangible assets | $ 800 | |||||
| HealthPay24 | Tradenames and trademarks | ||||||
| Acquisitions | ||||||
| Useful lives | 2 years | |||||
| Total intangible assets | $ 400 | |||||
| Olive AI, Inc | ||||||
| Acquisitions | ||||||
| Total consideration | $ 10,000 | |||||
| Total intangible assets | 10,600 | |||||
| Goodwill | $ 6,500 |
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- Definition Weighted average amortization period of finite-lived intangible assets acquired either individually or as part of a group of assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- 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/disclosureRef
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- Definition This element represents acquisition-related costs incurred to effect a business combination which costs have been expensed during the period. Such costs include finder's fees; advisory, legal, accounting, valuation, and other professional or consulting fees; general administrative costs, including the costs of maintaining an internal acquisitions department; and may include costs of registering and issuing debt and equity securities. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition Amount of consideration transferred, consisting of acquisition-date fair value of assets transferred by the acquirer, liabilities incurred by the acquirer, and equity interest issued by the acquirer. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- Definition The amount of identifiable intangible assets recognized as of the acquisition date. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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- 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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- Definition The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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