Assets Sold, Percent of Ownership

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The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method.

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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.

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No definition available.

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- Definition

Amount of investment in equity security measured at fair value with change in fair value recognized in net income (FV-NI).

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- Definition

Amount of realized gain from sale of investment in equity security measured at fair value with change in fair value recognized in net income (FV-NI).

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Amount of unrealized gain on investment in equity security measured at fair value with change in fair value recognized in net income (FV-NI).

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- Definition

Amount of transfers of liabilities measured on a recurring basis out of Level 1 of the fair value hierarchy into Level 2.

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Amount of transfers of liabilities measured on a recurring basis out of Level 2 of the fair value hierarchy into Level 1.

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- Definition

Amount of issuances of financial instrument classified as a liability measured using unobservable inputs that reflect the entity's own assumption about the assumptions market participants would use in pricing.

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Amount of sales of financial instrument classified as a liability measured using unobservable inputs that reflect the entity's own assumption about the assumptions market participants would use in pricing.

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Amount of settlements of financial instrument classified as a liability measured using unobservable inputs that reflect the entity's own assumption about the assumptions market participants would use in pricing.

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Amount of gain (loss) included in earnings for investments classified as other.

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Amount of long-term investments classified as other.

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Amount of cash outflow for purchase of marketable security.

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Amount of cash inflow from the sale of investments classified as other.

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Intangible Assets, Goodwill and Other Assets (Details) - USD ($)	3 Months Ended	12 Months Ended
	Sep. 30, 2019	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Business Acquisition [Line Items]
Amortization expense of intangible assets		$ 9,691,000	$ 24,342,000	$ 22,555,000
Gain recognized in other income		7,697,000	0	0
Investment in MedAdvisor Limited		7,421,000	0	$ 0
Sales related to financial instrument		0	0
Settlements related to financial instrument		0	0
Issuances related to financial instrument		0	0
Transfers in related to level 1 instrument		0	0
Transfers out related to level 1 instrument		0	0
Net unrealized gains		500,000	0
Realized gains			$ 0
MedAdvisor Limited \| Fair Value, Inputs, Level 1
Business Acquisition [Line Items]
Investment in MedAdvisor Limited		7,400,000
Fair value measurement in relation to equity instrument		7,900,000
InstaMed Holdings, Inc.
Business Acquisition [Line Items]
Outstanding stock acquired (as a percent)	100.00%
Cost based investment in Instamed	$ 2,100,000
Proceeds from sale of investment		9,800,000
Gain recognized in other income		$ 7,700,000