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Business Combinations, Goodwill and Intangible Assets - Summary of Company's Goodwill (Details) - USD ($)
$ in Thousands
6 Months Ended 12 Months Ended
Jun. 30, 2018
Dec. 31, 2017
Goodwill [Roll Forward]    
Beginning Balance $ 204,481 $ 186,770
Acquisitions   15,957
Currency translation adjustments (1,772) 1,754
Measurement period adjustments (1,728)  
Ending Balance 200,981 204,481
Insurance    
Goodwill [Roll Forward]    
Beginning Balance 38,333 38,110
Acquisitions   0
Currency translation adjustments (56) 223
Measurement period adjustments 0  
Ending Balance 38,277 38,333
Healthcare    
Goodwill [Roll Forward]    
Beginning Balance 35,233 19,276
Acquisitions   15,957
Currency translation adjustments 0 0
Measurement period adjustments (1,728)  
Ending Balance 33,505 35,233
TT&L    
Goodwill [Roll Forward]    
Beginning Balance 13,679 12,983
Acquisitions   0
Currency translation adjustments (780) 696
Measurement period adjustments 0  
Ending Balance 12,899 13,679
F&A    
Goodwill [Roll Forward]    
Beginning Balance 48,372 47,537
Acquisitions   0
Currency translation adjustments (936) 835
Measurement period adjustments 0  
Ending Balance 47,436 48,372
All Other    
Goodwill [Roll Forward]    
Beginning Balance 5,326 5,326
Acquisitions   0
Currency translation adjustments 0 0
Measurement period adjustments 0  
Ending Balance 5,326 5,326
Analytics    
Goodwill [Roll Forward]    
Beginning Balance 63,538 63,538
Acquisitions   0
Currency translation adjustments 0 0
Measurement period adjustments 0  
Ending Balance 63,538 $ 63,538
Health Integrated, Inc.    
Goodwill [Roll Forward]    
Measurement period adjustments, intangible assets acquired and earn-out $ 1,728