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Business Combinations (Details)
$ in Thousands
9 Months Ended 141 Months Ended
Dec. 12, 2023
USD ($)
Oct. 10, 2023
USD ($)
Jun. 20, 2023
USD ($)
Sep. 30, 2024
USD ($)
Sep. 30, 2023
USD ($)
Sep. 30, 2024
USD ($)
acquisition
Dec. 31, 2023
USD ($)
Business Acquisition [Line Items]              
Number of businesses acquired | acquisition           20  
Contingent liabilities       $ 43,696   $ 43,696 $ 54,457
Change in fair value of contingent considerations       8,092 $ 11,316    
Goodwill       718,483   $ 718,483 $ 716,333
Payments for business acquisition related contingent consideration       (15,156) $ 0    
Software or Technology Related Acquisitions              
Business Acquisition [Line Items]              
Number of businesses acquired | acquisition           13  
Drug Interaction Solutions University of Washington (DIDB)              
Business Acquisition [Line Items]              
Business combination, consideration transferred     $ 8,340        
Contingent consideration earn out period     2 years        
Contingent consideration arrangements, range of outcomes, high     $ 2,000        
Contingent liabilities       136   $ 136  
Change in fair value of contingent considerations       4      
Goodwill     2,289        
Drug Interaction Solutions University of Washington (DIDB) | Revenue Target              
Business Acquisition [Line Items]              
Contingent liabilities     790        
Drug Interaction Solutions University of Washington (DIDB) | Trademarks              
Business Acquisition [Line Items]              
Finite-lived intangible assets acquired     330        
Drug Interaction Solutions University of Washington (DIDB) | Developed Technology Rights              
Business Acquisition [Line Items]              
Finite-lived intangible assets acquired     5,600        
Drug Interaction Solutions University of Washington (DIDB) | Customer Relationships              
Business Acquisition [Line Items]              
Finite-lived intangible assets acquired     $ 360        
Formedix              
Business Acquisition [Line Items]              
Business combination, consideration transferred   $ 41,389          
Contingent consideration earn out period   2 years          
Contingent consideration arrangements, range of outcomes, high   $ 9,000          
Contingent liabilities   5,161   0   $ 0  
Change in fair value of contingent considerations       (1,919)      
Goodwill   25,062          
Payments for business acquisition related contingent consideration       (1,777)      
Formedix | Revenue Target              
Business Acquisition [Line Items]              
Contingent liabilities   4,380          
Formedix | Developed Technology Rights              
Business Acquisition [Line Items]              
Finite-lived intangible assets acquired   11,700          
Formedix | Customer Relationships              
Business Acquisition [Line Items]              
Finite-lived intangible assets acquired   $ 3,100          
Applied Biomath              
Business Acquisition [Line Items]              
Business combination, consideration transferred $ 36,594            
Contingent consideration earn out period 2 years            
Contingent consideration arrangements, range of outcomes, high $ 17,550            
Change in fair value of contingent considerations       (650)      
Goodwill 15,872            
Payments for business acquisition related contingent consideration       $ (4,730)      
Applied Biomath | Revenue Target              
Business Acquisition [Line Items]              
Contingent liabilities 5,357            
Applied Biomath | Developed Technology Rights              
Business Acquisition [Line Items]              
Finite-lived intangible assets acquired 4,600            
Applied Biomath | Customer Relationships              
Business Acquisition [Line Items]              
Finite-lived intangible assets acquired 13,700            
Applied Biomath | Noncompete Agreements              
Business Acquisition [Line Items]              
Finite-lived intangible assets acquired $ 800