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Goodwill
 9 Months Ended
Sep. 30, 2022
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill Goodwill
Changes in the carrying amount of goodwill for the nine months ended September 30, 2022 were:

Goodwill
Balance as of December 31, 2021
$554.7 
Cloudmed Acquisition1,994.7 
Change in foreign currency rates(0.1)
Balance as of September 30, 2022
$2,549.3