Goodwill and Other Intangible Assets - Goodwill (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2024	Sep. 30, 2023	Sep. 30, 2024	Sep. 30, 2023	Dec. 31, 2023	Aug. 03, 2023
Goodwill [Line Items]
Goodwill	$ 3,019,826		$ 3,019,826		$ 3,030,013
Increased deferred tax assets	11,500		11,500
Increased income tax benefit	1,300		1,300
Unrecognized deferred tax asset	10,200		10,200
Additions to goodwill	0	$ 0	0	$ 0
Disposals to goodwill	0	0	0	0
Impairment to goodwill	$ 0	0	$ 0	0
HealthPay24
Goodwill [Line Items]
Goodwill						$ 13,935
Additions to goodwill		$ 13,400		$ 13,400