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Restructuring, Strategic Transaction and Integration (Details 1) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Restructuring Cost and Reserve [Line Items]        
Restructuring, strategic transaction and integration expenses $ 41,100 $ 80,574 $ 105,390 $ 77,967
Restructuring Charges   8,400 $ 4,500 $ 18,800
Restructuring and Related Cost, Cost Incurred to Date   $ 25,100