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Allscripts Healthcare Solutions, Inc
(PINK:MDRX) 

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Allscripts Healthcare Solutions, Inc., together with its subsidiaries, provides information technology solutions and services to healthcare organizations in the United States, Canada, and internationally. It offers electronic health records (EHR), information connectivity, private cloud hosting, out...

Founded: 1986
Full Time Employees: 9,600
Sector: Healthcare
Industry: Health Information Services

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    Unit: USD2024-12-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-09-30 2010-05-31 2010-02-28 2009-11-30 2009-08-31 2009-05-31 2009-02-28 2008-11-30 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-12-31 2004-09-30 2004-06-30 2004-03-31 2003-12-31 2003-09-30 
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-09-30 2010-05-31 2010-02-28 2009-11-30 2009-08-31 2009-05-31 2009-02-28 2008-11-30 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-12-31 2004-09-30 2004-06-30 2004-03-31 2003-12-31 2003-09-30 
                                                                                  
        assets
                                                                                  
        current assets:
                                                                                  
        cash and cash equivalents
      492,597,000 500,164,000 82,782,000 188,351,000 214,179,000 229,254,000 513,400,000 531,104,000 218,701,000 199,004,000 204,308,000 129,668,000 129,349,000 138,903,000 137,167,000 174,243,000 111,775,000 135,851,000 135,003,000 155,839,000 104,301,000 82,714,000 104,391,000 96,610,000 77,251,000 90,655,000 100,116,000 116,873,000 91,398,000 76,537,000 88,480,000 53,173,000 37,345,000 39,250,000 41,580,000 62,954,000 60,790,000 71,984,000 92,228,000 103,956,000 93,672,000 120,373,000 175,680,000 157,753,000 84,778,000 115,671,000 145,446,000 120,067,000 143,410,000 115,757,000 88,646,000 84,849,000 71,159,000 69,859,000 68,890,000 71,189,000 50,844,000 43,721,000 43,785,000 31,968,000 40,376,000 44,221,000 42,461,000 35,734,000 32,978,000 35,225,000 60,905,000 37,719,000 36,779,000 25,262,000 16,972,000 47,328,000 18,339,000 12,004,000 13,336,000 10,496,000 
        restricted cash
      1,307,000 1,307,000 1,305,000 2,169,000 2,141,000 2,129,000 2,110,000 6,361,000 6,209,000 6,194,000 7,824,000 7,871,000 9,375,000 9,236,000 10,681,000 10,552,000 8,016,000 4,925,000 8,769,000 6,659,000 5,123,000 6,400,000                          2,225,000                             
        accounts receivable
      169,029,000 166,746,000 170,497,000 327,069,000 340,924,000 338,587,000 359,068,000 347,355,000 381,888,000 415,848,000 471,213,000 459,751,000 426,579,000 428,085,000 457,960,000 465,264,000 520,381,000 522,144,000 495,695,000 567,873,000 442,872,000 420,116,000 414,613,000 405,172,000 400,101,000 395,629,000 340,091,000 327,851,000 324,552,000 323,486,000 325,237,000 331,625,000 340,696,000 336,846,000 341,591,000 313,486,000 322,342,000 346,417,000 351,772,000 337,024,000 371,322,000 363,050,000 370,022,000 362,793,000 371,182,000 356,938,000 320,433,000 308,377,000 181,920,000 179,169,000 154,951,000 150,335,000 155,122,000 167,966,000 148,038,000 95,560,000 83,847,000 80,997,000 81,351,000 81,225,000 69,610,000 57,380,000 55,579,000 57,394,000 44,610,000 43,366,000 29,244,000 26,765,000 23,323,000 23,278,000 21,382,000 20,441,000 18,898,000 17,255,000 18,219,000 15,796,000 
        contract assets, net of allowance of 564 and 576 as of september 30, 2022 and december 31, 2021, respectively
      65,453,000                                                                            
        prepaid expenses and other current assets
      74,384,000 91,521,000 56,191,000 118,942,000 124,473,000 150,968,000 128,493,000 136,264,000 135,869,000 149,080,000 125,677,000 147,990,000 142,843,000 152,476,000 133,448,000 142,455,000 131,826,000 128,325,000 130,051,000 115,463,000 115,701,000 113,563,000 108,157,000 102,551,000 112,416,000 107,810,000 99,127,000 93,622,000 98,511,000 104,314,000 108,020,000 102,398,000 115,212,000 110,967,000 103,218,000 107,911,000 117,051,000 120,102,000 118,343,000 110,023,000 124,494,000 130,099,000 129,413,000 117,444,000 103,277,000 100,801,000 99,435,000 100,642,000 50,598,000 47,602,000 41,553,000 36,492,000 31,061,000 30,047,000 31,821,000 17,947,000 17,582,000 19,534,000 17,401,000 16,920,000 15,021,000 12,980,000 10,620,000 9,106,000 6,800,000 6,877,000 5,811,000 4,889,000 3,733,000 3,815,000 3,571,000 3,215,000 2,488,000 2,836,000 3,863,000  
        current assets attributable to discontinued operations
      8,000,000 20,000,000                                                                           
        total current assets
      810,770,000 828,767,000 1,540,684,000 761,342,000 804,961,000 840,989,000 1,135,437,000 1,153,222,000 948,782,000 869,801,000 907,193,000 841,262,000 773,661,000 804,051,000 834,333,000 858,965,000 843,743,000 855,664,000 911,064,000 845,834,000 667,997,000 622,793,000 627,161,000 604,333,000 589,768,000 594,094,000 539,334,000 538,346,000 550,197,000 540,142,000 557,388,000 522,811,000 548,711,000 542,508,000 541,855,000 539,819,000 555,691,000 594,011,000 619,301,000 607,502,000 631,816,000 655,391,000 718,406,000 680,649,000 593,308,000 608,453,000 598,623,000 550,160,000 408,154,000 347,818,000 290,556,000 275,487,000 260,977,000 285,125,000 267,114,000 200,783,000 176,438,000 178,448,000 169,124,000 187,258,000 182,727,000 169,375,000 153,897,000 120,776,000 109,341,000 110,619,000 153,044,000 128,780,000 111,249,000 89,189,000 67,720,000 89,018,000 48,185,000 39,414,000 42,339,000 39,938,000 
        fixed assets
      11,713,000 14,971,000 9,299,000 47,902,000 53,667,000 59,077,000 67,376,000 72,162,000 70,027,000 75,728,000 81,830,000 88,339,000 96,813,000 105,923,000 115,564,000 121,913,000 160,225,000 160,585,000 164,878,000 165,603,000 165,434,000 160,470,000 153,197,000 148,810,000 144,804,000 143,731,000 117,679,000 125,617,000 127,739,000 135,542,000 140,116,000 145,830,000 152,213,000 163,128,000 168,026,000 174,013,000 166,579,000 170,950,000 162,318,000 155,494,000 143,823,000 139,233,000 134,364,000 122,563,000 102,877,000 99,089,000 117,913,000 101,623,000 24,637,000 19,534,000 18,366,000 17,477,000 17,343,000   20,297,000 21,147,000 21,209,000 18,238,000 16,662,000 17,111,000 15,129,000 14,094,000    2,753,000 2,597,000 2,482,000 2,423,000 2,366,000 2,180,000 2,204,000 2,117,000 2,237,000 2,566,000 
        software development costs
      78,103,000 82,541,000 78,334,000 172,104,000 176,721,000 182,848,000 188,716,000 193,202,000 241,656,000 253,442,000 250,412,000 243,929,000 236,551,000 225,646,000 219,047,000 209,660,000 239,359,000 225,251,000 235,845,000 222,189,000 207,055,000 192,920,000 175,371,000 163,879,000 140,025,000 97,646,000 86,113,000 85,775,000 82,249,000 83,668,000 83,485,000 86,153,000 85,018,000 81,373,000 85,177,000 88,244,000 89,226,000 90,521,000 92,909,000 95,579,000 105,479,000 108,789,000 103,879,000 98,378,000 91,504,000 81,903,000 73,671,000 45,008,000 29,900,000 23,791,000 20,151,000 16,381,000 13,515,000 7,662,000 2,306,000 22,951,000 25,833,000 25,509,000 24,115,000 19,720,000 18,540,000 15,871,000 12,285,000 9,987,000 8,176,000 6,777,000 6,409,000 6,423,000 6,181,000 6,155,000 6,270,000 6,408,000 5,830,000 5,043,000 4,040,000 3,070,000 
        intangible assets
      145,255,000 149,210,000 158,285,000 235,930,000 248,408,000 261,258,000 273,927,000 286,602,000 329,011,000 343,636,000 358,309,000 374,142,000 397,950,000 402,783,000 415,437,000 431,081,000 873,635,000 839,173,000 827,059,000 826,872,000 717,233,000 698,950,000 720,417,000 741,403,000 730,775,000 715,701,000 335,722,000 347,646,000 360,929,000 378,358,000 387,047,000 403,362,000 422,192,000 426,171,000 442,053,000 455,971,000 471,758,000 488,184,000 504,126,000 426,986,000 442,381,000 457,725,000 473,786,000 489,848,000 505,928,000 522,156,000 538,384,000 558,721,000 206,642,000 211,896,000 217,150,000 222,437,000 227,766,000 238,670,000 244,413,000 96,983,000 100,638,000 104,070,000 107,503,000 74,717,000 72,927,000 75,488,000 78,050,000 80,611,000 83,641,000 86,907,000 9,151,000 9,572,000 9,993,000 10,438,000 10,833,000 11,254,000 11,674,000 12,102,000 12,074,000 11,971,000 
        goodwill
      523,927,000 524,149,000 520,187,000 974,478,000 974,427,000 974,834,000 974,772,000 974,729,000 1,287,197,000 1,361,406,000 1,361,115,000 1,362,017,000 1,387,088,000 1,382,244,000 1,373,996,000 1,373,744,000 2,207,967,000 2,107,818,000 2,051,437,000 2,004,953,000 1,971,950,000 1,929,283,000 1,928,358,000 1,924,052,000 1,882,244,000 1,846,944,000 1,222,283,000 1,222,601,000 1,222,823,000 1,218,781,000 1,200,290,000 1,200,746,000 1,200,651,000 1,190,603,000 1,190,603,000 1,189,585,000 1,189,585,000 1,189,585,000 1,189,761,000 1,039,364,000 1,039,364,000 1,039,364,000 1,039,364,000 1,039,364,000 1,039,364,000 1,039,106,000 1,037,004,000 1,051,234,000 413,390,000 413,390,000 413,390,000 417,911,000 418,431,000 412,252,000 431,974,000 247,556,000 249,808,000 240,545,000 240,452,000 181,397,000 184,124,000 184,124,000 188,261,000 182,802,000 182,801,000 181,104,000 13,760,000 13,760,000 13,760,000 13,713,000 13,713,000 13,713,000 13,583,000 13,833,000 14,285,000 14,705,000 
        deferred taxes
      6,000 7,000 6,078,000 6,607,000 6,118,000 5,872,000 5,779,000 5,790,000 5,881,000 5,333,000 5,429,000 5,704,000 5,049,000 5,000,000 4,946,000 5,036,000 5,566,000 4,457,000 4,888,000 4,574,000 4,234,000 3,451,000 3,031,000 2,791,000 2,974,000 2,488,000 2,414,000 2,298,000 35,736,000 35,805,000 35,651,000 35,615,000 55,458,000 55,445,000 55,466,000 55,468,000 55,508,000 55,508,000 56,958,000 56,499,000 40,606,000 40,607,000 40,598,000 40,600,000 32,051,000 31,850,000 30,734,000 14,546,000 29,042,000 1,684,000 1,684,000 1,487,000 1,052,000 6,128,000 6,822,000 5,459,000 6,888,000 17,700,000 16,650,000 24,391,000 26,716,000 29,884,000 27,437,000 3,464,000 5,467,000 7,200,000           
        contract assets - long-term, net of allowance of 1,201 and 1,534 as of september 30, 2022 and december 31, 2021, respectively
      27,957,000                                                                            
        right-of-use assets - operating leases
      14,520,000 15,904,000 16,776,000 68,909,000 70,297,000 75,052,000 90,180,000 96,601,000 102,217,000 107,661,000 110,469,000 98,020,000 103,537,000 96,097,000 97,411,000                                                              
        other assets
      78,408,000 79,309,000 81,414,000 101,160,000 98,588,000 90,521,000 89,360,000 91,628,000 118,689,000 124,278,000 123,598,000 124,767,000 127,372,000 115,367,000 109,632,000 109,206,000 135,030,000 114,555,000 129,610,000 148,849,000 149,485,000 112,738,000 117,083,000 97,791,000 122,297,000 121,993,000 320,777,000 359,665,000 328,668,000 346,689,000 135,720,000 147,249,000 153,394,000 180,069,000 197,850,000 163,341,000 156,673,000 133,824,000 45,169,000 50,304,000 38,030,000 73,920,000 75,139,000 79,847,000 86,350,000 87,700,000 73,133,000 69,119,000 10,042,000 11,511,000 12,123,000 12,459,000 12,357,000 14,627,000 13,977,000 3,982,000 3,635,000 4,498,000 5,252,000 4,552,000 4,308,000 4,889,000 4,999,000 5,168,000 5,356,000 5,779,000 5,097,000 5,307,000 5,349,000 5,169,000 4,804,000 4,714,000 809,000 831,000 879,000 488,000 
        long-term assets attributable to discontinued operations
                                                                                  
        total assets
      1,690,659,000 1,714,216,000 2,430,255,000 2,425,229,000 2,484,306,000 2,540,300,000 2,871,392,000 2,917,618,000 3,146,265,000 3,188,838,000 3,252,856,000 3,205,739,000 3,229,941,000 3,235,473,000 3,242,408,000 3,181,484,000 4,518,080,000 4,353,676,000 4,370,212,000 4,230,150,000 3,883,388,000 3,784,055,000 3,799,018,000 3,832,159,000 3,810,137,000 3,710,097,000 2,624,322,000 2,681,948,000 2,673,313,000 2,703,888,000 2,504,754,000 2,508,164,000 2,570,861,000 2,592,531,000 2,634,238,000 2,619,663,000 2,638,414,000 2,675,945,000 2,622,813,000 2,384,464,000 2,407,628,000 2,481,079,000 2,551,622,000 2,517,341,000 2,426,509,000 2,445,607,000 2,445,941,000 2,377,643,000 1,094,690,000 1,029,816,000 973,662,000 964,224,000 952,656,000 979,931,000 981,336,000 595,397,000 580,806,000 581,743,000 578,143,000 498,979,000 499,471,000 490,018,000 477,610,000 465,719,000 449,067,000 449,412,000 220,964,000 207,886,000 202,300,000 198,153,000 194,177,000 189,311,000 113,136,000 110,293,000 110,392,000 108,742,000 
        liabilities and stockholders' equity
                                                                                  
        current liabilities:
                                                                                  
        accounts payable
      12,609,000 18,014,000 15,548,000 16,836,000 21,801,000 26,782,000 26,886,000 35,905,000 53,627,000 75,552,000 79,168,000 104,014,000 101,725,000 90,670,000 80,585,000 73,166,000 126,709,000 121,622,000 101,818,000 97,583,000 114,291,000 114,725,000 131,149,000 126,144,000 93,236,000 84,455,000 71,530,000 60,004,000 67,389,000 72,021,000 82,656,000 70,824,000 86,432,000 77,363,000 68,962,000 72,956,000 50,995,000 64,047,000 73,008,000 45,874,000 51,765,000 59,068,000 60,060,000 41,215,000 38,464,000 44,756,000 45,164,000 42,739,000 32,295,000 22,367,000 19,832,000 19,042,000 19,239,000 21,596,000 22,757,000 13,360,000 8,888,000 14,284,000 15,911,000 14,695,000 12,267,000 7,585,000 9,294,000 13,703,000 10,434,000 12,144,000 8,630,000 4,915,000 4,693,000 4,527,000 5,981,000 6,738,000 5,629,000 6,060,000 6,082,000 7,022,000 
        accrued expenses
      82,917,000 82,964,000 61,829,000 92,525,000 93,546,000 88,780,000 93,499,000 100,262,000 166,180,000 190,645,000 217,273,000 270,662,000 261,905,000 256,516,000 108,773,000 106,072,000 120,326,000 113,122,000 102,028,000 85,915,000 71,820,000 77,375,000 69,496,000 86,135,000 85,336,000 65,696,000 56,007,000 62,021,000 70,654,000 70,362,000 63,267,000 78,967,000 79,751,000 84,000,000 82,245,000 96,499,000 92,386,000 89,225,000 94,086,000 93,100,000 85,419,000 99,809,000 100,864,000 103,381,000 87,273,000 89,060,000 87,539,000 76,025,000 56,495,000 49,397,000 46,397,000 41,276,000 41,498,000 40,748,000 46,237,000 22,683,000 20,499,000 18,753,000 17,266,000 15,701,000 16,496,000 20,972,000 17,861,000 17,800,000 20,218,000 16,822,000 11,489,000 10,042,000 10,889,000 9,147,000 9,568,000 8,167,000 7,072,000 7,824,000 5,558,000 5,227,000 
        accrued compensation and benefits
      33,857,000 34,001,000 18,027,000 92,222,000 92,737,000 94,185,000 84,153,000 118,771,000 97,515,000 82,097,000 67,635,000 68,569,000 57,553,000 53,741,000 61,500,000 100,076,000 107,799,000 109,120,000 82,141,000 99,632,000 70,037,000 59,255,000 55,231,000 64,291,000 52,773,000 52,440,000 37,525,000 62,398,000 47,504,000 40,526,000 39,846,000 51,062,000 55,638,000 53,011,000 53,156,000 80,196,000 59,087,000 47,503,000 46,650,000 44,124,000 29,181,000 27,494,000 27,730,000 31,784,000 31,877,000 37,954,000 34,378,000 41,249,000 18,206,000 14,904,000 11,906,000 10,308,000 16,567,000 17,222,000 21,994,000                      
        deferred revenue
      98,930,000 84,882,000 106,491,000 325,900,000 337,884,000 364,000,000 380,355,000 334,764,000 339,239,000 366,378,000 401,483,000 379,843,000 373,105,000 432,222,000 504,089,000 466,797,000 506,568,000 531,189,000 540,289,000 546,830,000 392,462,000 388,647,000 412,620,000 363,772,000 370,821,000 373,543,000 365,415,000 315,925,000 291,251,000 304,456,000 322,111,000 293,022,000 277,243,000 281,467,000 305,602,000 251,038,000 304,055,000 327,363,000 327,863,000 290,653,000 301,125,000 308,503,000 317,564,000 288,900,000 264,936,000 276,532,000 249,233,000 200,420,000 103,984,000 103,719,000 78,583,000 86,564,000 86,032,000 90,878,000 66,012,000 54,325,000 50,614,000 55,589,000 45,940,000 41,084,000 38,613,000 43,562,000 35,549,000 33,732,000 32,967,000 37,459,000 17,306,000 15,103,000 14,444,000 17,097,000 14,607,000 13,759,000 12,418,000 10,353,000 10,959,000 9,245,000 
        current operating lease liabilities
      6,166,000 6,095,000 5,972,000 19,599,000 19,264,000 19,662,000 22,571,000 22,264,000 22,317,000 22,072,000 21,910,000 23,137,000 24,451,000 24,501,000 24,154,000                                                              
        current liabilities attributable to discontinued operations
      18,612,000 30,372,000   1,708,000 2,670,000 272,872,000 322,811,000        920,000                                                             
        total current liabilities
      253,091,000 256,328,000 646,855,000 547,082,000 566,940,000 596,079,000 880,336,000 934,777,000 744,650,000 1,111,282,000 1,158,220,000 1,210,690,000 1,177,313,000 879,771,000 799,619,000 797,730,000 894,365,000 907,174,000 889,340,000 868,267,000 684,426,000 672,448,000 698,388,000 667,077,000 625,511,000 607,322,000 542,907,000 512,957,000 489,515,000 521,042,000 538,187,000 521,400,000 523,767,000 517,790,000 529,104,000 517,039,000 520,147,000 538,874,000 627,322,000 553,056,000 540,441,000 562,995,000 554,651,000 510,757,000 463,208,000 487,732,000 451,975,000 385,260,000 212,093,000 191,415,000 157,827,000 158,387,000 164,128,000 171,345,000 157,957,000 97,188,000 88,334,000 93,773,000 94,057,000 75,982,000 72,849,000 75,459,000 71,647,000 73,685,000 66,483,000 71,894,000 39,727,000 31,172,000 31,925,000 32,098,000 32,806,000 30,501,000 26,800,000 25,273,000 24,947,000 23,639,000 
        long-term debt
      200,326,000 199,895,000 377,059,000 350,062,000 373,187,000 421,312,000 169,442,000 167,587,000 1,026,048,000 661,703,000 680,434,000 551,004,000 554,864,000 822,724,000 766,240,000 647,539,000 1,002,026,000 983,133,000 1,064,305,000 906,725,000 747,441,000 730,028,000 712,676,000 717,853,000 663,089,000 632,699,000 587,388,000 612,405,000 642,348,000 628,933,000 542,399,000 548,682,000 562,519,000 536,899,000 529,755,000 545,133,000 530,545,000 533,451,000 458,601,000 362,697,000 386,793,000 420,921,000 295,205,000 322,664,000 337,557,000 384,327,000 413,769,000 506,500,000  13,995,000 23,995,000 39,995,000 63,699,000   134,938,000 135,014,000 135,089,000 135,162,000 85,234,000 85,304,000 85,373,000 85,441,000 85,508,000 85,573,000 85,637,000 82,500,000 82,500,000 82,500,000 82,500,000 82,500,000 82,500,000     
        long-term operating lease liabilities
      12,315,000 13,873,000 15,241,000 64,822,000 67,057,000 71,597,000 87,703,000 93,463,000 98,866,000 104,815,000 108,068,000 95,162,000 100,230,000 93,117,000 95,112,000                                                              
        other liabilities
      36,762,000 34,890,000 34,404,000 34,093,000 37,503,000 37,179,000 35,335,000 33,891,000 32,210,000 32,114,000 33,431,000 30,320,000 49,069,000 53,744,000 53,865,000 80,566,000 95,575,000 80,340,000 72,526,000 92,205,000 86,474,000 66,302,000 56,913,000 39,787,000 52,928,000 53,966,000 61,492,000 95,076,000 63,491,000 84,188,000 67,024,000 75,257,000 88,594,000 122,442,000 155,762,000 130,572,000 135,668,000 114,046,000 66,080,000 38,707,000 38,294,000 67,818,000 69,204,000 68,581,000 60,995,000 58,168,000 49,837,000 48,327,000 4,508,000 3,732,000 3,722,000 4,191,000 4,091,000 2,386,000 2,483,000 1,834,000 1,791,000 2,198,000 2,105,000 2,207,000 2,022,000 2,010,000 357,000 346,000 313,000 309,000 318,000 359,000 348,000 256,000 178,000 187,000 214,000 268,000 2,055,000  
        long-term liabilities attributable to discontinued operations
                                                                                  
        total liabilities
      513,636,000 517,868,000 1,077,149,000 1,017,091,000 1,065,719,000 1,146,826,000 1,192,734,000 1,251,375,000 1,937,878,000 1,945,909,000 2,011,076,000 1,920,551,000 1,948,883,000 1,919,266,000 1,786,291,000 1,601,057,000 2,933,420,000 2,756,220,000 2,816,408,000 2,638,543,000 2,316,313,000 2,208,956,000 2,211,394,000 2,171,273,000 2,062,228,000 1,991,588,000 1,235,055,000 1,262,875,000 1,277,735,000 1,312,345,000 1,226,667,000 1,223,944,000 1,288,035,000 1,293,410,000 1,326,618,000 1,301,518,000 1,307,380,000 1,308,365,000 1,288,522,000 1,100,123,000 1,108,508,000 1,200,341,000 1,062,078,000 1,040,621,000 987,611,000 1,038,000,000 1,018,127,000 1,009,160,000 287,865,000 242,589,000 207,923,000 226,656,000 252,286,000 260,489,000 276,401,000 242,137,000 233,355,000 239,296,000 237,503,000 166,689,000 163,469,000 166,136,000 161,360,000 159,539,000 152,369,000 157,840,000 122,545,000 114,031,000 114,773,000 114,854,000 115,484,000 113,188,000 27,014,000 25,541,000 27,002,000 25,681,000 
        commitments and contingencies
                                                                                  
        stockholders’ equity:
                                                                                  
        preferred stock: 0.01 par value...
                                                                                  
        common stock: 0.01 par value...
      2,794,000 2,790,000 2,776,000 2,766,000 2,766,000 2,766,000 2,751,000 2,745,000 2,744,000 2,743,000 2,733,000 2,725,000 2,724,000 2,724,000 2,719,000 2,709,000 2,708,000 2,707,000 2,706,000 2,693,000 2,692,000 2,691,000 2,690,000 2,680,000 2,679,000 2,678,000 2,672,000 2,665,000 2,662,000 2,661,000 2,655,000 2,651,000 2,648,000 2,648,000 2,641,000 2,635,000 2,631,000 2,626,000 2,618,000 2,571,000 2,561,000 2,560,000                                   
        treasury stock
      -1,498,836,000 -1,465,177,000 -1,371,484,000 -1,321,805,000 -1,213,315,000 -1,174,498,000 -870,558,000 -870,558,000 -625,246,000 -579,678,000 -580,871,000 -571,157,000 -561,857,000 -524,767,000 -525,613,000 -460,543,000 -423,521,000 -424,641,000 -380,335,000 -322,735,000 -322,735,000 -322,735,000 -310,993,000 -310,993,000 -260,834,000 -241,827,000 -227,270,000 -189,753,000 -189,753,000 -189,753,000 -278,036,000 -278,036,000 -278,036,000 -278,036,000 -278,036,000 -278,036,000 -278,036,000 -278,036,000 -278,036,000 -278,036,000 -278,036,000 -278,036,000 -52,622,000 -52,075,000 -50,664,000 -50,664,000 -613,000 -613,000                             
        additional paid-in capital
      1,923,559,000 1,923,805,000 1,922,026,000 1,962,386,000 1,952,097,000 1,903,542,000 1,906,534,000 1,902,776,000 1,929,396,000 1,920,645,000 1,914,816,000 1,907,348,000 1,876,078,000 1,867,613,000 1,858,319,000 1,881,494,000 1,765,103,000 1,766,863,000 1,770,801,000 1,781,059,000 1,782,432,000 1,784,247,000 1,784,801,000 1,789,959,000 1,790,179,000 1,791,838,000 1,794,015,000 1,789,449,000 1,782,081,000 1,773,464,000 1,754,747,000 1,749,593,000 1,745,416,000 1,735,199,000 1,727,017,000 1,716,847,000 1,708,492,000 1,696,980,000 1,639,273,000 1,577,260,000 1,567,940,000 1,559,563,000 1,549,968,000 1,543,167,000 1,528,865,000 1,515,479,000 1,499,673,000 1,449,946,000 889,738,000 885,876,000 882,868,000 870,487,000 846,257,000 878,430,000 877,237,000 859,739,000 857,887,000 855,203,000 853,402,000    849,628,000    655,980,000    645,541,000 644,004,000 643,537,000 642,503,000 641,415,000 641,280,000 
        retained earnings
      753,392,000 738,864,000 802,890,000 767,556,000 680,281,000 664,101,000 642,175,000 633,118,000       125,289,000 132,842,000                         6,792,000                                    
        accumulated other comprehensive loss
      -3,886,000 -3,934,000 -3,102,000 -2,765,000 -3,242,000 -2,437,000 -2,244,000 -1,838,000 -3,801,000 -5,533,000 -7,255,000 -4,392,000 -5,521,000 -4,722,000 -4,597,000 -5,389,000 -5,452,000 -4,206,000 -2,181,000 -1,985,000 -2,067,000 -2,335,000 -134,189,000 -61,829,000 -12,111,000 -22,427,000 -3,231,000 -4,242,000 -3,989,000 -2,370,000 -3,186,000 -1,979,000 -1,371,000 -622,000 -1,704,000      -137,000 -766,000       44,000      144,000                      
        total stockholders’ equity
      1,177,023,000 1,196,348,000 1,353,106,000 1,408,138,000 1,418,587,000 1,393,474,000 1,678,658,000 1,666,243,000 1,208,387,000 1,242,929,000 1,241,780,000 1,285,188,000 1,281,058,000 1,316,207,000 1,456,117,000 1,580,427,000 1,116,679,000 1,141,624,000 1,110,120,000 1,160,072,000 1,146,503,000 1,165,489,000 1,188,976,000 1,273,201,000 1,370,415,000 1,351,207,000 1,389,267,000 1,419,073,000 1,395,578,000 1,391,543,000 1,278,087,000 1,284,220,000 1,282,826,000 1,299,121,000 1,307,620,000 1,318,145,000 1,331,034,000 1,367,580,000 1,334,291,000 1,284,341,000 1,299,120,000 1,280,738,000 1,489,544,000 1,476,720,000 1,438,898,000 1,407,607,000 1,427,814,000 1,368,483,000 806,825,000 787,227,000 765,739,000 737,568,000 700,370,000 719,442,000 704,935,000 353,260,000 347,451,000 342,447,000 340,640,000 332,290,000 336,002,000 323,882,000 316,250,000 306,180,000 296,698,000 291,572,000 98,419,000 93,855,000 87,527,000 83,299,000 78,693,000 76,123,000 86,122,000 84,752,000 83,390,000 83,061,000 
        total liabilities and stockholders’ equity
      1,690,659,000 1,714,216,000 2,430,255,000 2,425,229,000 2,484,306,000 2,540,300,000 2,871,392,000 2,917,618,000 3,146,265,000 3,188,838,000 3,252,856,000 3,205,739,000 3,229,941,000 3,235,473,000 3,242,408,000 3,181,484,000 4,518,080,000 4,353,676,000 4,370,212,000 4,230,150,000 3,883,388,000 3,784,055,000 3,799,018,000 3,832,159,000 3,810,137,000 3,710,097,000 2,624,322,000 2,681,948,000 2,673,313,000 2,703,888,000 2,504,754,000 2,508,164,000 2,570,861,000 2,592,531,000 2,634,238,000 2,619,663,000 2,638,414,000 2,675,945,000 2,622,813,000 2,384,464,000 2,407,628,000 2,481,079,000 2,551,622,000 2,517,341,000 2,426,509,000 2,445,607,000 2,445,941,000 2,377,643,000 1,094,690,000 1,029,816,000 973,662,000 964,224,000 952,656,000 979,931,000 981,336,000 595,397,000 580,806,000 581,743,000 578,143,000 498,979,000 499,471,000 490,018,000 477,610,000 465,719,000 449,067,000 449,412,000 220,964,000 207,886,000 202,300,000 198,153,000 194,177,000  113,136,000  110,392,000 108,742,000 
        contract assets, net of allowance of 564 and 576 as of june 30, 2022 and december 31, 2021, respectively
       49,029,000                                                                           
        contract assets - long-term, net of allowance of 1,201 and 1,534 as of june 30, 2022 and december 31, 2021, respectively
       19,358,000                                                                           
        contract assets, net of allowance of 576 as of march 31, 2022 and december 31, 2021
        55,162,000                                                                          
        assets held for sale
        1,174,747,000      104,782,000                                                                    
        contract assets - long-term, net of allowance of 1,534 as of march 31, 2022 and december 31, 2021
        19,198,000                                                                          
        liabilities related to assets held for sale
        438,988,000      17,479,000                                                                    
        contract assets, net of allowance of 1,068 as of december 31, 2021 and december 31, 2020
         124,811,000                                                                         
        income tax receivable
            25,421,000 25,421,000                                                                     
        contract assets - long-term, net of allowance of 2,273 and 4,273 as of december 31, 2021 and december 31, 2020, respectively
         56,797,000                                                                         
        contract assets, net of allowance of 1,068 as of september 30, 2021 and december 31, 2020
          123,244,000                                                                        
        contract assets - long-term, net of allowance of 4,273 as of september 30, 2021 and december 31, 2020
          51,119,000                                                                        
        contract assets, net of allowance of 1,068 as of june 30, 2021 and december 31, 2020
           120,051,000                                                                       
        contract assets - long-term, net of allowance of 4,273 as of june 30, 2021 and december 31, 2020
           49,849,000                                                                       
        contract assets, net of allowance of 1,068 as of march 31, 2021 and december 31, 2020
            106,945,000                                                                      
        contract assets - long-term, net of allowance of 4,273 as of march 31, 2021 and december 31, 2020
            45,845,000                                                                      
        contract assets, net of allowance of 1,068 and 0 as of december 31, 2020 and december 31, 2019, respectively
             106,717,000                                                                     
        contract assets - long-term, net of allowance of 4,273 and 0 as of december 31, 2020 and december 31, 2019, respectively
             43,682,000                                                                     
        current maturities of long-term debt
              48,293,000 374,538,000 370,751,000 364,465,000 358,574,000 22,121,000 20,518,000 20,059,000 19,516,000 19,509,000 19,503,000 27,687,000 24,550,000 21,413,000 18,277,000 15,158,000 12,051,000 12,077,000                                                   
        contract assets, net of allowance of 1,068 and 0 as of september 30, 2020 and december 31, 2019, respectively
              101,333,000                                                                    
        contract assets - long-term, net of allowance of 4,273 and 0 as of september 30, 2020 and december 31, 2019, respectively
              42,805,000                                                                    
        accumulated deficit
              -94,706,000 -95,248,000 -87,643,000      -251,363,000 -228,308,000 -319,271,000 -338,150,000 -354,928,000 -337,303,000 -194,521,000 -187,351,000 -190,229,000 -190,235,000 -188,186,000 -190,235,000 -206,562,000 -201,318,000 -198,093,000 -188,009,000 -185,831,000 -160,068,000 -142,298,000 -121,556,000 -100,938,000 -51,998,000 -29,122,000 -17,530,000  -2,583,000 -10,564,000 -16,377,000 -40,513,000 -61,497,000 -77,373,000 -83,763,000  -100,110,000 -118,580,000                     -556,812,000 -557,555,000 -558,251,000 -558,518,000  
        contract assets, net of allowance of 1,068 and 0 as of june 30, 2020 and december 31, 2019, respectively
               99,675,000                                                                   
        contract assets - long-term, net of allowance of 4,273 and 0 as of june 30, 2020 and december 31, 2019, respectively
               47,553,000                                                                   
        contract assets, net of allowance of 1,068 and 0 as of march 31, 2020 and december 31, 2019, respectively
                98,171,000                                                                  
        contract assets - long-term, net of allowance of 4,273 and 0 as of march 31, 2020 and december 31, 2019, respectively
                54,501,000                                                                  
        contract assets
                 95,982,000 65,515,000 75,351,000 95,077,000 66,451,000 71,745,000 64,419,000 45,068,000                                                          
        contract assets - long-term
                 67,559,000 101,920,000 98,362,000 72,042,000 71,879,000 52,555,000 46,173,000 40,486,000                                                          
        income tax payable
                     29,644,000                                                             
        (accumulated deficit) retained earnings
                 -49,336,000 -30,366,000 -24,641,000                                                               
        total allscripts healthcare solutions, inc.'s stockholders' equity
                 1,285,188,000 1,281,058,000 1,316,207,000 1,456,117,000 1,551,113,000 1,087,475,000 1,112,415,000 1,071,720,000 1,120,882,000 1,105,394,000 1,124,565,000 1,147,788,000 1,232,466,000 1,329,684,000 1,340,027,000 1,378,000,000 1,407,884,000 1,384,439,000 1,382,684,000                                               
        non-controlling interest
                     29,314,000 29,204,000 29,209,000 38,400,000 39,190,000 41,109,000 40,924,000 41,188,000 40,735,000 40,731,000 11,180,000 11,267,000 11,189,000 11,139,000 8,859,000                                               
        current maturities of capital lease obligations
                     996,000 9,190,000 9,846,000 9,753,000 7,865,000 8,517,000 8,573,000 9,159,000 9,126,000 9,957,000 7,509,000                                                   
        long-term capital lease obligations
                     768,000 4,606,000 6,666,000 8,152,000 7,105,000 7,708,000 7,628,000 8,696,000 9,877,000 13,096,000 9,986,000                                                   
        redeemable convertible non-controlling interest attributable to discontinued operations
                                                                                  
        current maturities of non-recourse long-term debt - netsmart
                      4,257,000 2,766,000 2,760,000 2,755,000 2,749,000 2,460,000                                                       
        non-recourse long-term debt - netsmart
                      788,489,000 624,549,000 624,872,000 625,193,000 625,513,000 576,427,000 576,673,000 576,918,000 533,589,000 523,381,000                                                   
        liabilities attributable to discontinued operations
                      2,261,000 4,443,000 14,276,000 21,358,000                                                         
        redeemable convertible non-controlling interest - netsmart
                      467,981,000 455,832,000 443,684,000 431,535,000 420,572,000 409,610,000 398,648,000 387,685,000 377,494,000 367,302,000                                                   
        assets attributable to discontinued operations
                        4,945,000 11,276,000                                                         
        assets of disposal group held for sale
                        96,478,000                                                          
        liabilities of disposal group held for sale
                        31,048,000                                                          
        available for sale marketable securities
                           63,450,000 74,400,000 149,100,000                                                     
        non-recourse current maturities of long-term debt - netsmart
                            2,456,000 2,451,000 1,337,000 11,602,000                                                   
        long-term marketable securities
                              197,250,000 187,500,000      1,305,000 1,321,000 1,318,000 1,313,000 1,329,000 1,373,000 1,341,000 1,700,000 1,706,000 1,718,000 1,640,000 1,667,000 1,675,000 1,681,000 1,703,000 1,716,000 1,778,000 1,925,000 1,876,000 1,926,000 2,072,000 2,267,000 2,559,000 2,735,000 2,845,000 3,307,000 7,464,000 13,459,000 14,673,000 19,734,000 25,142,000 26,024,000 24,510,000 18,626,000 17,812,000 30,750,000 41,447,000 53,286,000 71,066,000 88,471,000 62,024,000 30,851,000 36,953,000 34,538,000 36,004,000 
        liabilities and stockholders’ equity
                                                                                  
        current maturities of long-term debt and capital lease obligations
                                12,430,000 12,609,000 12,696,000 33,656,000 30,286,000 27,504,000 24,703,000 21,949,000 19,139,000 16,350,000 13,624,000 10,736,000 85,715,000 79,305,000 72,951,000 68,121,000 48,433,000 45,477,000 40,658,000 39,430,000 35,661,000                              
        accumulated other comprehensive income
                                         -1,745,000 -1,115,000 -1,992,000 -442,000 76,000   208,000 -542,000 -1,325,000 1,762,000 3,602,000    -9,000   210,000                  -217,000 -256,000 106,000 102,000 28,000 
        inventories
                                              1,722,000 1,262,000 2,693,000 2,059,000 2,020,000 3,193,000 2,575,000 4,303,000 3,184,000 3,606,000 3,722,000 2,324,000 2,583,000 6,079,000 6,049,000 5,193,000 5,373,000 6,300,000 4,178,000 4,370,000 4,012,000 4,257,000 3,247,000 3,609,000 5,124,000 4,063,000 2,174,000 1,935,000 1,929,000 2,169,000 2,372,000 2,413,000 2,665,000 2,790,000 3,249,000 3,244,000 
        preferred stock:
                                                                                  
        undesignated, 0.01 par value...
                                                                                  
        common stock:
                                                                                  
        0.01 par value...
                                                2,554,000 2,547,000 2,535,000 2,527,000 2,525,000 2,479,000 1,464,000 1,461,000 1,460,000 1,449,000 1,423,000 1,454,000 1,460,000 574,000 573,000 569,000 569,000 567,000 560,000 549,000 543,000 536,000 524,000 521,000 423,000 422,000 415,000 411,000 401,000 398,000 396,000 394,000 391,000 387,000 
        other current liabilities
                                                     24,827,000 1,113,000 1,028,000 1,109,000 1,197,000 792,000      274,000                  
        accumulated other comprehensive income/
                                                     434,000                             
        line of credit
                                                                                  
        marketable securities
                                                           5,046,000 5,494,000 5,435,000 11,904,000 10,196,000 5,759,000 28,384,000 26,992,000 20,653,000 14,553,000 11,250,000 14,212,000 13,726,000 54,408,000 56,907,000 44,814,000 34,058,000 22,796,000 15,225,000 5,482,000 4,300,000 3,435,000 5,698,000 
        property and equipment
                                                           19,036,000 18,817,000         13,560,000 12,821,000 12,182,000           
        current portion of long-term debt and capital lease obligation
                                                           901,000 957,000                      
        long-term debt and long-term capital lease obligation
                                                           66,704,000 77,868,000                      
        accrued acquisition obligation
                                                                8,946,000                  
        accrued compensation
                                                             6,524,000 8,043,000 4,862,000 5,441,000 4,228,000 5,205,000 3,077,000 8,685,000 8,197,000 2,616,000 5,226,000 2,302,000 1,112,000 1,899,000 1,327,000 2,650,000 1,837,000 1,681,000 1,036,000 2,244,000 1,965,000 
        current portion of long-term debt
                                                             296,000 290,000 285,000 279,000 274,000 268,000 263,000 258,000 253,000 248,000 243,000           
        less treasury stock:
                                                                                  
        additional paid-in-capital
                                                                 850,951,000 858,805,000 852,764,000  844,135,000 838,074,000 835,874,000  654,980,000 651,108,000 649,156,000       
        unearned compensation
                                                                                  
        other receivables
                                                                     219,000 150,000 162,000 502,000 565,000 671,000 607,000 627,000 396,000 313,000 229,000 237,000 369,000 
        deferred stock-based compensation
                                                                                  
        accrued restructuring and other charges
                                                                                104,000 180,000 
        total liabilities and stockholders’ equity.
                                                                             189,311,000  110,293,000   
        prepaid expenses
                                                                                 3,448,000 
        other current assets
                                                                                 887,000 
        other non-current liabilities
                                                                                 2,042,000 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-05-31 2010-02-28 2009-11-30 2009-08-31 2009-05-31 2009-02-28 2008-09-30 2008-06-30 2008-03-31 2007-12-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-12-31 2005-09-30 2005-06-30 2005-03-31 2004-12-31 2004-09-30 2004-06-30 2004-03-31 2003-12-31 2003-09-30 2002-06-30 2002-03-31 
                                                                                   
          cash flows from operating activities:
                                                                                   
          net income
        14,528,000 -64,026,000 22,857,000 87,275,000 16,180,000 21,926,000 9,057,000 727,824,000 542,000 -7,605,000 -20,354,000 -163,632,000 -157,907,000 -7,977,000 385,896,000 -23,846,000 74,272,000 -28,515,000 14,863,000 -17,462,000 -143,011,000 -8,565,000 2,882,000 157,000 -2,136,000 2,127,000 16,377,000 -5,133,000 -3,216,000 -10,084,000 -2,178,000 -25,763,000 -17,770,000 -20,742,000 -20,618,000 -48,940,000 -22,876,000 -11,592,000 -24,322,000 9,375,000 7,981,000 5,813,000 24,136,000 20,984,000 15,876,000 12,613,000 15,689,000 18,470,000 15,779,000 12,932,000 13,361,000  4,016,000 2,352,000 80,000 5,944,000 4,124,000 6,028,000 4,467,000 4,483,000 3,262,000 2,827,000 1,323,000 3,403,000 2,940,000 2,033,000 1,334,000 1,403,000 742,000 696,000 267,000 116,000    
          less: income from discontinued operations
        3,603,000 -67,288,000 4,386,000 -8,000 -14,000 21,000 464,000                                                                     
          income from continuing operations
        10,925,000 3,262,000 18,471,000 87,283,000 16,194,000 21,905,000 8,593,000     -163,632,000 -157,907,000 -7,977,000                                                              
          adjustments to reconcile net income to net cash from operating activities:
                                                                                   
          depreciation and amortization
        13,813,000 14,364,000 14,101,000 43,148,000 44,276,000 44,687,000 44,026,000 38,587,000 49,158,000 52,432,000 52,092,000 152,250,000 100,603,000 50,126,000 -8,483,000 68,612,000 66,305,000 65,912,000 63,429,000 53,811,000 51,603,000 49,694,000 51,917,000 43,897,000 42,124,000 34,452,000 36,525,000 40,998,000 41,827,000 41,661,000 42,717,000 42,819,000 43,600,000 45,127,000 47,018,000 46,832,000 44,138,000 40,827,000 39,652,000 37,697,000 37,669,000 35,216,000 35,164,000 33,524,000 32,846,000 30,866,000 9,570,000 8,997,000 9,085,000 8,870,000 8,131,000 8,488,000 7,885,000 7,670,000 6,721,000 6,378,000 5,989,000 4,661,000 4,440,000 4,429,000 4,489,000 4,803,000 2,734,000 1,746,000 1,657,000 1,556,000 1,569,000 1,405,000 1,145,000 1,218,000 1,204,000 1,101,000 743,000 1,538,000 1,550,000 
          non-cash lease expense
        -103,000 -1,963,000 -3,223,000 -811,000 -521,000                                                                       
          stock-based compensation expense
        4,553,000 9,024,000 6,324,000 9,308,000 8,777,000 8,383,000 8,701,000 8,105,000 8,811,000 7,166,000 9,954,000 29,563,000 21,790,000 11,658,000 4,828,000 9,848,000 8,010,000 11,952,000 10,629,000 9,679,000 10,515,000 7,946,000 13,160,000 9,660,000 10,138,000 9,919,000 7,438,000 8,908,000 9,197,000 9,120,000 7,051,000 10,055,000 12,078,000 10,070,000 8,416,000 10,484,000 10,106,000 8,004,000 12,663,000 8,807,000 9,929,000 7,727,000 11,597,000 9,934,000 10,474,000 8,747,000 2,838,000 4,261,000 4,424,000 3,326,000 2,618,000 2,103,000 1,679,000 1,613,000 1,959,000 1,018,000 1,510,000 624,000 656,000 888,000 617,000 416,000 407,000 558,000            
          deferred taxes
        -2,511,000 16,575,000 -17,042,000 -449,000 -1,550,000 1,022,000 -1,122,000 -6,205,000 -202,000 5,292,000 -2,160,000 -3,066,000 -1,506,000 6,000 9,491,000 -5,935,000 5,636,000 -5,048,000 -50,463,000 -665,000 -3,089,000 -1,570,000 -18,423,000 -2,638,000 -1,198,000 -362,000 -4,529,000 3,382,000 -110,000 -949,000 -6,052,000 -839,000 2,437,000 4,398,000 -12,343,000 -2,898,000 -14,559,000 -14,080,000 -13,731,000 -6,101,000 3,714,000 3,338,000 6,971,000 11,637,000 11,892,000 2,895,000 11,093,000 9,793,000 7,385,000 3,291,000   1,390,000 1,294,000 1,007,000 892,000 2,297,000 3,168,000 2,960,000 2,802,000 2,003,000               
          impairment of assets and long-term investments
           9,000                                                                        
          equity in net income of unconsolidated investments
        617,000      -22,000     -540,000 -154,000 64,000 270,000 177,000                                                            
          gain on sale of businesses
           -7,000                                                                      
          other income
            -2,264,000                                                                       
          changes in operating assets and liabilities
                                                                                   
          accounts receivable and contract assets
        43,536,000 2,546,000 26,205,000 -5,057,000 -34,120,000 380,000 33,795,000 -29,074,000 16,384,000 42,193,000 5,660,000 53,886,000 42,256,000 32,307,000 -117,185,000 -3,360,000 -23,369,000 34,780,000                                                          
          prepaid expenses and other assets
        19,450,000 4,817,000 5,431,000 4,708,000 25,403,000 -20,252,000 7,935,000 -38,707,000 15,194,000 -30,574,000 19,669,000 615,000 -16,691,000 3,658,000 -46,917,000 -8,334,000 3,692,000 -4,259,000 20,759,000 2,292,000 -4,767,000 -4,464,000 10,384,000 458,000 4,738,000 -1,815,000 5,884,000 5,687,000 8,003,000 -1,960,000 9,142,000 -5,085,000 -13,458,000 2,363,000 1,849,000 -3,624,000 -8,874,000 -12,832,000 -11,035,000 5,938,000 -505,000 -8,828,000 -13,379,000 -2,244,000 -8,590,000 -8,812,000  -5,812,000     -1,345,000             -1,238,000 1,314,000 68,000 -689,000 320,000 1,042,000     
          accounts payable
        -4,224,000 15,036,000 10,210,000 -5,058,000 -4,869,000 -76,000 -8,726,000 -17,376,000 -21,980,000 -3,664,000 -23,967,000 27,571,000 16,285,000 7,382,000 -38,270,000 -305,000 15,294,000 4,122,000 -20,922,000 5,738,000 -5,699,000 2,869,000 14,115,000 10,590,000 -1,246,000 16,997,000 -9,903,000 -1,569,000 -12,298,000 11,817,000 -15,595,000 9,822,000 4,718,000 -889,000 15,087,000 -12,396,000 -632,000 21,735,000 -4,327,000 -8,230,000 585,000 15,412,000 900,000 -7,208,000 50,000 -2,288,000 9,928,000 2,535,000        339,000 2,428,000      1,052,000      1,108,000 -430,000 -22,000 -940,000 2,526,000 190,000 -475,000 
          accrued expenses
        -11,386,000 -591,000 13,031,000 341,000 3,237,000 23,626,000 -5,233,000 500,000 -5,537,000 -8,049,000 10,022,000 145,450,000 146,841,000 -4,847,000 31,667,000 8,458,000 -12,900,000 13,259,000 10,827,000 -1,009,000 380,000 -5,567,000 10,333,000 -134,000 -3,544,000 -5,165,000 -5,185,000 -2,861,000 437,000 -15,365,000 -647,000 -9,619,000 1,754,000 -14,255,000 4,429,000 3,349,000 -4,714,000 -7,616,000 21,313,000 -14,259,000 -1,054,000 -2,603,000 12,804,000 -1,815,000 8,602,000 2,707,000 7,096,000 3,001,000     2,518,000 1,666,000 283,000    3,021,000   -549,000 2,066,000 1,462,000 -828,000 2,500,000 552,000 1,462,000 1,075,000 -429,000 444,000 1,407,000 397,000   
          accrued compensation and benefits
        1,294,000 10,076,000 -13,291,000 -521,000 -900,000 10,020,000 -34,633,000 18,828,000 17,061,000 14,339,000 -736,000 -43,426,000 -47,284,000 -39,525,000 18,313,000 -3,926,000 20,127,000 -21,074,000 16,076,000 8,032,000 3,399,000 -5,501,000 8,827,000 -1,529,000 13,525,000 -24,929,000 14,929,000 7,058,000 -594,000 -11,136,000 -4,648,000 2,312,000 -181,000 -27,027,000 21,169,000 11,384,000 80,000 849,000 14,729,000 2,041,000 -331,000 -3,338,000 433,000 -5,171,000 -4,271,000 -5,757,000 3,085,000 2,742,000                            
          deferred revenue
        -32,909,000 -6,804,000 -28,352,000 -1,830,000 4,466,000 -14,853,000 -1,475,000 55,487,000 -11,449,000 -16,095,000 724,000 -138,639,000 -77,342,000 -17,107,000 117,605,000 -26,663,000 -11,613,000 -21,319,000 107,380,000 -6,262,000 -23,764,000 48,687,000 -8,865,000 -7,036,000 -11,770,000 49,393,000 23,132,000 -12,828,000 -19,172,000 29,240,000 12,377,000 -12,009,000 -21,507,000 54,248,000 -24,742,000 -13,436,000 1,143,000 35,462,000 -11,165,000 -6,102,000 -8,089,000 28,570,000 24,887,000 -7,715,000 26,147,000 29,409,000 405,000 25,136,000 -7,981,000 532,000 -4,723,000  7,133,000 -4,975,000 9,649,000 2,846,000 2,471,000 -4,949,000 8,013,000    3,313,000 2,203,000   2,490,000 848,000 1,341,000 2,065,000 -606,000     
          other liabilities
        -860,000 -22,820,000 2,022,000 -3,409,000 326,000 1,844,000 1,444,000 3,624,000 95,000 -1,318,000 2,933,000 -701,000 -2,670,000 1,380,000 13,879,000 -831,000 -3,844,000 2,887,000 1,650,000 6,211,000 7,680,000 -997,000 -1,085,000 -1,134,000 1,052,000 54,000 907,000 -1,258,000 215,000 -47,000 -1,556,000 -72,000 -1,044,000 -4,353,000 -7,396,000 -3,115,000 -4,775,000 -576,000 1,670,000 92,000 -335,000 929,000 -1,196,000 939,000 -1,038,000 605,000  231,000            -51,000 -29,000   -41,000 27,000 91,000 79,000  -27,000 -54,000 13,000     
          net cash from operating activities - continuing operations
        42,341,000 42,149,000 34,511,000 66,317,000 56,868,000 69,244,000 55,911,000 -59,572,000 52,967,000 22,646,000 -3,708,000 63,944,000 28,090,000 35,816,000                                                              
          net cash from operating activities - discontinued operations
        -14,200,000 -43,784,000 34,750,000 -1,273,000 -978,000 -270,181,000 -51,336,000     -30,000,000 -30,000,000 -30,000,000                                                              
          net cash from operating activities
        28,141,000 -1,635,000 69,261,000 65,044,000 55,890,000 -200,937,000 4,575,000 -178,620,000 52,967,000 22,646,000 -3,708,000 33,944,000 -1,910,000 5,816,000 -13,663,000 15,014,000 8,232,000 58,308,000 106,232,000 63,824,000 33,882,000 75,477,000 83,846,000 53,059,000 56,166,000 75,933,000 83,266,000 39,504,000 30,279,000 58,530,000 51,493,000 13,729,000 16,986,000 21,288,000 17,676,000 12,515,000 11,430,000 39,366,000 58,122,000 31,108,000 58,846,000 74,594,000 107,429,000 42,178,000 52,253,000 66,894,000 52,297,000 46,521,000 19,833,000 21,267,000 28,889,000  6,679,000 7,428,000 14,930,000 22,002,000 1,599,000 -4,293,000 11,209,000 11,614,000 4,049,000 2,514,000 9,236,000 10,833,000 -408,000 3,181,000 2,901,000 4,157,000 3,382,000 2,531,000 2,377,000 1,319,000 14,537,000 -2,749,000 -7,902,000 
          cash flows from investing activities:
                                                                                   
          capital expenditures
        -224,000 -1,307,000 -345,000 -744,000 -1,457,000 -717,000 -2,377,000 -9,129,000 -3,036,000 -2,015,000 -2,845,000 -13,475,000 -9,429,000 -4,847,000 -4,639,000 -10,057,000 -8,011,000 -8,602,000 -6,160,000 -15,181,000 -10,511,000 -14,524,000 -10,464,000 -8,414,000 -8,880,000 -7,752,000 -4,111,000 -4,596,000 -3,500,000 -6,115,000 -5,782,000 -3,385,000 -5,326,000 -11,945,000 -17,142,000 -11,338,000 -29,215,000 -16,435,000 -24,685,000 -16,749,000 -19,309,000 -19,423,000 -11,005,000 -12,123,000 -9,394,000 -11,784,000 -3,254,000  -323,000 -474,000 -308,000 -782,000 -290,000 
          free cash flows
        27,917,000 -2,942,000 68,916,000 64,300,000 54,433,000 -201,654,000 2,198,000 -187,749,000 49,931,000 20,631,000 -6,553,000 20,469,000 -11,339,000 969,000 -18,302,000 4,957,000 221,000 49,706,000 100,072,000 48,643,000 23,371,000 60,953,000 73,382,000 44,645,000 47,286,000 68,181,000 79,155,000 34,908,000 26,779,000 52,415,000 45,711,000 10,344,000 11,660,000 9,343,000 534,000 1,177,000 -17,785,000 22,931,000 33,437,000 14,359,000 39,537,000 55,171,000 96,424,000 30,055,000 42,859,000 55,110,000 52,297,000 43,267,000 19,833,000 21,267,000 28,889,000  6,679,000 7,428,000 14,930,000 22,002,000 1,599,000 -4,293,000 11,209,000 11,614,000 4,049,000 2,514,000 9,236,000 10,833,000 -408,000 3,181,000 2,901,000 4,157,000 3,059,000 2,057,000 2,069,000 1,319,000 14,537,000 -3,531,000 -8,192,000 
          capitalized software
        -7,949,000 -8,658,000 -9,600,000 -17,783,000 -20,010,000 -17,328,000 -18,144,000 -9,961,000 -22,755,000 -26,721,000 -28,556,000 -86,190,000 -55,222,000 -28,600,000 -12,036,000 -32,285,000 -36,760,000 -32,227,000 -31,816,000 -35,497,000 -37,571,000 -34,011,000 -32,478,000 -32,888,000 -21,972,000 -15,134,000 -16,568,000 -11,012,000 -12,369,000 -9,315,000 -12,343,000 -10,269,000 -8,905,000 -9,144,000 -11,564,000 -10,946,000 -11,645,000 -7,871,000 -3,625,000 -12,404,000 -13,668,000 -13,268,000 -14,219,000 -16,206,000 -14,002,000 -16,321,000  -4,922,000                            
          cash paid for business acquisitions, net of cash acquired
        -24,106,000         -23,443,000 -11,718,000  166,640,000 -164,832,000 -70,021,000 -109,020,000 -168,002,000 -50,333,000 -3,975,000 -59,596,000 -29,740,000          -73,000 -148,802,000                                      
          sale of businesses and other investments, net of cash divested, and distributions received
        10,000 671,405,000 1,083,000 61,225,000                                                                        
          purchases of equity securities, other investments and related intangible assets
        -1,091,000   -2,200,000 -221,000     -7,191,000 -1,159,000  -14,211,000   -183,000 -4,100,000   -500,000                                                    
          net cash from investing activities - continuing operations
        -9,254,000 661,189,000 -32,968,000 42,698,000 -20,328,000 -15,556,000 -18,989,000     -130,285,000 -77,519,000 -33,410,000                                                              
          net cash from investing activities - discontinued operations
        -4,017,000 -11,231,000                                                                         
          net cash from investing activities
        -9,254,000 657,172,000 -44,199,000 42,698,000 -20,328,000 -15,556,000 -18,989,000 1,680,120,000 -24,226,000 -6,277,000 -34,429,000 -130,285,000 -77,519,000 -33,410,000 481,334,000 -212,803,000 129,294,000 -149,812,000 -206,161,000 -104,896,000 -49,405,000 -52,510,000 -103,038,000 -71,042,000 -956,551,000 -23,375,000 -23,811,000 -15,717,000 -234,570,000 -14,868,000 -18,115,000 -41,270,000 -22,320,000 -26,983,000 -28,670,000 -22,273,000 -40,605,000 -160,592,000 -28,300,000 -29,110,000 -32,951,000 -32,676,000 -25,212,000 -28,318,000 -12,084,000 -30,060,000  -8,111,000                11,884,000 -2,035,000 4,861,000 3,298,000  -43,244,000 2,767,000 -4,792,000   1,811,000 -6,046,000 
          cash flows from financing activities:
                                                                                   
          taxes paid related to net share settlement of equity awards
        -4,795,000 -14,596,000 -13,275,000 -56,000 -80,000 -7,915,000 -5,972,000 -444,000 -56,000 -2,359,000 -3,174,000 -6,762,000 -6,695,000 -5,327,000 -703,000 -153,000 -114,000 -8,496,000 -492,000 -223,000 -690,000 -5,864,000 -825,000 -16,000 -3,217,000 -4,146,000 -1,348,000 -181,000 -3,326,000 -2,207,000 -1,509,000 -329,000 -5,378,000 -3,184,000 -1,848,000 -1,224,000 -5,012,000 -1,648,000 -5,940,000 -731,000 -1,323,000 -2,298,000 -9,277,000                                 
          credit facility payments
        -175,000,000 -25,000,000 -25,000,000    -1,140,000,000 -7,500,000 -87,500,000 -80,000,000 -15,000,000 -10,000,000 -5,000,000 -453,273,000 -43,044,000 -216,217,000 -1,217,000 -27,467,000 -4,342,000 -24,213,000 -86,726,000 -76,738,000 -29,145,000 -23,198,000 -28,164,000 -48,599,000 -148,629,000 -20,658,000 -20,625,000 -23,125,000 -10,625,000 -32,813,000 -30,313,000 -35,312,000 -2,814,000 -543,853,000 -27,614,000 -17,615,000 -29,214,000 -179,523,000 -24,522,000 -9,928,000 -45,491,000 -25,490,000 -89,515,000  -10,000,000                            
          credit facility borrowings, net of issuance costs
        -2,665,000 25,000,000   230,000,000 388,625,000 75,000,000 210,000,000 249,241,000 180,000,000 120,000,000 -66,650,000 221,650,000 130,000,000 145,843,000 185,000,000 69,698,000 40,000,000 80,000,000 169,400,000 55,000,000       10,000,000 36,964,000 40,000,000 15,000,000 50,000,000 281,940,000 129,043,000 -25,000 -150,000   -169,000 47,362,000                              
          repurchase of common stock
        -33,659,000 -93,693,000 -49,679,000 -108,490,000 -200,000,000   -79,581,000 -45,568,000 -9,714,000 -102,160,000 -65,070,000 -65,070,000 -37,023,000 -44,306,000 -57,599,000   -50,159,000 -19,007,000 -14,558,000 -37,517,000             -225,414,000 -547,000 -1,411,000                                
          intercompany to/from parent/subsidiaries
        11,685,000                                                                         
          payment of acquisition and other financing obligations
           -858,000 -1,542,000 -1,458,000 -2,911,000 -11,473,000 -1,473,000                                                               
          net cash from financing activities - continuing operations
        -38,454,000 -285,954,000 -51,269,000         50,373,000 42,630,000 -9,516,000                                                              
          net cash from financing activities - discontinued operations
        -11,697,000                                                                         
          net cash from financing activities
        -38,454,000 -285,954,000 -62,966,000 -133,546,000 -50,080,000 -67,726,000 -7,514,000 -1,190,025,000 -9,499,000   50,373,000 42,630,000 -9,516,000 -402,371,000 176,841,000 -140,166,000 72,713,000 152,939,000 61,182,000 69,000 -15,605,000 39,300,000 4,702,000 891,133,000 -69,864,000 -33,954,000 -8,104,000 192,181,000 -7,858,000 -17,181,000 25,911,000 2,792,000 -15,802,000 13,280,000 -1,659,000 11,128,000 109,184,000 -19,383,000 -29,611,000 -80,427,000 -25,483,000 -9,201,000 -43,054,000 -69,938,000 -21,446,000  -11,299,000   -33,035,000 -12,451,000 396,000 1,374,000 293,000 51,466,000 732,000 5,432,000 2,491,000 4,614,000 5,453,000 1,789,000 122,418,000 469,000 3,383,000 3,475,000 2,091,000 1,455,000 68,851,000 1,037,000 1,083,000 299,000    
          effect of exchange rate changes on cash and cash equivalents
        -717,000 -11,000 4,000 -545,000 92,000 -27,000 1,080,000 470,000 375,000 -713,000 -103,000 143,000 163,000 -296,000 -37,000 -356,000 65,000 64,000 200,000 177,000 419,000 -749,000 -123,000 -209,000 549,000 -26,000 -822,000 167,000 -497,000 -369,000 -275,000 212,000 123,000 -122,000 223,000 -2,197,000 314,000 -155,000 912,000                                    
          net increase in cash and cash equivalents
        -19,567,000   -25,800,000 -15,063,000 -284,127,000 -21,955,000 312,555,000 19,712,000 -6,934,000 74,593,000    65,004,000   -18,726,000 53,074,000   7,781,000 19,359,000 -13,404,000 -9,461,000 -16,757,000 25,475,000 14,861,000 -11,943,000 35,307,000       -20,244,000 -11,728,000    17,927,000 72,975,000 -30,893,000 -29,775,000 16,043,000 27,653,000 27,111,000 3,797,000 13,690,000 1,300,000 969,000 20,345,000      1,760,000     23,186,000 940,000 11,517,000 8,290,000 -30,356,000 28,989,000 6,335,000 -1,332,000     
          cash, cash equivalents and restricted cash, beginning of period
        190,520,000 537,465,000 137,539,000 184,795,000 184,795,000 184,795,000 162,498,000                                                        
          cash, cash equivalents and restricted cash, end of period
        -19,567,000 368,866,000 152,605,000 -25,800,000 -15,063,000 -284,127,000 515,510,000 312,555,000 19,712,000 -6,934,000 212,132,000 138,724,000 148,139,000 147,848,000 65,004,000 -20,985,000 -2,996,000 143,772,000 53,074,000 20,310,000                                                        
          less: cash and cash equivalents attributable to discontinued operations
        12,000,000                                                                           
          cash, cash equivalents and restricted cash, end of period, excluding discontinued operations
        -7,567,000           138,724,000 148,139,000 147,848,000                                                              
          other (income) loss
               -5,111,000 -732,000                                                                   
          equity in net income (income) of unconsolidated investments
          398,000  257,000             61,000                                                          
          other loss
          226,000                                           2,031,000                              
          net decrease in cash and cash equivalents
          -37,915,000         -46,071,000 -36,656,000 -36,947,000                 15,828,000 -1,905,000 -2,330,000 -21,374,000      -26,701,000                                  -973,000 -12,007,000 
          less: cash and cash equivalents and restricted cash included in current assets held for sale
          -68,518,000                                                                         
          cash, cash equivalents and restricted cash, end of period, excluding current assets held for sale
          84,087,000                                                                         
          accrued doj settlement
               -58,424,000 -15,725,000 -15,731,000 -57,289,000                                                                 
          other proceeds from investing activities
                   14,000 9,000 5,000 -10,000 19,000 8,000 37,000                                                         
          proceeds from issuance of 0.875% convertible senior notes
                                                                                   
          payments for issuance costs on 0.875% convertible senior notes
               -758,000                                                                 
          payments for capped call transaction on 0.875% convertible senior notes
                                                                                   
          repayment of convertible senior notes
               -345,000,000                                                                   
          purchases of subsidiary shares owned by non-controlling interest
                   -54,064,000 -54,064,000 -54,064,000                                                              
          asset impairment charges
               74,759,000    4,037,000 3,789,000 98,000 28,091,000       4,650,000 1,203,000 22,000 293,000 26,000 256,000 188,000 1,751,000 195,000 950,000                                        
          impairment of long-term investments
                                                                                 
          cash received from sale of businesses, net of cash divested
                                                                                   
          sale of other investments
             166,000 1,753,000                                                                     
          distributions received from investments
                                                                                   
          accelerated share repurchase program
                                                                                   
          operating right-of-use asset amortization
              5,019,000 4,571,000 5,277,000 5,241,000 5,631,000 16,722,000 11,007,000 5,320,000                                                              
          other loss (income)
              1,752,000    287,000 2,796,000                                                                
          operating leases
              -4,143,000 -4,157,000 -4,782,000 -4,153,000 -6,174,000 -17,897,000 -11,874,000 -5,854,000                                                              
          goodwill impairment charge
                                                                                   
          proceeds from sale or issuance of common stock
                      1,071,000 212,000     79,000 5,000 1,540,000 659,000                                                
          impairment (recovery) of long-term investments
                1,025,000                                                                   
          equity in net (income) loss of unconsolidated investments
                -383,000          -115,000 -449,000 28,000 -285,000                                                      
          sales (purchases) of equity securities, other investments and related intangible assets
                1,565,000     32,000                                                              
          repurchase of unsettled common stock
                   -9,301,000                                                                
          recovery of long-term investments
                                                                                   
          (purchases) sales of equity securities, other investments and related intangible assets
                  -3,028,000                                                                 
          net cash provided (used in) by financing activities
                  113,443,000                                                                 
          cash received from sale of businesses
                      566,611,000 -5,648,000                                                            
          less: cash and cash equivalents within current assets attributable to discontinued operations
                                                                                   
          software development costs
                                                                                   
          less: accumulated amortization
                                                                                   
          (recovery) impairment of long-term investments
                   -1,045,000 -1,045,000 -1,045,000                                                              
          payments of lease obligations
                   -108,000 -68,000 -55,000                                                              
          less: cash and cash equivalents included in current assets attributable to discontinued operations
                                                                                   
          revenue related to deferred revenue balance at beginning of period
                   126,184,000 126,184,000                                                               
          revenue related to new performance obligations satisfied during the period
                   248,221,000 248,221,000                                                               
          revenue recognized under "right-to-invoice" expedient
                   55,923,000 55,923,000                                                               
          reimbursed travel expenses, shipping and other revenue
                   1,721,000 1,721,000                                                               
          total revenue
                   432,049,000 432,049,000                                                               
          other (income) losses
                    1,992,000                                                               
          loss on sale of businesses
                                                                                   
          other income (losses)
                     172,000                                                              
          payment of acquisition financing obligations
                      -1,419,000 -3,226,000 -2,480,000                                                         
          other (losses) income
                      -8,978,000                                                             
          excess tax benefits from stock-based compensation
                              -42,000 -10,000 -765,000 -197,000 -298,000 -13,000 -331,000 -2,000  -28,000 -1,086,000 -1,132,000 -591,000 -803,000 -839,000 -1,654,000 -2,907,000 -508,000 -101,000 -4,130,000 2,363,000 -2,875,000 -4,176,000 11,839,000 1,269,000                            
          payments of capital lease obligations
                      7,518,000 -2,683,000 -2,584,000 -2,804,000 -3,190,000 -3,047,000 -2,951,000 -3,015,000 -2,419,000 -2,220,000 -1,399,000 -239,000 -287,000 -174,000 -69,000 -68,000 -118,000 -114,000 -113,000 -110,000 -42,000 -116,000 -118,000 -182,000 -187,000 -204,000 -199,000 -232,000 -353,000 -356,000 -352,000 -366,000  -303,000                     -23,000 2,000 -7,000     
          write-off of unamortized deferred debt issuance costs - netsmart
                                                                                   
          (purchases) sales of subsidiary shares owned by non-controlling interest
                                                                                   
          other losses
                        -415,000 50,000 294,000 1,417,000 1,054,000 1,240,000  1,094,000 5,405,000 3,059,000 631,000 1,238,000 85,000 965,000         1,612,000 -335,000 1,044,000 86,000 828,000 454,000                                
          impairment of and losses on long-term investments
                         5,500,000                                                         
          write-off of unamortized deferred debt issuance costs
                                                                                   
          accounts receivable
                          -68,175,000 -18,209,000 -5,037,000 -8,010,000 -5,103,000 -316,000 -157,000 -12,250,000 -3,845,000 -4,127,000 5,943,000 5,244,000 7,643,000 1,090,000 4,801,000 -28,178,000 -18,671,000 16,871,000 5,000,000 -10,905,000 34,267,000 -7,948,000 11,957,000 -12,103,000 5,958,000 -17,466,000 -39,215,000 -5,189,000  -27,380,000 -6,417,000 3,908,000                   -1,855,000 -1,552,000 982,000 -2,561,000 7,095,000 -1,508,000 -2,175,000 
          proceeds from issuance of redeemable convertible preferred stock - netsmart
                              -1,000 1,000                                                    
          proceeds from sales of subsidiary shares to non-controlling interest
                                                                                  
          proceeds received from sale of fixed assets
                              26,000 11,000 8,000 7,000                                             
          cash and cash equivalents, beginning of period
                             96,610,000 116,873,000 53,173,000 62,954,000 103,956,000 157,753,000 129,403,000  71,159,000  43,785,000  42,461,000  60,905,000  16,972,000  13,336,000  -16,877,000 34,124,000 
          cash and cash equivalents, end of period
                             104,391,000 19,359,000 -13,404,000 -9,461,000 100,116,000 25,475,000 14,861,000 -11,943,000 88,480,000 15,828,000 -1,905,000 -2,330,000 41,580,000 2,164,000 -11,194,000 -20,244,000 92,228,000 10,284,000 -26,701,000 -55,307,000 175,680,000 72,975,000 -30,893,000 -29,775,000 145,446,000  27,111,000 3,797,000 84,849,000  969,000 20,345,000 7,123,000 43,721,000  -8,408,000 -3,845,000 44,221,000  2,756,000 -2,247,000 35,225,000  940,000 11,517,000 25,262,000  28,989,000 6,335,000 12,004,000  -10,648,000 -973,000 22,117,000 
          supplemental non-cash information:
                                                                                   
          accretion of redemption preference on redeemable convertible non-controlling interest in netsmart
                             10,962,000                                                      
          obligations to enter into capital leases
                             1,407,000                                                      
          other losses (gains)
                                       858,000 949,000 1,407,000                                          
          sales and maturities of marketable securities and other investments
                                  2,458,000 1,305,000         10,000 43,000 26,000 15,000 12,000 11,000 -9,000 41,000                              
          exchange of netsmart, inc. common stock for redeemable convertible preferred stock in netsmart by netsmart, inc. management
                                                                                  
          purchase of controlling interest, net of cash acquired
                                                                                 
          purchases of non-marketable securities, other investments and related intangible assets
                                 -500,000 -3,132,000 -2,567,000 -209,337,000 -750,000                                              
          credit facility borrowings
                                  14,442,000 140,208,000 114,511,000 15,000,000                                              
          proceeds from issuance 1.25% senior cash convertible notes, net of issuance costs
                                                                                   
          purchase of call option related to 1.25% senior cash convertible notes
                                                                                 
          proceeds from issuance of warrants, net of issuance costs
                                                                                   
          payments of acquisition financing obligations
                                                                                 
          proceeds from issuance of common stock
                                     40,000 -183,000 -13,000 10,000 1,673,000 191,000 1,992,000 1,333,000 7,931,000 1,477,000 180,000 1,847,000 2,015,000                                -5,000 1,992,000 
          changes in operating assets and liabilities, net of business combinations:
                                                                                   
          purchases of marketable securities, other investments and related intangible assets
                                      -7,470,000 -8,106,000 -5,968,000                                          
          sales and maturities of other investments
                                       10,000 10,000 19,000 36,000 11,000 328,000 12,516,000                                      
          proceeds from sale of fixed assets
                                       24,000 7,000 55,000                                          
          change in fair value of 1.25% call option and cash conversion option
                                         56,000 42,000                                         
          purchases of marketable securities and other investments
                                                  -8,679,000 -4,221,000                              
          change in restricted cash
                                                  2,225,000                              
          other (gains) losses
                                             -8,256,000                                      
          proceeds from issuance of 1.25% senior cash convertible notes, net of issuance costs
                                                                                   
          proceeds from issuance of warrants, net of issuance cost
                                                                                   
          proceeds from issuance of warrants
                                                                                   
          changes in operating assets and liabilities, net of business combinations
                                                                                   
          net cash acquired in merger with eclipsys
                                                                                   
          changes in operating assets and liabilities:
                                                                                   
          inventories
                                               -460,000 1,391,000 -634,000 -39,000 1,173,000 -619,000 1,242,000  116,000 -1,398,000 259,000          362,000   475,000 -239,000 -6,000 240,000 203,000 41,000 252,000 125,000 459,000 33,000 -1,178,000 945,000 939,000 
          benefit from doubtful accounts
                                                 5,110,000 2,495,000 2,789,000 2,774,000 2,001,000 1,943,000 3,162,000 1,801,000 879,000 1,290,000 1,188,000 663,000 2,046,000 1,014,000 817,000 410,000 559,000 818,000 857,000 852,000 1,147,000 324,000 202,000 -79,000 328,000 102,000 276,000 298,000 -105,000 -18,000 138,000    
          effect of exchange rates on cash and cash equivalents
                                                 1,492,000 -41,000 -1,699,000 -6,000 655,000                              
          asset impairment losses
                                                                                   
          loss on sale of prepackaged medications business
                                                                                   
          payment for acquisition of allscripts
                                                                                   
          net cash acquired in merger with allscripts
                                                                                 
          net proceeds received from sale of building
                                                                                 
          net proceeds received from sale of prepackaged medications business
                                                                                   
          payments on promissory note
                                                                                   
          line of credit payments
                                                                                   
          line of credit borrowings
                                                                                 
          change in parent’s net investment, including 330,000 received from misys plc
                                                          5,302,000 5,246,000                        
          repurchase of senior convertible notes
                                                                                   
          net proceeds from stock-based compensation activities
                                                   6,825,000                                
          proceeds from employee stock purchase plan
                                                   679,000 635,000 559,000 330,000 500,000 329,000 566,000 423,000  214,000 180,000 175,000 224,000 195,000 203,000 267,000 172,000                
          net proceeds received from sale of fixed assets
                                                                                   
          net proceeds (payments) from stock-based compensation activities
                                                     16,338,000                              
          other gains
                                                                                   
          purchases of marketable securities
                                                       -5,000                            
          net proceeds from the sale of the prepackaged medications business
                                                                                   
          proceeds from exercise of common stock options
                                                      252,000 -227,000 1,033,000 811,000 3,830,000 536,000 182,000 1,194,000 118,000   5,229,000 2,224,000 4,442,000 5,310,000 2,105,000 2,520,000           24,000 1,000 
          change in parent’s net investment
                                                                                   
          other long-term assets
                                                                                   
          purchase of preferred shares in imedica
                                                                                   
          cash and cash equivalents, beginning of year
                                                                                   
          cash and cash equivalents, end of year
                                                                                   
          sales and maturities of marketable securities
                                                       70,000 172,000 4,185,000 7,062,000 1,505,000                        
          purchase of marketable securities
                                                                            -41,776,000 -2,200,000 -16,935,000   -5,585,000 -14,091,000 
          accrued compensation
                                                            -1,519,000       487,000 5,581,000       813,000 156,000 645,000 -1,208,000   623,000 -1,044,000 
          other current liabilities
                                                                                   
          payments for other acquisitions
                                                                                   
          asset impairment loss
                                                                                  
          inventory
                                                                                   
          other non-current liabilities
                                                                                   
          payments for acquisition of allscripts
                                                                                   
          payment on promissory note
                                                                                   
          payment of capital lease obligation
                                                                                   
          payment of credit facility
                                                                                   
          net income from continuing operations, net of tax
                                                                                   
          net income from discontinued operations, net of tax
                                                                                   
          gain on sale of equity investment
                                                                                   
          realized loss on investments
                                                            1,000 7,000 5,000  6,000 23,000 12,000  8,000 8,000 118,000             
          gain on sale of physicians interactive business
                                                                                   
          sale of equity investment
                                                                                  
          net payments for purchase of extended care information network, inc.
                                                                                   
          net payments for purchase of a4 health systems, inc.
                                                                                   
          net payments for other acquisitions and related transaction costs
                                                                                   
          net proceeds from sale of physicians interactive business
                                                                                   
          maturities of marketable securities
                                                             2,406,000 1,479,000 26,739,000 3,670,000 7,469,000 3,904,000 9,690,000 8,394,000 2,277,000 53,665,000 19,733,000 12,596,000 9,616,000 9,927,000 16,906,000 889,000 6,731,000 13,773,000 17,797,000 26,827,000 8,816,000 8,441,000 
          net payments for purchase of extended care information systems, inc.
                                                                                   
          write-off of capitalized software
                                                                   290,000             
          realized (gain) loss on investments
                                                                       8,000 20,000 14,000 9,000   41,000 -113,000     
          capitalized software and website development costs
                                                                            -934,000 -1,151,000 -1,322,000     
          investment in promissory note receivable and minority interest
                                                                                   
          sale of equity investment.
                                                                                   
          net payments for purchase of a4 health sytems, inc.
                                                                                   
          net proceeds received in issuance of common stock
                                                                   1,000 -317,000 140,991,000             
          repurchase of common stock from a related party
                                                                                   
          net proceeds from revolving credit facility
                                                                                   
          investment in promissory note receivable
                                                                                   
          payment for a4 health systems, inc. and related transaction costs
                                                                                   
          payments for other acquisitions and related transaction costs
                                                                                   
          net proceeds from exercise of common stock options
                                                                                   
          non-cash investing and financing information:
                                                                                   
          common stock issued in connection with the acquisition of a4 health systems, inc.
                                                                    68,775,000             
          assumption of secured promissory note in connection with the a4 acquisition
                                                                    3,400,000             
          issuance of common stock from treasury
                                                                      11,250,000             
          accrued restructuring and other charges
                                                                              -75,000   -317,000 -866,000 
          payments for a4 health systems, inc. and related transaction costs
                                                                                   
          debt issuance costs
                                                                                   
          issuance of convertible debt
                                                                                   
          purchase of treasury stock
                                                                                   
          other receivables
                                                                    -69,000 12,000 340,000 63,000   20,000  -83,000 -84,000 8,000 132,000 865,000 147,000 -634,000 
          payment for purchase of a4 health systems, inc. and related transaction costs
                                                                                   
          repurchase of common stock from related party
                                                                                   
          supplemental disclosure of cash flow information:
                                                                                   
          payment of interest on long term debt
                                                                      1,444,000             
          payments for acquisitions
                                                                                  
          proceeds from exercise of stock options
                                                                        3,417,000 1,958,000 3,623,000  472,000 1,035,000 1,090,000     
          payment of interest on long-term debt
                                                                        1,444,000           
          payment of state income taxes
                                                                                  
          restructuring and other charges
                                                                                   
          non-cash compensation expense
                                                                               -86,000 82,000 82,000 
          realized gain on investments
                                                                                   
          changes in operating assets and liabilities, net of effects of acquisitions:
                                                                                   
          payments for acquisitions, net of cash acquired
                                                                                   
          proceeds from issuance of long-term debt
                                                                                   
          proceeds from issuance of common stock, net of transaction costs
                                                                                   
          write-off of acquired in-process research and development
                                                                                   
          asset impairment charge
                                                                                   
          capitalized software development costs
                                                                                 -638,000 -106,000 
          proceeds from exercise of common stock options and warrants
                                                                                   
          changes in assets and liabilities, net of effects of acquisitions:
                                                                                   
          prepaid expenses and other current and non-current assets
                                                                                   
          cash paid during the period for interest
                                                                                -7,000 13,000 15,000 
          net loss
                                                                                 -3,962,000 -6,024,000 
          adjustments to reconcile net loss to net cash from operating activities:
                                                                                   
          provision for doubtful accounts
                                                                                 209,000 202,000 
          prepaid and other current and non-current assets
                                                                                   
          cash from acquisitions, net of acquired cash
                                                                                   
          payment of capital lease obligations
                                                                                 -54,000 -52,000 
          net cash provided (used) by financing activities
                                                                                 -35,000 1,941,000 
          supplemental disclosure of non-cash investing and financing activities:
                                                                                   
          issuance of common stock and options in acquisitions
                                                                                   
          prepaid and other current assets
                                                                                  542,000 
          accrued expenses and deferred revenue
                                                                                  2,000