2019 Form 10-K Financial Statement

#000156459020008173 Filed on March 02, 2020

View on sec.gov

Income Statement

Concept 2019 2018 Q4 2018 Q3
Revenue $1.633B $442.3M $432.4M
YoY Change 0.91% -14.5% -3.79%
Cost Of Revenue $1.022B $254.2M $254.5M
YoY Change 2.6% -2.31% 23.63%
Gross Profit $610.3M $188.2M $178.0M
YoY Change -1.79% 6.79% 9.68%
Gross Profit Margin 37.38% 42.54% 41.15%
Selling, General & Admin $400.8M $99.99M $108.1M
YoY Change -7.4% -18.78% 15.28%
% of Gross Profit 65.68% 53.14% 60.76%
Research & Development $245.4M $66.10M $63.03M
YoY Change -8.56% -3.29% 35.6%
% of Gross Profit 40.22% 35.13% 35.42%
Depreciation & Amortization $198.2M -$8.500M $68.60M
YoY Change 3.06% -486.36% 27.51%
% of Gross Profit 32.48% -4.52% 38.55%
Operating Expenses $646.3M $166.1M $171.2M
YoY Change -7.84% -13.25% 22.02%
Operating Profit -$99.69M -$26.44M $186.0K
YoY Change -40.8% 24.38% -98.98%
Interest Expense $43.17M $13.99M $13.25M
YoY Change -15.21% 20.66% 43.24%
% of Operating Profit 7124.19%
Other Income/Expense, Net -$138.9M $658.0K -$536.0K
YoY Change -187808.11% 311.25% -21.75%
Pretax Income -$281.8M -$40.04M -$13.78M
YoY Change 352.98% 22.92% 14.53%
Income Tax -$43.34M -$5.449M -$1.637M
% Of Pretax Income
Net Earnings -$182.6M $385.9M -$23.85M
YoY Change -144.78% 2496.35% 36.56%
Net Earnings / Revenue -11.18% 87.24% -5.51%
Basic Earnings Per Share -$1.10 $2.17 -$0.20
Diluted Earnings Per Share -$1.10 $2.14 -$0.20
COMMON SHARES
Basic Shares Outstanding 166.3M 174.7M 174.6M
Diluted Shares Outstanding 166.3M 174.6M

Balance Sheet

Concept 2019 2018 Q4 2018 Q3
SHORT-TERM ASSETS
Cash & Short-Term Investments $129.7M $174.2M $111.8M
YoY Change -25.55% 45.77% 7.19%
Cash & Equivalents $129.7M $174.2M $90.74M
Short-Term Investments
Other Short-Term Assets $155.9M $2.103M $139.8M
YoY Change 1.9% -99.14% 15.73%
Inventory
Prepaid Expenses $140.4M
Receivables $555.7M $465.3M $592.1M
Other Receivables $0.00 $0.00 $0.00
Total Short-Term Assets $841.3M $859.0M $843.7M
YoY Change -2.06% 0.22% 26.3%
LONG-TERM ASSETS
Property, Plant & Equipment $186.4M $121.9M $160.2M
YoY Change 52.91% -9.97% -3.14%
Goodwill $985.8M
YoY Change -23.74%
Intangibles $483.1M $79.00M
YoY Change -0.92% 0.0%
Long-Term Investments $11.30M $10.67M $7.788M
YoY Change 150.52%
Other Assets $119.1M $109.2M $140.6M
YoY Change 4.29% -25.63% -8.52%
Total Long-Term Assets $2.364B $2.323B $3.674B
YoY Change 1.8% -31.14% 14.27%
TOTAL ASSETS
Total Short-Term Assets $841.3M $859.0M $843.7M
Total Long-Term Assets $2.364B $2.323B $3.674B
Total Assets $3.206B $3.181B $4.518B
YoY Change 0.76% -24.79% 16.34%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable $104.0M $73.17M $126.7M
YoY Change 42.08% -14.67% 10.86%
Accrued Expenses $326.9M $107.1M $120.3M
YoY Change 81.81% 37.62% -15.2%
Deferred Revenue $466.8M $506.6M
YoY Change -2.46%
Short-Term Debt $0.00 $0.00 $0.00
YoY Change
Long-Term Debt Due $364.5M $20.06M $19.52M
YoY Change 1627.49% -27.55% -45.49%
Total Short-Term Liabilities $1.211B $797.7M $894.4M
YoY Change 51.77% -10.33% 30.68%
LONG-TERM LIABILITIES
Long-Term Debt $551.0M $647.5M $1.002B
YoY Change -15.01% -28.58% -27.43%
Other Long-Term Liabilities $137.8M $81.33M $95.58M
YoY Change 42.65% -9.49% -9.66%
Total Long-Term Liabilities $688.8M $728.9M $1.098B
YoY Change -7.53% -26.86% -26.16%
TOTAL LIABILITIES
Total Short-Term Liabilities $1.211B $797.7M $894.4M
Total Long-Term Liabilities $688.8M $728.9M $1.098B
Total Liabilities $1.921B $1.601B $2.933B
YoY Change 17.8% -39.32% 5.59%
SHAREHOLDERS EQUITY
Retained Earnings $132.8M -$251.4M
YoY Change -139.28%
Common Stock $1.884B $1.768B
YoY Change 5.63%
Preferred Stock
YoY Change
Treasury Stock (at cost) $460.5M $423.5M
YoY Change 42.7%
Treasury Stock Shares $99.73M $96.10M
Shareholders Equity $1.285B $1.551B $1.087B
YoY Change
Total Liabilities & Shareholders Equity $3.206B $3.181B $4.518B
YoY Change 0.76% -24.79% 16.34%

Cashflow Statement

Concept 2019 2018 Q4 2018 Q3
OPERATING ACTIVITIES
Net Income -$182.6M $385.9M -$23.85M
YoY Change -144.78% 2496.35% 36.56%
Depreciation, Depletion And Amortization $198.2M -$8.500M $68.60M
YoY Change 3.06% -486.36% 27.51%
Cash From Operating Activities $46.25M -$13.70M $15.10M
YoY Change -31.87% -118.34% -76.33%
INVESTING ACTIVITIES
Capital Expenditures $16.45M -$16.70M -$42.30M
YoY Change -45.79% 72.16% -16.57%
Acquisitions $23.44M
YoY Change -86.77%
Other Investing Activities -$14.00K $498.0M -$170.5M
YoY Change -74.07% -353.44% 214.58%
Cash From Investing Activities -$161.1M $481.3M -$212.8M
YoY Change -164.94% -333.41% 102.86%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net $111.5M
YoY Change -19.02%
Debt Paid & Issued, Net
YoY Change
Cash From Financing Activities 67.34M -402.4M 176.9M
YoY Change -122.99% -363.01% 189.53%
NET CHANGE
Cash From Operating Activities 46.25M -13.70M 15.10M
Cash From Investing Activities -161.1M 481.3M -212.8M
Cash From Financing Activities 67.34M -402.4M 176.9M
Net Change In Cash -47.26M 65.20M -20.80M
YoY Change -311.94% 203.26% -204.0%
FREE CASH FLOW
Cash From Operating Activities $46.25M -$13.70M $15.10M
Capital Expenditures $16.45M -$16.70M -$42.30M
Free Cash Flow $29.80M $3.000M $57.40M
YoY Change -20.62% -96.45% -49.87%

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ProfitLoss
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CY2018 us-gaap Profit Loss
ProfitLoss
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CY2017 us-gaap Profit Loss
ProfitLoss
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CY2019 us-gaap Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
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CY2018 us-gaap Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
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CY2017 us-gaap Net Income Loss Attributable To Noncontrolling Interest
NetIncomeLossAttributableToNoncontrollingInterest
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CY2019 us-gaap Temporary Equity Accretion To Redemption Value Adjustment
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0
CY2018 us-gaap Temporary Equity Accretion To Redemption Value Adjustment
TemporaryEquityAccretionToRedemptionValueAdjustment
48594000
CY2017 us-gaap Temporary Equity Accretion To Redemption Value Adjustment
TemporaryEquityAccretionToRedemptionValueAdjustment
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CY2018 us-gaap Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
363740000
CY2017 us-gaap Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
-196459000
CY2017 us-gaap Income Loss From Continuing Operations Per Basic Share
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-1.02
CY2019 us-gaap Earnings Per Share Diluted
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-1.10
CY2019 us-gaap Profit Loss
ProfitLoss
-182602000
CY2018 us-gaap Profit Loss
ProfitLoss
407807000
CY2017 us-gaap Profit Loss
ProfitLoss
-154175000
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-262000
CY2018 us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification Before Tax
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-873000
CY2017 us-gaap Other Comprehensive Income Loss Cash Flow Hedge Gain Loss After Reclassification Before Tax
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114000
CY2019 us-gaap Other Comprehensive Income Loss Before Tax
OtherComprehensiveIncomeLossBeforeTax
930000
CY2018 us-gaap Other Comprehensive Income Loss Before Tax
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-3781000
CY2019 us-gaap Other Comprehensive Income Loss Tax
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-67000
CY2018 us-gaap Other Comprehensive Income Loss Tax
OtherComprehensiveIncomeLossTax
-377000
CY2017 us-gaap Other Comprehensive Income Loss Tax
OtherComprehensiveIncomeLossTax
-19000
CY2019 us-gaap Other Comprehensive Income Loss Net Of Tax
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997000
CY2018 us-gaap Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
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CY2017 us-gaap Other Comprehensive Income Loss Net Of Tax
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59844000
CY2019 us-gaap Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
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CY2018 us-gaap Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
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404403000
CY2017 us-gaap Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest
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-94331000
CY2019 us-gaap Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
-424000
CY2018 us-gaap Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
-4527000
CY2017 us-gaap Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest
ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest
-1566000
CY2019 us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
-181181000
CY2018 us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
408930000
CY2017 us-gaap Comprehensive Income Net Of Tax
ComprehensiveIncomeNetOfTax
-92765000
CY2018Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
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1580427000
CY2017Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
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1160072000
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1273201000
CY2019Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
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1285188000
CY2018Q4 us-gaap Stockholders Equity Including Portion Attributable To Noncontrolling Interest
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1580427000
CY2019 us-gaap Profit Loss
ProfitLoss
-182602000
CY2018 us-gaap Profit Loss
ProfitLoss
407807000
CY2017 us-gaap Profit Loss
ProfitLoss
-154175000
CY2019 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
0
CY2018 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
395138000
CY2017 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
30348000
CY2019 us-gaap Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
-182602000
CY2018 us-gaap Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
12669000
CY2017 us-gaap Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
-184523000
CY2019 us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
207106000
CY2018 us-gaap Depreciation Depletion And Amortization
DepreciationDepletionAndAmortization
192346000
CY2019 mdrx Operating Right Of Use Asset Amortization
OperatingRightOfUseAssetAmortization
22534000
CY2018 mdrx Operating Right Of Use Asset Amortization
OperatingRightOfUseAssetAmortization
0
CY2017 mdrx Operating Right Of Use Asset Amortization
OperatingRightOfUseAssetAmortization
0
CY2019 us-gaap Share Based Compensation
ShareBasedCompensation
38982000
CY2018 us-gaap Share Based Compensation
ShareBasedCompensation
34638000
CY2017 us-gaap Share Based Compensation
ShareBasedCompensation
36540000
CY2018 us-gaap Increase Decrease In Deferred Income Taxes
IncreaseDecreaseInDeferredIncomeTaxes
-4144000
CY2017 us-gaap Increase Decrease In Deferred Income Taxes
IncreaseDecreaseInDeferredIncomeTaxes
10228000
CY2019 mdrx Asset Impairment Charges Excluding Goodwill Impairment
AssetImpairmentChargesExcludingGoodwillImpairment
10837000
CY2018 mdrx Asset Impairment Charges Excluding Goodwill Impairment
AssetImpairmentChargesExcludingGoodwillImpairment
58166000
CY2017 mdrx Asset Impairment Charges Excluding Goodwill Impairment
AssetImpairmentChargesExcludingGoodwillImpairment
0
CY2019 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
25700000
CY2018 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
13466000
CY2017 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
0
CY2019 us-gaap Impairment Of Investments
ImpairmentOfInvestments
651000
CY2018 us-gaap Impairment Of Investments
ImpairmentOfInvestments
15487000
CY2017 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
1497708000
CY2017 us-gaap Increase Decrease In Contract With Customer Liability
IncreaseDecreaseInContractWithCustomerLiability
112684000
CY2018 us-gaap Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
12091000
CY2017 us-gaap Increase Decrease In Other Operating Liabilities
IncreaseDecreaseInOtherOperatingLiabilities
17969000
CY2019 mdrx Increase Decrease In Operating Lease
IncreaseDecreaseInOperatingLease
-24350000
CY2018 mdrx Increase Decrease In Operating Lease
IncreaseDecreaseInOperatingLease
0
CY2017 mdrx Increase Decrease In Operating Lease
IncreaseDecreaseInOperatingLease
0
CY2019 us-gaap Net Cash Provided By Used In Operating Activities Continuing Operations
NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
76254000
CY2017 us-gaap Impairment Of Investments
ImpairmentOfInvestments
165290000
CY2019 us-gaap Gain Loss On Sale Of Business
GainLossOnSaleOfBusiness
0
CY2018 us-gaap Gain Loss On Sale Of Business
GainLossOnSaleOfBusiness
172258000
CY2017 us-gaap Gain Loss On Sale Of Business
GainLossOnSaleOfBusiness
0
CY2019 us-gaap Other Noncash Income Expense
OtherNoncashIncomeExpense
-9377000
CY2018 us-gaap Other Noncash Income Expense
OtherNoncashIncomeExpense
9338000
CY2017 us-gaap Other Noncash Income Expense
OtherNoncashIncomeExpense
-2905000
CY2019 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
13273000
CY2018 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
109134000
CY2017 us-gaap Increase Decrease In Accounts Receivable
IncreaseDecreaseInAccountsReceivable
95189000
CY2019 us-gaap Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
15374000
CY2018 us-gaap Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
55818000
CY2017 us-gaap Increase Decrease In Prepaid Deferred Expense And Other Assets
IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
-13219000
CY2019 us-gaap Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
27799000
CY2018 us-gaap Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
-19159000
CY2017 us-gaap Increase Decrease In Accounts Payable
IncreaseDecreaseInAccountsPayable
-19785000
CY2019 us-gaap Increase Decrease In Accrued Liabilities
IncreaseDecreaseInAccruedLiabilities
141407000
CY2018 us-gaap Increase Decrease In Accrued Liabilities
IncreaseDecreaseInAccruedLiabilities
40484000
CY2017 us-gaap Increase Decrease In Accrued Liabilities
IncreaseDecreaseInAccruedLiabilities
10131000
CY2019 us-gaap Increase Decrease In Employee Related Liabilities
IncreaseDecreaseInEmployeeRelatedLiabilities
-32471000
CY2017 us-gaap Cash Provided By Used In Operating Activities Discontinued Operations
CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations
54357000
CY2018 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
67891000
CY2017 us-gaap Net Cash Provided By Used In Operating Activities
NetCashProvidedByUsedInOperatingActivities
279415000
CY2019 us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
16600000
CY2018 us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
31309000
CY2017 us-gaap Payments To Acquire Property Plant And Equipment
PaymentsToAcquirePropertyPlantAndEquipment
38759000
CY2019 us-gaap Payments To Develop Software
PaymentsToDevelopSoftware
113836000
CY2018 us-gaap Payments To Develop Software
PaymentsToDevelopSoftware
113308000
CY2017 us-gaap Payments To Develop Software
PaymentsToDevelopSoftware
118241000
CY2019 us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
23443000
CY2018 us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
177233000
CY2017 us-gaap Payments To Acquire Businesses Net Of Cash Acquired
PaymentsToAcquireBusinessesNetOfCashAcquired
169823000
CY2019 us-gaap Proceeds From Divestiture Of Businesses Net Of Cash Divested
ProceedsFromDivestitureOfBusinessesNetOfCashDivested
0
CY2018 us-gaap Proceeds From Divestiture Of Businesses Net Of Cash Divested
ProceedsFromDivestitureOfBusinessesNetOfCashDivested
807764000
CY2017 us-gaap Proceeds From Divestiture Of Businesses Net Of Cash Divested
ProceedsFromDivestitureOfBusinessesNetOfCashDivested
0
CY2019 us-gaap Payments To Acquire Investments
PaymentsToAcquireInvestments
7191000
CY2018 us-gaap Payments To Acquire Investments
PaymentsToAcquireInvestments
16934000
CY2017 us-gaap Payments To Acquire Investments
PaymentsToAcquireInvestments
5606000
CY2019 us-gaap Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
-14000
CY2018 us-gaap Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
-54000
CY2017 us-gaap Payments For Proceeds From Other Investing Activities
PaymentsForProceedsFromOtherInvestingActivities
-215000
CY2019 us-gaap Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
-161056000
CY2018 us-gaap Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
469034000
CY2017 us-gaap Net Cash Provided By Used In Investing Activities Continuing Operations
NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
-332214000
CY2019 us-gaap Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
0
CY2018 us-gaap Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
-221021000
CY2017 us-gaap Cash Provided By Used In Investing Activities Discontinued Operations
CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations
-80758000
CY2019 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
-161056000
CY2018 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
248013000
CY2019 us-gaap Payments To Minority Shareholders
PaymentsToMinorityShareholders
53800000
CY2018 us-gaap Payments To Minority Shareholders
PaymentsToMinorityShareholders
7198000
CY2017 us-gaap Payments To Minority Shareholders
PaymentsToMinorityShareholders
0
CY2018 us-gaap Repayments Of Secured Debt
RepaymentsOfSecuredDebt
713751000
CY2017 us-gaap Repayments Of Secured Debt
RepaymentsOfSecuredDebt
138139000
CY2019 us-gaap Proceeds From Issuance Of Secured Debt
ProceedsFromIssuanceOfSecuredDebt
279241000
CY2018 us-gaap Proceeds From Issuance Of Secured Debt
ProceedsFromIssuanceOfSecuredDebt
430843000
CY2017 us-gaap Proceeds From Issuance Of Secured Debt
ProceedsFromIssuanceOfSecuredDebt
325001000
CY2019 us-gaap Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
111460000
CY2018 us-gaap Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
138928000
CY2017 us-gaap Payments For Repurchase Of Common Stock
PaymentsForRepurchaseOfCommonStock
12077000
CY2019 us-gaap Payments Of Merger Related Costs Financing Activities
PaymentsOfMergerRelatedCostsFinancingActivities
14685000
CY2018 us-gaap Payments Of Merger Related Costs Financing Activities
PaymentsOfMergerRelatedCostsFinancingActivities
5198000
CY2017 us-gaap Payments Of Merger Related Costs Financing Activities
PaymentsOfMergerRelatedCostsFinancingActivities
1283000
CY2019Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
137539000
CY2017 us-gaap Net Cash Provided By Used In Investing Activities
NetCashProvidedByUsedInInvestingActivities
-412972000
CY2019 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
0
CY2018 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
1283000
CY2017 us-gaap Proceeds From Issuance Of Common Stock
ProceedsFromIssuanceOfCommonStock
1568000
CY2019 us-gaap Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
7286000
CY2018 us-gaap Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
9466000
CY2017 us-gaap Payments Related To Tax Withholding For Share Based Compensation
PaymentsRelatedToTaxWithholdingForShareBasedCompensation
7269000
CY2019 us-gaap Proceeds From Convertible Debt
ProceedsFromConvertibleDebt
218000000
CY2018 us-gaap Proceeds From Convertible Debt
ProceedsFromConvertibleDebt
0
CY2017 us-gaap Proceeds From Convertible Debt
ProceedsFromConvertibleDebt
0
CY2019 us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
5445000
CY2018 us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
0
CY2017 us-gaap Payments Of Debt Issuance Costs
PaymentsOfDebtIssuanceCosts
0
CY2019 mdrx Payments For Capped Call Transactions
PaymentsForCappedCallTransactions
17222000
CY2018 mdrx Payments For Capped Call Transactions
PaymentsForCappedCallTransactions
0
CY2017 mdrx Payments For Capped Call Transactions
PaymentsForCappedCallTransactions
0
CY2019 us-gaap Repayments Of Secured Debt
RepaymentsOfSecuredDebt
220000000
CY2019 us-gaap Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
67343000
CY2018 us-gaap Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
-442415000
CY2017 us-gaap Net Cash Provided By Used In Financing Activities Continuing Operations
NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
167801000
CY2019 us-gaap Cash Provided By Used In Financing Activities Discontinued Operations
CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations
0
CY2018 us-gaap Cash Provided By Used In Financing Activities Discontinued Operations
CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations
149432000
CY2017 us-gaap Cash Provided By Used In Financing Activities Discontinued Operations
CashProvidedByUsedInFinancingActivitiesDiscontinuedOperations
30784000
CY2019 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
67343000
CY2018 us-gaap Net Cash Provided By Used In Financing Activities
NetCashProvidedByUsedInFinancingActivities
-292983000
CY2019 us-gaap Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
203000
CY2017 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect
65888000
CY2019Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
137539000
CY2018Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
184795000
CY2017Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations
162498000
CY2019Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Disposal Group Including Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsDisposalGroupIncludingDiscontinuedOperations
0
CY2018Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Disposal Group Including Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsDisposalGroupIncludingDiscontinuedOperations
0
CY2017Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Disposal Group Including Discontinued Operations
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsDisposalGroupIncludingDiscontinuedOperations
31504000
CY2018Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
184795000
CY2017Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
130994000
CY2019 us-gaap Use Of Estimates
UseOfEstimates
<p style="margin-bottom:6pt;margin-top:6pt;text-indent:0%;font-weight:bold;font-style:italic;font-family:Times New Roman;font-size:10pt;text-transform:none;font-variant: normal;">Use of Estimates </p> <p style="margin-bottom:6pt;margin-top:6pt;text-indent:5%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The preparation of consolidated financial statements in accordance with generally accepted accounting principles in the United States of America (“GAAP”) requires us to make estimates and assumptions that affect the amounts reported and disclosed in the consolidated financial statements and the accompanying notes. Actual results could differ materially from these estimates. </p>
CY2019Q4 us-gaap Capitalized Computer Software Gross
CapitalizedComputerSoftwareGross
428641000
CY2018Q4 us-gaap Capitalized Computer Software Gross
CapitalizedComputerSoftwareGross
317637000
CY2019Q4 us-gaap Capitalized Computer Software Accumulated Amortization
CapitalizedComputerSoftwareAccumulatedAmortization
184712000
CY2018Q4 us-gaap Capitalized Computer Software Accumulated Amortization
CapitalizedComputerSoftwareAccumulatedAmortization
107977000
CY2019Q4 us-gaap Capitalized Computer Software Net
CapitalizedComputerSoftwareNet
243929000
CY2018Q4 us-gaap Capitalized Computer Software Net
CapitalizedComputerSoftwareNet
209660000
CY2019 us-gaap Capitalized Computer Software Additions
CapitalizedComputerSoftwareAdditions
113836000
CY2018 us-gaap Capitalized Computer Software Additions
CapitalizedComputerSoftwareAdditions
113308000
CY2017 us-gaap Capitalized Computer Software Additions
CapitalizedComputerSoftwareAdditions
94740000
CY2019 mdrx Capitalized Computer Software Written Off Related To Sale Of Business Unit
CapitalizedComputerSoftwareWrittenOffRelatedToSaleOfBusinessUnit
0
CY2018 mdrx Capitalized Computer Software Written Off Related To Sale Of Business Unit
CapitalizedComputerSoftwareWrittenOffRelatedToSaleOfBusinessUnit
34083000
CY2017 mdrx Capitalized Computer Software Written Off Related To Sale Of Business Unit
CapitalizedComputerSoftwareWrittenOffRelatedToSaleOfBusinessUnit
0
CY2019 us-gaap Capitalized Computer Software Amortization1
CapitalizedComputerSoftwareAmortization1
79567000
CY2018 us-gaap Capitalized Computer Software Amortization1
CapitalizedComputerSoftwareAmortization1
64409000
CY2017 us-gaap Capitalized Computer Software Amortization1
CapitalizedComputerSoftwareAmortization1
51589000
CY2019 us-gaap Defined Contribution Plan Employer Discretionary Contribution Amount
DefinedContributionPlanEmployerDiscretionaryContributionAmount
24782000
CY2018 us-gaap Defined Contribution Plan Employer Discretionary Contribution Amount
DefinedContributionPlanEmployerDiscretionaryContributionAmount
29393000
CY2017 us-gaap Defined Contribution Plan Employer Discretionary Contribution Amount
DefinedContributionPlanEmployerDiscretionaryContributionAmount
18861000
CY2019Q2 us-gaap Contract With Customer Liability Change In Timeframe Performance Obligation Satisfied Revenue Recognized
ContractWithCustomerLiabilityChangeInTimeframePerformanceObligationSatisfiedRevenueRecognized
233696000
CY2019Q3 us-gaap Contract With Customer Liability Change In Timeframe Performance Obligation Satisfied Revenue Recognized
ContractWithCustomerLiabilityChangeInTimeframePerformanceObligationSatisfiedRevenueRecognized
228927000
CY2019 us-gaap Concentration Risk Credit Risk
ConcentrationRiskCreditRisk
<p style="margin-bottom:6pt;margin-top:6pt;text-indent:0%;font-weight:bold;font-style:italic;font-family:Times New Roman;font-size:10pt;text-transform:none;font-variant: normal;">Concentrations of Credit Risk </p> <p style="margin-bottom:6pt;margin-top:6pt;text-indent:5%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">Financial instruments that potentially subject us to a concentration of credit risk consist of cash, cash equivalents, marketable securities and trade receivables. We primarily maintain our cash balances with one major commercial bank domestically and several commercial banks internationally. </p> <p style="margin-bottom:6pt;margin-top:6pt;text-indent:5%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">We sell our products and services to healthcare providers. Credit risk with respect to trade receivables is generally diversified due to the large number of clients and their geographic dispersion. To reduce credit risk, we perform ongoing credit evaluations of significant clients and their payment histories. In general, we do not require collateral from our clients, but we do enter into advance deposit agreements, if appropriate. </p> <p style="margin-bottom:6pt;margin-top:6pt;text-indent:5%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">The majority of our revenue is derived from clients located in the United States. The majority of long-lived assets are also located in the United States. No single client accounted for more than 10% of our revenue in the years ended December 31, 2018 and 2017. No client represented more than 10% of accounts receivable as of December 31, 2019 and 2018.</p>
CY2019 us-gaap Segment Reporting Disclosure Of Major Customers
SegmentReportingDisclosureOfMajorCustomers
No single client accounted for more than 10% of our revenue in the years ended December 31, 2018 and 2017.
CY2019 us-gaap Concentration Risk Customer
ConcentrationRiskCustomer
No client represented more than 10% of accounts receivable as of December 31, 2019 and 2018.
CY2019 us-gaap Description Of New Accounting Pronouncements Not Yet Adopted
DescriptionOfNewAccountingPronouncementsNotYetAdopted
<p style="margin-bottom:6pt;margin-top:6pt;text-indent:0%;font-weight:bold;font-style:italic;font-family:Times New Roman;font-size:10pt;text-transform:none;font-variant: normal;">Accounting Pronouncements Not Yet Adopted</p> <p style="margin-bottom:6pt;margin-top:6pt;text-indent:5%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">In June 2016, the FASB issued Accounting Standards Update No. 2016-13, <span style="font-style:italic;">Financial Instruments – Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments</span> (“ASU 2016-13”). The guidance in ASU 2016-13 replaces the incurred loss impairment methodology under current GAAP. The new impairment model requires immediate recognition of estimated credit losses expected to occur for most financial assets and certain other instruments. For available-for-sale debt securities with unrealized losses, the losses will be recognized as allowances rather than reductions in the amortized cost of the securities. ASU 2016-13 is effective for annual periods beginning after December 15, 2019, and interim periods within those annual periods. We are adopting the provisions of ASU 2016-13 on January 1, 2020 and currently expect to record a minimum of $20 million in additional reserves for estimated credit losses.</p> <p style="margin-bottom:6pt;margin-top:6pt;text-indent:5%;color:#000000;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">In August 2018, the FASB issued Accounting Standards Update No. 2018-13, <span style="font-style:italic;">“Fair Value Measurement (Topic 820) – Disclosure Framework – Changes to the Disclosure Requirements for Fair Value Measurement”</span> (“ASU 2018-13”), which eliminates, adds and modifies certain disclosure requirements for fair value measurements. Entities will no longer be required to disclose the amount of and reasons for transfers between Level 1 and Level 2 of the fair value hierarchy, but public companies will be required to disclose the range and weighted average used to develop significant unobservable inputs for Level 3 fair value instruments. ASU 2018-13 will be effective for all entities for interim and annual periods beginning after December 15, 2019, with early adoption permitted. We are currently evaluating the impact of this accounting guidance.</p> <p style="margin-bottom:6pt;margin-top:6pt;text-indent:5%;color:#000000;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">In December 2019, the FASB issued Accounting Standards Update No. 2019-12, “Income Taxes (Topic 740)” (‘ASU 2019-12”), which is part of the FASB’s overall simplification initiative to reduce costs and complexity of applying accounting standards while maintaining or improving the usefulness of the information provided to users of financial statements. ASU 2019-12 simplifies accounting guidance for intraperiod allocations, deferred tax liabilities, year-to-date losses in interim periods, franchise taxes, step-up in tax basis of goodwill, separate entity financial statements and interim recognition of tax laws or rate changes. ASU 2019-12 is effective for public business entities for annual reporting periods beginning after December 15, 2020, with early adoption permitted. We are currently evaluating the impact of this accounting guidance.</p> <p style="margin-bottom:6pt;margin-top:6pt;text-indent:5%;font-family:Times New Roman;font-size:10pt;font-weight:normal;font-style:normal;text-transform:none;font-variant: normal;">We do not believe that any other recently issued, but not yet effective accounting standards, if adopted, would have a material impact on our consolidated financial statements.</p>
CY2019 mdrx Minimum Additional Reserves For Estimated Credit Losses
MinimumAdditionalReservesForEstimatedCreditLosses
20000000
CY2019 mdrx Number Of Revenue Streams
NumberOfRevenueStreams
2
CY2019Q1 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
126184000
CY2019Q2 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
146150000
CY2019Q3 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
151543000
CY2019Q4 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
171799000
CY2019Q1 us-gaap Contract With Customer Liability Change In Timeframe Performance Obligation Satisfied Revenue Recognized
ContractWithCustomerLiabilityChangeInTimeframePerformanceObligationSatisfiedRevenueRecognized
248221000
CY2019Q4 us-gaap Contract With Customer Liability Change In Timeframe Performance Obligation Satisfied Revenue Recognized
ContractWithCustomerLiabilityChangeInTimeframePerformanceObligationSatisfiedRevenueRecognized
216072000
CY2019Q1 mdrx Contract With Customer Liability Cumulative Catch Up Adjustment To Revenue Right To Invoice Expedient
ContractWithCustomerLiabilityCumulativeCatchUpAdjustmentToRevenueRightToInvoiceExpedient
55923000
CY2019Q2 mdrx Contract With Customer Liability Cumulative Catch Up Adjustment To Revenue Right To Invoice Expedient
ContractWithCustomerLiabilityCumulativeCatchUpAdjustmentToRevenueRightToInvoiceExpedient
62245000
CY2019Q3 mdrx Contract With Customer Liability Cumulative Catch Up Adjustment To Revenue Right To Invoice Expedient
ContractWithCustomerLiabilityCumulativeCatchUpAdjustmentToRevenueRightToInvoiceExpedient
61814000
CY2019Q4 mdrx Contract With Customer Liability Cumulative Catch Up Adjustment To Revenue Right To Invoice Expedient
ContractWithCustomerLiabilityCumulativeCatchUpAdjustmentToRevenueRightToInvoiceExpedient
60826000
CY2019Q1 mdrx Reimbursed Travel Expenses Shipping And Other Revenue
ReimbursedTravelExpensesShippingAndOtherRevenue
1721000
CY2019Q2 mdrx Reimbursed Travel Expenses Shipping And Other Revenue
ReimbursedTravelExpensesShippingAndOtherRevenue
2369000
CY2019Q3 mdrx Reimbursed Travel Expenses Shipping And Other Revenue
ReimbursedTravelExpensesShippingAndOtherRevenue
1900000
CY2019Q4 mdrx Reimbursed Travel Expenses Shipping And Other Revenue
ReimbursedTravelExpensesShippingAndOtherRevenue
2287000
CY2019Q1 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
432049000
CY2019Q2 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
444460000
CY2019Q3 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
444184000
CY2018Q1 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
181398000
CY2018Q2 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
196163000
CY2018Q3 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
153151000
CY2018Q4 us-gaap Contract With Customer Liability Revenue Recognized
ContractWithCustomerLiabilityRevenueRecognized
141127000
CY2018Q1 us-gaap Contract With Customer Liability Change In Timeframe Performance Obligation Satisfied Revenue Recognized
ContractWithCustomerLiabilityChangeInTimeframePerformanceObligationSatisfiedRevenueRecognized
200232000
CY2018Q2 us-gaap Contract With Customer Liability Change In Timeframe Performance Obligation Satisfied Revenue Recognized
ContractWithCustomerLiabilityChangeInTimeframePerformanceObligationSatisfiedRevenueRecognized
180001000
CY2018Q3 us-gaap Contract With Customer Liability Change In Timeframe Performance Obligation Satisfied Revenue Recognized
ContractWithCustomerLiabilityChangeInTimeframePerformanceObligationSatisfiedRevenueRecognized
225641000
CY2018Q4 us-gaap Contract With Customer Liability Change In Timeframe Performance Obligation Satisfied Revenue Recognized
ContractWithCustomerLiabilityChangeInTimeframePerformanceObligationSatisfiedRevenueRecognized
237963000
CY2018Q1 mdrx Contract With Customer Liability Cumulative Catch Up Adjustment To Revenue Right To Invoice Expedient
ContractWithCustomerLiabilityCumulativeCatchUpAdjustmentToRevenueRightToInvoiceExpedient
49403000
CY2018Q2 mdrx Contract With Customer Liability Cumulative Catch Up Adjustment To Revenue Right To Invoice Expedient
ContractWithCustomerLiabilityCumulativeCatchUpAdjustmentToRevenueRightToInvoiceExpedient
62533000
CY2018Q3 mdrx Contract With Customer Liability Cumulative Catch Up Adjustment To Revenue Right To Invoice Expedient
ContractWithCustomerLiabilityCumulativeCatchUpAdjustmentToRevenueRightToInvoiceExpedient
51288000
CY2018Q4 mdrx Contract With Customer Liability Cumulative Catch Up Adjustment To Revenue Right To Invoice Expedient
ContractWithCustomerLiabilityCumulativeCatchUpAdjustmentToRevenueRightToInvoiceExpedient
60593000
CY2018Q1 mdrx Reimbursed Travel Expenses Shipping And Other Revenue
ReimbursedTravelExpensesShippingAndOtherRevenue
2689000
CY2018Q2 mdrx Reimbursed Travel Expenses Shipping And Other Revenue
ReimbursedTravelExpensesShippingAndOtherRevenue
2767000
CY2018Q3 mdrx Reimbursed Travel Expenses Shipping And Other Revenue
ReimbursedTravelExpensesShippingAndOtherRevenue
2350000
CY2018Q4 mdrx Reimbursed Travel Expenses Shipping And Other Revenue
ReimbursedTravelExpensesShippingAndOtherRevenue
2663000
CY2018Q1 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
433722000
CY2018Q2 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
441464000
CY2018Q3 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
432430000
CY2018Q4 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
442346000
CY2019Q4 us-gaap Revenue Remaining Performance Obligation
RevenueRemainingPerformanceObligation
4400000000
CY2019Q4 mdrx Revenue Remaining Performance Obligation Percentage Year One
RevenueRemainingPerformanceObligationPercentageYearOne
0.35
CY2019Q4 mdrx Revenue Remaining Performance Obligation Percentage After Year One
RevenueRemainingPerformanceObligationPercentageAfterYearOne
0.65
CY2019 mdrx Recurring Revenue
RecurringRevenue
1395869000
CY2018 mdrx Recurring Revenue
RecurringRevenue
1411742000
CY2017 mdrx Recurring Revenue
RecurringRevenue
1176720000
CY2019 mdrx Non Recurring Revenue
NonRecurringRevenue
375808000
CY2018 mdrx Non Recurring Revenue
NonRecurringRevenue
338220000
CY2017 mdrx Non Recurring Revenue
NonRecurringRevenue
320988000
CY2019 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
1771677000
CY2018 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
1749962000
CY2017 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
1497708000
CY2019 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
1771677000
CY2018 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
1749962000
CY2019 us-gaap Operating Lease Cost
OperatingLeaseCost
27962000
CY2019 us-gaap Sublease Income
SubleaseIncome
3265000
CY2019 us-gaap Lease Cost
LeaseCost
24697000
CY2019 us-gaap Finance Lease Right Of Use Asset Amortization
FinanceLeaseRightOfUseAssetAmortization
157000
CY2019 us-gaap Finance Lease Interest Expense
FinanceLeaseInterestExpense
9000
CY2019 mdrx Finance Lease Cost
FinanceLeaseCost
166000
CY2019 us-gaap Operating Lease Payments
OperatingLeasePayments
30039000
CY2019 us-gaap Finance Lease Interest Payment On Liability
FinanceLeaseInterestPaymentOnLiability
9000
CY2019 us-gaap Finance Lease Principal Payments
FinanceLeasePrincipalPayments
158000
CY2019 us-gaap Right Of Use Asset Obtained In Exchange For Operating Lease Liability
RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability
143602000
CY2019 us-gaap Right Of Use Asset Obtained In Exchange For Finance Lease Liability
RightOfUseAssetObtainedInExchangeForFinanceLeaseLiability
263000
CY2019Q4 us-gaap Operating Lease Right Of Use Asset
OperatingLeaseRightOfUseAsset
98020000
CY2019Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
23137000
CY2019Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
95162000
CY2019Q4 us-gaap Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
82000
CY2019Q4 us-gaap Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
45000
CY2019Q4 us-gaap Operating Lease Weighted Average Discount Rate Percent
OperatingLeaseWeightedAverageDiscountRatePercent
0.044
CY2019Q4 us-gaap Finance Lease Weighted Average Discount Rate Percent
FinanceLeaseWeightedAverageDiscountRatePercent
0.051
CY2019Q4 us-gaap Lessee Operating Lease Liability Payments Due Next Twelve Months
LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths
27647000
CY2018 us-gaap Income Tax Reconciliation Nondeductible Expense Impairment Losses
IncomeTaxReconciliationNondeductibleExpenseImpairmentLosses
0
CY2017 us-gaap Income Tax Reconciliation Nondeductible Expense Impairment Losses
IncomeTaxReconciliationNondeductibleExpenseImpairmentLosses
0
CY2019 us-gaap Income Tax Reconciliation Nondeductible Expense
IncomeTaxReconciliationNondeductibleExpense
43000
CY2018 us-gaap Income Tax Reconciliation Nondeductible Expense
IncomeTaxReconciliationNondeductibleExpense
34000
CY2017 us-gaap Income Tax Reconciliation Nondeductible Expense
IncomeTaxReconciliationNondeductibleExpense
33000
CY2019 us-gaap Income Tax Reconciliation Minority Interest Income Expense
IncomeTaxReconciliationMinorityInterestIncomeExpense
0
CY2018 us-gaap Income Tax Reconciliation Minority Interest Income Expense
IncomeTaxReconciliationMinorityInterestIncomeExpense
-951000
CY2017 us-gaap Income Tax Reconciliation Minority Interest Income Expense
IncomeTaxReconciliationMinorityInterestIncomeExpense
0
CY2019 us-gaap Income Tax Reconciliation Prior Year Income Taxes
IncomeTaxReconciliationPriorYearIncomeTaxes
0
CY2019Q4 us-gaap Finance Lease Liability Payments Due Next Twelve Months
FinanceLeaseLiabilityPaymentsDueNextTwelveMonths
85000
CY2018 us-gaap Impairment Of Investments
ImpairmentOfInvestments
15500000
CY2019Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Two
LesseeOperatingLeaseLiabilityPaymentsDueYearTwo
23277000
CY2019Q4 us-gaap Finance Lease Liability Payments Due Year Two
FinanceLeaseLiabilityPaymentsDueYearTwo
40000
CY2019Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Three
LesseeOperatingLeaseLiabilityPaymentsDueYearThree
21640000
CY2019Q4 us-gaap Finance Lease Liability Payments Due Year Three
FinanceLeaseLiabilityPaymentsDueYearThree
7000
CY2019Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Four
LesseeOperatingLeaseLiabilityPaymentsDueYearFour
19497000
CY2019Q4 us-gaap Finance Lease Liability Payments Due Year Four
FinanceLeaseLiabilityPaymentsDueYearFour
0
CY2019Q4 us-gaap Lessee Operating Lease Liability Payments Due Year Five
LesseeOperatingLeaseLiabilityPaymentsDueYearFive
13862000
CY2019Q4 us-gaap Finance Lease Liability Payments Due Year Five
FinanceLeaseLiabilityPaymentsDueYearFive
0
CY2019Q4 us-gaap Lessee Operating Lease Liability Payments Due After Year Five
LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive
28580000
CY2019Q4 us-gaap Finance Lease Liability Payments Due After Year Five
FinanceLeaseLiabilityPaymentsDueAfterYearFive
0
CY2019Q4 us-gaap Lessee Operating Lease Liability Payments Due
LesseeOperatingLeaseLiabilityPaymentsDue
134503000
CY2019Q4 us-gaap Finance Lease Liability Payments Due
FinanceLeaseLiabilityPaymentsDue
132000
CY2019Q4 us-gaap Lessee Operating Lease Liability Undiscounted Excess Amount
LesseeOperatingLeaseLiabilityUndiscountedExcessAmount
16204000
CY2019Q4 us-gaap Finance Lease Liability Undiscounted Excess Amount
FinanceLeaseLiabilityUndiscountedExcessAmount
5000
CY2019Q4 us-gaap Operating Lease Liability Current
OperatingLeaseLiabilityCurrent
23137000
CY2019Q4 us-gaap Finance Lease Liability Current
FinanceLeaseLiabilityCurrent
82000
CY2019Q4 us-gaap Operating Lease Liability Noncurrent
OperatingLeaseLiabilityNoncurrent
95162000
CY2019Q4 us-gaap Finance Lease Liability Noncurrent
FinanceLeaseLiabilityNoncurrent
45000
CY2018Q2 us-gaap Business Combination Step Acquisition Equity Interest In Acquiree Fair Value1
BusinessCombinationStepAcquisitionEquityInterestInAcquireeFairValue1
6900000
CY2019 mdrx Number Of Equity Method Investments
NumberOfEquityMethodInvestments
5
CY2019Q4 us-gaap Equity Method Investment Aggregate Cost
EquityMethodInvestmentAggregateCost
7407000
CY2019Q4 us-gaap Equity Method Investments
EquityMethodInvestments
11332000
CY2018Q4 us-gaap Equity Method Investments
EquityMethodInvestments
10667000
CY2019 mdrx Number Of Cost Less Impairment
NumberOfCostLessImpairment
9
CY2019Q4 mdrx Cost Method Investment Excluding Impairment Original Cost
CostMethodInvestmentExcludingImpairmentOriginalCost
43874000
CY2019Q4 mdrx Cost Method Investment Net Of Impairment Carrying Value
CostMethodInvestmentNetOfImpairmentCarryingValue
32462000
CY2018Q4 mdrx Cost Method Investment Net Of Impairment Carrying Value
CostMethodInvestmentNetOfImpairmentCarryingValue
25923000
CY2019 mdrx Number Of Equity Method Investments And Cost Less Impairment
NumberOfEquityMethodInvestmentsAndCostLessImpairment
14
CY2019Q4 mdrx Equity Method Investments Cost Less Impairment Original Cost
EquityMethodInvestmentsCostLessImpairmentOriginalCost
51281000
CY2019Q4 us-gaap Investments In Affiliates Subsidiaries Associates And Joint Ventures
InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
43794000
CY2018Q4 us-gaap Investments In Affiliates Subsidiaries Associates And Joint Ventures
InvestmentsInAffiliatesSubsidiariesAssociatesAndJointVentures
36590000
CY2017 us-gaap Equity Securities Fv Ni Realized Gain Loss
EquitySecuritiesFvNiRealizedGainLoss
-142200000
CY2017Q4 us-gaap Equity Securities Fv Ni Cost
EquitySecuritiesFvNiCost
205600000
CY2017 us-gaap Marketable Securities Gain Loss
MarketableSecuritiesGainLoss
20700000
CY2019Q4 us-gaap Assets Fair Value Disclosure
AssetsFairValueDisclosure
84000
CY2018Q4 us-gaap Assets Fair Value Disclosure
AssetsFairValueDisclosure
9366000
CY2019Q4 us-gaap Financial Liabilities Fair Value Disclosure
FinancialLiabilitiesFairValueDisclosure
19716000
CY2018Q4 us-gaap Financial Liabilities Fair Value Disclosure
FinancialLiabilitiesFairValueDisclosure
35819000
CY2019Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
408690000
CY2018Q4 us-gaap Property Plant And Equipment Gross
PropertyPlantAndEquipmentGross
401116000
CY2019Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
320351000
CY2018Q4 us-gaap Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
279203000
CY2019Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
88339000
CY2018Q4 us-gaap Property Plant And Equipment Net
PropertyPlantAndEquipmentNet
121913000
CY2018 us-gaap Goodwill Purchase Accounting Adjustments
GoodwillPurchaseAccountingAdjustments
31960000
CY2018 mdrx Goodwill Acquired Net Of Measurement Adjustments
GoodwillAcquiredNetOfMeasurementAdjustments
127609000
CY2018 us-gaap Goodwill Written Off Related To Sale Of Business Unit
GoodwillWrittenOffRelatedToSaleOfBusinessUnit
32306000
CY2019Q4 us-gaap Goodwill Impaired Accumulated Impairment Loss
GoodwillImpairedAccumulatedImpairmentLoss
39200000
CY2018Q4 us-gaap Goodwill Impaired Accumulated Impairment Loss
GoodwillImpairedAccumulatedImpairmentLoss
13500000
CY2017Q4 us-gaap Goodwill Impaired Accumulated Impairment Loss
GoodwillImpairedAccumulatedImpairmentLoss
0
CY2017Q4 us-gaap Goodwill
Goodwill
1292747000
CY2018 us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
95649000
CY2018 us-gaap Goodwill Other Increase Decrease
GoodwillOtherIncreaseDecrease
-205000
CY2017 us-gaap Income Tax Reconciliation Prior Year Income Taxes
IncomeTaxReconciliationPriorYearIncomeTaxes
0
CY2019 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
922000
CY2019 us-gaap Depreciation And Amortization
DepreciationAndAmortization
47419000
CY2018 us-gaap Depreciation And Amortization
DepreciationAndAmortization
47567000
CY2017 us-gaap Depreciation And Amortization
DepreciationAndAmortization
40717000
CY2019Q4 us-gaap Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
1248407000
CY2019Q4 us-gaap Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
926265000
CY2019Q4 us-gaap Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
322142000
CY2018Q4 us-gaap Finite Lived Intangible Assets Gross
FiniteLivedIntangibleAssetsGross
1242642000
CY2018Q4 us-gaap Finite Lived Intangible Assets Accumulated Amortization
FiniteLivedIntangibleAssetsAccumulatedAmortization
863561000
CY2018Q4 us-gaap Finite Lived Intangible Assets Net
FiniteLivedIntangibleAssetsNet
379081000
CY2019Q4 us-gaap Indefinite Lived Trademarks
IndefiniteLivedTrademarks
52000000
CY2018Q4 us-gaap Indefinite Lived Trademarks
IndefiniteLivedTrademarks
52000000
CY2019Q4 us-gaap Goodwill
Goodwill
1362017000
CY2018Q4 us-gaap Goodwill
Goodwill
1373744000
CY2019Q4 us-gaap Intangible Assets Net Including Goodwill
IntangibleAssetsNetIncludingGoodwill
1414017000
CY2018Q4 us-gaap Intangible Assets Net Including Goodwill
IntangibleAssetsNetIncludingGoodwill
1425744000
CY2018 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
13466000
CY2018 us-gaap Goodwill Foreign Currency Translation Gain Loss
GoodwillForeignCurrencyTranslationGainLoss
-840000
CY2018Q4 us-gaap Goodwill
Goodwill
1373744000
CY2019 us-gaap Goodwill Acquired During Period
GoodwillAcquiredDuringPeriod
13684000
CY2019 us-gaap Goodwill Impairment Loss
GoodwillImpairmentLoss
25700000
CY2019 us-gaap Goodwill Foreign Currency Translation Gain Loss
GoodwillForeignCurrencyTranslationGainLoss
289000
CY2019Q4 us-gaap Goodwill
Goodwill
1362017000
CY2019 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
63688000
CY2017 us-gaap Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance
47959000
CY2019 us-gaap Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
-1398000
CY2017 us-gaap Income Tax Reconciliation Other Adjustments
IncomeTaxReconciliationOtherAdjustments
2867000
CY2019 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
-23914000
CY2018 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
469000
CY2017 us-gaap Income Tax Expense Benefit
IncomeTaxExpenseBenefit
-5514000
CY2019Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccruals
29627000
CY2018Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccruals
31565000
CY2019Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
11507000
CY2018Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts
11378000
CY2019Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
10382000
CY2018Q4 us-gaap Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
DeferredTaxAssetsTaxDeferredExpenseCompensationAndBenefitsShareBasedCompensationCost
10595000
CY2019Q4 us-gaap Deferred Tax Assets Deferred Income
DeferredTaxAssetsDeferredIncome
21786000
CY2018Q4 us-gaap Deferred Tax Assets Deferred Income
DeferredTaxAssetsDeferredIncome
8160000
CY2019Q4 mdrx Deferred Tax Assets Operating And Finance Lease Liabilities
DeferredTaxAssetsOperatingAndFinanceLeaseLiabilities
22085000
CY2018Q4 mdrx Deferred Tax Assets Operating And Finance Lease Liabilities
DeferredTaxAssetsOperatingAndFinanceLeaseLiabilities
0
CY2019Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
37717000
CY2018Q4 us-gaap Deferred Tax Assets Operating Loss Carryforwards
DeferredTaxAssetsOperatingLossCarryforwards
36649000
CY2019Q4 us-gaap Deferred Tax Assets Tax Credit Carryforwards Research
DeferredTaxAssetsTaxCreditCarryforwardsResearch
899000
CY2018Q4 us-gaap Deferred Tax Assets Tax Credit Carryforwards Research
DeferredTaxAssetsTaxCreditCarryforwardsResearch
899000
CY2019Q4 us-gaap Deferred Tax Assets Other
DeferredTaxAssetsOther
7488000
CY2018Q4 us-gaap Deferred Tax Assets Other
DeferredTaxAssetsOther
10784000
CY2019Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
19219000
CY2018Q4 us-gaap Deferred Tax Assets Valuation Allowance
DeferredTaxAssetsValuationAllowance
18734000
CY2019Q4 us-gaap Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
3695000
CY2018Q4 us-gaap Deferred Tax Liabilities Property Plant And Equipment
DeferredTaxLiabilitiesPropertyPlantAndEquipment
7442000
CY2019Q4 us-gaap Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
111284000
CY2018Q4 us-gaap Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets
129879000
CY2018 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
65054000
CY2017 us-gaap Amortization Of Intangible Assets
AmortizationOfIntangibleAssets
50482000
CY2019 us-gaap Asset Impairment Charges
AssetImpairmentCharges
10837000
CY2018 us-gaap Asset Impairment Charges
AssetImpairmentCharges
58166000
CY2019Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Next Twelve Months
FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths
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53808000
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47407000
CY2019Q4 us-gaap Finite Lived Intangible Assets Amortization Expense Year Four
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31222000
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26803000
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165290000
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188000
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31600000
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315000000
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0
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218000000
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18546000
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0
CY2017 mdrx Income Tax Reconciliation Nondeductible Expense Department Of Justice Settlement
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CY2018 us-gaap Income Tax Reconciliation Tax Credits Research
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CY2017 us-gaap Income Tax Reconciliation Tax Credits Research
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CY2019 us-gaap Income Tax Reconciliation Tax Contingencies Domestic
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1046000
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3213000
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2950000
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549000
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616000
CY2017 us-gaap Income Tax Reconciliation Nondeductible Expense Meals And Entertainment
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991000
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3627000
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185000
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2972000
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0
CY2018 mdrx Income Tax Reconciliation Mandatory Repatriation Toll Charge
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5397000
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10100000
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5200000
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62400000
CY2019 us-gaap Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1
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P2Y3M18D
CY2019 us-gaap Shares Paid For Tax Withholding For Share Based Compensation
SharesPaidForTaxWithholdingForShareBasedCompensation
705000
CY2018 us-gaap Shares Paid For Tax Withholding For Share Based Compensation
SharesPaidForTaxWithholdingForShareBasedCompensation
695000
CY2017 us-gaap Shares Paid For Tax Withholding For Share Based Compensation
SharesPaidForTaxWithholdingForShareBasedCompensation
606000
CY2016Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
1903000
CY2016Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
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13.95
CY2016Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
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1431000
CY2016Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
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13.98
CY2017 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
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0
CY2017 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
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0.00
CY2017 us-gaap Stock Issued During Period Shares Stock Options Exercised
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108000
CY2017 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
14.01
CY2017 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
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160000
CY2017 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price
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15.00
CY2017Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
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1635000
CY2017Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
13.85
CY2017Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
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1635000
CY2017Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice
13.85
CY2018 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
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0
CY2018 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
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0.00
CY2018 us-gaap Stock Issued During Period Shares Stock Options Exercised
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92000
CY2018 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
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14.01
CY2018 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
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211000
CY2018 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice
14.74
CY2018Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
1332000
CY2018Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingWeightedAverageExercisePrice
13.69
CY2018Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
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1332000
CY2018Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice
13.69
CY2019 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
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0
CY2019 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice
0
CY2019 us-gaap Stock Issued During Period Shares Stock Options Exercised
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CY2019 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsExercisesInPeriodWeightedAverageExercisePrice
0
CY2019 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
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98000
CY2019 us-gaap Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price
ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsForfeituresInPeriodWeightedAverageExercisePrice
14.01
CY2019Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
1234000
CY2019Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
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13.67
CY2019Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
1234000
CY2019Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableWeightedAverageExercisePrice
13.67
CY2019 mdrx Stock Options Exercisable Period
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P7Y
CY2019Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingIntrinsicValue
0
CY2019Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Vested And Expected To Vest Exercisable Aggregate Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsVestedAndExpectedToVestExercisableAggregateIntrinsicValue
0
CY2019Q4 us-gaap Share Price
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CY2019 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
0
CY2018 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
69000
CY2017 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisesInPeriodTotalIntrinsicValue
45000
CY2019 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
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29793000
CY2018 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
28954000
CY2017 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsVestedInPeriodTotalFairValue
25220000
CY2019Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsOutstandingNumber
1233713
CY2019Q4 us-gaap Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber
1233713
CY2019 us-gaap Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
-182602000
CY2018 us-gaap Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
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12669000
CY2017 us-gaap Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
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-184523000
CY2018 us-gaap Net Income Loss Attributable To Noncontrolling Interest
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CY2017 us-gaap Net Income Loss Attributable To Noncontrolling Interest
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CY2019 us-gaap Net Income Loss From Continuing Operations Available To Common Shareholders Basic
NetIncomeLossFromContinuingOperationsAvailableToCommonShareholdersBasic
-182178000
CY2018 us-gaap Net Income Loss From Continuing Operations Available To Common Shareholders Basic
NetIncomeLossFromContinuingOperationsAvailableToCommonShareholdersBasic
17196000
CY2017 us-gaap Net Income Loss From Continuing Operations Available To Common Shareholders Basic
NetIncomeLossFromContinuingOperationsAvailableToCommonShareholdersBasic
-182957000
CY2019 us-gaap Income Loss From Discontinued Operations Net Of Tax
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0
CY2018 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
395138000
CY2017 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
30348000
CY2019 us-gaap Temporary Equity Accretion To Redemption Value Adjustment
TemporaryEquityAccretionToRedemptionValueAdjustment
0
CY2018 us-gaap Temporary Equity Accretion To Redemption Value Adjustment
TemporaryEquityAccretionToRedemptionValueAdjustment
48594000
CY2017 us-gaap Temporary Equity Accretion To Redemption Value Adjustment
TemporaryEquityAccretionToRedemptionValueAdjustment
43850000
CY2019 us-gaap Net Income Loss From Discontinued Operations Available To Common Shareholders Basic
NetIncomeLossFromDiscontinuedOperationsAvailableToCommonShareholdersBasic
0
CY2018 us-gaap Net Income Loss From Discontinued Operations Available To Common Shareholders Basic
NetIncomeLossFromDiscontinuedOperationsAvailableToCommonShareholdersBasic
346544000
CY2017 us-gaap Net Income Loss From Discontinued Operations Available To Common Shareholders Basic
NetIncomeLossFromDiscontinuedOperationsAvailableToCommonShareholdersBasic
-13502000
CY2019 us-gaap Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
-182178000
CY2018 us-gaap Net Income Loss Available To Common Stockholders Basic
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363740000
CY2017 us-gaap Net Income Loss Available To Common Stockholders Basic
NetIncomeLossAvailableToCommonStockholdersBasic
-196459000
CY2019 us-gaap Weighted Average Number Of Shares Outstanding Basic
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166306000
CY2018 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
176038000
CY2017 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
180830000
CY2019 us-gaap Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
-1.10
CY2018 us-gaap Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
0.10
CY2017 us-gaap Income Loss From Continuing Operations Per Basic Share
IncomeLossFromContinuingOperationsPerBasicShare
-1.02
CY2019 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
0.00
CY2018 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
1.97
CY2017 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Basic Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
-0.07
CY2019 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-1.10
CY2018 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
2.07
CY2017 us-gaap Earnings Per Share Basic
EarningsPerShareBasic
-1.09
CY2019 us-gaap Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
-182602000
CY2018 us-gaap Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
12669000
CY2017 us-gaap Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest
-184523000
CY2019 us-gaap Net Income Loss Attributable To Noncontrolling Interest
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CY2018 us-gaap Net Income Loss Attributable To Noncontrolling Interest
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-4527000
CY2017 us-gaap Net Income Loss Attributable To Noncontrolling Interest
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-1566000
CY2019 us-gaap Net Income Loss From Continuing Operations Available To Common Shareholders Diluted
NetIncomeLossFromContinuingOperationsAvailableToCommonShareholdersDiluted
-182178000
CY2018 us-gaap Net Income Loss From Continuing Operations Available To Common Shareholders Diluted
NetIncomeLossFromContinuingOperationsAvailableToCommonShareholdersDiluted
17196000
CY2017 us-gaap Net Income Loss From Continuing Operations Available To Common Shareholders Diluted
NetIncomeLossFromContinuingOperationsAvailableToCommonShareholdersDiluted
-182957000
CY2019 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
0
CY2018 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
395138000
CY2017 us-gaap Income Loss From Discontinued Operations Net Of Tax
IncomeLossFromDiscontinuedOperationsNetOfTax
30348000
CY2019 us-gaap Temporary Equity Accretion To Redemption Value Adjustment
TemporaryEquityAccretionToRedemptionValueAdjustment
0
CY2018 us-gaap Temporary Equity Accretion To Redemption Value Adjustment
TemporaryEquityAccretionToRedemptionValueAdjustment
48594000
CY2017 us-gaap Temporary Equity Accretion To Redemption Value Adjustment
TemporaryEquityAccretionToRedemptionValueAdjustment
43850000
CY2019 us-gaap Net Income Loss From Discontinued Operations Available To Common Shareholders Diluted
NetIncomeLossFromDiscontinuedOperationsAvailableToCommonShareholdersDiluted
0
CY2018 us-gaap Net Income Loss From Discontinued Operations Available To Common Shareholders Diluted
NetIncomeLossFromDiscontinuedOperationsAvailableToCommonShareholdersDiluted
346544000
CY2017 us-gaap Net Income Loss From Discontinued Operations Available To Common Shareholders Diluted
NetIncomeLossFromDiscontinuedOperationsAvailableToCommonShareholdersDiluted
-13502000
CY2019 us-gaap Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
-182178000
CY2018 us-gaap Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
363740000
CY2017 us-gaap Net Income Loss Available To Common Stockholders Diluted
NetIncomeLossAvailableToCommonStockholdersDiluted
-196459000
CY2019 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
166306000
CY2018 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
176038000
CY2017 us-gaap Weighted Average Number Of Shares Outstanding Basic
WeightedAverageNumberOfSharesOutstandingBasic
180830000
CY2019 us-gaap Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
0
CY2018 us-gaap Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
2491000
CY2017 us-gaap Incremental Common Shares Attributable To Share Based Payment Arrangements
IncrementalCommonSharesAttributableToShareBasedPaymentArrangements
0
CY2019 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
166306000
CY2018 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
178529000
CY2017 us-gaap Weighted Average Number Of Diluted Shares Outstanding
WeightedAverageNumberOfDilutedSharesOutstanding
180830000
CY2019 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
-1.10
CY2018 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
0.10
CY2017 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
-1.02
CY2019 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
0
CY2018 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
1.94
CY2017 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
-0.07
CY2019 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-1.10
CY2018 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
2.04
CY2017 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-1.09
CY2017 us-gaap Reclassification From Accumulated Other Comprehensive Income Current Period Net Of Tax
ReclassificationFromAccumulatedOtherComprehensiveIncomeCurrentPeriodNetOfTax
-161240000
CY2017 us-gaap Other Comprehensive Income Loss Before Reclassifications Net Of Tax
OtherComprehensiveIncomeLossBeforeReclassificationsNetOfTax
-101396000
CY2019 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
27945000
CY2018 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
26175000
CY2017 us-gaap Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
AntidilutiveSecuritiesExcludedFromComputationOfEarningsPerShareAmount
26515000
CY2017 us-gaap Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
59844000
CY2018 us-gaap Other Comprehensive Income Loss Before Reclassifications Net Of Tax
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-3172000
CY2018 us-gaap Reclassification From Accumulated Other Comprehensive Income Current Period Net Of Tax
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232000
CY2018 us-gaap Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
-3404000
CY2019 us-gaap Other Comprehensive Income Loss Before Reclassifications Net Of Tax
OtherComprehensiveIncomeLossBeforeReclassificationsNetOfTax
1253000
CY2019 us-gaap Reclassification From Accumulated Other Comprehensive Income Current Period Net Of Tax
ReclassificationFromAccumulatedOtherComprehensiveIncomeCurrentPeriodNetOfTax
256000
CY2019 us-gaap Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
997000
CY2019 us-gaap Other Comprehensive Income Loss Foreign Currency Transaction And Translation Adjustment Before Tax
OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentBeforeTax
1192000
CY2019 us-gaap Other Comprehensive Income Loss Foreign Currency Translation Adjustment Tax
OtherComprehensiveIncomeLossForeignCurrencyTranslationAdjustmentTax
0
CY2019 us-gaap Other Comprehensive Income Loss Foreign Currency Transaction And Translation Adjustment Net Of Tax
OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax
1192000
CY2019 us-gaap Other Comprehensive Income Loss Before Tax
OtherComprehensiveIncomeLossBeforeTax
930000
CY2019 us-gaap Other Comprehensive Income Loss Tax Portion Attributable To Parent1
OtherComprehensiveIncomeLossTaxPortionAttributableToParent1
67000
CY2019 us-gaap Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
997000
CY2018 us-gaap Other Comprehensive Income Loss Foreign Currency Transaction And Translation Adjustment Before Tax
OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentBeforeTax
-2908000
CY2018 us-gaap Other Comprehensive Income Loss Foreign Currency Translation Adjustment Tax
OtherComprehensiveIncomeLossForeignCurrencyTranslationAdjustmentTax
0
CY2018 us-gaap Other Comprehensive Income Loss Foreign Currency Transaction And Translation Adjustment Net Of Tax
OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax
-2908000
CY2018 us-gaap Other Comprehensive Income Loss Before Tax
OtherComprehensiveIncomeLossBeforeTax
-3781000
CY2018 us-gaap Other Comprehensive Income Loss Tax Portion Attributable To Parent1
OtherComprehensiveIncomeLossTaxPortionAttributableToParent1
377000
CY2018 us-gaap Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
-3404000
CY2017 us-gaap Other Comprehensive Income Loss Foreign Currency Transaction And Translation Adjustment Before Tax
OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentBeforeTax
3352000
CY2017 us-gaap Other Comprehensive Income Loss Foreign Currency Translation Adjustment Tax
OtherComprehensiveIncomeLossForeignCurrencyTranslationAdjustmentTax
0
CY2017 us-gaap Other Comprehensive Income Loss Foreign Currency Transaction And Translation Adjustment Net Of Tax
OtherComprehensiveIncomeLossForeignCurrencyTransactionAndTranslationAdjustmentNetOfTax
3352000
CY2017 us-gaap Other Comprehensive Income Loss Before Tax
OtherComprehensiveIncomeLossBeforeTax
59825000
CY2017 us-gaap Other Comprehensive Income Loss Tax Portion Attributable To Parent1
OtherComprehensiveIncomeLossTaxPortionAttributableToParent1
19000
CY2017 us-gaap Other Comprehensive Income Loss Net Of Tax
OtherComprehensiveIncomeLossNetOfTax
59844000
CY2019Q4 us-gaap Derivative Fair Value Of Derivative Asset
DerivativeFairValueOfDerivativeAsset
84000
CY2019Q4 us-gaap Derivative Fair Value Of Derivative Liability
DerivativeFairValueOfDerivativeLiability
185000
CY2018Q4 us-gaap Derivative Fair Value Of Derivative Asset
DerivativeFairValueOfDerivativeAsset
9366000
CY2018Q4 us-gaap Derivative Fair Value Of Derivative Liability
DerivativeFairValueOfDerivativeLiability
9974000
CY2018Q1 us-gaap Selling General And Administrative Expense
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119937000
CY2018Q4 us-gaap Research And Development Expense
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66096000
CY2019Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
129668000
CY2018Q4 us-gaap Cash And Cash Equivalents At Carrying Value
CashAndCashEquivalentsAtCarryingValue
174243000
CY2019Q4 us-gaap Restricted Cash Current
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7871000
CY2018Q4 us-gaap Restricted Cash Current
RestrictedCashCurrent
10552000
CY2019 us-gaap Gain Loss On Sale Of Derivatives
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769000
CY2018 us-gaap Gain Loss On Sale Of Derivatives
GainLossOnSaleOfDerivatives
329000
CY2017 us-gaap Gain Loss On Sale Of Derivatives
GainLossOnSaleOfDerivatives
-620000
CY2019 mdrx Annual Payment Obligation For Data Center And Hosting Services
AnnualPaymentObligationForDataCenterAndHostingServices
35000000
CY2019 mdrx Annual Payment Obligation For Data Center And Hosting Services Before Renegotiation
AnnualPaymentObligationForDataCenterAndHostingServicesBeforeRenegotiation
30000000
CY2019 us-gaap Number Of Operating Segments
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8
CY2019 us-gaap Number Of Reportable Segments
NumberOfReportableSegments
2
CY2019 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
1771677000
CY2018 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
1749962000
CY2017 us-gaap Revenue From Contract With Customer Excluding Assessed Tax
RevenueFromContractWithCustomerExcludingAssessedTax
1497708000
CY2019 us-gaap Gross Profit
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713580000
CY2018 us-gaap Gross Profit
GrossProfit
724543000
CY2017 us-gaap Gross Profit
GrossProfit
632799000
CY2019 us-gaap Operating Income Loss
OperatingIncomeLoss
-24456000
CY2018 us-gaap Operating Income Loss
OperatingIncomeLoss
-93052000
CY2017 us-gaap Operating Income Loss
OperatingIncomeLoss
12484000
CY2018 mdrx Contribution Of Assets In Exchange For Equity Interest
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4000000
CY2019Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
137539000
CY2018Q4 us-gaap Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents
184795000
CY2019 us-gaap Interest Paid
InterestPaid
19604000
CY2018 us-gaap Interest Paid
InterestPaid
28888000
CY2017 us-gaap Interest Paid
InterestPaid
21183000
CY2019 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
42972000
CY2018 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
10108000
CY2017 us-gaap Income Taxes Paid Net
IncomeTaxesPaidNet
6675000
CY2019 us-gaap Temporary Equity Accretion To Redemption Value Adjustment
TemporaryEquityAccretionToRedemptionValueAdjustment
0
CY2018 us-gaap Temporary Equity Accretion To Redemption Value Adjustment
TemporaryEquityAccretionToRedemptionValueAdjustment
48594000
CY2017 us-gaap Temporary Equity Accretion To Redemption Value Adjustment
TemporaryEquityAccretionToRedemptionValueAdjustment
43850000
CY2019 us-gaap Liabilities Assumed1
LiabilitiesAssumed1
0
CY2018 us-gaap Liabilities Assumed1
LiabilitiesAssumed1
1501000
CY2017 us-gaap Liabilities Assumed1
LiabilitiesAssumed1
1897000
CY2019 mdrx Contribution Of Assets In Exchange For Equity Interest
ContributionOfAssetsInExchangeForEquityInterest
0
CY2017 mdrx Contribution Of Assets In Exchange For Equity Interest
ContributionOfAssetsInExchangeForEquityInterest
0
CY2019 us-gaap Stock Issued During Period Value Treasury Stock Reissued
StockIssuedDuringPeriodValueTreasuryStockReissued
701000
CY2018 us-gaap Stock Issued During Period Value Treasury Stock Reissued
StockIssuedDuringPeriodValueTreasuryStockReissued
1121000
CY2017 us-gaap Stock Issued During Period Value Treasury Stock Reissued
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CY2018Q3 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
-0.07
CY2018Q2 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
0.49
CY2018Q1 us-gaap Income Loss From Continuing Operations Per Diluted Share
IncomeLossFromContinuingOperationsPerDilutedShare
-0.14
CY2018Q4 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
2.33
CY2018Q3 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
-0.13
CY2018Q2 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
-0.13
CY2018Q1 us-gaap Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
-0.08
CY2018Q4 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
2.14
CY2018Q3 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-0.20
CY2018Q2 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
0.36
CY2018Q1 us-gaap Earnings Per Share Diluted
EarningsPerShareDiluted
-0.22
CY2018Q4 us-gaap Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
50406000
CY2019 us-gaap Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
8788000
CY2019 mdrx Valuation Allowances And Reserves Deferred Revenue Reclassification
ValuationAllowancesAndReservesDeferredRevenueReclassification
6029000
CY2019 us-gaap Valuation Allowances And Reserves Deductions
ValuationAllowancesAndReservesDeductions
8221000
CY2019Q4 us-gaap Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
44944000
CY2017Q4 us-gaap Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
31386000
CY2018 us-gaap Valuation Allowances And Reserves Charged To Cost And Expense
ValuationAllowancesAndReservesChargedToCostAndExpense
21156000
CY2018 mdrx Valuation Allowances And Reserves Deferred Revenue Reclassification
ValuationAllowancesAndReservesDeferredRevenueReclassification
-5512000
CY2018 us-gaap Valuation Allowances And Reserves Deductions
ValuationAllowancesAndReservesDeductions
7648000
CY2018Q4 us-gaap Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
50406000
CY2017 mdrx Valuation Allowances And Reserves Deferred Revenue Reclassification
ValuationAllowancesAndReservesDeferredRevenueReclassification
-1482000
CY2017 us-gaap Valuation Allowances And Reserves Deductions
ValuationAllowancesAndReservesDeductions
6135000
CY2017Q4 us-gaap Valuation Allowances And Reserves Balance
ValuationAllowancesAndReservesBalance
31386000

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