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Revenue Recognition Disaggregation of Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Disaggregation of Revenue [Line Items]        
Hardware revenue $ 5,700 $ 6,400 $ 20,500 $ 21,500
Document Period End Date     Jun. 30, 2020  
Hosting Revenue 225,304 232,860 $ 691,295 678,104
Product and licensing 48,722 78,184 243,501 252,299
Revenue, Maintenance and Support 64,372 66,393 191,172 203,293
Revenues 338,398 377,437 1,125,968 1,133,696
Health Care Segment [Member]        
Disaggregation of Revenue [Line Items]        
Hosting Revenue 134,870 142,502 426,866 401,884
Product and licensing 30,421 48,302 165,680 183,039
Revenue, Maintenance and Support 34,572 37,062 102,246 119,212
Revenues 199,863 227,866 694,792 704,135
Enterprise Segment [Member]        
Disaggregation of Revenue [Line Items]        
Hosting Revenue 83,858 80,346 242,334 235,562
Product and licensing 16,746 28,232 74,741 63,285
Revenue, Maintenance and Support 29,788 29,204 88,933 83,829
Revenues 130,392 137,782 406,008 382,676
Other Segments [Member]        
Disaggregation of Revenue [Line Items]        
Hosting Revenue 6,576 10,012 22,095 40,658
Product and licensing 1,555 1,650 3,080 5,975
Revenue, Maintenance and Support 12 127 (7) 252
Revenues $ 8,143 $ 11,789 $ 25,168 $ 46,885