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Discontinued Operations - Summary of Major Income and Expense Line Items Reported in Consolidated Statements of Operations (Detail) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Cost of revenue:    
Gain on sale of discontinued operations $ 0 $ 647
(Loss) Income from discontinued operations before income taxes (5,021) 5,820
Income tax benefit (provision) 9,407 (1,710)
Income from discontinued operations, net of tax 4,386 4,757
Hospital And Large Physician Practices [Member]    
Revenue:    
Total revenue 214,230 234,700
Cost of revenue:    
Total cost of revenue 143,692 147,572
Gross profit (loss) 70,538 87,128
Selling, general and administrative expenses 48,749 49,545
Research and development 23,856 28,513
Amortization of intangible assets 3,450 3,460
Income (loss) from discontinued operations (5,517) 5,610
Other income, net 496 239
(Loss) Income from discontinued operations before income taxes (5,021) 5,849
Income tax benefit (provision) (9,407) 1,556
Income from discontinued operations, net of tax 4,386 4,293
EPSi and CarePort [Member]    
Revenue:    
Total revenue   (368)
Cost of revenue:    
Total cost of revenue   (364)
Gross profit (loss)   (4)
Selling, general and administrative expenses   65
Research and development   (40)
Income (loss) from discontinued operations   (29)
Gain on sale of discontinued operations   647
(Loss) Income from discontinued operations before income taxes   618
Income tax benefit (provision)   154
Income from discontinued operations, net of tax   464
Provider [Member] | Hospital And Large Physician Practices [Member]    
Revenue:    
Total revenue 214,230 234,700
Cost of revenue:    
Total cost of revenue $ 143,692 147,572
Provider [Member] | EPSi and CarePort [Member]    
Revenue:    
Total revenue   (368)
Cost of revenue:    
Total cost of revenue   $ (364)