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Stock Award Plans - Additional Information (Detail) - USD ($)
$ / shares in Units, shares in Thousands
8 Months Ended 12 Months Ended
Dec. 31, 2016
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Stock-based compensation expense included in provision for income taxes   $ 7,000,000    
Capitalized stock-based compensation costs   0 $ 0 $ 0
Unrecognized compensation cost $ 51,400,000 $ 51,400,000    
Unrecognized compensation expense expected to recognized over weighted-average period, in years   2 years 3 months 18 days    
Common stock shares reserved for issuance under future share-based awards 3,000 3,000    
Shares settled for tax withholding   648 523 669
Stock options, contractual terms   7 years    
Aggregate intrinsic value of stock options outstanding $ 0 $ 0    
Aggregate intrinsic value of stock options exercisable $ 0 $ 0    
Share price $ 10.21 $ 10.21    
Weighted average remaining contractual life of options outstanding, in years   3 years 2 months 12 days    
Weighted average remaining contractual life of options exercisable, in years   3 years 2 months 12 days    
Weighted-average exercise price, Options granted   $ 0.00 $ 0.00 $ 0.00
Option Units, Forfeited during the period   434 767 606
Stock based compensation expense   $ 44,152,000 $ 36,627,000 $ 39,254,000
Netsmart [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Unrecognized compensation cost $ 27,700,000 $ 27,700,000    
Share price $ 1.00 $ 1.00    
Stock based compensation expense   $ 5,806,000    
Liability for outstanding awards $ 5,800,000 5,800,000    
Share based compensation expense remaining to be recognized, 2017 6,700,000 6,700,000    
Share based compensation expense remaining to be recognized, 2018 8,400,000 8,400,000    
Share based compensation expense remaining to be recognized, 2019 8,400,000 8,400,000    
Share based compensation expense remaining to be recognized, 2020 $ 4,200,000 $ 4,200,000    
Employee Stock Purchase Plan [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Payroll deductions 20.00% 20.00%    
Offering price percentage   15.00%    
Shares purchased under the ESPP   756 675  
Nathan Holding LLC 2016 Unit Option Plan [Member] | Netsmart [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Weighted-average exercise price, Options granted   $ 1.00    
Option Units, Forfeited during the period   2,316    
Maximum [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Annual fair value limit on shares purchased   $ 25,000    
Service-based share awards [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Unrecognized compensation cost $ 38,700,000 $ 38,700,000    
Unrecognized compensation expense expected to recognized over weighted-average period, in years   2 years 6 months    
Share based compensation award vesting period   4 years    
Deferred share units awarded to directors [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share based compensation award vesting period   1 year    
Awards Granted Under Financial Performance [Member] | Minimum [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share based compensation award vesting period   3 years    
Awards Granted Under Financial Performance [Member] | Maximum [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share based compensation award vesting period   4 years    
Performance-Based Share Awards [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Unrecognized compensation cost 4,300,000 $ 4,300,000    
Unrecognized compensation expense expected to recognized over weighted-average period, in years   1 year 4 months 24 days    
Market-Based Share Awards [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Unrecognized compensation cost 8,400,000 $ 8,400,000    
Unrecognized compensation expense expected to recognized over weighted-average period, in years   1 year 10 months 24 days    
Share based compensation award vesting period   3 years    
Class B Non Voting Common Units | Netsmart [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Aggregate intrinsic value of stock options outstanding $ 0 $ 0    
Weighted average remaining contractual life of options outstanding, in years   9 years 3 months 22 days    
Weighted average remaining contractual life of options exercisable, in years   0 years    
Options issued during the period 89,889      
Weighted-average exercise price, Options granted $ 1.00 $ 1.00    
Class B Non Voting Common Units | Nathan Holding LLC 2016 Unit Option Plan [Member] | Netsmart [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Common stock shares reserved for issuance under future share-based awards 28,918 28,918    
Maximum issuance of options 116,491 116,491    
Class B Non Voting Common Units | Maximum [Member] | Nathan Holding LLC 2016 Unit Option Plan [Member] | Netsmart [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Option Units expiration period   10 years    
Time Based Option Units [Member] | Nathan Holding LLC 2016 Unit Option Plan [Member] | Netsmart [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share based compensation award vesting period   4 years    
Options issued during the period   64,198    
Option Units, Forfeited during the period   1,654    
Vesting description   The Option Units vest ratably over a period of four years, with the first twenty-five percent vesting at the first anniversary of the issuance and the remaining vesting in equal monthly increments over the following thirty-six months    
Performance Based Option Units [Member] | Nathan Holding LLC 2016 Unit Option Plan [Member] | Netsmart [Member]        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Options issued during the period   25,691    
Option Units, Forfeited during the period   662    
Stock based compensation expense   $ 0