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Stock-Based Compensation Expense (Benefit) (Detail) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2017
Jun. 30, 2016
Jun. 30, 2017
Jun. 30, 2016
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]        
Stock based compensation expense $ 11,151 $ 10,660 $ 19,987 $ 21,061
Netsmart [Member]        
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]        
Stock based compensation expense (benefit) 516 1,426 (3,028) 1,426
Cost of revenue [Member]        
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]        
Stock based compensation expense 1,981 2,199 4,678 4,858
Cost of revenue [Member] | Netsmart [Member]        
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]        
Stock based compensation expense (benefit) 23 62 (93) 62
Cost of revenue [Member] | Software delivery, Support and Maintenance [Member]        
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]        
Stock based compensation expense 988 1,061 2,113 2,230
Cost of revenue [Member] | Software delivery, Support and Maintenance [Member] | Netsmart [Member]        
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]        
Stock based compensation expense (benefit) 10 25 (25) 25
Cost of revenue [Member] | Client services [Member]        
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]        
Stock based compensation expense 993 1,138 2,565 2,628
Cost of revenue [Member] | Client services [Member] | Netsmart [Member]        
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]        
Stock based compensation expense (benefit) 13 37 (68) 37
Selling, General and Administrative Expenses [Member]        
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]        
Stock based compensation expense 7,050 6,342 10,600 11,508
Selling, General and Administrative Expenses [Member] | Netsmart [Member]        
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]        
Stock based compensation expense (benefit) 478 1,328 (2,859) 1,328
Research and development [Member]        
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]        
Stock based compensation expense 2,120 2,119 4,709 4,695
Research and development [Member] | Netsmart [Member]        
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]        
Stock based compensation expense (benefit) $ 15 $ 36 $ (76) $ 36