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Gain on Sale of Businesses (Narrative) (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 28, 2019
Sep. 30, 2020
Sep. 28, 2019
Jul. 01, 2020
Discontinued Operations and Disposal Groups [Abstract]          
Gain on sale of businesses $ 216,869 $ 0 $ 216,869 $ 0  
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] | CompuGroup Medical SE & Co. KGaA [Member]          
Discontinued Operations and Disposal Groups [Abstract]          
Disposal Group, Including Discontinued Operation, Description and Timing of Disposal On July 1, 2020, we sold certain of our business operations, primarily conducted in Germany and Spain, to affiliates of CompuGroup Medical SE & Co. KGaA ("CGM"), as a part of our portfolio management strategy. Such operations included the associates, intellectual property, client contracts, other assets, and liabilities related to our medico®, Selene®, Soarian Health Archive®, and Soarian® Integrated Care solution offerings.        
Disposal Group, Including Discontinued Operation, Consideration         $ 226,623
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]          
Disposal Group, Including Discontinued Operation, Description and Timing of Disposal On July 1, 2020, we sold certain of our business operations, primarily conducted in Germany and Spain, to affiliates of CompuGroup Medical SE & Co. KGaA ("CGM"), as a part of our portfolio management strategy. Such operations included the associates, intellectual property, client contracts, other assets, and liabilities related to our medico®, Selene®, Soarian Health Archive®, and Soarian® Integrated Care solution offerings.        
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] | R1 RCM Inc. [Member]          
Discontinued Operations and Disposal Groups [Abstract]          
Disposal Group, Including Discontinued Operation, Description and Timing of Disposal On August 3, 2020, we sold certain of our revenue cycle outsourcing business operations to affiliates of R1 RCM Inc., as a part of our portfolio management strategy. Such operations included the associates, client contracts, certain other assets, and certain liabilities related to our commercial revenue cycle outsourcing services business.        
Gain on sale of businesses $ 2,000        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]          
Disposal Group, Including Discontinued Operation, Description and Timing of Disposal On August 3, 2020, we sold certain of our revenue cycle outsourcing business operations to affiliates of R1 RCM Inc., as a part of our portfolio management strategy. Such operations included the associates, client contracts, certain other assets, and certain liabilities related to our commercial revenue cycle outsourcing services business.