Segments and Customer Concentrations - Additional Information (Detail)
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12 Months Ended |
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Dec. 31, 2015
segment
customer
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Dec. 31, 2014
customer
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Dec. 31, 2013
customer
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| Segment Reporting Information [Line Items] |
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|
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| Number of reportable segments | segment |
1
|
|
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| Sales | Customer Concentration Risk | Ascension Affiliated Hospitals |
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|
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| Segment Reporting Information [Line Items] |
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|
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| Concentration percentage |
45.00%
|
12.00%
|
73.00%
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| Sales | Customer Concentration Risk | Ascension Affiliated Hospitals | Affiliate |
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| Segment Reporting Information [Line Items] |
|
|
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| Concentration percentage |
45.00%
|
12.00%
|
28.00%
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| Deferred customer billings | Customer Concentration Risk | The large health system |
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| Segment Reporting Information [Line Items] |
|
|
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| Concentration percentage |
75.00%
|
76.00%
|
55.00%
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| RCM Service Fees | Minimum |
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|
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| Segment Reporting Information [Line Items] |
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|
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| Number of individual customers |
25
|
25
|
25
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| Accumulated period on revenue recognition cash flows |
3 years
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| RCM Service Fees | Maximum |
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|
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| Segment Reporting Information [Line Items] |
|
|
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| Number of individual customers |
30
|
30
|
30
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| Accumulated period on revenue recognition cash flows |
5 years
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