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Revenues by Geographic Area (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2014
Sep. 30, 2014
Jun. 30, 2014
Mar. 31, 2014
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Schedule Of Revenues From External Customers [Line Items]                      
Total revenue $ 340,903us-gaap_Revenues $ 345,389us-gaap_Revenues $ 351,296us-gaap_Revenues $ 340,285us-gaap_Revenues $ 350,977us-gaap_Revenues $ 330,191us-gaap_Revenues $ 344,827us-gaap_Revenues $ 347,066us-gaap_Revenues $ 1,377,873us-gaap_Revenues $ 1,373,061us-gaap_Revenues $ 1,446,325us-gaap_Revenues
United States [Member]                      
Schedule Of Revenues From External Customers [Line Items]                      
Total revenue                 1,327,840us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= country_US
1,321,779us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= country_US
1,387,304us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= country_US
Canada [Member]                      
Schedule Of Revenues From External Customers [Line Items]                      
Total revenue                 20,727us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= country_CA
24,999us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= country_CA
23,909us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= country_CA
Other International [Member]                      
Schedule Of Revenues From External Customers [Line Items]                      
Total revenue                 $ 29,306us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= mdrx_OtherInternationalMember
$ 26,283us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= mdrx_OtherInternationalMember
$ 35,112us-gaap_Revenues
/ us-gaap_StatementGeographicalAxis
= mdrx_OtherInternationalMember