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Proforma Results (Detail) (USD $)
In Thousands, except Per Share data, unless otherwise specified
12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
dbMotion [Member]    
Business Acquisition [Line Items]    
Revenue $ 18,609us-gaap_BusinessCombinationProFormaInformationRevenueOfAcquireeSinceAcquisitionDateActual
/ us-gaap_BusinessAcquisitionAxis
= mdrx_DbMotionLtdMember
$ 0us-gaap_BusinessCombinationProFormaInformationRevenueOfAcquireeSinceAcquisitionDateActual
/ us-gaap_BusinessAcquisitionAxis
= mdrx_DbMotionLtdMember
Net loss (16,272)us-gaap_BusinessCombinationProFormaInformationEarningsOrLossOfAcquireeSinceAcquisitionDateActual
/ us-gaap_BusinessAcquisitionAxis
= mdrx_DbMotionLtdMember
0us-gaap_BusinessCombinationProFormaInformationEarningsOrLossOfAcquireeSinceAcquisitionDateActual
/ us-gaap_BusinessAcquisitionAxis
= mdrx_DbMotionLtdMember
Combined Entity [Member]    
Business Acquisition [Line Items]    
Revenue 1,378,267us-gaap_BusinessAcquisitionsProFormaRevenue
/ us-gaap_BusinessAcquisitionAxis
= mdrx_CombinedMember
1,448,316us-gaap_BusinessAcquisitionsProFormaRevenue
/ us-gaap_BusinessAcquisitionAxis
= mdrx_CombinedMember
Net loss $ (105,119)us-gaap_BusinessAcquisitionsProFormaNetIncomeLoss
/ us-gaap_BusinessAcquisitionAxis
= mdrx_CombinedMember
$ (35,158)us-gaap_BusinessAcquisitionsProFormaNetIncomeLoss
/ us-gaap_BusinessAcquisitionAxis
= mdrx_CombinedMember
Net loss per share, basic and diluted $ (0.59)us-gaap_BusinessAcquisitionProFormaEarningsPerShareDiluted
/ us-gaap_BusinessAcquisitionAxis
= mdrx_CombinedMember
$ (0.19)us-gaap_BusinessAcquisitionProFormaEarningsPerShareDiluted
/ us-gaap_BusinessAcquisitionAxis
= mdrx_CombinedMember