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Debt - Additional Information (Detail)
1 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 0 Months Ended 12 Months Ended 12 Months Ended
Jun. 30, 2013
USD ($)
Dec. 31, 2014
USD ($)
Dec. 31, 2013
USD ($)
Dec. 31, 2012
USD ($)
Dec. 31, 2014
Prior Credit Facility [Member]
USD ($)
Jun. 28, 2013
Letter of Credit [Member]
USD ($)
Jun. 28, 2013
Line of Credit [Member]
USD ($)
Dec. 31, 2014
Senior Secured Revolving Facility And / Or Term Loan Facility [Member]
USD ($)
Dec. 31, 2014
Senior Secured Revolving Facility And / Or Term Loan Facility [Member]
Maximum [Member]
Dec. 31, 2014
Senior Secured Revolving Facility And / Or Term Loan Facility [Member]
Minimum [Member]
Dec. 31, 2014
Credit Agreement On Two Thousand And Thirteen [Member]
USD ($)
Dec. 31, 2014
1.25% Cash Convertible Senior Notes [Member]
USD ($)
Dec. 31, 2013
1.25% Cash Convertible Senior Notes [Member]
USD ($)
Dec. 31, 2012
1.25% Cash Convertible Senior Notes [Member]
USD ($)
Jun. 18, 2013
1.25% Cash Convertible Senior Notes [Member]
USD ($)
Dec. 31, 2014
1.25% Cash Convertible Senior Notes [Member]
Maximum [Member]
Dec. 31, 2014
1.25% Cash Convertible Senior Notes [Member]
Minimum [Member]
Dec. 31, 2014
1.25% Cash Convertible Senior Notes [Member]
Condition One [Member]
Dec. 31, 2014
1.25% Cash Convertible Senior Notes [Member]
Condition Two [Member]
USD ($)
Jun. 28, 2013
Term Loan Facility [Member]
USD ($)
Jun. 28, 2013
Senior Secured Revolving Facility [Member]
USD ($)
Dec. 31, 2014
Senior Secured Revolving Facility [Member]
USD ($)
Dec. 31, 2014
Senior Secured Revolving Facility [Member]
US Dollars [Member]
USD ($)
Dec. 31, 2014
Senior Secured Revolving Facility [Member]
British Pounds Sterling [member]
USD ($)
Dec. 31, 2014
Senior Secured Revolving Facility [Member]
British Pounds Sterling [member]
GBP (£)
Dec. 31, 2014
Senior Secured Revolving Facility [Member]
Eurocurrency Rate for U.S. Dollars [Member]
Dec. 31, 2014
Senior Secured Revolving Facility [Member]
LIBOR [Member]
US Dollars [Member]
Dec. 31, 2014
Senior Secured Term Loan [Member]
USD ($)
Debt Instrument [Line Items]                                                        
Debt instrument principal amount   $ 645,535,000us-gaap_DebtInstrumentFaceAmount $ 641,875,000us-gaap_DebtInstrumentFaceAmount                 $ 345,000,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
$ 345,000,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
  $ 345,000,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
            $ 98,035,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
          $ 202,500,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_LongtermDebtTypeAxis
= mdrx_TermLoanCreditFacilityMember
Proceeds from debt                       305,100,000us-gaap_ProceedsFromDebtNetOfIssuanceCosts
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                               
Repayment of outstanding prior credit facility         300,000,000us-gaap_RepaymentsOfDebt
/ us-gaap_CreditFacilityAxis
= mdrx_PriorCreditFacilityMember
                                             
Interest payment, terms                       Interest on the 1.25% Notes is payable semiannually in arrears on January 1 and July 1 of each year                                
Debt, Maturity date   Jul. 01, 2020                   Jul. 01, 2020                                
Threshold trading days                                   20 days 5 days                  
Threshold consecutive trading days                                   30 days 5 days                  
Debt instrument conversion price percentage                                   130.00%us-gaap_DebtInstrumentConvertibleThresholdPercentageOfStockPriceTrigger
/ us-gaap_DebtInstrumentRedemptionPeriodAxis
= mdrx_ConditionOneMember
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
98.00%us-gaap_DebtInstrumentConvertibleThresholdPercentageOfStockPriceTrigger
/ us-gaap_DebtInstrumentRedemptionPeriodAxis
= mdrx_ConditionTwoMember
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                 
Debt instrument convertible, principal amount                       1,000us-gaap_DebtInstrumentConvertibleCarryingAmountOfTheEquityComponent
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
            1,000us-gaap_DebtInstrumentConvertibleCarryingAmountOfTheEquityComponent
/ us-gaap_DebtInstrumentRedemptionPeriodAxis
= mdrx_ConditionTwoMember
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                 
Convertible number of equity instrument                       58.1869us-gaap_DebtInstrumentConvertibleConversionRatio1
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                               
Conversion price per common stock   $ 17.19us-gaap_DebtInstrumentConvertibleConversionPrice1                   $ 17.19us-gaap_DebtInstrumentConvertibleConversionPrice1
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                               
Repurchase percentage on principal                       100.00%mdrx_PercentageOfRepurchasePriceToPrincipalDebtAmount
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                               
Fair value liability of embedded cash conversion option                       82,800,000us-gaap_EmbeddedDerivativeFairValueOfEmbeddedDerivativeLiability
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                               
Convertible debt instrument remaining discount amortization period                       5 years 6 months                                
Debt instrument, interest rate, effective percentage                       5.40%us-gaap_DebtInstrumentInterestRateEffectivePercentage
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                    2.92%us-gaap_DebtInstrumentInterestRateEffectivePercentage
/ us-gaap_CurrencyAxis
= currency_USD
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
2.87%us-gaap_DebtInstrumentInterestRateEffectivePercentage
/ us-gaap_CurrencyAxis
= currency_GBP
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
2.87%us-gaap_DebtInstrumentInterestRateEffectivePercentage
/ us-gaap_CurrencyAxis
= currency_GBP
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
     
Debt Instrument, fees and aggregate cost               3,100,000us-gaap_PaymentsOfDebtIssuanceCosts
/ us-gaap_CreditFacilityAxis
= mdrx_CreditFacilityMember
      8,400,000us-gaap_PaymentsOfDebtIssuanceCosts
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                               
Debt instrument capitalized amount         5,500,000us-gaap_DebtIssuanceCosts
/ us-gaap_CreditFacilityAxis
= mdrx_PriorCreditFacilityMember
    4,300,000us-gaap_DebtIssuanceCosts
/ us-gaap_CreditFacilityAxis
= mdrx_CreditFacilityMember
      8,300,000us-gaap_DebtIssuanceCosts
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                               
Deferred charges capitalized amount outstanding               3,000,000us-gaap_OtherDeferredCostsNet
/ us-gaap_CreditFacilityAxis
= mdrx_CreditFacilityMember
      6,500,000us-gaap_OtherDeferredCostsNet
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                               
Accrued and unpaid interest                       2,200,000us-gaap_DebtInstrumentIncreaseAccruedInterest
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                               
Payments for 1.25% Call Option 82,800,000us-gaap_PaymentsForDerivativeInstrumentFinancingActivities 0us-gaap_PaymentsForDerivativeInstrumentFinancingActivities 82,800,000us-gaap_PaymentsForDerivativeInstrumentFinancingActivities 0us-gaap_PaymentsForDerivativeInstrumentFinancingActivities                                                
Proceeds from issuance of warrants, net of issuance costs 51,200,000us-gaap_ProceedsFromIssuanceOfWarrants 0us-gaap_ProceedsFromIssuanceOfWarrants 51,208,000us-gaap_ProceedsFromIssuanceOfWarrants 0us-gaap_ProceedsFromIssuanceOfWarrants                                                
Net cash payment for 1.25% Notes call spread overlay     31,600,000mdrx_CallSpreadOverlayNetCashPayment                                                  
Credit facility, maximum borrowing capacity                                       225,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_LongtermDebtTypeAxis
= mdrx_TermLoanFacilityMember
425,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
             
Senior secured credit facilities term, years                                       5 years 5 years              
Term Loan repayment, end date                                       2018-06                
Portion of facility available for issuance of letters of credit           50,000,000mdrx_PortionOfFacilityAvailableForIssuanceOfLettersOfCredit
/ us-gaap_CreditFacilityAxis
= us-gaap_LetterOfCreditMember
                                           
Portion of facility available for issuance of swingline loans             10,000,000mdrx_PortionOfFacilityAvailableForIssuanceOfSwingLineLoans
/ us-gaap_CreditFacilityAxis
= us-gaap_LineOfCreditMember
                                         
Credit facility, maximum borrowing capacity, foreign currencies                                         100,000,000mdrx_MaximumBorrowingCapacityInForeignCurrencies
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
             
Aggregate amount of additional credit facilities authorized               250,000,000mdrx_AggregateAmountOfAdditionalCreditFacilitiesAuthorized
/ us-gaap_CreditFacilityAxis
= mdrx_CreditFacilityMember
                                       
Applicable margin for borrowings based on federal funds rate                                           0.50%mdrx_BorrowingMarginUnderLineOfCreditFacilityFederalFundsRate
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
           
Senior secured credit facility interest rate spread                                                   1.00%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
/ us-gaap_VariableRateAxis
= mdrx_EurocurrencyRateForUSDollarsForOneMonthInterestPeriodMember
2.75%us-gaap_DebtInstrumentBasisSpreadOnVariableRate1
/ us-gaap_CurrencyAxis
= currency_USD
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
/ us-gaap_VariableRateAxis
= us-gaap_LondonInterbankOfferedRateLIBORMember
 
Initial margin for borrowings based on non-Eurocurrency rate                                           1.25%mdrx_BorrowingMarginUnderLineOfCreditFacilityNonEurocurrencyRate
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
           
Initial margin for borrowings based on Eurocurrency rate                                           2.25%mdrx_BorrowingMarginUnderLineOfCreditFacilityEurocurrencyRate
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
           
Maximum percentage of foreign subsidiary capital stock guaranteeing credit facility   65.00%mdrx_MaximumForeignSubsidiaryCapitalStockPercentageAsGuarantee                                                    
Leverage ratio                 400.00%mdrx_LeverageRatio
/ us-gaap_CreditFacilityAxis
= mdrx_CreditFacilityMember
/ us-gaap_RangeAxis
= us-gaap_MaximumMember
            400.00%mdrx_LeverageRatio
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
/ us-gaap_RangeAxis
= us-gaap_MaximumMember
                       
Interest coverage ratio                   400.00%mdrx_InterestCoverageRatio
/ us-gaap_CreditFacilityAxis
= mdrx_CreditFacilityMember
/ us-gaap_RangeAxis
= us-gaap_MinimumMember
            400.00%mdrx_InterestCoverageRatio
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
/ us-gaap_RangeAxis
= us-gaap_MinimumMember
                     
Secured leverage ratio                 300.00%mdrx_SecuredLeverageRatio
/ us-gaap_CreditFacilityAxis
= mdrx_CreditFacilityMember
/ us-gaap_RangeAxis
= us-gaap_MaximumMember
                                     
Debt issue discount, amortized to interest expense   69,614,000us-gaap_DebtInstrumentUnamortizedDiscount 80,849,000us-gaap_DebtInstrumentUnamortizedDiscount         3,800,000us-gaap_DebtInstrumentUnamortizedDiscount
/ us-gaap_CreditFacilityAxis
= mdrx_CreditFacilityMember
      67,276,000us-gaap_DebtInstrumentUnamortizedDiscount
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
77,529,000us-gaap_DebtInstrumentUnamortizedDiscount
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                             
Deferred debt issuance cost written off with previous credit facility   0us-gaap_WriteOffOfDeferredDebtIssuanceCost 3,901,000us-gaap_WriteOffOfDeferredDebtIssuanceCost 0us-gaap_WriteOffOfDeferredDebtIssuanceCost             3,400,000us-gaap_WriteOffOfDeferredDebtIssuanceCost
/ us-gaap_CreditFacilityAxis
= mdrx_CreditAgreementOnTwoThousandAndThirteenMember
                                 
Amortization of debt issuance costs   2,041,000us-gaap_AmortizationOfFinancingCosts 3,667,000us-gaap_AmortizationOfFinancingCosts 5,066,000us-gaap_AmortizationOfFinancingCosts       500,000us-gaap_AmortizationOfFinancingCosts
/ us-gaap_CreditFacilityAxis
= mdrx_CreditFacilityMember
      1,180,000us-gaap_AmortizationOfFinancingCosts
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
639,000us-gaap_AmortizationOfFinancingCosts
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
0us-gaap_AmortizationOfFinancingCosts
/ us-gaap_LongtermDebtTypeAxis
= mdrx_OnePointTwoFivePercentageCashConvertibleSeniorNotesMember
                           
Credit facility, amount borrowed                                           98,000,000us-gaap_LineOfCredit
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
82,500,000us-gaap_LineOfCredit
/ us-gaap_CurrencyAxis
= currency_USD
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
15,500,000us-gaap_LineOfCredit
/ us-gaap_CurrencyAxis
= currency_GBP
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
10,000,000us-gaap_LineOfCredit
/ us-gaap_CurrencyAxis
= currency_GBP
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember
     
Borrowings outstanding in term loan                                                       202,500,000us-gaap_DebtInstrumentCarryingAmount
/ us-gaap_LongtermDebtTypeAxis
= mdrx_TermLoanCreditFacilityMember
Letters of credit outstanding   900,000us-gaap_LettersOfCreditOutstandingAmount                                                    
Unamortized deferred debt issuance costs   9,500,000us-gaap_UnamortizedDebtIssuanceExpense                                                    
Credit facility, amount available                                           $ 325,600,000us-gaap_LineOfCreditFacilityRemainingBorrowingCapacity
/ us-gaap_LongtermDebtTypeAxis
= mdrx_SeniorSecuredRevolvingFacilityMember