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Debt - Additional Information (Detail) - USD ($)
9 Months Ended
Apr. 19, 2016
Sep. 30, 2016
Mar. 31, 2019
Dec. 31, 2015
Debt Instrument [Line Items]        
Debt instrument principal amount   $ 1,293,550,000   $ 692,058,000
Allscripts Term Loan [Member]        
Debt Instrument [Line Items]        
Debt instrument principal amount   237,500,000    
Allscripts Senior Secured Revolving Facility [Member]        
Debt Instrument [Line Items]        
Debt instrument principal amount   150,000,000    
Letters of credit outstanding   800,000    
Credit facility, amount available   $ 399,200,000    
Allscripts Senior Secured Revolving Facility [Member] | United States dollars [Member]        
Debt Instrument [Line Items]        
Debt instrument, interest rate, effective percentage   2.52%    
Allscripts Senior Secured Revolving Facility [Member] | LIBOR Rate [Member]        
Debt Instrument [Line Items]        
Senior secured credit facility interest rate spread   2.00%    
1.25% Cash Convertible Senior Notes [Member]        
Debt Instrument [Line Items]        
Debt instrument principal amount   $ 345,000,000 [1]   $ 345,000,000
Interest rate   1.25%    
Netsmart First Lien Credit Agreement [Member]        
Debt Instrument [Line Items]        
Debt instrument, interest rate, effective percentage   5.75%    
Netsmart First Lien Credit Agreement [Member] | Maximum [Member]        
Debt Instrument [Line Items]        
Leverage ratio   8.75%    
Netsmart First Lien Credit Agreement [Member] | Scenario Forecast [Member] | Minimum [Member]        
Debt Instrument [Line Items]        
Leverage ratio     6.75%  
Netsmart First Lien Credit Agreement [Member] | Netsmart Revolving Facility [Member]        
Debt Instrument [Line Items]        
Debt instrument principal amount   $ 1,500,000    
Credit facility, amount available   48,500,000    
Credit facility, maximum borrowing capacity $ 50,000,000      
Senior secured credit facilities term, years 5 years      
Credit facility termination date Apr. 19, 2021      
Netsmart First Lien Credit Agreement [Member] | Netsmart First Lien Term Loan [Member]        
Debt Instrument [Line Items]        
Debt instrument principal amount   $ 394,000,000    
Credit facility, maximum borrowing capacity $ 395,000,000      
Senior secured credit facilities term, years 7 years      
Credit facility termination date Apr. 19, 2023      
Netsmart First Lien Credit Agreement [Member] | LIBOR Rate [Member]        
Debt Instrument [Line Items]        
Senior secured credit facility interest rate spread 4.75% 4.75%    
Netsmart First Lien Credit Agreement [Member] | LIBOR Rate [Member] | Netsmart Revolving Facility [Member]        
Debt Instrument [Line Items]        
Senior secured credit facility interest rate spread 4.25%      
Netsmart First Lien Credit Agreement [Member] | Alternate Base Rate Loans [Member]        
Debt Instrument [Line Items]        
Debt instrument, interest rate, effective percentage 3.75%      
Netsmart First Lien Credit Agreement [Member] | Alternate Base Rate Loans [Member] | Netsmart Revolving Facility [Member]        
Debt Instrument [Line Items]        
Debt instrument, interest rate, effective percentage 3.25%      
Netsmart Second Lien Credit Agreement [Member]        
Debt Instrument [Line Items]        
Debt instrument, interest rate, effective percentage   10.50%    
Netsmart Second Lien Credit Agreement [Member] | Maximum [Member]        
Debt Instrument [Line Items]        
Leverage ratio   9.75%    
Netsmart Second Lien Credit Agreement [Member] | Scenario Forecast [Member] | Minimum [Member]        
Debt Instrument [Line Items]        
Leverage ratio     7.75%  
Netsmart Second Lien Credit Agreement [Member] | Netsmart Second Lien Term Loan [Member]        
Debt Instrument [Line Items]        
Debt instrument principal amount   $ 167,000,000    
Credit facility, maximum borrowing capacity $ 167,000,000      
Senior secured credit facilities term, years 7 years 6 months      
Credit facility termination date Oct. 19, 2023      
Netsmart Second Lien Credit Agreement [Member] | LIBOR Rate [Member]        
Debt Instrument [Line Items]        
Senior secured credit facility interest rate spread   9.50%    
Netsmart Second Lien Credit Agreement [Member] | LIBOR Rate [Member] | Netsmart Second Lien Term Loan [Member]        
Debt Instrument [Line Items]        
Senior secured credit facility interest rate spread 9.50%      
Netsmart Second Lien Credit Agreement [Member] | Alternate Base Rate Loans [Member] | Netsmart Second Lien Term Loan [Member]        
Debt Instrument [Line Items]        
Debt instrument, interest rate, effective percentage 8.50%      
Netsmart Credit Agreements [Member]        
Debt Instrument [Line Items]        
Debt issuance costs capitalized   $ 27,900,000    
[1] Assumes no cash conversions of the 1.25% Notes prior to their maturity on July 1, 2020.