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Business Combinations and Divestitures - Additional Information (Detail) - USD ($)
3 Months Ended 9 Months Ended 12 Months Ended
Aug. 23, 2021
Dec. 31, 2020
Oct. 29, 2020
Oct. 15, 2020
Jul. 02, 2019
Sep. 30, 2021
Jun. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Dec. 31, 2020
Business Acquisition [Line Items]                      
Pre-tax gain (loss) on sale of business           $ 8,363,000   $ 0 $ 8,363,000 $ 0  
2bPrecise [Member]                      
Business Acquisition [Line Items]                      
Pre-tax gain (loss) on sale of business $ 8,400,000                    
CarePort Purchase Agreement [Member] | Senior Secured Term Loan [Member] | Second Amended Credit Agreement [Member]                      
Business Acquisition [Line Items]                      
Prepayment of debt                     $ 161,000,000.0
CarePort Purchase Agreement [Member] | WellSky Corp [Member]                      
Business Acquisition [Line Items]                      
Pre-tax gain (loss) on sale of business   $ 933,900,000             $ 600,000    
Sale of business unit   1,350,000,000                  
CarePort Purchase Agreement [Member] | WellSky Corp [Member] | Senior Secured Term Loan [Member] | Second Amended Credit Agreement [Member]                      
Business Acquisition [Line Items]                      
Prepayment of debt   $ 161,000,000.0                  
EPSi Purchase Agreement [Member] | Senior Secured Term Loan [Member] | Second Amended Credit Agreement [Member]                      
Business Acquisition [Line Items]                      
Prepayment of debt     $ 19,000,000.0                
EPSi Purchase Agreement [Member] | Strata Decision Technology LLC [Member]                      
Business Acquisition [Line Items]                      
Pre-tax gain (loss) on sale of business                     $ 222,600,000
Sale of business unit       $ 365,000,000.0              
EPSi Purchase Agreement [Member] | Strata Decision Technology LLC [Member] | Senior Secured Term Loan [Member] | Second Amended Credit Agreement [Member]                      
Business Acquisition [Line Items]                      
Prepayment of debt     $ 19,000,000.0                
ACC Pinnacle and Diabetes Collaborative Registries [Member]                      
Business Acquisition [Line Items]                      
Total purchase price         $ 19,700,000            
Purchase price initial payment         11,700,000            
Potential milestone/earnout payments         5,000,000.0            
Payments related to earnout agreement             $ 900,000        
ACC Pinnacle and Diabetes Collaborative Registries [Member] | Maximum [Member]                      
Business Acquisition [Line Items]                      
Potential milestone/earnout payments         $ 8,000,000.0