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Subsequent Events (Notes)	12 Months Ended
Subsequent Events (Notes)	Dec. 31, 2018
Subsequent Events [Abstract]
Subsequent Events	Subsequent Events Silversheet Acquisition On January 30, 2019, the Company completed its acquisition of Silversheet, Inc. (“Silversheet”) for $30,000 in cash and a tiered contingent earn-out payment of up to $25,000. Silversheet provides innovative software and services to reduce the complexities and challenges of the credentialing process for clinicians and healthcare organizations. On January 29, 2019, the Company borrowed $30,000 under the New Credit Agreement to fund the acquisition. The New Credit Agreement is more fully described in Note (7), “Notes Payable and Credit Agreement.”