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Discontinued Operations (Details)
$ / shares in Units, $ in Thousands
12 Months Ended
Jul. 31, 2016
USD ($)
$ / shares
Dec. 31, 2016
USD ($)
Installment
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Adjustable convertible equity right face amount $ 30,000      
Conversion period of stock conversion 24 months      
Fair value of adjustable convertible equity right, excluding net working capital settlement   $ 2,700    
Total fair value of adjustable convertible equity right recorded   5,700    
Aggregate Carrying Amounts of Major Classes of Assets and Liabilities [Abstract]        
Total liabilities   0 $ 75,644  
Financial results included in losses from discontinued operations [Abstract]        
Loss from discontinued operations, net of income tax benefit   (184,706) (74,952) $ (48,397)
TPHS Business [Member] | Discontinued Operations, Disposed of by Sale [Member]        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Payment obligation included in accrued liabilities     21,690  
Aggregate Carrying Amounts of Major Classes of Assets and Liabilities [Abstract]        
Cash and cash equivalents     1,637  
Accounts receivable, net     57,587  
Prepaid expenses     2,545  
Other current assets     2,722  
Income taxes receivable     819  
Deferred tax asset     492  
Property and equipment, net     146,404  
Other assets     10,705  
Intangible assets, net     31,791  
Total assets     254,702  
Accounts payable     19,851  
Accrued salaries and benefits     14,380  
Accrued liabilities     21,690  
Deferred revenue     6,931  
Contract billings in excess of earned revenue     12,792  
Total liabilities     75,644  
Financial results included in losses from discontinued operations [Abstract]        
Revenues   151,780 318,506 336,920
Cost of services   173,302 317,849 325,243
Selling, general & administrative expenses   18,594 32,928 33,434
Depreciation and amortization   27,207 42,986 46,343
Restructuring and related charges   8,626 14,395 0
Legal settlement charges   0 0 11,805
Equity in income (loss) from joint ventures   243 (20,229) (637)
Pretax loss on discontinued operations   (75,706) (109,881) (80,542)
Pretax gain on sale of Navvis business   0 1,873 0
Pretax loss on sale of MeYou Health business   (4,826) 0 0
Pretax loss on sale of TPHS business   (202,095) 0 0
Total pretax loss on discontinued operations   (282,627) (108,008) (80,542)
Income tax benefit   (97,921) (33,056) (32,145)
Loss from discontinued operations, net of income tax benefit   (184,706) (74,952) (48,397)
Significant operating and investing non-cash items of the discontinued operations [Abstract]        
Depreciation and amortization on discontinued operations   27,207 42,986 46,343
Capital expenditures on discontinued operations   10,258 29,984 38,669
Assets acquired through capital lease obligation   0 898 6,321
Share-based compensation on discontinued operations   $ 10,144 $ 3,404 $ 3,359
Sharecare [Member]        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Purchase agreement value of negative cash flows during transition year $ 25,000      
Remaining payment obligation responsibility percentage   66.67%    
Aggregate payments related to acquisition   $ 4,200    
Payment obligation included in accrued liabilities   $ 3,300    
Number of quarterly installments | Installment   5    
Aggregate Carrying Amounts of Major Classes of Assets and Liabilities [Abstract]        
Accrued liabilities   $ 3,300    
Sharecare [Member] | Adjustable Convertible Equity Right [Member]        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Reduction in face amount of adjustable convertible equity right $ 20,000      
Stock issued during period conversion of convertible securities conversion price (in dollars per share) | $ / shares $ 249.87