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Business Combinations - Summary of Purchase Price Allocation (Details) - USD ($)
$ in Thousands
Dec. 17, 2019
Dec. 06, 2019
Oct. 04, 2019
Dec. 31, 2019
Mar. 31, 2019
Preliminary fair value of identifiable intangible assets acquired:          
Goodwill       $ 266,741 $ 218,771
Topaz          
Business Acquisition [Line Items]          
Initial preliminary purchase price     $ 8,000    
Settlement of pre-existing net liabilities     1,671    
Fair value of contingent consideration     1,850    
Preliminary working capital adjustment     (424)    
Total preliminary purchase price     11,097    
Preliminary fair value of the net tangible assets acquired and liabilities assumed:          
Acquired cash and cash equivalents     359    
Accounts receivable     1,577    
Prepaid expense and other assets     139    
Equipment and improvements     194    
Operating lease assets     534    
Accounts payable     (250)    
Accrued compensation and related benefits     (155)    
Contract liabilities     (370)    
Operating lease liabilities     (240)    
Operating lease liabilities, net of current     (360)    
Other liabilities     (98)    
Total preliminary net tangible assets acquired and liabilities assumed     1,330    
Preliminary fair value of identifiable intangible assets acquired:          
Goodwill     5,267    
Total preliminary identifiable intangible assets acquired     9,767    
Total preliminary purchase price     11,097    
Medfusion          
Business Acquisition [Line Items]          
Initial preliminary purchase price   $ 43,000      
Settlement of pre-existing net liabilities   24      
Preliminary working capital adjustment   (247)      
Total preliminary purchase price   42,777      
Preliminary fair value of the net tangible assets acquired and liabilities assumed:          
Acquired cash and cash equivalents   204      
Accounts receivable   968      
Prepaid expense and other assets   695      
Equipment and improvements   434      
Accounts payable   (1,360)      
Accrued compensation and related benefits   (270)      
Contract liabilities   (529)      
Deferred income tax liability   (1,068)      
Other liabilities   (334)      
Total preliminary net tangible assets acquired and liabilities assumed   (1,260)      
Preliminary fair value of identifiable intangible assets acquired:          
Goodwill   23,187      
Total preliminary identifiable intangible assets acquired   44,037      
Total preliminary purchase price   42,777      
OTTO          
Business Acquisition [Line Items]          
Initial preliminary purchase price $ 22,000        
Settlement of pre-existing net liabilities 19        
Preliminary working capital adjustment (59)        
Total preliminary purchase price 21,960        
Preliminary fair value of the net tangible assets acquired and liabilities assumed:          
Acquired cash and cash equivalents 102        
Accounts receivable 51        
Prepaid expense and other assets 42        
Accounts payable (2)        
Accrued compensation and related benefits (123)        
Contract liabilities (11)        
Other liabilities (15)        
Total preliminary net tangible assets acquired and liabilities assumed 44        
Preliminary fair value of identifiable intangible assets acquired:          
Goodwill 19,516        
Total preliminary identifiable intangible assets acquired 21,916        
Total preliminary purchase price 21,960        
Computer Software, Intangible Asset | Topaz          
Preliminary fair value of identifiable intangible assets acquired:          
Total preliminary identifiable intangible assets acquired     $ 4,500    
Computer Software, Intangible Asset | Medfusion          
Preliminary fair value of identifiable intangible assets acquired:          
Total preliminary identifiable intangible assets acquired   13,800      
Computer Software, Intangible Asset | OTTO          
Preliminary fair value of identifiable intangible assets acquired:          
Total preliminary identifiable intangible assets acquired $ 2,400        
Customer Relationships | Medfusion          
Preliminary fair value of identifiable intangible assets acquired:          
Total preliminary identifiable intangible assets acquired   6,800      
Trademarks | Medfusion          
Preliminary fair value of identifiable intangible assets acquired:          
Total preliminary identifiable intangible assets acquired   $ 250