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Reportable Segments - Financial Information (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Sep. 30, 2018
USD ($)
Jul. 01, 2018
USD ($)
Apr. 01, 2018
USD ($)
Dec. 31, 2017
USD ($)
Oct. 01, 2017
USD ($)
Jul. 02, 2017
USD ($)
Apr. 02, 2017
USD ($)
Jan. 01, 2017
USD ($)
Sep. 30, 2018
USD ($)
segment
Oct. 01, 2017
USD ($)
Oct. 02, 2016
USD ($)
Financial information concerning reportable segments                      
Number of renamed reportable segments | segment                 2    
Revenue $ 739,343 $ 764,795 $ 700,262 $ 759,749 $ 735,188 $ 685,539 $ 663,781 $ 668,851 $ 2,964,148 $ 2,753,360 $ 2,583,469
Income from operations 43,285 $ 55,496 $ 42,716 $ 48,589 54,647 $ 45,884 $ 42,956 $ 39,855 190,086 183,342 135,855
Amortization expense for intangible assets                 18,200 22,800 22,100
Fair value adjustments to contingent consideration liabilities                 (4,252) 6,923 (2,823)
Acquisition and integration expenses                 0 0 19,548
Total Assets 1,959,421       1,902,745       1,959,421 1,902,745  
Operating segments | GSG                      
Financial information concerning reportable segments                      
Revenue                 1,694,871 1,487,611 1,289,506
Income from operations                 168,211 138,199 101,595
Total Assets 468,010       378,839       468,010 378,839  
Operating segments | CIG                      
Financial information concerning reportable segments                      
Revenue                 1,323,142 1,326,020 1,297,209
Income from operations                 74,451 90,817 106,602
Total Assets 478,197       518,697       478,197 518,697  
Operating segments | RCM                      
Financial information concerning reportable segments                      
Revenue                 14,199 18,207 52,150
Income from operations                 (4,573) (14,712) (11,834)
Total Assets 25,683       33,620       25,683 33,620  
Elimination of inter-segment revenue                      
Financial information concerning reportable segments                      
Revenue                 (68,064) (78,478) (55,396)
Corporate                      
Financial information concerning reportable segments                      
Income from operations                 (48,003) (30,962) $ (60,508)
Total Assets $ 987,531       $ 971,589       $ 987,531 $ 971,589