Entity Central Index Key
Business combination recognized identifiable assets acquired and liabilities assumed operating lease right-of-use assets.
Business combination recognized identifiable assets acquired and liabilities assumed operating lease liabilities.
Business combination, recognized identifiable assets acquired and liabilities assumed, indemnification assets.
Business combination, recognized identifiable assets acquired and liabilities assumed, indemnification liability.
Business combination recognized identifiable assets acquired and liabilities assumed uncertain tax position liability.
Lessee operating lease liability payments due thereafter.
Cover [Abstract]
Document Type
Document Type
Amendment Flag
Amendment Flag
Document Period End Date
Document Period End Date
Document Fiscal Year Focus
Document Fiscal Year Focus
Document Fiscal Period Focus
Document Fiscal Period Focus
Trading Symbol
Trading Symbol
Entity Registrant Name
Entity Registrant Name
Entity Central Index Key
Current Fiscal Year End Date
Current Fiscal Year End Date
Entity Well-known Seasoned Issuer
Entity Well Known Seasoned Issuer
Entity Current Reporting Status
Entity Current Reporting Status
Entity Voluntary Filers
Entity Voluntary Filers
Entity Filer Category
Entity Filer Category
Entity Small Business
Entity Small Business
Entity Emerging Growth Company
Entity Emerging Growth Company
ICFR Auditor Attestation Flag
Icfr Auditor Attestation Flag
Entity Common Stock, Shares Outstanding
Entity Common Stock Shares Outstanding
Entity Public Float
Entity Public Float
Entity Shell Company
Entity Shell Company
Entity File Number
Entity File Number
Entity Tax Identification Number
Entity Tax Identification Number
Entity Address, Address Line One
Entity Address Address Line1
Entity Address, Address Line Two
Entity Address Address Line2
Entity Address, City or Town
Entity Address City Or Town
Entity Address, State or Province
Entity Address State Or Province
Entity Address, Postal Zip Code
Entity Address Postal Zip Code
City Area Code
City Area Code
Local Phone Number
Local Phone Number
Entity Interactive Data Current
Entity Interactive Data Current
Entity Incorporation, State or Country Code
Entity Incorporation State Country Code
Document Annual Report
Document Annual Report
Document Transition Report
Document Transition Report
Title of 12(b) Security
Security12b Title
Security Exchange Name
Security Exchange Name
Contract with customer asset sales commission noncurrent.
Statement Of Financial Position [Abstract]
Statement [Table]
Statement [Table]
Finite-Lived Intangible Assets by Major Class
Finite Lived Intangible Assets By Major Class [Axis]
Finite-Lived Intangible Assets, Major Class Name
Finite Lived Intangible Assets Major Class Name [Domain]
Customer-Related Intangible Assets [Member]
Customer Related Intangible Assets [Member]
Other Intangible Assets [Member]
Other Intangible Assets [Member]
Statement [Line Items]
Statement [Line Items]
ASSETS
Assets [Abstract]
Current assets:
Assets Current [Abstract]
Cash and cash equivalents
Cash And Cash Equivalents At Carrying Value
Marketable securities
Available For Sale Securities Debt Securities Current
Accounts receivable, net of allowance for doubtful accounts of $549 and $843 at December 31, 2020 and 2019, respectively
Accounts Receivable Net Current
Accounts receivable - unbilled
Unbilled Receivables Current
Prepaid royalties, net of amortization
Prepaid Royalties
Other prepaid expenses and other current assets
Other Assets Current
Total current assets
Assets Current
Property and equipment, net of accumulated depreciation of $19,237 and $19,291 at December 31, 2020 and 2019, respectively
Property Plant And Equipment Net
Capitalized software development, net of accumulated amortization of $70,516 and $57,768 at December 31, 2020 and 2019, respectively
Capitalized Computer Software Net
Operating lease right of use assets, net
Operating Lease Right Of Use Asset
Goodwill
Goodwill
Intangible assets, net
Finite Lived Intangible Assets Net
Deferred tax assets
Deferred Income Tax Assets Net
Deferred commissions
Contract With Customer Asset Sales Commission Noncurrent
Non-marketable equity investments
Investments In Affiliates Subsidiaries Associates And Joint Ventures
Other assets
Other Assets Noncurrent
Total assets
Assets
LIABILITIES AND SHAREHOLDERS’ EQUITY
Liabilities And Stockholders Equity [Abstract]
Current liabilities:
Liabilities Current [Abstract]
Accounts payable
Accounts Payable Current
Accrued royalties
Accrued Royalties Current
Accrued liabilities
Accrued Liabilities Current
Deferred revenue
Contract With Customer Liability Current
Total current liabilities
Liabilities Current
Deferred tax liabilities
Deferred Income Tax Liabilities Net
Deferred revenue, non-current
Contract With Customer Liability Noncurrent
Operating lease liability, non-current
Operating Lease Liability Noncurrent
Other long-term liabilities
Other Liabilities Noncurrent
Commitments and contingencies
Commitments And Contingencies
Shareholders’ equity:
Stockholders Equity [Abstract]
Common stock, no par value, 75,000 shares authorized; 31,493 and 32,379 shares issued and outstanding at December 31, 2020 and 2019, respectively
Common Stocks Including Additional Paid In Capital
Retained earnings
Retained Earnings Accumulated Deficit
Accumulated other comprehensive income
Accumulated Other Comprehensive Income Loss Net Of Tax
Total shareholders’ equity
Stockholders Equity
Total liabilities and shareholders’ equity
Liabilities And Stockholders Equity
Allowance for doubtful accounts, net
Allowance For Doubtful Accounts Receivable Current
Accumulated depreciation on property and equipment
Accumulated Depreciation Depletion And Amortization Property Plant And Equipment
Accumulated amortization on capitalized software development
Capitalized Computer Software Accumulated Amortization
Accumulated amortization on intangible assets
Finite Lived Intangible Assets Accumulated Amortization
Common stock, no par value
Common Stock No Par Value
Common stock, shares authorized
Common Stock Shares Authorized
Common stock, shares issued
Common Stock Shares Issued
Common stock, shares outstanding
Common Stock Shares Outstanding
Income Statement [Abstract]
Revenues, net
Revenue From Contract With Customer Excluding Assessed Tax
Operating costs and expenses:
Costs And Expenses [Abstract]
Cost of revenues (excluding depreciation and amortization)
Cost Of Goods And Service Excluding Depreciation Depletion And Amortization
Product development
Research And Development Expense
Sales and marketing
Selling And Marketing Expense
Other general and administrative expenses
Other General And Administrative Expense
Depreciation and amortization
Depreciation Depletion And Amortization
Total operating costs and expenses
Costs And Expenses
Operating income
Operating Income Loss
Other income, net
Other Nonoperating Income Expense
Income from continuing operations before income tax provision
Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest
Income tax provision
Income Tax Expense Benefit
Income from continuing operations
Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest
Loss from discontinued operations before income tax provision
Discontinued Operation Income Loss From Discontinued Operation Before Income Tax
Gain on sale of discontinued operations
Discontinued Operation Gain Loss From Disposal Of Discontinued Operation Before Income Tax
Income tax provision
Discontinued Operation Tax Effect Of Discontinued Operation
Income from discontinued operations
Income Loss From Discontinued Operations Net Of Tax
Net income
Net Income Loss
Net income per share – basic:
Earnings Per Share Basic [Abstract]
Continuing operations
Income Loss From Continuing Operations Per Basic Share
Discontinued operations
Income Loss From Discontinued Operations Net Of Tax Per Basic Share
Net income per share - basic
Earnings Per Share Basic
Net income per share - diluted:
Earnings Per Share Diluted [Abstract]
Continuing operations
Income Loss From Continuing Operations Per Diluted Share
Discontinued operations
Income Loss From Discontinued Operations Net Of Tax Per Diluted Share
Net income per share - diluted
Earnings Per Share Diluted
Weighted average shares of common stock outstanding:
Weighted Average Number Of Shares Outstanding [Abstract]
Basic
Weighted Average Number Of Shares Outstanding Basic
Diluted
Weighted Average Number Of Diluted Shares Outstanding
Dividends declared per share
Common Stock Dividends Per Share Declared
Statement Of Income And Comprehensive Income [Abstract]
Net income
Other comprehensive income, net of taxes:
Other Comprehensive Income Loss Net Of Tax Portion Attributable To Parent [Abstract]
Foreign currency translation adjustments
Other Comprehensive Income Foreign Currency Transaction And Translation Adjustment Net Of Tax Portion Attributable To Parent
Unrealized (loss) gain on marketable securities
Other Comprehensive Income Availableforsale Securities Adjustment Net Of Tax Portion Attributable To Parent
Total other comprehensive income
Other Comprehensive Income Loss Net Of Tax Portion Attributable To Parent
Comprehensive income
Comprehensive Income Net Of Tax
Dividend forfeitures on unvested equity awards.
Statement Of Stockholders Equity [Abstract]
Equity Components
Statement Equity Components [Axis]
Equity Component
Equity Component [Domain]
Common Stock [Member]
Common Stock Including Additional Paid In Capital [Member]
Retained Earnings [Member]
Retained Earnings [Member]
Accumulated Other Comprehensive (Loss)/Income [Member]
Accumulated Other Comprehensive Income [Member]
Cumulative Effect, Period of Adoption
Cumulative Effect Period Of Adoption [Axis]
Cumulative Effect, Period of Adoption
Cumulative Effect Period Of Adoption [Domain]
Cumulative Effect, Period of Adoption, Adjustment [Member]
Cumulative Effect Period Of Adoption Adjustment [Member]
Beginning balance
Beginning balance, shares
Dividend forfeitures on unvested equity awards
Dividend Forfeitures On Unvested Equity Awards
Comprehensive income
Dividends declared on common stock ($1.00 per share)
Dividends Common Stock Stock
Stock donated to Company (held in treasury)
Treasury Stock Value Acquired Cost Method
Stock donated to Company (held in treasury), shares
Treasury Stock Shares Acquired
Stock based compensation
Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value
Common stock issued under stock plans, net of shares withheld for employee taxes
Stock Issued During Period Value Share Based Compensation
Common stock issued under stock plans, net of shares withheld for employee taxes, shares
Stock Issued During Period Shares Share Based Compensation
Repurchase of common stock
Stock Repurchased During Period Value
Repurchase of common stock, shares
Stock Repurchased During Period Shares
Ending balance
Ending balance, shares
Dividends per share common stock
Non cash royalty expense.
Change in fair value of non-marketable equity investments.
Increase decrease in deferred commissions.
Payments to acquire non-marketable equity investments.
Non cash additions to property and equipment.
Non-cash additions to non-marketable equity method investments.
Statement Of Cash Flows [Abstract]
OPERATING ACTIVITIES:
Net Cash Provided By Used In Operating Activities [Abstract]
Net income
Profit Loss
Income from discontinued operations
Adjustments to reconcile net income to net cash provided by operating activities:
Adjustments To Reconcile Net Income Loss To Cash Provided By Used In Operating Activities [Abstract]
Stock based compensation
Share Based Compensation
Amortization of deferred commissions
Amortization Of Deferred Sales Commissions
Provision for doubtful accounts
Provision For Doubtful Accounts
Deferred income taxes
Deferred Income Tax Expense Benefit
Loss (gain) on equity method investments
Income Loss From Equity Method Investments
Non-cash royalty expense
Non Cash Royalty Expense
Change in fair value of non-marketable equity investments
Change In Fair Value Of Non Marketable Equity Investments
Other
Other Noncash Income Expense
Changes in operating assets and liabilities:
Increase Decrease In Operating Capital [Abstract]
Accounts and unbilled receivables
Increase Decrease In Receivables
Prepaid royalties
Increase Decrease In Prepaid Royalties
Other prepaid expenses and other current assets
Increase Decrease In Prepaid Deferred Expense And Other Assets
Deferred commissions
Increase Decrease In Deferred Commissions
Other assets
Increase Decrease In Other Operating Assets
Accounts payable and accrued expenses
Increase Decrease In Accounts Payable And Accrued Liabilities
Accrued royalties
Increase Decrease In Royalties Payable
Deferred revenue
Increase Decrease In Contract With Customer Liability
Net cash provided by operating activities
Net Cash Provided By Used In Operating Activities Continuing Operations
Net cash used in discontinued operating activities
Cash Provided By Used In Operating Activities Discontinued Operations
Net cash provided by operating activities
Net Cash Provided By Used In Operating Activities
INVESTING ACTIVITIES:
Net Cash Provided By Used In Investing Activities [Abstract]
Business combinations, net of cash acquired
Payments To Acquire Businesses Net Of Cash Acquired
Proceeds from sale of discontinued operations, net of tax
Proceeds From Divestiture Of Businesses And Interests In Affiliates
Proceeds from maturities of marketable securities
Proceeds From Maturities Prepayments And Calls Of Available For Sale Securities
Proceeds from sales of marketable securities
Proceeds From Sale And Maturity Of Marketable Securities
Purchases of marketable securities
Payments To Acquire Marketable Securities
Proceeds from sale of property and equipment
Proceeds From Sale Of Property Plant And Equipment
Payments to acquire non-marketable equity investments
Payments To Acquire Non Marketable Equity Investments
Payments associated with capitalized software development
Payments For Software
Purchases of property and equipment
Payments To Acquire Property Plant And Equipment
Net cash (used in) provided by continuing investing activities
Net Cash Provided By Used In Investing Activities Continuing Operations
Net cash used in discontinued investing activities
Cash Provided By Used In Investing Activities Discontinued Operations
Net cash (used in) provided by investing activities
Net Cash Provided By Used In Investing Activities
FINANCING ACTIVITIES:
Net Cash Provided By Used In Financing Activities [Abstract]
Proceeds from exercise of stock options
Proceeds From Stock Options Exercised
Taxes paid related to net settlement of equity awards
Payments Related To Tax Withholding For Share Based Compensation
Payment of earn-out related to prior acquisitions
Payments Of Merger Related Costs Financing Activities
Payment of debt issue cost
Payments Of Debt Issuance Costs
Repurchases of common stock
Payments For Repurchase Of Common Stock
Payment of cash dividends
Payments Of Dividends Common Stock
Net cash used in financing activities
Net Cash Provided By Used In Financing Activities
Effect of exchange rate changes on cash and cash equivalents
Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents
Net (decrease) increase in cash and cash equivalents
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect
Cash and cash equivalents at beginning of period
Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations
Cash and cash equivalents at end of period
SUPPLEMENTAL CASH FLOW INFORMATION:
Supplemental Cash Flow Information [Abstract]
Interest paid
Interest Paid Net
Income taxes paid
Income Taxes Paid Net
Non-cash additions to property and equipment
Non Cash Additions To Property And Equipment
Non-cash additions to non-marketable equity investments
Noncash Additions To Non Marketable Equity Method Investment
Documents Incorporated by Reference
Documents Incorporated By Reference [Text Block]
Accounting Policies [Abstract]
Summary of Significant Accounting Policies
Significant Accounting Policies [Text Block]
Equity [Abstract]
Shareholders' Equity
Stockholders Equity Note Disclosure [Text Block]
Earnings Per Share [Abstract]
Earnings Per Share
Earnings Per Share [Text Block]
Investments Debt And Equity Securities [Abstract]
Marketable Securities
Investments In Debt And Marketable Equity Securities And Certain Trading Assets Disclosure [Text Block]
Revenue From Contract With Customer [Abstract]
Revenue Recognition and Sales Commissions
Revenue From Contract With Customer [Text Block]
Property Plant And Equipment [Abstract]
Property and Equipment
Property Plant And Equipment Disclosure [Text Block]
Goodwill And Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets
Goodwill And Intangible Assets Disclosure [Text Block]
Business Combinations [Abstract]
Business Combinations
Business Combination Disclosure [Text Block]
Segment Reporting [Abstract]
Business Segments
Segment Reporting Disclosure [Text Block]
Income Tax Disclosure [Abstract]
Income Taxes
Income Tax Disclosure [Text Block]
Disclosure Of Compensation Related Costs Sharebased Payments [Abstract]
Stock Based Compensation
Disclosure Of Compensation Related Costs Share Based Payments [Text Block]
Compensation And Retirement Disclosure [Abstract]
Employee Benefit Plan
Pension And Other Postretirement Benefits Disclosure [Text Block]
Discontinued Operations And Disposal Groups [Abstract]
Discontinued Operations
Disposal Groups Including Discontinued Operations Disclosure [Text Block]
Debt Disclosure [Abstract]
Debt
Debt Disclosure [Text Block]
Leases [Abstract]
Leases
Lessee Operating Leases [Text Block]
Commitments And Contingencies Disclosure [Abstract]
Litigation
Commitments And Contingencies Disclosure [Text Block]
Non-marketable equity investments.
Non-Marketable Equity Investments
Non Marketable Equity Investments Disclosure [Text Block]
Subsequent Events [Abstract]
Subsequent Events
Subsequent Events [Text Block]
Recently adopted accounting standards policy.
Recently Adopted Accounting Standards
Recently Adopted Accounting Standards Policy Policy [Text Block]
Recognition of Revenue
Revenue From Contract With Customer Policy [Text Block]
Basis of Presentation
Basis Of Accounting Policy Policy [Text Block]
Use of Estimates
Use Of Estimates
Cash Equivalents
Cash And Cash Equivalents Policy [Text Block]
Marketable Securities
Marketable Securities Policy
Revenue from contract with customer commissions.
Deferred Commissions
Revenue From Contract With Customer Commissions Policy [Text Block]
Prepaid Royalties
Deferred Charges Policy [Text Block]
Allowance for Doubtful Accounts
Receivables Trade And Other Accounts Receivable Allowance For Doubtful Accounts Policy
Capitalized Software Development
Research Development And Computer Software Policy [Text Block]
Fair Value Measurements
Fair Value Measurement Policy Policy [Text Block]
Property and Equipment
Property Plant And Equipment Policy [Text Block]
Goodwill and Intangible Assets
Goodwill And Intangible Assets Policy [Text Block]
Long-Lived Assets
Impairment Or Disposal Of Long Lived Assets Policy [Text Block]
Non marketable equity investments.
Non-Marketable Equity Investments
Non Marketable Equity Investments Policy [Text Block]
Financial Instruments
Fair Value Of Financial Instruments Policy
Advertising
Advertising Costs Policy [Text Block]
Shipping and handling costs policy.
Shipping and Handling Costs
Shipping And Handling Costs Policy Policy [Text Block]
Income Taxes
Income Tax Policy [Text Block]
Earnings Per Share
Earnings Per Share Policy [Text Block]
Concentrations of Credit Risk and Significant Customers
Concentration Risk Credit Risk
Stock Based Compensation
Share Based Compensation Option And Incentive Plans Policy
Leases
Lessee Leases Policy [Text Block]
Foreign Currency
Foreign Currency Transactions And Translations Policy [Text Block]
Changes in the Allowance for Doubtful Accounts and the Amounts Charged to Bad Debt Expense
Allowance For Credit Losses On Financing Receivables Table [Text Block]
Property Plant And Equipment Useful Lives Table [Text Block]
Estimated Useful Lives of Property and Equipment
Property Plant And Equipment Useful Lives Table [Text Block]
Computation of Basic and Diluted Earnings Per Share
Schedule Of Earnings Per Share Basic And Diluted Table [Text Block]
Fair Value of Available for Sale Marketable Securities
Debt Securities Available For Sale Table [Text Block]
Schedule of Revenues Included in Continuing Operations from Contracts with Customers Disaggregated by Revenue Source
Disaggregation Of Revenue Table [Text Block]
Summary of Property and Equipment
Property Plant And Equipment [Text Block]
Changes in Carrying Amount of Goodwill
Schedule Of Goodwill [Text Block]
Identifiable Intangible Assets
Schedule Of Finite Lived Intangible Assets Table [Text Block]
Expected Annual Amortization Expense
Scheduleof Finite Lived Intangible Assets Future Amortization Expense Table [Text Block]
Business Acquisition
Business Acquisition [Axis]
Business Acquisition, Acquiree
Business Acquisition Acquiree [Domain]
NurseGrid.
NurseGrid [Member]
Nurse Grid [Member]
ShiftWizard.
ShiftWizard [Member]
Shift Wizard [Member]
ANSOS staff scheduling application.
ANSOSTM Staff Scheduling Application [Member]
A N S O S Staff Scheduling Application [Member]
Providigm, LLC.
Providigm, LLC [Member]
Providigm L L C [Member]
CredentialMyDoc.
CredentialMyDoc [Member]
Credential My Doc [Member]
Summary of Purchase Price
Schedule Of Business Acquisitions By Acquisition [Text Block]
Summary of Preliminary Fair Value of Assets Acquired and Liabilities Assumed
Schedule Of Recognized Identified Assets Acquired And Liabilities Assumed Table [Text Block]
Summary of Components of Identifiable Intangible Assets and Estimated Useful Lives
Schedule Of Finite Lived Intangible Assets Acquired As Part Of Business Combination [Text Block]
Business acquisition statement of income from date of acquisition.
Summary of Revenue and Operating Loss Included in Company's Condensed Consolidated Statement of Income since the Date of Acquisition
Business Acquisition Statement Of Income From Date Of Acquisition Table [Text Block]
Summary of Unaudited Pro Forma Financial Information
Business Acquisition Pro Forma Information [Text Block]
Reconciliation of revenue and operating profit (loss) from segments to consolidated.
Business Segment Information Based on Net Revenues and Operating Income
Reconciliation Of Revenue And Operating Profit Loss From Segments To Consolidated Table [Text Block]
Business Segment Information Based on Assets
Reconciliation Of Assets From Segment To Consolidated [Text Block]
Schedule of Components of Earnings Before Income Taxes
Schedule Of Income Before Income Tax Domestic And Foreign Table [Text Block]
Summary of Provision for Income Taxes
Schedule Of Components Of Income Tax Expense Benefit Table [Text Block]
Reconciliation of Income Taxes at the Statutory Federal Income Tax Rate to the Provision for Income Taxes
Schedule Of Effective Income Tax Rate Reconciliation Table [Text Block]
Reconciliation of the Beginning and Ending liability for Gross Unrecognized Tax Benefits
Summary Of Income Tax Contingencies [Text Block]
Significant Components of Deferred Tax Assets and Deferred Tax Liabilities
Schedule Of Deferred Tax Assets And Liabilities Table [Text Block]
Summary of Activity and Various Other Information Relative to Stock Options
Schedule Of Share Based Compensation Stock Options Activity Table [Text Block]
Schedule of share based compensation additional stock options activity.
Other Information Relative to Option Activity
Schedule Of Share Based Compensation Additional Stock Options Activity Table [Text Block]
Summary of Activity Relative to RSU's
Schedule Of Share Based Compensation Restricted Stock Units Award Activity Table [Text Block]
Stock Based Compensation Expense Recorded in Consolidated Statements of Income
Schedule Of Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Text Block]
Schedule of lease-related assets and liabilities.
Schedule of Lease-Related Assets and Liabilities Recorded on Condensed Consolidated Balance Sheet
Schedule Of Lease Related Assets And Liabilities Table [Text Block]
Schedule of Maturities of Lease Liabilities Under Non-Cancellable Leases
Lessee Operating Lease Liability Maturity Table [Text Block]
Business and basis of presentation.
Business and basis of presentation.
Business And Basis Of Presentation [Table]
Business And Basis Of Presentation [Table]
Segments
Statement Business Segments [Axis]
Segments
Segment [Domain]
Patient Experience Solutions.
Patient Experience Solutions [Member]
Patient Experience Solutions [Member]
Accounting Standards Update
Adjustments For New Accounting Pronouncements [Axis]
Accounting Standards Update
Type Of Adoption [Member]
ASU 2016-13 [Member]
Accounting Standards Update201613 [Member]
Statistical Measurement
Range [Axis]
Statistical Measurement
Range [Member]
Minimum [Member]
Minimum [Member]
Maximum [Member]
Maximum [Member]
Weighted Average [Member]
Weighted Average [Member]
Income Statement Location
Income Statement Location [Axis]
Income Statement Location
Income Statement Location [Domain]
Sales and Marketing Expense [Member]
Selling And Marketing Expense [Member]
ASU 2016-02 [Member]
Accounting Standards Update201602 [Member]
Business And Basis Of Presentation [Line Items]
Business And Basis Of Presentation [Line Items]
Number of operating segments
Number Of Operating Segments
Consideration received
Proceeds From Divestiture Of Businesses
Change in accounting principle, accounting standards update, adopted
Change In Accounting Principle Accounting Standards Update Adopted
Change in accounting principle, accounting standards update, adoption date
Change In Accounting Principle Accounting Standards Update Adoption Date
Change in accounting principle, accounting standards update, immaterial effect
Change In Accounting Principle Accounting Standards Update Immaterial Effect
Maturity of unrestricted cash equivalent
Additional Cash And Cash Equivalent Related Text
Deferred commissions amortization period.
Deferred commissions, amortization period
Deferred Commissions Amortization Period
Advance royalty amortization period.
Royalty payments amortization period
Advance Royalty Amortization Period
Allowance Balance at Beginning of Period
Charged to Costs and Expenses
Write-offs
Allowance For Doubtful Accounts Receivable Write Offs
Allowance Balance at End of Period
Capitalized software development amortization period.
Assets amortized cost
Capitalized Software Development Amortization Period
Capitalized software development amount
Capitalized Computer Software Gross
Amortization of capitalized software development from continuing operations
Capitalized Computer Software Amortization1
Capitalized software development costs for external computer software developed for resale
Capitalized Software Development Costs For Software Sold To Customers
Schedule Of Property Plant And Equipment [Table]
Schedule Of Property Plant And Equipment [Table]
Long-Lived Tangible Asset
Property Plant And Equipment By Type [Axis]
Long-Lived Tangible Asset
Property Plant And Equipment Type [Domain]
Furniture and Fixtures [Member]
Furniture And Fixtures [Member]
Equipment [Member]
Equipment [Member]
Property, Plant and Equipment [Line Items]
Property Plant And Equipment [Line Items]
Property, plant and equipment useful life
Property Plant And Equipment Useful Life
Goodwill impairments identified or recorded
Goodwill Impairment Loss
Finite lived intangible assets amortization period
Finite Lived Intangible Asset Useful Life
Impairments identified or recorded
Impairment Of Intangible Assets Finitelived
Impairments identified or recorded for long-lived assets
Impairment Of Long Lived Assets Held For Use
Advertising expense
Advertising Expense
Number of possible sources of taxable income.
Number of sources of taxable income
Number Of Possible Sources Of Taxable Income
Valuation allowance
Deferred Tax Assets Valuation Allowance
Concentration risk, customer
Concentration Risk Customer
Number of stock based compensation plans.
Number of stock based compensation plan
Number Of Stock Based Compensation Plans
Stock repurchased average price per share.
Preferred stock, shares authorized
Preferred Stock Shares Authorized
Stock repurchase program, authorized amount
Stock Repurchase Program Authorized Amount1
Stock repurchase program, termination date
Stock Repurchase Program Expiration Date
Share repurchased, shares
Share repurchased, fair value
Share repurchased, average price per share
Stock Repurchased Average Price Per Share
Numerator:
Net Income Loss [Abstract]
Income from continuing operations
Income from discontinued operations
Denominator:
Weighted-average shares outstanding
Effect of dilutive shares
Incremental Common Shares Attributable To Share Based Payment Arrangements
Weighted-average diluted shares
Net income per share – basic:
Net income per share – diluted:
Total number of common equivalent shares excluded from the calculations of diluted earnings per share
Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount
Amortized Cost and Fair Value Debt Securities [Abstract]
Amortized Cost And Fair Value Debt Securities [Abstract]
Schedule Of Available For Sale Securities [Table]
Schedule Of Available For Sale Securities [Table]
Fair Value Hierarchy and NAV
Fair Value By Fair Value Hierarchy Level [Axis]
Fair Value Hierarchy and NAV
Fair Value Measurements Fair Value Hierarchy [Domain]
Level 2 [Member]
Fair Value Inputs Level2 [Member]
Investment Type
Investment Type [Axis]
Investments
Investment Type Categorization [Member]
Cash [Member]
Cash [Member]
Corporate Debt Securities [Member]
Corporate Debt Securities [Member]
Time Deposits [Member]
Bank Time Deposits [Member]
Government-Sponsored Enterprises Debt Securities [Member]
U S Government Sponsored Enterprises Debt Securities [Member]
Schedule of Available-for-sale Securities [Line Items]
Schedule Of Available For Sale Securities [Line Items]
Adjusted Cost
Available For Sale Debt Securities Amortized Cost Basis
Unrealized Gains
Available For Sale Debt Securities Accumulated Gross Unrealized Gain Before Tax
Unrealized Losses
Available For Sale Debt Securities Accumulated Gross Unrealized Loss Before Tax
Fair Value
Available For Sale Securities Debt Securities
Cash and Cash Equivalents
Cash And Cash Equivalents Fair Value Disclosure
Current Marketable Securities
Disaggregation Of Revenue [Abstract]
Disaggregation Of Revenue [Table]
Disaggregation Of Revenue [Table]
HealthStream Workforce Solutions.
Workforce Solutions [Member]
Healthstream Workforce Solutions [Member]
HealthStream Provider Solutions.
Provider Solutions [Member]
Healthstream Provider Solutions [Member]
Product and Service
Product Or Service [Axis]
Product and Service
Products And Services [Domain]
Subscription services.
Subscription Services [Member]
Subscription Services [Member]
Professional services.
Professional Services [Member]
Professional Services [Member]
Disaggregation Of Revenue [Line Items]
Disaggregation Of Revenue [Line Items]
Total revenues, net
Revenue recognition and sales commissions.
Revenue Recognition And Sales Commissions [Abstract]
Line items for revenue recognition and sales commissions.
Table for revenue recognition and sales commissions.
Revenue Recognition And Sales Commissions [Table]
Revenue Recognition And Sales Commissions [Table]
Customer Contracts [Member]
Customer Contracts [Member]
Revenue Recognition and Sales Commissions [Line Items]
Revenue Recognition And Sales Commissions [Line Items]
Impairment losses on receivables and contract asset
Asset Impairment Charges
Revenues recognized in period, included in deferred revenue at beginning of the period
Contract With Customer Liability Revenue Recognized
Estimated revenue expected to be recognized in future under contract with customers
Revenue Remaining Performance Obligation
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date
Revenue Remaining Performance Obligation Expected Timing Of Satisfaction Start Date [Axis]
Estimated revenue, expected recognition period
Revenue Remaining Performance Obligation Expected Timing Of Satisfaction Period1
Percentage of remaining performance obligations expects revenue
Revenue Remaining Performance Obligation Percentage
Description of sales commission plan.
Sales commissions, amortization term description.
Sales commissions, amortization period.
Description of sales commission plan
Description Of Sales Commission Plan
Sales Commissions, amortization term description
Sales Commissions Amortization Term Description
Sales Commissions, amortization period
Sales Commissions Amortization Period
Leasehold Improvements [Member]
Leasehold Improvements [Member]
Gross property and equipment
Property Plant And Equipment Gross
Accumulated depreciation and amortization
Property and equipment, net
Depreciation of property and equipment
Depreciation
Schedule Of Goodwill [Table]
Schedule Of Goodwill [Table]
ANSOS.
ANSOS [Member]
A N S O S [Member]
MyClinical exchange.
myClincalExchange [Member]
My Clinical Exchange [Member]
Goodwill [Line Items]
Goodwill [Line Items]
Goodwill, beginning balance
Goodwill acquired
Goodwill Acquired During Period
Post-closing adjustment
Goodwill Purchase Accounting Adjustments
Goodwill, ending balance
Customer Relationships [Member]
Customer Relationships [Member]
Indefinite-lived Intangible Assets
Indefinite Lived Intangible Assets By Major Class [Axis]
Indefinite-lived Intangible Assets, Major Class Name
Indefinite Lived Intangible Assets Major Class Name [Domain]
Trade Name [Member]
Trade Names [Member]
Indefinite-lived Intangible
Indefinite Lived Intangible Assets Excluding Goodwill
Amortization of intangible assets
Amortization Of Intangible Assets
Schedule Of Finite Lived Intangible Assets [Table]
Schedule Of Finite Lived Intangible Assets [Table]
Finite Lived Intangible Assets [Line Items]
Finite Lived Intangible Assets [Line Items]
Gross Amount
Finite Lived Intangible Assets Gross
Accumulated Amortization
Net
Finite lived intangible assets expected annual future amortization expense.
2021
Finite Lived Intangible Assets Amortization Expense Next Twelve Months
2022
Finite Lived Intangible Assets Amortization Expense Year Two
2023
Finite Lived Intangible Assets Amortization Expense Year Three
2024
Finite Lived Intangible Assets Amortization Expense Year Four
2025
Finite Lived Intangible Assets Amortization Expense Year Five
Thereafter
Finite Lived Intangible Assets Amortization Expense After Year Five
Total
Finite Lived Intangible Assets Expected Annual Future Amortization Expense
Schedule Of Business Acquisitions By Acquisition [Table]
Schedule Of Business Acquisitions By Acquisition [Table]
Business Combination, Separately Recognized Transactions
Business Combination Separately Recognized Transactions [Axis]
Business Combination, Separately Recognized Transactions
Business Combination Separately Recognized Transactions [Domain]
Recovery of the working capital adjustment and certain potential indemnification claims.
Recovery of Working Capital Adjustment and Certain Potential Indemnification Claims [Member]
Recovery Of Working Capital Adjustment And Certain Potential Indemnification Claims [Member]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Consideration paid for acquisition in cash
Payments To Acquire Businesses Gross
Fair value of existing equity interest
Business Combination Step Acquisition Equity Interest In Acquiree Fair Value1
Gain recognized from remeasurement of equity interest
Business Combination Step Acquisition Equity Interest In Acquiree Remeasurement Gain
Acquisition-related transaction costs
Business Acquisition Cost Of Acquired Entity Transaction Costs
Other Commitments
Other Commitments [Axis]
Other Commitments
Other Commitments [Domain]
Non escrow including the post-closing working capital adjustment.
Cash Paid at Closing [Member]
Non Escrow Including Post Closing Working Capital Adjustment [Member]
Post closing adjustment net of cash received.
Post-closing Adjustment, Net of Cash Received [Member]
Post Closing Adjustment Net Of Cash Received [Member]
Total consideration paid
Cash acquired
Cash Acquired From Acquisition
Net consideration paid
Business Combination Consideration Transferred1
Fair value of existing equity interest in NurseGrid
Net consideration paid
Business Combination Consideration Transferred Including Equity Interest In Acquiree Held Prior To Combination1
Accounts and unbilled receivable, net
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Assets Receivables
Prepaid and other current assets
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Assets Prepaid Expense And Other Assets
Operating lease right-of-use assets
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Operating Lease Right Of Use Assets
Deferred tax assets
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Deferred Tax Assets
Intangible assets
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Intangibles
Accounts payable and accrued liabilities
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Liabilities Accounts Payable
Deferred revenue
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Current Liabilities Deferred Revenue
Operating lease liabilities
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Operating Lease Liabilities
Net assets acquired
Business Combination Recognized Identifiable Assets Acquired Goodwill And Liabilities Assumed Net
Net tangible assets include deferred revenue book value.
Write down of deferred revenue.
Net tangible assets include deferred revenue book value at acquisition date
Net Tangible Assets Include Deferred Revenue Book Value
Net tangible assets include deferred revenue fair value at acquisition date
Write-down of deferred revenue
Write Down Of Deferred Revenue
Developed Technology [Member]
Developed Technology Rights [Member]
Non-compete member.
Non-Compete [Member]
Non Compete [Member]
Fair value
Useful life
Acquired Finite Lived Intangible Assets Weighted Average Useful Life
Total revenues
Business Combination Pro Forma Information Revenue Of Acquiree Since Acquisition Date Actual
Operating loss
Business Combination Pro Forma Information Earnings Or Loss Of Acquiree Since Acquisition Date Actual
Total revenues
Business Acquisitions Pro Forma Revenue
Income from continuing operations
Business Acquisitions Pro Forma Income Loss From Continuing Operations Before Changes In Accounting And Extraordinary Items Net Of Tax
Net income
Business Acquisitions Pro Forma Net Income Loss
Net income per share - basic
Business Acquisition Pro Forma Earnings Per Share Basic
Net income per share - diluted
Business Acquisition Pro Forma Earnings Per Share Diluted
Business acquisition accrued purchase price adjustments.
Purchase price held in escrow
Escrow Deposit
Purchase price adjustments accrued
Business Acquisition Accrued Purchase Price Adjustments
Cash
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Cash And Equivalents
Prepaid assets
Property and equipment
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Property Plant And Equipment
Indemnification assets
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Indemnification Assets
Deferred tax liability
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Deferred Tax Liabilities
Indemnification liability
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Indemnification Liability
Indemnification asset
Business Combination Indemnification Assets Amount As Of Acquisition Date
Uncertain tax position liability
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Uncertain Tax Position Liability
Business combination indemnification assets and liability related to tax liabilities amount as of acquisition date.
Business combination, indemnification assets and liability related to tax liabilities
Business Combination Indemnification Assets And Liability Related To Tax Liabilities Amount As Of Acquisition Date
Transaction costs
Business Combination Acquisition Related Costs
Other assets
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed Other Noncurrent Assets
Accounts payable and accrued liabilities
Operating lease liabilities
Segment reporting revenue and operating profit (loss) reconciling item.
Reconciliation of revenue and operating profit (loss) from segments to consolidated.
Reconciliation Of Revenue And Operating Profit Loss From Segments To Consolidated [Table]
Reconciliation Of Revenue And Operating Profit Loss From Segments To Consolidated [Table]
Consolidation Items
Consolidation Items [Axis]
Consolidation Items
Consolidation Items [Domain]
Operating Segments [Member]
Operating Segments [Member]
Unallocated [Member]
Material Reconciling Items [Member]
Segment Reporting Revenue And Operating Profit Loss Reconciling Item [Line Items]
Segment Reporting Revenue And Operating Profit Loss Reconciling Item [Line Items]
Revenues, net:
Operating income:
Operating Income Loss [Abstract]
Operating income
Depreciation depletion and amortization including discontinued operations.
Schedule Of Segment Reporting Information By Segment [Table]
Schedule Of Segment Reporting Information By Segment [Table]
Disposal Group Classification
Disposal Group Classification [Axis]
Disposal Group Classification
Disposal Group Classification [Domain]
Discontinued Operations [Member]
Segment Discontinued Operations [Member]
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Total assets
Total purchases of long-lived assets
Property Plant And Equipment Additions
Total depreciation and amortization
Depreciation Depletion And Amortization Including Discontinued Operations
Total assets
Total depreciation and amortization
Disposal Group Including Discontinued Operation Depreciation And Amortization
United States
Income Loss From Continuing Operations Before Income Taxes Domestic
Foreign
Income Loss From Continuing Operations Before Income Taxes Foreign
Earnings before income taxes
Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments
Current federal
Current Federal Tax Expense Benefit
Current state
Current State And Local Tax Expense Benefit
Current foreign
Current Foreign Tax Expense Benefit
Deferred federal
Deferred Federal Income Tax Expense Benefit
Deferred state
Deferred State And Local Income Tax Expense Benefit
Deferred foreign
Deferred Foreign Income Tax Expense Benefit
Provision for income taxes
Federal tax provision at the statutory rate
Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate
State income tax provision, net of federal benefit
Income Tax Reconciliation State And Local Income Taxes
Tax credits
Income Tax Reconciliation Tax Credits
Change in valuation allowance
Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance
Impact of foreign operations
Income Tax Reconciliation Tax Credits Foreign
Stock compensation
Effective Income Tax Rate Reconciliation Share Based Compensation Excess Tax Benefit Amount
Other
Income Tax Reconciliation Other Adjustments
Income taxes disclosure.
Income Taxes Disclosure [Table]
Income Taxes Disclosure [Table]
Income Taxes Disclosure [Table]
Tax Period
Tax Period [Axis]
Tax Period
Tax Period [Domain]
Earliest Tax Year [Member]
Earliest Tax Year [Member]
Latest Tax Year [Member]
Latest Tax Year [Member]
Income Tax Authority
Income Tax Authority [Axis]
Income Tax Authority
Income Tax Authority [Domain]
Federal [Member]
Domestic Country [Member]
State [Member]
State And Local Jurisdiction [Member]
Foreign [Member]
Foreign Country [Member]
Income Taxes Disclosure [Line Items]
Income Taxes Disclosure [Line Items]
Operating loss carryforwards expiration year.
Net operating loss carryforwards
Operating Loss Carryforwards
Loss carryforwards will expire in years
Operating Loss Carryforwards Expiration Year
Balance at beginning of year
Unrecognized Tax Benefits
Additions for tax positions in the current year
Unrecognized Tax Benefits Increases Resulting From Current Period Tax Positions
Additions for tax positions of prior years
Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions
Balance at end of year
Unrecognized tax benefits
Unrecognized Tax Benefits That Would Impact Effective Tax Rate
Interest and penalties related to unrecognized tax benefits
Unrecognized Tax Benefits Income Tax Penalties And Interest Expense
Deferred tax assets tax lease liability.
Deferred tax liabilities right of use assets.
Deferred tax liabilities depreciation.
Deferred tax assets:
Deferred Tax Assets Net [Abstract]
Allowance for doubtful accounts
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts
Accrued liabilities
Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Accrued Liabilities
Lease liability
Deferred Tax Assets Tax Lease Liability
Tax credits
Deferred Tax Assets Tax Credit Carryforwards
Stock based compensation
Deferred Tax Assets Tax Deferred Expense Compensation And Benefits Share Based Compensation Cost
Deferred revenue
Deferred Tax Assets Deferred Income
Basis difference on investments
Deferred Tax Assets Equity Method Investments
Net operating loss carryforwards
Deferred Tax Assets Operating Loss Carryforwards
Total deferred tax assets
Deferred Tax Assets Gross
Less: Valuation allowance
Deferred tax assets, net of valuation allowance
Deferred Tax Assets Net
Deferred tax liabilities:
Deferred Tax Liabilities Net [Abstract]
Deductible goodwill
Deferred Tax Liabilities Goodwill And Intangible Assets Goodwill
Nondeductible intangible assets
Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets
Right of use assets
Deferred Tax Liabilities Right Of Use Assets
Prepaid assets
Deferred Tax Liabilities Prepaid Expenses
Capitalized software development
Deferred Tax Liabilities Deferred Expense Capitalized Software
Depreciation
Deferred Tax Liabilities Depreciation
Total deferred tax liabilities
Deferred Income Tax Liabilities
Net deferred tax liabilities
Deferred Tax Liabilities
Employee service share based compensation tax benefit expense from exercise of stock options.
Excess tax expense related to stock based awards
Employee Service Share Based Compensation Tax Benefit Expense From Exercise Of Stock Options
Schedule Of Share Based Compensation Arrangements By Share Based Payment Award [Table]
Schedule Of Share Based Compensation Arrangements By Share Based Payment Award [Table]
Award Type
Award Type [Axis]
Award Type
Share Based Compensation Arrangements By Share Based Payment Award Award Type And Plan Name [Domain]
Stock options and restricted stock units.
Stock Options and RSUs [Member]
Stock Options And Restricted Stock Units [Member]
RSUs [Member]
Restricted Stock Units R S U [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Vesting period of the options and RSU's granted
Share Based Compensation Arrangement By Share Based Payment Award Award Vesting Period1
Common stock available for grant
Common Stock Capital Shares Reserved For Future Issuance
Outstanding at beginning of period, Common Shares
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number
Granted, Common Shares
Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross
Exercised, Common Shares
Stock Issued During Period Shares Stock Options Exercised
Expired, Common Shares
Share Based Compensation Arrangement By Share Based Payment Award Options Expirations In Period
Forfeited, Common Shares
Share Based Compensation Arrangement By Share Based Payment Award Options Forfeitures In Period
Outstanding at end of period, Common Shares
Exercisable at end of period, Common Shares
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number
Outstanding at beginning of period, Weighted-Average Exercise Price
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Weighted Average Exercise Price
Granted, Weighted-Average Exercise Price
Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price
Exercised, Weighted-Average Exercise Price
Share Based Compensation Arrangements By Share Based Payment Award Options Exercises In Period Weighted Average Exercise Price
Expired, Weighted-Average Exercise Price
Share Based Compensation Arrangements By Share Based Payment Award Options Expirations In Period Weighted Average Exercise Price
Forfeited, Weighted-Average Exercise Price
Share Based Compensation Arrangements By Share Based Payment Award Options Forfeitures In Period Weighted Average Exercise Price
Outstanding at end of period, Weighted-Average Exercise Price
Exercisable at end of period, Weighted-Average Exercise Price
Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Weighted Average Exercise Price
Outstanding at end of period, Aggregate Intrinsic Value
Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Intrinsic Value
Exercisable at end of period, Aggregate Intrinsic Value
Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Intrinsic Value1
Total intrinsic value of stock options exercised
Share Based Compensation Arrangement By Share Based Payment Award Options Exercises In Period Total Intrinsic Value
Cash proceeds from exercise of stock options
Closing stock price
Share Price
Weighted average remaining contractual term of options outstanding
Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2
Outstanding at beginning of period, shares
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Number
Granted
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period
Vested
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period
Forfeited
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeited In Period
Outstanding at end of period, shares
Outstanding at beginning of period, Weighted-Average Grant Date Fair Value
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Nonvested Weighted Average Grant Date Fair Value
Granted, Weighted-Average Grant Date Fair Value
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Grants In Period Weighted Average Grant Date Fair Value
Vested, Weighted-Average Grant Date Fair Value
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Weighted Average Grant Date Fair Value
Forfeited, Weighted-Average Grant Date Fair Value
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Forfeitures Weighted Average Grant Date Fair Value
Outstanding at end of period, Weighted-Average Grant Date Fair Value
Aggregate intrinsic Value
Sharebased Compensation Arrangement By Sharebased Payment Award Equity Instruments Other Than Options Aggregate Intrinsic Value Outstanding
Aggregate fair value of RSU awards that vested
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vested In Period Total Fair Value
Shares withheld for RSUs
Restricted Stock Shares Issued Net Of Shares For Tax Withholdings
Payments related to RSUs and stock options for the employees' tax obligations to taxing authorities
Schedule Of Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Table]
Schedule Of Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Table]
Cost of Revenues (Excluding Depreciation and Amortization) [Member]
Cost Of Sales [Member]
Product development.
Product Development [Member]
Product Development [Member]
Sales and Marketing [Member]
Other General and Administrative [Member]
General And Administrative Expense [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Employee Service Share Based Compensation Allocation Of Recognized Period Costs [Line Items]
Total stock based compensation expense
Allocated Share Based Compensation Expense
Total unrecognized compensation expense related to non-vested stock options and RSUs
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized
Weighted average expense recognition period
Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized Period For Recognition1
Number of employees awarded fully vested shares.
Payments related to tax withholding for share based compensation for stock awards.
Additional stock redeemed or called during period shares.
Title of Individual
Title Of Individual [Axis]
Title of Individual
Title Of Individual With Relationship To Entity [Domain]
Chief Executive Officer, Robert A. Frist, Jr., [Member]
Chief Executive Officer [Member]
Omnibus incentive plan.
2016 Omnibus Incentive Plan [Member]
Omnibus Incentive Plan [Member]
Number of shares contributed to the company
Stock Redeemed Or Called During Period Shares
Value of shares contributed to the company
Stock Redeemed Or Called During Period Value
Number of shares vested
Sharebased Compensation Arrangement By Sharebased Payment Award Options Vested Number Of Shares
Number of employees awarded fully vested shares
Number Of Employees Awarded Fully Vested Shares
Stock based compensation expense
Payments related to employees' tax obligations to taxing authorities for stock awards
Payments Related To Tax Withholding For Share Based Compensation For Stock Awards
Employer tax and expenses for stock awards
Sharebased Compensation Arrangement By Sharebased Payment Award Compensation Cost1
Number of additional shares contributed to the company
Additional Stock Redeemed Or Called During Period Shares
Employees minimum age eligibility to participate in plan.
Minimum period required to be eligible for participation in plan.
Schedule Of Sale Of Subsidiary [Abstract]
Schedule Of Sale Of Subsidiary [Abstract]
Employees minimum age eligibility to participate in plan
Employees Minimum Age Eligibility To Participate In Plan
Minimum number of days required to be eligible for participation in plan
Minimum Period Required To Be Eligible For Participation In Plan
Defined contribution plan, employer matching contribution amount
Defined Contribution Plan Employer Discretionary Contribution Amount
Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Table]
Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Table]
Disposal Group Name
Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Axis]
Disposal Group Name
Disposal Groups Including Discontinued Operations Name [Domain]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Line Items]
Gain on sale of business, net of tax
Gain Loss On Sale Of Business
Line Of Credit Facility [Table]
Line Of Credit Facility [Table]
Long-term Debt, Type
Longterm Debt Type [Axis]
Long-term Debt, Type
Longterm Debt Type [Domain]
Third amendment.
Third Amendment [Member]
Third Amendment [Member]
Credit Facility
Credit Facility [Axis]
Credit Facility
Credit Facility [Domain]
Revolving Credit Facility [Member]
Revolving Credit Facility [Member]
Lender Name
Line Of Credit Facility [Axis]
Line of Credit Facility, Lender
Line Of Credit Facility Lender [Domain]
Truist bank.
Truist Bank [Member]
Truist Bank [Member]
Variable Rate
Variable Rate [Axis]
Variable Rate
Variable Rate [Domain]
Federal Funds Effective Swap Rate [Member]
Federal Funds Effective Swap Rate [Member]
Base Rate [Member]
Base Rate [Member]
Eurodollar [Member]
Eurodollar [Member]
Short-term Debt, Type
Short Term Debt Type [Axis]
Short-term Debt, Type
Short Term Debt Type [Domain]
Swing Line Sub Facility [Member]
Swing Line Sub Facility [Member]
Swing Line Subfacility [Member]
Letter Of Credit Subfacility [Member]
Letter of Credit Subfacility [Member]
Letter Of Credit Subfacility [Member]
Line of Credit Facility [Line Items]
Line Of Credit Facility [Line Items]
Debt outstanding
Debt Instrument Carrying Amount
Line Of Credit Facility Increased Facility Size Due To Accordion Feature
Line Of Credit Facility Percentage Of Applicable Margin For Borrowings
Line of credit facility increase basket for dividend.
Leverage ratio.
Minimum liquidity amount.
Minority Owned Investment.
Libor floor rate.
Maturity date of Loan agreement
Line Of Credit Facility Expiration Date1
Interest rate under credit facility
Line Of Credit Facility Interest Rate Description
Maximum borrowing capacity under credit facility
Line Of Credit Facility Maximum Borrowing Capacity
Increase in revolving credit facility
Line Of Credit Facility Increased Facility Size Due To Accordion Feature
Increase basket for dividend
Line Of Credit Facility Increase Basket For Dividend
Leverage ratio
Leverage Ratio
Minimum liquidity amount
Minimum Liquidity Amount
Minority owned investment
Minority Owned Investment
Libor floor rate
Libor Floor Rate
Line of Credit Facility, Interest Rate During Period
Line Of Credit Facility Interest Rate During Period
Applicable margin for loans
Line Of Credit Facility Percentage Of Applicable Margin For Borrowings
Principal payments prior to maturity
Debt Instrument Periodic Payment Principal
Commitment fee paid per annum
Line Of Credit Facility Unused Capacity Commitment Fee Percentage
Debt leverage ratio.
Interest coverage ratio.
Description of Line of credit facility Covenant
Line Of Credit Facility Covenant Terms
Debt leverage ratio
Debt Leverage Ratio
Interest coverage ratio
Interest Coverage Ratio
Outstanding balance on revolving credit facility
Line Of Credit
Revolving credit facility borrowings
Proceeds From Lines Of Credit
Number of operating leases not yet commenced.
Operating Leases Disclosure [Line Items]
Operating Leases Disclosure [Table]
Operating Leases Disclosure [Table]
Operating Leases Disclosure [Table]
Operating Leases Disclosure [Line Items]
Operating Leases Disclosure [Line Items]
Right-of-use assets
Operating lease, liability
Operating Lease Liability
Operating leases that have not yet commenced
Number Of Operating Leases Not Yet Commenced
Operating lease expense
Operating Lease Cost
Cash paid for amounts included in the measurement of operating lease liabilities
Operating Lease Payments
Operating lease, weighted-average remaining lease term
Operating Lease Weighted Average Remaining Lease Term1
Operating lease, weighted-average incremental borrowing rate
Operating Lease Weighted Average Discount Rate Percent
Operating lease liabilities, current
Operating Lease Liability Current
Operating lease, liability, current, statement of financial position [Extensible List]
Operating Lease Liability Current Statement Of Financial Position Extensible List
Total operating lease liabilities
2021
Lessee Operating Lease Liability Payments Due Next Twelve Months
2022
Lessee Operating Lease Liability Payments Due Year Two
2023
Lessee Operating Lease Liability Payments Due Year Three
2024
Lessee Operating Lease Liability Payments Due Year Four
2025
Lessee Operating Lease Liability Payments Due Year Five
Thereafter
Lessee Operating Lease Liability Payments Due Thereafter
Total undiscounted lease payments
Lessee Operating Lease Liability Payments Due
Less imputed interest
Lessee Operating Lease Liability Undiscounted Excess Amount
Total lease liabilities
Gain on non-marketable equity investments.
Schedule Of Trading Securities And Other Trading Assets [Table]
Schedule Of Trading Securities And Other Trading Assets [Table]
Schedule Of Trading Securities And Other Trading Assets [Line Items]
Schedule Of Trading Securities And Other Trading Assets [Line Items]
Changes in adjustment to carrying value of non-marketable equity investment due to change in fair value
Aggregate carrying amount of non-marketable equity investments
Equity Securities Without Readily Determinable Fair Value Amount
Cumulative downward adjustments to carrying value of non-marketable equity investments
Gain On Non Marketable Equity Investments
Subsequent Event [Table]
Subsequent Event [Table]
Process Data Limited.
ProcessDATA, Ltd [Member]
Process Data Limited [Member]
Subsequent Event Type
Subsequent Event Type [Axis]
Subsequent Event Type
Subsequent Event Type [Domain]
Subsequent Event [Member]
Subsequent Event [Member]
Subsequent Event [Line Items]
Subsequent Event [Line Items]