Veradigm (MDRX) 10-Q 9 Aug 19 2019 Q2 Quarterly report Financial data

Document and Entity Information

Document and Entity Information - shares	6 Months Ended
	Jun. 30, 2019	Aug. 05, 2019
Document And Entity Information [Abstract]
Document Type	10-Q
Amendment Flag	false
Document Period End Date	Jun. 30, 2019
Document Fiscal Year Focus	2019
Document Fiscal Period Focus	Q2
Trading Symbol	MDRX
Entity Registrant Name	ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
Entity Central Index Key	0001124804
Entity Current Reporting Status	Yes
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Entity Shell Company	false
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Common Stock, Shares Outstanding		166,653,482
Entity File Number	001-35547
Entity Tax Identification Number	364392754
Entity Address, Address Line One	222 Merchandise Mart
Entity Address, Address Line Two	Suite 2024
Entity Address, City or Town	Chicago
Entity Address, State or Province	IL
Entity Address, Postal Zip Code	60654
City Area Code	800
Local Phone Number	334-8534

CONSOLIDATED BALANCE SHEETS (Un

CONSOLIDATED BALANCE SHEETS (Unaudited) - USD ($) $ in Thousands	Jun. 30, 2019	Dec. 31, 2018
Current assets:
Cash and cash equivalents	$ 138,903	$ 174,243
Restricted cash	9,236	10,552
Accounts receivable, net of allowance of $41,647 and $50,406 as of June 30, 2019 and December 31, 2018, respectively	428,085	465,264
Contract assets	75,351	66,451
Prepaid expenses and other current assets	152,476	142,455
Total current assets	804,051	858,965
Fixed assets, net	105,923	121,913
Software development costs, net	225,646	209,660
Intangible assets, net	402,783	431,081
Goodwill	1,382,244	1,373,744
Deferred taxes, net	5,000	5,036
Contract assets - long-term	98,362	71,879
Right-of-use assets - operating leases	96,097	0
Other assets	115,367	109,206
Total assets	3,235,473	3,181,484
Current liabilities:
Accounts payable	90,670	73,166
Accrued expenses	256,516	107,068
Accrued compensation and benefits	53,741	100,076
Income tax payable	0	29,644
Deferred revenue	432,222	466,797
Current maturities of long-term debt	22,121	20,059
Current operating lease liabilities	24,501	0
Current liabilities attributable to discontinued operations	0	920
Total current liabilities	879,771	797,730
Long-term debt	822,724	647,539
Deferred revenue	13,011	15,984
Deferred taxes, net	56,899	58,470
Long-term operating lease liabilities	93,117	0
Other liabilities	53,744	81,334
Total liabilities	1,919,266	1,601,057
Commitments and contingencies
Stockholders’ equity:
Preferred stock: $0.01 par value, 1,000 shares authorized, no shares issued and outstanding as of June 30, 2019 and December 31, 2018	0	0
Common stock: $0.01 par value, 349,000 shares authorized as of June 30, 2019 and December 31, 2018; 272,472 and 166,653 shares issued and outstanding as of June 30, 2019, respectively; 270,955 and 171,224 shares issued and outstanding as of December 31, 2018, respectively	2,724	2,709
Treasury stock: at cost, 105,818 and 99,731 shares as of June 30, 2019 and December 31, 2018, respectively	(524,767)	(460,543)
Additional paid-in capital	1,867,613	1,881,494
(Accumulated deficit) retained earnings	(24,641)	132,842
Accumulated other comprehensive loss	(4,722)	(5,389)
Total Allscripts Healthcare Solutions, Inc.'s stockholders' equity	1,316,207	1,551,113
Non-controlling interest	0	29,314
Total stockholders’ equity	1,316,207	1,580,427
Total liabilities and stockholders’ equity	$ 3,235,473	$ 3,181,484

CONSOLIDATED BALANCE SHEETS (_2

CONSOLIDATED BALANCE SHEETS (Unaudited) (Parenthetical) - USD ($) $ in Thousands	Jun. 30, 2019	Dec. 31, 2018
Statement Of Financial Position [Abstract]
Accounts receivable, allowance	$ 41,647	$ 50,406
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	1,000,000	1,000,000
Preferred stock, shares issued	0	0
Preferred stock, shares outstanding	0	0
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	349,000,000	349,000,000
Common stock, shares issued	272,472,000	270,955,000
Common stock, shares outstanding	166,653,000	171,224,000
Treasury stock at cost, shares	105,818,000	99,731,000

CONSOLIDATED STATEMENTS OF OPER

CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Revenue:
Revenue from contract with customers	$ 444,460	$ 441,464	$ 876,509	$ 875,186
Cost of revenue:
Amortization of software development and acquisition-related assets	29,030	24,585	57,252	50,544
Total cost of revenue	260,338	267,697	518,292	516,754
Gross profit	184,122	173,767	358,217	358,432
Selling, general and administrative expenses	105,542	122,913	205,787	242,850
Research and development	63,414	74,491	127,724	139,281
Asset impairment charges	3,691	30,075	3,789	30,075
Amortization of intangible and acquisition-related assets	6,732	6,382	13,529	13,021
Income (loss) from operations	4,743	(60,094)	7,388	(66,795)
Interest expense	(10,424)	(11,980)	(20,608)	(23,674)
Other loss, net	(144,994)	(13)	(144,481)	(48)
Gain on sale of businesses, net	0	173,129	0	172,258
(Impairment) recovery of long-term investments	0	(9,987)	1,045	(15,487)
Equity in net income of unconsolidated investments	218	767	154	706
(Loss) income from continuing operations before income taxes	(150,457)	91,822	(156,502)	66,960
Income tax benefit (provision)	527	(7,256)	(1,405)	(7,555)
(Loss) income from continuing operations, net of tax	(149,930)	84,566	(157,907)	59,405
Loss from discontinued operations	0	(14,107)	0	(19,123)
Income tax effect on discontinued operations	0	3,813	0	5,475
Loss from discontinued operations, net of tax	0	(10,294)	0	(13,648)
Net (loss) income	(149,930)	74,272	(157,907)	45,757
Net loss attributable to non-controlling interests	0	2,700	424	3,490
Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operations	0	(12,148)	0	(24,297)
Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders	$ (149,930)	$ 64,824	$ (157,483)	$ 24,950
Basic
Continuing operations	$ (0.90)	$ 0.49	$ (0.94)	$ 0.35
Discontinued operations	0	(0.13)	0	(0.21)
Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders per share	(0.90)	0.36	(0.94)	0.14
Diluted
Continuing operations	(0.90)	0.49	(0.94)	0.35
Discontinued operations	0	(0.13)	0	(0.21)
Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders per share	$ (0.90)	$ 0.36	$ (0.94)	$ 0.14
Software delivery, Support and Maintenance [Member]
Revenue:
Revenue from contract with customers	$ 285,023	$ 284,485	$ 560,535	$ 565,038
Cost of revenue:
Total cost of revenue	91,351	92,938	179,484	178,948
Client services [Member]
Revenue:
Revenue from contract with customers	159,437	156,979	315,974	310,148
Cost of revenue:
Total cost of revenue	$ 139,957	$ 150,174	$ 281,556	$ 287,262

CONSOLIDATED STATEMENTS OF COMP

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (Unaudited) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Statement Of Income And Comprehensive Income [Abstract]
Net (loss) income	$ (149,930)	$ 74,272	$ (157,907)	$ 45,757
Other comprehensive (loss) income:
Foreign currency translation adjustments	(156)	(1,685)	539	(1,562)
Change in fair value of derivatives qualifying as cash flow hedges	42	(460)	174	(1,093)
Other comprehensive (loss) income before income tax (expense) benefit	(114)	(2,145)	713	(2,655)
Income tax (expense) benefit related to items in other comprehensive (loss) income	(11)	120	(46)	434
Total other comprehensive income (loss)	(125)	(2,025)	667	(2,221)
Comprehensive (loss) income	(150,055)	72,247	(157,240)	43,536
Comprehensive loss attributable to non-controlling interests	0	2,700	424	3,490
Comprehensive (loss) income, net	$ (150,055)	$ 74,947	$ (156,816)	$ 47,026

CONSOLIDATED STATEMENTS OF STOC

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (Unaudited) - USD ($) shares in Thousands, $ in Thousands	Total	Common stock issued [Member]	Treasury stock [Member]	Additional paid-in capital [Member]	Retained earnings (accumulated deficit) [Member]	Accumulated other comprehensive loss [Member]	Non-controlling interest [Member]
Beginning Balance, Shares at Dec. 31, 2017		269,335	(88,504)
Beginning Balance at Dec. 31, 2017	$ 1,160,072	$ 2,693	$ (322,735)	$ 1,781,059	$ (338,150)	$ (1,985)	$ 39,190
Stock-based compensation				17,147
Common stock issued under stock compensation plans, net of shares withheld for employee taxes, Shares		1,374
Common stock issued under stock compensation plans, net of shares withheld for employee taxes		$ 14		(8,410)
Issuance of treasury stock, Shares			0
Issuance of treasury stock	0		$ 0	0
Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operations	(24,297)			(24,297)
Subsidiary issuance of common stock				0
Purchase of treasury stock, Shares			(7,671)
Purchase of treasury stock			$ (101,906)
Warrants issued				1,364
Net loss less net income attributable to non-controlling interests					49,247
ASC 606 implementation adjustments					57,438
ASC 606 implementation adjustments - discontinued operations					3,157
Foreign currency translation adjustments, net	(1,562)					(1,562)
Unrecognized gain on derivatives qualifying as cash flow hedges, net of tax						(659)
Acquisition of non-controlling interest				0			(6,491)
Net loss attributable to non-controlling interests	(3,490)						(3,490)
Ending Balance, Shares at Jun. 30, 2018		270,709	(96,175)
Ending Balance at Jun. 30, 2018	1,141,624	$ 2,707	$ (424,641)	1,766,863	(228,308)	(4,206)	29,209
Beginning Balance, Shares at Dec. 31, 2017		269,335	(88,504)
Beginning Balance at Dec. 31, 2017	$ 1,160,072	$ 2,693	$ (322,735)	1,781,059	(338,150)	(1,985)	39,190
Common stock issued under stock compensation plans, net of shares withheld for employee taxes, Shares	1,600
Ending Balance, Shares at Dec. 31, 2018	270,955	270,955	(99,731)
Ending Balance at Dec. 31, 2018	$ 1,580,427	$ 2,709	$ (460,543)	1,881,494	132,842	(5,389)	29,314
Beginning Balance, Shares at Mar. 31, 2018		270,601	(92,648)
Beginning Balance at Mar. 31, 2018	1,110,120	$ 2,706	$ (380,335)	1,770,801	(319,271)	(2,181)	38,400
Stock-based compensation				7,212
Common stock issued under stock compensation plans, net of shares withheld for employee taxes, Shares		108
Common stock issued under stock compensation plans, net of shares withheld for employee taxes		$ 1		(114)
Issuance of treasury stock, Shares			0
Issuance of treasury stock			$ 0	0
Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operations	(12,148)			(12,148)
Subsidiary issuance of common stock				430
Purchase of treasury stock, Shares			(3,527)
Purchase of treasury stock			$ (44,306)
Warrants issued				682
Net loss less net income attributable to non-controlling interests					76,972
ASC 606 implementation adjustments					13,991
ASC 606 implementation adjustments - discontinued operations					0
Foreign currency translation adjustments, net	(1,685)					(1,685)
Unrecognized gain on derivatives qualifying as cash flow hedges, net of tax						(340)
Acquisition of non-controlling interest				0			(6,491)
Net loss attributable to non-controlling interests	(2,700)						(2,700)
Ending Balance, Shares at Jun. 30, 2018		270,709	(96,175)
Ending Balance at Jun. 30, 2018	$ 1,141,624	$ 2,707	$ (424,641)	1,766,863	(228,308)	(4,206)	29,209
Beginning Balance, Shares at Dec. 31, 2018	270,955	270,955	(99,731)
Beginning Balance at Dec. 31, 2018	$ 1,580,427	$ 2,709	$ (460,543)	1,881,494	132,842	(5,389)	29,314
Stock-based compensation				21,523
Common stock issued under stock compensation plans, net of shares withheld for employee taxes, Shares	1,500	1,517
Common stock issued under stock compensation plans, net of shares withheld for employee taxes		$ 15		(6,711)
Issuance of treasury stock, Shares			61
Issuance of treasury stock	$ 701		$ 846	(144)
Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operations	0			0
Subsidiary issuance of common stock				0
Purchase of treasury stock, Shares			(6,148)
Purchase of treasury stock			$ (65,070)
Warrants issued				1,364
Net loss less net income attributable to non-controlling interests					(157,483)
ASC 606 implementation adjustments					0
ASC 606 implementation adjustments - discontinued operations					0
Foreign currency translation adjustments, net	539					539
Unrecognized gain on derivatives qualifying as cash flow hedges, net of tax						128
Acquisition of non-controlling interest				(29,913)			(28,890)
Net loss attributable to non-controlling interests	$ (424)						(424)
Ending Balance, Shares at Jun. 30, 2019	272,472	272,472	(105,818)
Ending Balance at Jun. 30, 2019	$ 1,316,207	$ 2,724	$ (524,767)	1,867,613	(24,641)	(4,722)	0
Beginning Balance, Shares at Mar. 31, 2019		272,013	(105,879)
Beginning Balance at Mar. 31, 2019	1,456,117	$ 2,719	$ (525,613)	1,858,319	125,289	(4,597)	0
Stock-based compensation				10,129
Common stock issued under stock compensation plans, net of shares withheld for employee taxes, Shares		459
Common stock issued under stock compensation plans, net of shares withheld for employee taxes		$ 5		(1,373)
Issuance of treasury stock, Shares			61
Issuance of treasury stock			$ 846	(144)
Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operations	0			0
Subsidiary issuance of common stock				0
Purchase of treasury stock, Shares			0
Purchase of treasury stock			$ 0
Warrants issued				682
Net loss less net income attributable to non-controlling interests					(149,930)
ASC 606 implementation adjustments					0
ASC 606 implementation adjustments - discontinued operations					0
Foreign currency translation adjustments, net	(156)					(156)
Unrecognized gain on derivatives qualifying as cash flow hedges, net of tax						31
Acquisition of non-controlling interest				0			0
Net loss attributable to non-controlling interests	$ 0						0
Ending Balance, Shares at Jun. 30, 2019	272,472	272,472	(105,818)
Ending Balance at Jun. 30, 2019	$ 1,316,207	$ 2,724	$ (524,767)	$ 1,867,613	$ (24,641)	$ (4,722)	$ 0

CONSOLIDATED STATEMENTS OF CASH

CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018
Cash flows from operating activities:
Net (loss) income	$ (157,907)	$ 45,757
Less: Loss from discontinued operations	0	(13,648)
(Loss) income from continuing operations	(157,907)	59,405
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Depreciation and amortization	100,603	95,192
Operating right-of-use asset amortization	11,007	0
Stock-based compensation expense	21,790	17,154
Deferred taxes	(1,506)	9,669
Asset impairment charges	3,789	30,075
(Recovery) impairment of long-term investments	(1,045)	15,487
Equity in net loss of unconsolidated investments	(154)	(706)
Gain on sale of businesses, net	0	(172,258)
Other (income) losses, net	1,992	(898)
Changes in operating assets and liabilities (net of businesses acquired):
Accounts receivable and contract assets, net	42,256	13,990
Prepaid expenses and other assets	(16,691)	(9,961)
Accounts payable	16,285	19,183
Accrued expenses	146,841	5,182
Accrued compensation and benefits	(47,284)	4,374
Deferred revenue	(77,342)	(23,282)
Other liabilities	(2,670)	(1,060)
Operating leases	(11,874)	0
Net cash provided by operating activities - continuing operations	28,090	61,546
Net cash (used in) provided by operating activities - discontinued operations	(30,000)	4,994
Net cash (used in) provided by operating activities	(1,910)	66,540
Cash flows from investing activities:
Capital expenditures	(9,429)	(14,022)
Capitalized software	(55,222)	(57,339)
Cash paid for business acquisitions, net of cash acquired	(11,718)	(177,233)
Cash received from sale of businesses, net	0	246,801
Purchases of equity securities, other investments and related intangible assets, net	(1,159)	(2,723)
Other proceeds from investing activities	9	46
Net cash used in investing activities - continuing operations	(77,519)	(4,470)
Net cash used in investing activities - discontinued operations	0	(16,048)
Net cash used in investing activities	(77,519)	(20,518)
Cash flows from financing activities:
Proceeds from sale or issuance of common stock	0	212
Taxes paid related to net share settlement of equity awards	(6,695)	(8,610)
Payments of lease obligations	(68)	(254)
Credit facility payments	(10,000)	(215,001)
Credit facility borrowings, net of issuance costs	180,000	275,843
Repurchase of common stock	(65,070)	(101,905)
Payment of acquisition and other financing obligations	(1,473)	(3,226)
Purchases of subsidiary shares owned by non-controlling interest	(54,064)	(6,945)
Net cash provided by (used in) financing activities - continuing operations	42,630	(59,886)
Net cash used in financing activities - discontinued operations	0	(7,567)
Net cash provided by (used in) financing activities	42,630	(67,453)
Effect of exchange rate changes on cash and cash equivalents	143	(291)
Net decrease in cash and cash equivalents	(36,656)	(21,722)
Cash, cash equivalents and restricted cash, beginning of period	184,795	162,498
Cash, cash equivalents and restricted cash, end of period	148,139	140,776
Less: Cash and cash equivalents included in current assets attributable to discontinued operations	0	(14,791)
Cash, cash equivalents and restricted cash, end of period, excluding discontinued operations	$ 148,139	$ 125,985

Basis of Presentation and Signi

Basis of Presentation and Significant Accounting Policies	6 Months Ended
	Jun. 30, 2019
Accounting Policies [Abstract]
Basis of Presentation and Significant Accounting Policies	1. Basis of Presentation and Significant Accounting Policies Principles of Consolidation The consolidated financial statements include the accounts of Allscripts Healthcare Solutions, Inc. (“Allscripts”) and its wholly-owned subsidiaries and controlled affiliates. All significant intercompany balances and transactions have been eliminated. Each of the terms “we,” “us,” “our” or the “Company” as used herein refers collectively to Allscripts Healthcare Solutions, Inc. and its wholly-owned subsidiaries and controlled affiliates, unless otherwise stated. Unaudited Interim Financial Information The unaudited interim consolidated financial statements as of and for the three and six months ended June 30, 2019 and 2018 have been prepared in accordance with the rules and regulations of the Securities and Exchange Commission (the “SEC”) for interim financial reporting. These interim consolidated financial statements are unaudited and, in the opinion of our management, include all adjustments, consisting of normal recurring adjustments and accruals, necessary Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with GAAP have been condensed or omitted in accordance with the SEC's rules and regulations for interim reporting. The Company believes that the disclosures made are adequate to make these unaudited interim consolidated financial statements not misleading. They should be read in conjunction with the consolidated financial statements and related notes included in our Annual Report on Form 10-K for the year ended December 31, 2018 (our “Form 10-K”). Use of Estimates The preparation of consolidated financial statements in accordance with GAAP requires us to make estimates and assumptions that affect the amounts reported and disclosed in the consolidated financial statements and the accompanying notes. Actual results could differ materially from these estimates. Change in Presentation During the first quarter of 2019, we changed our reportable segments from Clinical and Financial Solutions, Population Health and Unallocated to Provider, Veradigm and Unallocated. The business units reported within the historical segments have been reallocated into the new segments. Refer to Note 15 “Business Segments” for further discussion on the impact of the change. Significant Accounting Policies We adopted Financial Accounting Standards Board (“FASB”) Accounting Standards Update No. 2016-02, “Leases (Topic 842)” (“ASU 2016-02”) on January 1, 2019 using the cumulative-effect adjustment transition method method requires us to recognize an adoption impact as a cumulative-effect adjustment to the January 1, 2019 retained earnings balance. tion. Recently Adopted Accounting Pronouncements In August 2017, the FASB issued Accounting Standards Update No. 2017-12, Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities We adopted ASU 2017-12 on January 1, 2019, and the adoption did not have any effect on our consolidated financial statements. In June 2018, the FASB issued Accounting Standards Update No. 2018-07, “ Compensation-Stock Compensation (Topic 718): Improvements to Nonemployee Share-Based Payment Accounting Accounting Pronouncements Not Yet Adopted In August 2018, the FASB issued Accounting Standards Update No. 2018-13, “Fair Value Measurement (Topic 820) – Disclosure Framework – Changes to the Disclosure Requirements for Fair Value Measurement” In June 2016, the FASB issued Accounting Standards Update No. 2016-13, Financial Instruments – Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments We do not believe that any other recently issued, but not yet effective accounting standards, if adopted, will have a material impact on our consolidated financial statements.

Revenue from Contracts with Cus

Revenue from Contracts with Customers	6 Months Ended
	Jun. 30, 2019
Revenue From Contract With Customer [Abstract]
Revenue from Contracts with Customers	2. Revenue from Contracts with Customers Our two primary revenue streams are (i) software delivery, support and maintenance and (ii) client services. Software delivery, support and maintenance revenue consists of all of our proprietary software sales (either under a perpetual or term license delivery model), subscription-based software sales, transaction-related revenue, the resale of hardware and third-party software and revenue from post-contract client support and maintenance services, which include telephone support services, maintaining and upgrading software and ongoing enhanced maintenance. Client services revenue consists of revenue from managed services solutions, such as private cloud hosting, outsourcing and revenue cycle management, as well as other client services and project-based revenue from implementation, training and consulting services. For some clients, we host the software applications licensed from us using our own or third-party servers. For other clients, we offer an outsourced service in which we assume partial to total responsibility for a healthcare organization’s IT operations using our employees. At June 30, 2019 and December 31, 2018, we had capitalized costs to obtain or fulfill a contract of $21.9 million and $24.7 million, respectively, in Prepaid and other current assets and $31.9 million and $33.8 million, respectively, in Other assets. During the three months ended June 30, 2019 and 2018, we recognized $7.4 million and $7.5 million, respectively, of amortization expense related to such capitalized costs. During the six months ended June 30, 2019 and 2018, we recognized $15.0 million and $15.5 million, respectively, of amortization expense related to such capitalized costs. The amortization of these capitalized costs to obtain a contract are included in Selling, general and administrative expense within our consolidated statements of operations. The timing of revenue recognition, billings and cash collections results in billed and unbilled accounts receivables, contract assets and customer advances and deposits. Accounts receivable, net includes both billed and unbilled amounts where the right to receive payment is unconditional and only subject to the passage of time. Contract assets include amounts where revenue recognized exceeds the amount billed to the customer and the right to payment is not solely subject to the passage of time. Deferred revenue includes advanced payments and billings in excess of revenue recognized. Our contract assets and deferred revenue are reported in a net position on an individual contract basis at the end of each reporting period. Contract assets are classified as current or long-term based on the timing of when we expect to complete the related performance obligations and bill the customer. Deferred revenue is classified as current or long-term based on the timing of when we expect to recognize revenue. The breakdown of revenue recognized related based on the origination of performance obligations and elected accounting expedients is presented in the table below: (In thousands) Three Months Ended March 31, 2019 Three Months Ended June 30, 2019 Revenue related to deferred revenue balance at beginning of period $ 126,184 $ 146,150 Revenue related to new performance obligations satisfied during the period 248,221 233,696 Revenue recognized under "right-to-invoice" expedient 55,923 62,245 Reimbursed travel expenses, shipping and other revenue 1,721 2,369 Total revenue $ 432,049 $ 444,460 (In thousands) Three Months Ended March 31, 2018 Three Months Ended June 30, 2018 Revenue related to deferred revenue balance at beginning of period $ 181,398 $ 196,163 Revenue related to new performance obligations satisfied during the period 200,232 180,001 Revenue recognized under "right-to-invoice" expedient 49,403 62,533 Reimbursed travel expenses, shipping and other revenue 2,689 2,767 Total revenue $ 433,722 $ 441,464 The aggregate amount of contract transaction price related to remaining unsatisfied performance obligations (commonly referred to as “backlog”) represents contracted revenue that has not yet been recognized and includes both deferred revenue and amounts that will be invoiced and recognized as revenue in future periods. Total backlog equaled $3.9 billion as of June 30, 2019, of which we expect to recognize approximately 38% over the next 12 months, and the remaining 62% thereafter. Revenue Recognition We recognize revenue only when we satisfy an identified performance obligation (or bundle of obligations) by transferring control of a promised product or service to a customer. We consider a product or service to be transferred when a customer obtains control because a customer has sole possession of the right to use (or the right to direct the use of) the product or service for the remainder of its economic life or to consume the product or service in its own operations. We evaluate the transfer of control primarily from the customer’s perspective as this reduces the risk that revenue is recognized for activities that do not transfer control to the customer. The majority of our revenue is recognized over time because a customer continuously and simultaneously receives and consumes the benefits of our performance. The exceptions to this pattern are our sales of perpetual and term software licenses, and hardware, where we determined that a customer obtains control of the asset upon granting of access, delivery or shipment. We disaggregate our revenue from contracts with customers based on the type of revenue and nature of revenue stream, as we believe those categories best depict how the nature, amount, timing and uncertainty of our revenue and cash flows are affected by economic factors. The below tables summarize revenue by type and nature of revenue stream as well as by our reportable segments: Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 Revenue: Recurring revenue $ 350,113 $ 361,376 $ 698,749 $ 714,036 Non-recurring revenue 94,347 80,088 177,760 161,150 Total revenue $ 444,460 $ 441,464 $ 876,509 $ 875,186 Three Months Ended June 30, 2019 (In thousands) Provider Veradigm Unallocated Total Software delivery, support and maintenance $ 247,439 $ 37,451 $ 133 $ 285,023 Client services 158,251 1,070 116 159,437 Total revenue $ 405,690 $ 38,521 $ 249 $ 444,460 Three Months Ended June 30, 2018 (In thousands) Provider Veradigm Unallocated Total Software delivery, support and maintenance $ 253,754 $ 32,807 $ (2,076 ) $ 284,485 Client services 159,713 690 (3,424 ) 156,979 Total revenue $ 413,467 $ 33,497 $ (5,500 ) $ 441,464 Six Months Ended June 30, 2019 (In thousands) Provider Veradigm Unallocated Total Software delivery, support and maintenance $ 484,794 $ 71,493 $ 4,248 $ 560,535 Client services 313,503 2,144 327 315,974 Total revenue $ 798,297 $ 73,637 $ 4,575 $ 876,509 Six Months Ended June 30, 2018 (In thousands) Provider Veradigm Unallocated Total Software delivery, support and maintenance $ 511,508 $ 54,222 $ (692 ) $ 565,038 Client services 312,383 2,082 (4,317 ) 310,148 Total revenue $ 823,891 $ 56,304 $ (5,009 ) $ 875,186

Leases

Leases	6 Months Ended
	Jun. 30, 2019
Lessee Disclosure [Abstract]
Leases	3. Leases We adopted ASU 2016-02 The new guidance requires the recognition of leased arrangements on the balance sheet as right-of-use assets and liabilities pertaining to the rights and obligations created by the leased assets. We determine whether an arrangement is a lease at inception. Assets leased under an operating lease arrangement are recorded in Right-of-use assets – operating leases and the associated lease liability is included in Current operating lease liabilities and Long-term operating lease liabilities within the consolidated balance sheets. Assets leased under finance lease arrangements are recorded within fixed assets and the associated lease liabilities are recorded within Accrued expenses and Other liabilities within the consolidated balance sheets. Right-of-use assets represent our right to use an underlying asset for the lease term and lease liabilities represent our obligation to make lease payments arising from the lease. Operating lease right-of-use assets and liabilities are recognized at commencement date based on the present value of lease payments over the expected lease term. Since our lease arrangements do not provide an implicit rate, we use our incremental borrowing rate in conjunction with the market swap rate for the expected remaining lease team at commencement date for new leases, or as of January 1, 2019 for existing leases, in determining the present value of future lease payments. Our expected lease terms may include options to extend or terminate the lease when it is reasonably certain that we will exercise that option. Operating lease expense is recognized on a straight-line basis over the lease term. We have elected the group of practical expedients under ASU 2016-02 to forego assessing upon adoption: (1) whether any expired contracts are or contain leases; (2) the lease classification for any existing or expired leases and (3) any indirect costs that would have qualified for capitalization for any existing leases. We have lease agreements with lease and non-lease components, which are generally accounted for separately except for real estate and vehicle leases, which we have elected to combine through a practical expedient under ASU 2016-02. Non-lease components for our leases typically comprise of executory costs, which under the practical expedient allows for all executory costs to be recorded as lease payments. Additionally, for certain equipment leases, we apply a portfolio approach to effectively record right-of-use assets and liabilities . Our operating leases mainly include office leases and our finance leases include office and computer equipment leases. Our leases have remaining lease terms of approximately 1 year to 9 years, some of which include options to extend the leases for up to 5 years (In thousands) Three Months Ended June 30, 2019 Six Months Ended June 30, 2019 Operating lease cost (1) $ 7,051 $ 13,768 Less: Sublease income (778 ) (1,580 ) Total operating lease costs $ 6,273 $ 12,188 Finance lease costs: Amortization of right-of-use assets (2) $ 37 $ 88 Interest on lease liability (3) 2 5 Total finance lease costs $ 39 $ 93 (1) Operating lease costs are recognized on a straight-line basis and are included in Selling, general and administrative expenses within the consolidated statement of operations. (2) Amortization of finance right-of-use assets is recognized on a straight-line basis and is included in in Selling, general and administrative expenses within the consolidated statement of operations. (3) Interest on finance lease liabilities is recorded as Interest expense within the consolidated statement of operations . Supplemental information for operating and finance leases is as follows: (In thousands) Six Months Ended June 30, 2019 Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 14,688 Operating cash flows from finance leases $ 5 Financing cash flows from finance leases $ 70 Right-of-use assets obtained in exchange for lease obligations: Operating leases $ 128,664 Finance leases $ 263 The balance sheet location and balances for operating and finance leases are as follows: (In thousands, except lease term and discount rate) June 30, 2019 Operating leases: Right-of-use assets - operating leases $ 96,097 Current operating lease liabilities $ 24,501 Long-term operating lease liabilities $ 93,117 Finance leases: Fixed assets, gross $ 524 Accumulated depreciation 322 Fixed assets, net $ 202 Current finance lease liabilities (1) $ 120 Long-term finance lease liabilities (2) $ 72 Weighted average remaining lease term (in years) Operating leases 6 Finance leases 2 Weighted average discount rate Operating leases 4.6 % Finance leases 5.1 % (1) Current finance lease liabilities are included in Accrued expenses within the consolidated balance sheets. (2) Long-term finance lease liabilities are included in Other liabilities within the consolidated balance sheets. The future maturities of our leasing arrangements including lease and non-lease components are shown in the below table. The maturities are calculated using foreign currency exchange rates in effect as of June 30, 2019. June 30, 2019 (In thousands) Operating Leases Finance Leases Remainder of 2019 $ 15,114 $ 71 2020 26,402 85 2021 21,511 40 2022 19,650 6 2023 17,164 0 Thereafter 33,388 0 Total lease liabilities 133,229 202 Less: Amount representing interest (15,611 ) (10 ) Less: Short-term lease liabilities (24,501 ) (120 ) Total long-term lease liabilities $ 93,117 $ 72

Business Combinations

Business Combinations	6 Months Ended
	Jun. 30, 2019
Business Combinations [Abstract]
Business Combinations	4. Business Combinations On June 10, 2019, we acquired the assets of a business engaged in the development, implementation, customization, marketing, licensing and sale of a specialty prescription drug platform including software that collects, saves and transmits information required to fill a prescription. The drug platform and software will enable healthcare providers, pharmacists and payors to digitally interact with one another to fill a prescription. The business is included in our Veradigm business segment. On March 1, 2019, we acquired all of the outstanding minority interest in Pulse8, Inc., a healthcare analytics and technology company that provides business intelligence software solutions for health plans and at-risk providers to enable them to analyze their risk adjustment and quality management programs, for $53.8 million (subject to adjustments for net working capital and a contingency holdback), plus up to a $10.0 million earnout based upon revenue targets through 2019. We initially acquired a controlling stake in Pulse 8, Inc. on September 8, 2016. This transaction was treated as an equity transaction and the cash payment is reported as part of cash flow from financing activities in the consolidated statement of cash flows for the six months ended June 30, 2019. Other Acquisitions and Divestiture On June 15, 2018, we acquired all the outstanding minority interest in a third party for $6.9 million. We initially acquired a controlling interest in the third party in April 2015. This acquisition was treated as an equity transaction and the cash payment is reported as part of cash flow from financing activities in the consolidated statements of cash flows for the six months ended June 30, 2018. On April 2, 2018 we sold substantially all of the assets of the Allscripts’ business providing hospitals and health systems document and other content management software services generally known as “OneContent” to Hyland Software, Inc. Total consideration for the OneContent business was $260.0 million and we realized a pre-tax gain upon sale of $177.9 million, which is included in the “Gain on sale of businesses, net” line in our consolidated statements of operations for the three and six months ended June 30, 2018.

Fair Value Measurements and Lon

Fair Value Measurements and Long-term Investments	6 Months Ended
	Jun. 30, 2019
Fair Value Disclosures [Abstract]
Fair Value Measurements and Long-term Investments	5. Fair Value Measurements and Long-term Investments Fair value measurements are based upon observable and unobservable inputs. Level 1: Inputs are unadjusted quoted prices in active markets for identical assets or liabilities at the measurement date. Level 2: Inputs, other than quoted prices included in Level 1, are observable for the asset or liability, either directly or indirectly. Level 3: Unobservable inputs are significant to the fair value of the asset or liability, and include situations where there is little, if any, market activity for the asset or liability. The following table summarizes our financial assets and liabilities measured at fair value on a recurring basis as of the respective balance sheet dates: Balance Sheet June 30, 2019 December 31, 2018 (In thousands) Classifications Level 1 Level 2 Level 3 Total Level 1 Level 2 Level 3 Total Foreign exchange derivative assets Prepaid expenses and other current assets $ 0 $ 435 $ 0 $ 435 $ 0 $ 262 $ 0 $ 262 1.25% Call Option Other assets 0 0 6,409 6,409 0 0 9,104 9,104 Total assets $ 0 $ 435 $ 6,409 $ 6,844 $ 0 $ 262 $ 9,104 $ 9,366 Contingent consideration - current Accrued expenses $ 0 $ 0 $ 18,160 $ 18,160 $ 0 $ 0 $ 10,528 $ 10,528 Contingent consideration - long-term Other liabilities 0 0 13,928 13,928 0 0 15,317 15,317 1.25% Embedded cash conversion option Other liabilities 0 0 7,365 7,365 0 0 9,974 9,974 Total liabilities $ 0 $ 0 $ 39,453 $ 39,453 $ 0 $ 0 $ 35,819 $ 35,819 The changes in Level 3 assets and liabilities measured at fair value on a recurring basis at June 30, 2019 are summarized as follows: (In thousands) Contingent Consideration 1.25% Notes Call Spread Overlay Balance at December 31, 2018 $ 25,845 $ (870 ) Additions 6,249 0 Fair value adjustments (6 ) (86 ) Balance at June 30, 2019 $ 32,088 $ (956 ) Long-term Investments The following table summarizes our long-term equity investments which are included in Other assets in the accompanying consolidated balance sheets: Number of Investees Original Carrying Value at (In thousands, except for number of investees) at June 30, 2019 Cost June 30, 2019 December 31, 2018 Equity method investments (1) 5 $ 7,407 $ 10,823 $ 10,667 Cost method investments 8 37,874 28,126 25,923 Total long-term equity investments 13 $ 45,281 $ 38,949 $ 36,590 (1) As of June 30, 2019, it is not possible to estimate the fair value of our non-marketable cost and equity method investments, primarily because of their illiquidity and restricted marketability. The factors we considered in trying to determine fair value include, but are not limited to, available financial information, the issuer’s ability to meet its current obligations, the issuer’s subsequent or planned raises of capital and observable price changes in orderly transactions. Recovery and Impairment of Long-term Investments During the six months ended June 30, 2019, we recovered $1.0 million from a third-party cost-method investment that we had previously impaired, which was recognized in the first quarter 2019. Each quarter, management performs an assessment of each of our investments on an individual basis to determine if there have been any declines in fair value. As a result of this review, we recognized non-cash impairment charges during the three and six months ended June 30, 2018 of $10.0 million and $15.5 million, respectively, related to one of our cost-method equity investments and a related note receivable. These charges equaled the cost bases of the investment and note receivable prior to the impairment and are included in (Impairment) recovery of long-term investments within the consolidated statements of operations. Long-term Financial Liabilities Our long-term financial liabilities include amounts outstanding under our senior secured credit facility (as defined in Note 9, “Debt”), with carrying values that approximate fair value since the interest rates approximate current market rates. The carrying amount of our 1.25% Cash Convertible Senior Notes (the “1.25% Notes”) approximates fair value as of June 30, 2019, since the effective interest rate on the 1.25% Notes approximates current market rates. Refer to Note 9, “Debt,” for further information regarding our long-term financial liabilities.

Stockholders' Equity

Stockholders' Equity	6 Months Ended
	Jun. 30, 2019
Equity [Abstract]
Stockholders' Equity	6. Stockholders' Equity Stock-based Compensation Expense Stock-based compensation expense recognized during the three and six months ended June 30, 2019 and 2018 is included in our consolidated statements of operations as shown in the below table. Stock-based compensation expense includes both non-cash expense related to grants of stock-based awards as well as cash expense related to the employee discount applied to purchases of our common stock under our employee stock purchase plan. No stock-based compensation costs were capitalized during the three and six months ended June 30, 2019 and 2018. Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 Cost of revenue: Software delivery, support and maintenance $ 614 $ 444 $ 1,127 $ 1,040 Client services 1,163 1,098 2,256 2,506 Total cost of revenue 1,777 1,542 3,383 3,546 Selling, general and administrative expenses 6,831 5,332 15,156 11,464 Research and development 2,571 2,092 5,448 4,899 Total stock-based compensation expense $ 11,179 $ 8,966 $ 23,987 $ 19,909 Allscripts Long-Term Incentive Plan We measure stock-based compensation expense at the grant date based on the fair value of the award. We recognize the expense for service-based share awards over the requisite service period on a straight-line basis, net of estimated forfeitures. We recognize the expense for performance-based and market-based share awards over the vesting period under the accelerated attribution method, net of estimated forfeitures. In addition, we recognize stock-based compensation cost for awards with performance conditions if and when we conclude that it is probable that the performance conditions will be achieved. The fair value of service-based and performance-based restricted stock units is measured at the underlying closing share price of our common stock on the date of grant. The fair value of market-based restricted stock units is measured using the Monte Carlo pricing model. No stock options were granted during the three and six months ended June 30, 2019 and 2018. We granted stock-based awards as follows: Three Months Ended June 30, 2019 Six Months Ended June 30, 2019 Weighted-Average Weighted-Average Grant Date Grant Date (In thousands, except per share amounts) Shares Fair Value Shares Fair Value Service-based restricted stock units 2,933 $ 9.55 3,973 $ 9.85 Market-based restricted stock units with a service condition 0 $ 0.00 700 $ 11.74 2,933 $ 9.55 4,673 $ 10.14 During the six months ended June 30, 2019 and the year ended December 31, 2018, 1.5 million and 1.6 million shares of common stock, respectively, were issued in connection with the exercise of options and the release of restrictions on stock awards. Net Share-settlements Upon vesting, restricted stock units are generally net share-settled to cover the required withholding tax and the remaining amount is converted into an equivalent number of shares of common stock. The majority of restricted stock units and awards that vested during the six months ended June 30, 2019 and 2018 were net-share settled such that we withheld shares with fair value equivalent to the employees’ minimum statutory obligation for the applicable income and other employment taxes and remitted the cash to the appropriate taxing authorities. Total payments for the employees' minimum statutory tax obligations to the taxing authorities are reflected as a financing activity within the accompanying consolidated statements of cash flows. The total shares withheld for the six months ended June 30, 2019 and 2018 were 651 thousand and 618 thousand, respectively, and were based on the value of the restricted stock units on their vesting date as determined by our closing stock price. These net-share settlements had the effect of share repurchases by us as they reduced the number of shares that would have otherwise been issued as a result of the vesting. Stock Repurchases On November 17, 2016, we announced that our Board of Directors approved a stock purchase program (the “2016 Program”) under which we may repurchase up to $200 million of our common stock through December 31, 2019. On August 2, 2018, we announced that our Board approved a new stock purchase program (the “2018 Program”) under which we may repurchase up to $250 million of our common stock through December 31, 2020, replacing the 2016 Program. We repurchased 6.1 million shares of our common stock under the 2018 Program for a total of $64.9 million during the six months ended June 30, 2019. We repurchased no shares during the three months ended June 30, 2019. The approximate dollar value of shares that may yet be purchased under the 2018 Program is $148.1 million as of June 30, 2019. We repurchased 7.7 million shares of our common stock under the 2016 Program for a total of $101.9 million during the six months ended June 30, 2018, of which 3.6 million shares were repurchased for a total of $44.3 million for the three months ended June 30, 2018.

Earnings (Loss) Per Share

Earnings (Loss) Per Share	6 Months Ended
	Jun. 30, 2019
Earnings Per Share [Abstract]
Earnings (Loss) Per Share	7. Earnings (Loss) Per Share Basic earnings (loss) per share is computed by dividing net income (loss) by the weighted-average shares of common stock outstanding. For purposes of calculating diluted earnings (loss) per share, the denominator includes both the weighted-average shares of common stock outstanding and dilutive common stock equivalents. Dilutive common stock equivalents consist of stock options, restricted stock unit awards and warrants calculated under the treasury stock method. The calculations of earnings (loss) per share are as follows: Three Months Ended June 30, Six Months Ended June 30, (In thousands, except per share amounts) 2019 2018 2019 2018 Basic earnings (loss) per Common Share: (Loss) income from continuing operations, net of tax $ (149,930 ) $ 84,566 $ (157,907 ) $ 59,405 Net loss attributable to non-controlling interests 0 2,700 424 3,490 Net (loss) income from continuing operations attributable to Allscripts Healthcare Solutions, Inc. stockholders $ (149,930 ) $ 87,266 $ (157,483 ) $ 62,895 Loss from discontinued operations, net of tax $ 0 $ (10,294 ) $ 0 $ (13,648 ) Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operations 0 (12,148 ) 0 (24,297 ) Net loss from discontinued operations attributable to Allscripts Healthcare Solutions, Inc. stockholders 0 (22,442 ) 0 (37,945 ) Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders $ (149,930 ) $ 64,824 $ (157,483 ) $ 24,950 Weighted-average common shares outstanding 166,522 176,363 168,230 178,113 Basic (loss) earnings from continuing operations per Common Share $ (0.90 ) $ 0.49 $ (0.94 ) $ 0.35 Basic loss from discontinued operations per Common Share 0.00 (0.13 ) 0.00 (0.21 ) Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders per Common Share $ (0.90 ) $ 0.36 $ (0.94 ) $ 0.14 Diluted earnings (loss) per Common Share: (Loss) income from continuing operations, net of tax $ (149,930 ) $ 84,566 $ (157,907 ) $ 59,405 Net loss attributable to non-controlling interests 0 2,700 424 3,490 Net (loss) income from continuing operations attributable to Allscripts Healthcare Solutions, Inc. stockholders $ (149,930 ) $ 87,266 $ (157,483 ) $ 62,895 Loss from discontinued operations, net of tax $ 0 $ (10,294 ) $ 0 $ (13,648 ) Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operations 0 (12,148 ) 0 (24,297 ) Net loss from discontinued operations attributable to Allscripts Healthcare Solutions, Inc. stockholders 0 (22,442 ) 0 (37,945 ) Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders $ (149,930 ) $ 64,824 $ (157,483 ) $ 24,950 Weighted-average common shares outstanding 166,522 176,363 168,230 178,113 Plus: Dilutive effect of stock options, restricted stock unit awards and warrants 0 2,963 0 3,334 Weighted-average common shares outstanding assuming dilution 166,522 179,326 168,230 181,447 Diluted (loss) earnings from continuing operations per Common Share $ (0.90 ) $ 0.49 $ (0.94 ) $ 0.35 Diluted loss from discontinued operations per Common Share 0.00 (0.13 ) 0.00 (0.21 ) Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders per Common Share $ (0.90 ) $ 0.36 $ (0.94 ) $ 0.14 Due to the net loss attributable to Allscripts Healthcare Solutions, Inc. stockholders for the three and six months ended June 30, 2019, we used basic weighted-average common shares outstanding in the calculation of diluted loss per share for those periods, since the inclusion of any stock equivalents would be anti-dilutive. The following stock options, restricted stock unit awards and warrants are not included in the computation of diluted earnings (loss) per share as the effect of including such stock options, restricted stock unit awards and warrants in the computation would be anti-dilutive: Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 Shares subject to anti-dilutive stock options, restricted stock unit awards and warrants excluded from calculation 29,720 26,044 27,358 24,318

Goodwill and Intangible Assets

Goodwill and Intangible Assets	6 Months Ended
	Jun. 30, 2019
Goodwill And Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets	8. Goodwill and Intangible Assets Goodwill and intangible assets consist of the following: June 30, 2019 December 31, 2018 Gross Gross Carrying Accumulated Intangible Carrying Accumulated Intangible (In thousands) Amount Amortization Assets, Net Amount Amortization Assets, Net Intangibles subject to amortization: Proprietary technology $ 539,234 $ (419,105 ) $ 120,129 $ 537,834 $ (401,093 ) $ 136,741 Customer contracts and relationships 706,643 (475,989 ) 230,654 704,808 (462,468 ) 242,340 Total $ 1,245,877 $ (895,094 ) $ 350,783 $ 1,242,642 $ (863,561 ) $ 379,081 Intangibles not subject to amortization: Registered trademarks $ 52,000 $ 52,000 Goodwill 1,382,244 1,373,744 Total $ 1,434,244 $ 1,425,744 Changes in the carrying amounts of goodwill by reportable segment for the six months ended June 30, 2019 were as follows: (In thousands) Provider Veradigm Total Balance as of December 31, 2018 $ 1,254,284 $ 119,460 $ 1,373,744 Additions 0 8,483 8,483 Foreign exchange translation 17 0 17 Balance as of June 30, 2019 $ 1,254,301 $ 127,943 $ 1,382,244 There are $13.5

Debt

Debt	6 Months Ended
	Jun. 30, 2019
Debt Disclosure [Abstract]
Debt	9. Debt Debt outstanding, excluding lease obligations, consists of the following: June 30, 2019 December 31, 2018 (In thousands) Principal Balance Unamortized Discount and Debt Issuance Costs Net Carrying Amount Principal Balance Unamortized Discount and Debt Issuance Costs Net Carrying Amount 1.25% Cash Convertible Senior Notes $ 345,000 $ 14,921 $ 330,079 $ 345,000 $ 22,112 $ 322,888 Senior Secured Credit Facility 520,000 5,283 514,717 350,000 6,038 343,962 Other debt 49 0 49 748 0 748 Total debt $ 865,049 $ 20,204 $ 844,845 $ 695,748 $ 28,150 $ 667,598 Less: Debt payable within one year 22,548 427 22,121 20,538 479 20,059 Total long-term debt, less current maturities $ 842,501 $ 19,777 $ 822,724 $ 675,210 $ 27,671 $ 647,539 Interest expense consists of the following: Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 Interest expense $ 6,434 $ 8,146 $ 12,663 $ 16,084 Amortization of discounts and debt issuance costs 3,990 3,834 7,945 7,590 Total interest expense $ 10,424 $ 11,980 $ 20,608 $ 23,674 Interest expense related to the 1.25% Cash Convertible Senior Notes (the “1.25% Notes”), included in the table above, consists of the following: Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 Coupon interest at 1.25% $ 1,078 $ 1,078 $ 2,156 $ 2,156 Amortization of discounts and debt issuance costs 3,614 3,442 7,191 6,849 Total interest expense related to the 1.25% Notes $ 4,692 $ 4,520 $ 9,347 $ 9,005 Allscripts Senior Secured Credit Facility On February 15, 2018, Allscripts and Healthcare LLC entered into a Second Amended and Restated Credit Agreement (the “Second Amended Credit Agreement”), with JPMorgan Chase Bank, N.A., as administrative agent. The Second Amended Credit Agreement provides for a $400 million senior secured term loan (the “Term Loan”) and a $900 million senior secured revolving facility (the “Revolving Facility”), each with a five-year term. The Term Loan is repayable in quarterly installments, which began on June 30, 2018. A total of up to $50 million of the Revolving Facility is available for the issuance of letters of credit, up to $10 million of the Revolving Facility is available for swingline loans, and up to $100 million of the Revolving Facility could be borrowed under certain foreign currencies. As of June 30, 2019, $340.0 million under the Term Loan, $180.0 million under the Revolving Facility, and $1.0 million in letters of credit were outstanding under the Second Amended Credit Agreement. As of June 30, 2019, the interest rate on the borrowings under the Second Amended Credit Agreement was LIBOR plus 1.50%, which totaled 3.90%. We were in compliance with all covenants under the Second Amended Credit Agreement as of June 30, 2019. On August 7, 2019, we entered into a First Amendment to the Second Amended Credit Agreement in order to remain compliant with the covenants of our Second Amended Credit Agreement. Refer to Note 17, “Subsequent Events.” The First Amendment provides the financial flexibility to settle the U.S. Department of Justice’s investigations as discussed in Note 13, “Contingencies” while maintaining our compliance with financial covenants. As of June 30, 2019, we had $719.0 million available, net of outstanding letters of credit, under our Revolving Facility. There can be no assurance that we will be able to draw on the full available balance of our Revolving Facility if the financial institutions that have extended such credit commitments become unwilling or unable to fund such borrowings. 1.25% Cash Convertible Senior Notes As of June 30, 2019, the if-converted value of the 1.25% Notes did not exceed the 1.25% Notes’ principal amount. The following table summarizes future debt payment obligations as of June 30, 2019: (In thousands) Total Remainder of 2019 2020 2021 2022 2023 Thereafter 1.25% Cash Convertible Senior Notes (1) $ 345,000 $ 0 $ 345,000 $ 0 $ 0 $ 0 $ 0 Term Loan 340,000 10,000 27,500 30,000 37,500 235,000 0 Revolving Facility (2) 180,000 0 0 0 0 180,000 0 Other debt 49 49 0 0 0 0 0 Total debt $ 865,049 $ 10,049 $ 372,500 $ 30,000 $ 37,500 $ 415,000 $ 0 (1) (2)

Income Taxes

Income Taxes	6 Months Ended
	Jun. 30, 2019
Income Tax Disclosure [Abstract]
Income Taxes	10. Income Taxes We account for income taxes under FASB Accounting Standards Codification 740, Income Taxes Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 (Loss) income from continuing operations before income taxes $ (150,457 ) $ 91,822 $ (156,502 ) $ 66,960 Income tax benefit (provision) $ 527 $ (7,256 ) $ (1,405 ) $ (7,555 ) Effective tax rate 0.4 % 7.9 % (0.9 %) 11.3 % Our provision for income taxes differs from the tax computed at the U.S. federal statutory income tax rate primarily due to permanent differences, income attributable to foreign jurisdictions taxed at different rates, state taxes, tax credits and certain discrete items. Our effective tax rate for the three and six months ended June 30, 2019, compared with the prior year comparable periods, differs primarily due to higher tax shortfalls associated with stock-based compensation reflected in the provision for the three and six months ended June 30, 2019 and release of valuation allowance of $18 million recorded in the six months ended June 30, 2018. In evaluating our ability to recover our deferred tax assets within the jurisdictions from which they arise, we consider all available evidence, including scheduled reversals of deferred tax liabilities, tax-planning strategies, and results of recent operations. In evaluating the objective evidence that historical results provide, we consider three years of cumulative operating income (loss). During the three months ended June 30, 2019, we recorded immaterial impacts for valuation allowances. Our unrecognized income tax benefits were $20.8 million and $19.8 million as of June 30, 2019 and December 31, 2018, respectively. If any portion of our unrecognized tax benefits is recognized, it could impact our effective tax rate. The tax reserves are reviewed periodically and adjusted considering changing facts and circumstances, such as progress of tax audits, lapse of applicable statutes of limitations and changes in tax law.

Derivative Financial Instrument

Derivative Financial Instruments	6 Months Ended
	Jun. 30, 2019
Derivative Instruments And Hedging Activities Disclosure [Abstract]
Derivative Financial Instruments	11. Derivative Financial Instruments The following tables provide information about the fair values of our derivative financial instruments as of the respective balance sheet dates: June 30, 2019 Asset Derivatives Liability Derivatives (In thousands) Balance Sheet Location Fair Value Balance Sheet Location Fair Value Derivatives qualifying as cash flow hedges: Foreign exchange contracts Prepaid expenses and other current assets $ 435 Accrued expenses $ 0 Derivatives not subject to hedge accounting: 1.25% Call Option Other assets 6,409 N/A 1.25% Embedded cash conversion option N/A Other liabilities 7,365 Total derivatives $ 6,844 $ 7,365 December 31, 2018 Asset Derivatives Liability Derivatives (In thousands) Balance Sheet Location Fair Value Balance Sheet Location Fair Value Derivatives qualifying as cash flow hedges: Foreign exchange contracts Prepaid expenses and other current assets $ 262 Accrued expenses $ 0 Derivatives not subject to hedge accounting: 1.25% Call Option Other assets 9,104 N/A 1.25% Embedded cash conversion option N/A Other liabilities 9,974 Total derivatives $ 9,366 $ 9,974 N/A – We define “N/A” as disclosure not being applicable Foreign Exchange Contracts We have entered into non-deliverable forward foreign currency exchange contracts with reputable banking counterparties to hedge a portion of our forecasted future Indian Rupee-denominated (“INR”) expenses against foreign currency fluctuations between the United States dollar and the INR. These forward contracts cover a percentage of forecasted monthly INR expenses over time. As of June 30, 2019, there were 6 forward contracts outstanding that were staggered to mature monthly starting in July 2019 and ending in December 2019. In the future, we may enter into additional forward contracts to increase the amount of hedged monthly INR expenses or initiate hedges for monthly periods beyond December 2019. As of June 30, 2019, the notional amount for each of the outstanding forward contracts was 160 million INR, or the equivalent of $2.3 million, based on the exchange rate between the United States dollar and the INR in effect as of June 30, 2019. These amounts also approximate the forecasted future INR expenses we target to hedge in any one month in the future. As of June 30, 2019, we estimate that $0.4 million of net unrealized derivative gains included in AOCI will be reclassified into income within the next twelve months. The following tables show the impact of derivative instruments designated as cash flow hedges on the consolidated statements of operations and the consolidated statements of comprehensive loss: Amount of Gain (Loss) Recognized in OCI Amount of Gain (Loss) Reclassified from AOCI into Income (In thousands) Three Months Ended June 30, 2019 Six Months Ended June 30, 2019 Location of Gain (Loss) Reclassified from AOCI into Income Three Months Ended June 30, 2019 Six Months Ended June 30, 2019 Foreign exchange contracts $ 189 $ 340 Cost of Revenue $ 53 $ 60 Selling, general and administrative expenses 36 41 Research and development $ 59 $ 66 Amount of Gain (Loss) Recognized in OCI Amount of Gain (Loss) Reclassified from AOCI into Income (In thousands) Three Months Ended June 30, 2018 Six Months Ended June 30, 2018 Location of Gain (Loss) Reclassified from AOCI into Income Three Months Ended June 30, 2018 Six Months Ended June 30, 2018 Foreign exchange contracts $ (129 ) $ (207 ) Cost of Revenue $ 112 $ 301 Selling, general and administrative expenses 86 230 Research and development $ 133 $ 355 1.25% Call Option In June 2013, concurrent with the issuance of the 1.25% Notes, we entered into privately negotiated hedge transactions with certain of the initial purchasers of the 1.25% Notes (collectively, the “1.25% Call Option”). Assuming full performance by the counterparties, the 1.25% Call Option is intended to offset cash payments in excess of the principal amount due upon any conversion of the 1.25% Notes. The 1.25% Call Option, which is indexed to our common stock, is a derivative asset that requires mark-to-market accounting treatment (due to the cash settlement features) until the 1.25% Call Option settles or expires. The 1.25% Call Option is measured and reported at fair value on a recurring basis, within Level 3 of the fair value hierarchy. The 1.25% Call Option does not qualify for hedge accounting treatment. Therefore, the change in fair value of these instruments is recognized immediately in our consolidated statements of operations in Other income, net. Because the terms of the 1.25% Call Option are substantially similar to those of the 1.25% Notes embedded cash conversion option, discussed below, we expect the net effect of those two derivative instruments on our earnings to be minimal. 1.25% Notes Embedded Cash Conversion Option The embedded cash conversion option within the 1.25% Notes is required to be separated from the 1.25% Notes and accounted for separately as a derivative liability, with changes in fair value reported in our consolidated statements of operations in Other income, net until the cash conversion option settles or expires. The initial fair value liability of the embedded cash conversion option was $82.8 million, which simultaneously reduced the carrying value of the 1.25% Notes (effectively an original issuance discount). The embedded cash conversion option is measured and reported at fair value on a recurring basis, within Level 3 of the fair value hierarchy. The following table shows the net impact of the changes in fair values of the 1.25% Call Option and the 1.25% Notes’ embedded cash conversion option in the consolidated statements of operations: Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 1.25% Call Option $ 3,379 $ (6,983 ) $ (2,695 ) $ (28,151 ) 1.25% Embedded cash conversion option (3,840 ) 7,042 2,609 28,373 Net (loss) income included in other income, net $ (461 ) $ 59 $ (86 ) $ 222

Other Comprehensive Income

Other Comprehensive Income	6 Months Ended
	Jun. 30, 2019
Equity [Abstract]
Other Comprehensive Income	12. Other Comprehensive Income Accumulated Other Comprehensive Loss Changes in the balances of each component included in AOCI are presented in the tables below. All amounts are net of tax and exclude non-controlling interest. (In thousands) Foreign Currency Translation Adjustments Unrealized Net Gains on Foreign Exchange Contracts Total Balance as of December 31, 2018 (1) $ (5,584 ) $ 195 $ (5,389 ) Other comprehensive income (loss) before reclassifications 539 252 791 Net (gains) losses reclassified from accumulated other comprehensive loss 0 (124 ) (124 ) Net other comprehensive loss 539 128 667 Balance as of June 30, 2019 (2) $ (5,045 ) $ 323 $ (4,722 ) (1) (2) (In thousands) Foreign Currency Translation Adjustments Unrealized Net Gains on Foreign Exchange Contracts Total Balance as of December 31, 2017 (1) $ (2,676 ) $ 691 $ (1,985 ) Other comprehensive income (loss) before reclassifications (1,562 ) (153 ) (1,715 ) Net (gains) losses reclassified from accumulated other comprehensive loss 0 (506 ) (506 ) Net other comprehensive income (1,562 ) (659 ) (2,221 ) Balance as of June 30, 2018 (2) $ (4,238 ) $ 32 $ (4,206 ) (1) (2) Income Tax Effects Related to Components of Other Comprehensive Income (Loss) The following tables reflect the tax effects allocated to each component of other comprehensive income (loss) (“OCI”): Three Months Ended June 30, 2019 2018 (In thousands) Before-Tax Amount Tax Effect Net Amount Before-Tax Amount Tax Effect Net Amount Foreign currency translation adjustments $ (156 ) $ 0 $ (156 ) $ (1,685 ) $ 0 $ (1,685 ) Foreign exchange contracts: Net (losses) gains arising during the period 189 (49 ) 140 (129 ) 34 (95 ) Net losses (gains) reclassified into income (1) (147 ) 38 (109 ) (331 ) 86 (245 ) Net change in unrealized (losses) gains on foreign exchange contracts 42 (11 ) 31 (460 ) 120 (340 ) Net (loss) gain on cash flow hedges 42 (11 ) 31 (460 ) 120 (340 ) Other comprehensive (loss) income $ (114 ) $ (11 ) $ (125 ) $ (2,145 ) $ 120 $ (2,025 ) (1) Tax effects for the three months ended June 30, 2018 149 thousand arising from the revaluation of tax effects included in accumulated other comprehensive income at December 31, 2017. Six Months Ended June 30, 2019 2018 (In thousands) Before-Tax Amount Tax Effect Net Amount Before-Tax Amount Tax Effect Net Amount Foreign currency translation adjustments $ 539 $ 0 $ 539 $ (1,562 ) $ 0 $ (1,562 ) Derivatives qualifying as cash flow hedges: Foreign exchange contracts: Net (losses) gains arising during the period 340 (89 ) 251 (207 ) 54 (153 ) Net (gains) losses reclassified into income (1) (166 ) 43 (123 ) (886 ) 380 (506 ) Net change in unrealized (losses) gains on foreign exchange contracts 174 (46 ) 128 (1,093 ) 434 (659 ) Net (loss) gain on cash flow hedges 174 (46 ) 128 (1,093 ) 434 (659 ) Other comprehensive (loss) income $ 713 $ (46 ) $ 667 $ (2,655 ) $ 434 $ (2,221 ) (1) Tax effects for the six months ended June 30, 2018 149 thousand arising from the revaluation of tax effects included in accumulated other comprehensive income at December 31, 2017.

Contingencies

Contingencies	6 Months Ended
	Jun. 30, 2019
Commitments And Contingencies Disclosure [Abstract]
Contingencies	13. Contingencies In addition to commitments and obligations in the ordinary course of business, we are currently subject to various legal proceedings and claims that have not been fully adjudicated. We intend to vigorously defend ourselves, as appropriate, in these matters. No less than quarterly, we review the status of each significant matter and assess our potential financial exposure. We accrue a liability for an estimated loss if the potential loss from any legal proceeding or claim is considered probable and the amount can be reasonably estimated. Significant judgment is required in both the determination of probability and the determination as to whether the amount of an exposure is reasonably estimable, and accruals are based only on the information available to our management at the time the judgment is made. The outcome of legal proceedings is inherently uncertain, and we may incur substantial defense costs and expenses defending any of these matters. In the opinion of our management, except as set forth below with respected to the expected resolution of the Practice Fusion investigations, the ultimate disposition of pending legal proceedings or claims will not have a material adverse effect on our consolidated financial position, liquidity or results of operations. However, if one or more of these legal proceedings were resolved against or settled by us in a reporting period for amounts in excess of our management’s expectations, our consolidated financial statements for that and subsequent reporting periods could be materially adversely affected. Additionally, the resolution of a legal proceeding against us could prevent us from offering our products and services to current or prospective clients or cause us to incur increased compliance costs, either of which could further adversely affect our operating results. On May 1, 2012, Physicians Healthsource, Inc. filed a class action complaint in the U.S. District Court for the Northern District of Illinois against us. The complaint alleges that, on multiple occasions between July 2008 and December 2011, we or our agent sent advertisements by fax to the plaintiff and a class of similarly situated persons, without first receiving the recipients’ express permission or invitation in violation of the Telephone Consumer Protection Act, 47 U.S.C. § 227 (the “TCPA”). The plaintiff sought $500 for each alleged violation of the TCPA, treble damages if the Court finds the violations to be willful, knowing or intentional, and injunctive and other relief. Allscripts answered the complaint denying all material allegations and asserting a number of affirmative defenses, as well as counterclaims for breach of a license agreement. On March 31, 2016, plaintiff filed its motion for class certification. On May 31, 2016, we filed our opposition to plaintiff’s motion for class certification, and simultaneously moved for summary judgment on all of plaintiff’s claims. On June 2, 2017, an order was entered denying class certification and, accordingly, the case will not proceed on a class-wide basis. The Enterprise Information Solutions business (the “EIS Business”) acquired from McKesson Corporation (“McKesson”) on October 2, 2017 is subject to a May 2017 civil investigative demand (“CID”) from the U.S. Attorney’s Office for the Eastern District of New York. The CID requests documents and information related to the certification McKesson obtained for Horizon Clinicals in connection with the U.S. Department of Health and Human Services’ Electronic Health Record Incentive Program. In August 2018, McKesson received an additional CID seeking similar information for Paragon. McKesson has agreed, with respect to the CIDs, to indemnify Allscripts for amounts paid or payable to the government (or any private relator) involving any products or services marketed, sold or licensed by the EIS Business as of or prior to the closing of the acquisition. Practice Fusion, acquired by Allscripts on February 13, 2018, received in March 2017 a request for documents and information from the U.S. Attorney’s Office for the District of Vermont pursuant to a CID. Between April 2018 and June 2019, Practice Fusion received from the U.S. Department of Justice (the “DOJ”) seven additional requests for documents and information through four additional CIDs and three Health Insurance Portability and Accountability Act (“HIPAA”) subpoenas. The document and information requests received by Practice Fusion related to both the certification Practice Fusion obtained in connection with the U.S. Department of Health and Human Services’ Electronic Health Record Incentive Program and Practice Fusion’s compliance with the Anti-Kickback Statute and HIPAA as it relates to certain business practices engaged in by Practice Fusion. In March 2019, Practice Fusion received a grand jury subpoena in connection with a criminal investigation related to Practice Fusion’s compliance with the Anti-Kickback Statute. On August 6, 2019, Practice Fusion reached an agreement in principle with the DOJ to resolve all of the DOJ’s outstanding civil and criminal investigations, including the investigation by the U.S. Attorney’s Office for the District of Vermont. The terms of this agreement in principle, which is subject to final negotiation of settlement documents with the government, contemplate that Practice Fusion will pay $145.0 million and enter into a deferred prosecution agreement and a civil settlement agreement. Other non-financial terms and conditions remain subject to negotiation, and the terms described above may change following further negotiation. The agreement in principle and the final settlement materials are subject to approval of supervisory personnel within the DOJ. The proposed settlement amount is included in Other loss, net within the consolidated statements of operations and Accrued expenses within the consolidated balance sheets as of and for the three months ended June 30, 2019. On January 25, 2018, a complaint was filed in Surfside Non-Surgical Orthopedics, P.A. v. Allscripts Healthcare Solutions, Inc.

Discontinued Operations

Discontinued Operations	6 Months Ended
	Jun. 30, 2019
Discontinued Operations And Disposal Groups [Abstract]
Discontinued Operations	14. Discontinued Operations Netsmart On December 31, 2018, we sold all of the Class A Common Units of Netsmart LLC, a Delaware limited liability company (“Netsmart”), held by the Company. Prior to the sale, Netsmart comprised a separate reportable segment, which due to its significance to our historical consolidated financial statements and results of operations, is reported as a discontinued operation due to the sale. The following table summarizes Netsmart’s major income and expense line items as reported in the consolidated statements of operations for the three and six months ended June 30, 2018: Three Months Ended Six Months Ended (In thousands) June 30, 2018 June 30, 2018 Major income and expense line items related to Netsmart: Revenue: Software delivery, support and maintenance $ 51,921 $ 101,134 Client services 32,192 63,183 Total revenue 84,113 164,317 Cost of revenue: Software delivery, support and maintenance 14,302 28,669 Client services 22,822 44,535 Amortization of software development and acquisition related assets 8,093 15,907 Total cost of revenue 45,217 89,111 Gross profit 38,896 75,206 Selling, general and administrative expenses 26,168 49,301 Research and development 5,851 11,038 Amortization of intangible and acquisition-related assets 5,580 11,189 Income from discontinued operations of Netsmart 1,297 3,678 Interest expense (14,475 ) (27,826 ) Other loss (5 ) (17 ) Loss from discontinued operations of Netsmart before income taxes (13,183 ) (24,165 ) Income tax benefit 3,573 6,786 Loss from discontinued operations, net of tax for Netsmart $ (9,610 ) $ (17,379 ) Horizon Clinicals and Series2000 Revenue Cycle Two of the product offerings (Horizon Clinicals and Series2000 Revenue Cycle) acquired with the business combination with the EIS Business were sunset after March 31, 2018. The decision to discontinue maintaining and supporting these solutions was made prior to our acquisition of the EIS Business and, therefore, are presented below as discontinued operations. Until the end of the first quarter of 2018, we were involved in ongoing maintenance and support for these solutions until customers have transitioned to other platforms. No disposal gains or losses were recognized during the 2018 fiscal year related to these discontinued operations. We had $0.9 million of accrued expenses associated with the Horizon Clinicals and Series2000 Revenue Cycle businesses on the consolidated balance sheets as of December 31, 2018. The following table summarizes the major classes of line items constituting income (loss) of the discontinued operations with the sunset businesses of Horizon Clinicals and Series2000 Revenue Cycle, as reported in the consolidated statements of operations for the three and six months ended June 30, 2018: Three Months Ended Six Months Ended (In thousands) June 30, 2018 June 30, 2018 Major classes of line items constituting pretax profit (loss) of discontinued operations for Horizon Clinicals and Series2000 Revenue Cycle: Revenue: Software delivery, support and maintenance $ (363 ) $ 9,441 Client services (88 ) 404 Total revenue (451 ) 9,845 Cost of revenue: Software delivery, support and maintenance (141 ) 2,322 Client services 87 830 Total cost of revenue (54 ) 3,152 Gross profit (397 ) 6,693 Research and development 527 1,651 (Loss) income from discontinued operations for Horizon Clinicals and Series2000 Revenue Cycle before income taxes (924 ) 5,042 Income tax benefit (provision) 240 (1,311 ) (Loss) income from discontinued operations, net of tax for Horizon Clinicals and Series2000 Revenue Cycle $ (684 ) $ 3,731

Business Segments

Business Segments	6 Months Ended
	Jun. 30, 2019
Segment Reporting [Abstract]
Business Segments	15. Business Segments We primarily derive our revenues from sales of our proprietary software (either as a direct license sale or under a subscription delivery model), which also serves as the basis for our recurring service contracts for software support and maintenance and certain transaction-related services. In addition, we provide various other client services, including installation, and managed services such as outsourcing, private cloud hosting and revenue cycle management. During the first quarter of 2019, we realigned our reporting structure as a result of the divestiture of our investment in Netsmart on December 31, 2018, the evolution of the healthcare IT industry and our increased focus on the payer and life sciences market. As a result, we changed the presentation of our reportable segments to Provider and Veradigm. The new Provider segment is comprised of our core integrated clinical software applications, financial management and patient engagement solutions targeted at clients across the entire continuum of care. The new Veradigm segment primarily focuses on the payer and life sciences market. These changes to our reportable segments had no impact on operating segments. The segment disclosures below for the three and six months ended June 30, 2018, have been revised to conform to the current year presentation. As of June 30, 2019, we had eight operating segments, which are aggregated into two reportable segments. The Provider reportable segment includes the Hospitals and Health Systems, Ambulatory, CarePort, FollowMyHealth ® TM Our Chief Operating Decision Maker (“CODM”) uses segment revenues, gross profit and income from operations as measures of performance and to make decisions about the allocation of resources. In determining these performance measures, we do not include in reven ue the amortization of acquisition-related deferred revenue adjustments, which reflect the fair value adjustments to deferred revenue acquired in a business combination. We also exclude the amortization of intangible assets, stock-based compensation expens e, expenses not reflective of our core business and transaction-related costs, and non-cash asset impairment charges from the operating segment data provided to our CODM. Expenses not reflective of our core business relate to certain severance, product con solidation, legal, consulting and other charges. Accordingly, these amounts are not included in our reportable segment results and are included in an “Unallocated Amounts” category within our segment disclosure. The “Unallocated Amounts” category also incl udes (i) corporate general and administrative expenses (including marketing expenses) and certain research and development expenses related to common solutions and resources that benefit all of our business units, all of which are centrally managed, and (i i) revenue and the associated cost from the resale of certain ancillary products, primarily hardware. We do not track our assets by segment. Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 Revenue: Provider $ 405,690 $ 413,467 $ 798,297 $ 823,891 Veradigm 38,521 33,497 73,637 56,304 Unallocated Amounts 249 (5,500 ) 4,575 (5,009 ) Total revenue $ 444,460 $ 441,464 $ 876,509 $ 875,186 Gross profit: Provider $ 174,315 $ 184,101 $ 340,133 $ 369,830 Veradigm 27,114 23,313 49,548 38,443 Unallocated Amounts (17,307 ) (33,647 ) (31,464 ) (49,841 ) Total gross profit $ 184,122 $ 173,767 $ 358,217 $ 358,432 Income (loss) from operations: Provider $ 104,125 $ 99,801 $ 204,399 $ 206,941 Veradigm 12,231 8,281 20,550 13,313 Unallocated Amounts (111,613 ) (168,176 ) (217,561 ) (287,049 ) Total income (loss) from operations $ 4,743 $ (60,094 ) $ 7,388 $ (66,795 )

Supplemental Disclosures

Supplemental Disclosures	6 Months Ended
	Jun. 30, 2019
Organization Consolidation And Presentation Of Financial Statements [Abstract]
Supplemental Disclosures	16. Supplemental Disclosures Supplemental Consolidated Statements of Cash Flows Information The majority of the restricted cash balance as of June 30, 2019 and 2018 represents the remaining balance of the escrow account established as part of the acquisition of Netsmart in 2016, to be used by Netsmart to facilitate the integration of Allscripts’ former Homecare TM June 30, (In thousands) 2019 2018 Reconciliation of cash, cash equivalents and restricted cash: Cash and cash equivalents $ 138,903 $ 114,338 Restricted cash 9,236 11,647 Total cash, cash equivalents and restricted cash $ 148,139 $ 125,985 Six Months Ended June 30, (In thousands) 2019 2018 Supplemental non-cash information: Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operation $ 0 $ 24,297 Contribution of assets in exchange for equity interest $ 0 $ 4,000 Issuance of treasury stock to commercial partner $ 701 $ 0

Subsequent Events

Subsequent Events	6 Months Ended
	Jun. 30, 2019
Subsequent Events [Abstract]
Subsequent Events	17. Subsequent Events On August 6, 2019, Practice Fusion, acquired by Allscripts on February 13, 2018, reached an agreement in principle with the DOJ to resolve the DOJ’s criminal and civil investigations. Refer to Note 13, “Contingencies” for additional information regarding the DOJ’s investigations of Practice Fusion and the pending settlement. On August 7, 2019, we entered into a First Amendment to the Second Amended Credit Agreement with JPMorgan Chase Bank, N.A., as administrative agent, and certain other lenders. This amendment gives us the financial flexibility to settle the DOJ’s criminal and civil investigations of Practice Fusion while continuing to remain in compliance with the covenants of our Second Amended Credit Agreement. None of the original terms of our Second Amended Credit Agreement relating to scheduled future principal payments, applicable interest rates and margins, or borrowing capacity under our Revolving Facility were amended. In connection with this amendment, we incurred fees and other costs totaling approximately $0.8 million which will be recognized in the third quarter of 2019.

Basis of Presentation and Sig_2

Basis of Presentation and Significant Accounting Policies (Policies)	6 Months Ended
	Jun. 30, 2019
Accounting Policies [Abstract]
Principles of Consolidation	Principles of Consolidation The consolidated financial statements include the accounts of Allscripts Healthcare Solutions, Inc. (“Allscripts”) and its wholly-owned subsidiaries and controlled affiliates. All significant intercompany balances and transactions have been eliminated. Each of the terms “we,” “us,” “our” or the “Company” as used herein refers collectively to Allscripts Healthcare Solutions, Inc. and its wholly-owned subsidiaries and controlled affiliates, unless otherwise stated.
Unaudited Interim Financial Information	Unaudited Interim Financial Information The unaudited interim consolidated financial statements as of and for the three and six months ended June 30, 2019 and 2018 have been prepared in accordance with the rules and regulations of the Securities and Exchange Commission (the “SEC”) for interim financial reporting. These interim consolidated financial statements are unaudited and, in the opinion of our management, include all adjustments, consisting of normal recurring adjustments and accruals, necessary Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with GAAP have been condensed or omitted in accordance with the SEC's rules and regulations for interim reporting. The Company believes that the disclosures made are adequate to make these unaudited interim consolidated financial statements not misleading. They should be read in conjunction with the consolidated financial statements and related notes included in our Annual Report on Form 10-K for the year ended December 31, 2018 (our “Form 10-K”).
Use of Estimates	Use of Estimates The preparation of consolidated financial statements in accordance with GAAP requires us to make estimates and assumptions that affect the amounts reported and disclosed in the consolidated financial statements and the accompanying notes. Actual results could differ materially from these estimates.
Change in Presentation	Change in Presentation During the first quarter of 2019, we changed our reportable segments from Clinical and Financial Solutions, Population Health and Unallocated to Provider, Veradigm and Unallocated. The business units reported within the historical segments have been reallocated into the new segments. Refer to Note 15 “Business Segments” for further discussion on the impact of the change.
Significant Accounting Policies	Significant Accounting Policies We adopted Financial Accounting Standards Board (“FASB”) Accounting Standards Update No. 2016-02, “Leases (Topic 842)” (“ASU 2016-02”) on January 1, 2019 using the cumulative-effect adjustment transition method method requires us to recognize an adoption impact as a cumulative-effect adjustment to the January 1, 2019 retained earnings balance. tion.
Recently Adopted Accounting Pronouncements	Recently Adopted Accounting Pronouncements In August 2017, the FASB issued Accounting Standards Update No. 2017-12, Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities We adopted ASU 2017-12 on January 1, 2019, and the adoption did not have any effect on our consolidated financial statements. In June 2018, the FASB issued Accounting Standards Update No. 2018-07, “ Compensation-Stock Compensation (Topic 718): Improvements to Nonemployee Share-Based Payment Accounting
Accounting Pronouncements Not Yet Adopted	Accounting Pronouncements Not Yet Adopted In August 2018, the FASB issued Accounting Standards Update No. 2018-13, “Fair Value Measurement (Topic 820) – Disclosure Framework – Changes to the Disclosure Requirements for Fair Value Measurement” In June 2016, the FASB issued Accounting Standards Update No. 2016-13, Financial Instruments – Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments We do not believe that any other recently issued, but not yet effective accounting standards, if adopted, will have a material impact on our consolidated financial statements.
Revenue Recognition	Revenue Recognition We recognize revenue only when we satisfy an identified performance obligation (or bundle of obligations) by transferring control of a promised product or service to a customer. We consider a product or service to be transferred when a customer obtains control because a customer has sole possession of the right to use (or the right to direct the use of) the product or service for the remainder of its economic life or to consume the product or service in its own operations. We evaluate the transfer of control primarily from the customer’s perspective as this reduces the risk that revenue is recognized for activities that do not transfer control to the customer. The majority of our revenue is recognized over time because a customer continuously and simultaneously receives and consumes the benefits of our performance. The exceptions to this pattern are our sales of perpetual and term software licenses, and hardware, where we determined that a customer obtains control of the asset upon granting of access, delivery or shipment.

Revenue from Contracts with C_2

Revenue from Contracts with Customers (Tables)	6 Months Ended
	Jun. 30, 2019
Revenue From Contract With Customer [Abstract]
Revenue Recognized Related To Various Performance Obligations And Elected Accounting Expedients	The breakdown of revenue recognized related based on the origination of performance obligations and elected accounting expedients is presented in the table below: (In thousands) Three Months Ended March 31, 2019 Three Months Ended June 30, 2019 Revenue related to deferred revenue balance at beginning of period $ 126,184 $ 146,150 Revenue related to new performance obligations satisfied during the period 248,221 233,696 Revenue recognized under "right-to-invoice" expedient 55,923 62,245 Reimbursed travel expenses, shipping and other revenue 1,721 2,369 Total revenue $ 432,049 $ 444,460 (In thousands) Three Months Ended March 31, 2018 Three Months Ended June 30, 2018 Revenue related to deferred revenue balance at beginning of period $ 181,398 $ 196,163 Revenue related to new performance obligations satisfied during the period 200,232 180,001 Revenue recognized under "right-to-invoice" expedient 49,403 62,533 Reimbursed travel expenses, shipping and other revenue 2,689 2,767 Total revenue $ 433,722 $ 441,464
Summary of Revenue by Type and Nature of Revenue Stream by Reportable Segments	The below tables summarize revenue by type and nature of revenue stream as well as by our reportable segments: Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 Revenue: Recurring revenue $ 350,113 $ 361,376 $ 698,749 $ 714,036 Non-recurring revenue 94,347 80,088 177,760 161,150 Total revenue $ 444,460 $ 441,464 $ 876,509 $ 875,186
Disaggregation of Revenue by Product Line and Segment	Three Months Ended June 30, 2019 (In thousands) Provider Veradigm Unallocated Total Software delivery, support and maintenance $ 247,439 $ 37,451 $ 133 $ 285,023 Client services 158,251 1,070 116 159,437 Total revenue $ 405,690 $ 38,521 $ 249 $ 444,460 Three Months Ended June 30, 2018 (In thousands) Provider Veradigm Unallocated Total Software delivery, support and maintenance $ 253,754 $ 32,807 $ (2,076 ) $ 284,485 Client services 159,713 690 (3,424 ) 156,979 Total revenue $ 413,467 $ 33,497 $ (5,500 ) $ 441,464 Six Months Ended June 30, 2019 (In thousands) Provider Veradigm Unallocated Total Software delivery, support and maintenance $ 484,794 $ 71,493 $ 4,248 $ 560,535 Client services 313,503 2,144 327 315,974 Total revenue $ 798,297 $ 73,637 $ 4,575 $ 876,509 Six Months Ended June 30, 2018 (In thousands) Provider Veradigm Unallocated Total Software delivery, support and maintenance $ 511,508 $ 54,222 $ (692 ) $ 565,038 Client services 312,383 2,082 (4,317 ) 310,148 Total revenue $ 823,891 $ 56,304 $ (5,009 ) $ 875,186

Leases (Tables)

Leases (Tables)	6 Months Ended
	Jun. 30, 2019
Lessee Disclosure [Abstract]
Summary of Total Costs Associated with Leased Assets	Total costs associated with leased assets are as follows: (In thousands) Three Months Ended June 30, 2019 Six Months Ended June 30, 2019 Operating lease cost (1) $ 7,051 $ 13,768 Less: Sublease income (778 ) (1,580 ) Total operating lease costs $ 6,273 $ 12,188 Finance lease costs: Amortization of right-of-use assets (2) $ 37 $ 88 Interest on lease liability (3) 2 5 Total finance lease costs $ 39 $ 93 (1) Operating lease costs are recognized on a straight-line basis and are included in Selling, general and administrative expenses within the consolidated statement of operations. (2) Amortization of finance right-of-use assets is recognized on a straight-line basis and is included in in Selling, general and administrative expenses within the consolidated statement of operations. (3) Interest on finance lease liabilities is recorded as Interest expense within the consolidated statement of operations .
Supplemental Information for Operating and Finance Leases	Supplemental information for operating and finance leases is as follows: (In thousands) Six Months Ended June 30, 2019 Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 14,688 Operating cash flows from finance leases $ 5 Financing cash flows from finance leases $ 70 Right-of-use assets obtained in exchange for lease obligations: Operating leases $ 128,664 Finance leases $ 263
Summary of Balance Sheet Location and Balances for Operating and Finance Leases	The balance sheet location and balances for operating and finance leases are as follows: (In thousands, except lease term and discount rate) June 30, 2019 Operating leases: Right-of-use assets - operating leases $ 96,097 Current operating lease liabilities $ 24,501 Long-term operating lease liabilities $ 93,117 Finance leases: Fixed assets, gross $ 524 Accumulated depreciation 322 Fixed assets, net $ 202 Current finance lease liabilities (1) $ 120 Long-term finance lease liabilities (2) $ 72 Weighted average remaining lease term (in years) Operating leases 6 Finance leases 2 Weighted average discount rate Operating leases 4.6 % Finance leases 5.1 % (1) Current finance lease liabilities are included in Accrued expenses within the consolidated balance sheets. (2) Long-term finance lease liabilities are included in Other liabilities within the consolidated balance sheets.
Summary of Future Maturities of Lease and Non-Lease Components	The future maturities of our leasing arrangements including lease and non-lease components are shown in the below table. The maturities are calculated using foreign currency exchange rates in effect as of June 30, 2019. June 30, 2019 (In thousands) Operating Leases Finance Leases Remainder of 2019 $ 15,114 $ 71 2020 26,402 85 2021 21,511 40 2022 19,650 6 2023 17,164 0 Thereafter 33,388 0 Total lease liabilities 133,229 202 Less: Amount representing interest (15,611 ) (10 ) Less: Short-term lease liabilities (24,501 ) (120 ) Total long-term lease liabilities $ 93,117 $ 72

Fair Value Measurements and L_2

Fair Value Measurements and Long-term Investments (Tables)	6 Months Ended
	Jun. 30, 2019
Fair Value Disclosures [Abstract]
Summary of Financial Assets and Liabilities Measured at Fair Value on Recurring Basis	The following table summarizes our financial assets and liabilities measured at fair value on a recurring basis as of the respective balance sheet dates: Balance Sheet June 30, 2019 December 31, 2018 (In thousands) Classifications Level 1 Level 2 Level 3 Total Level 1 Level 2 Level 3 Total Foreign exchange derivative assets Prepaid expenses and other current assets $ 0 $ 435 $ 0 $ 435 $ 0 $ 262 $ 0 $ 262 1.25% Call Option Other assets 0 0 6,409 6,409 0 0 9,104 9,104 Total assets $ 0 $ 435 $ 6,409 $ 6,844 $ 0 $ 262 $ 9,104 $ 9,366 Contingent consideration - current Accrued expenses $ 0 $ 0 $ 18,160 $ 18,160 $ 0 $ 0 $ 10,528 $ 10,528 Contingent consideration - long-term Other liabilities 0 0 13,928 13,928 0 0 15,317 15,317 1.25% Embedded cash conversion option Other liabilities 0 0 7,365 7,365 0 0 9,974 9,974 Total liabilities $ 0 $ 0 $ 39,453 $ 39,453 $ 0 $ 0 $ 35,819 $ 35,819
Summary of Changes in Assets and Liabilities Measured at Fair Value on Recurring Basis	The changes in Level 3 assets and liabilities measured at fair value on a recurring basis at June 30, 2019 are summarized as follows: (In thousands) Contingent Consideration 1.25% Notes Call Spread Overlay Balance at December 31, 2018 $ 25,845 $ (870 ) Additions 6,249 0 Fair value adjustments (6 ) (86 ) Balance at June 30, 2019 $ 32,088 $ (956 )
Summary of Long-term Equity Investments Included in Other Assets	The following table summarizes our long-term equity investments which are included in Other assets in the accompanying consolidated balance sheets: Number of Investees Original Carrying Value at (In thousands, except for number of investees) at June 30, 2019 Cost June 30, 2019 December 31, 2018 Equity method investments (1) 5 $ 7,407 $ 10,823 $ 10,667 Cost method investments 8 37,874 28,126 25,923 Total long-term equity investments 13 $ 45,281 $ 38,949 $ 36,590 (1)

Stockholders' Equity (Tables)

Stockholders' Equity (Tables)	6 Months Ended
	Jun. 30, 2019
Equity [Abstract]
Stock-Based Compensation Expense	Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 Cost of revenue: Software delivery, support and maintenance $ 614 $ 444 $ 1,127 $ 1,040 Client services 1,163 1,098 2,256 2,506 Total cost of revenue 1,777 1,542 3,383 3,546 Selling, general and administrative expenses 6,831 5,332 15,156 11,464 Research and development 2,571 2,092 5,448 4,899 Total stock-based compensation expense $ 11,179 $ 8,966 $ 23,987 $ 19,909
Stock-Based Awards Granted	We granted stock-based awards as follows: Three Months Ended June 30, 2019 Six Months Ended June 30, 2019 Weighted-Average Weighted-Average Grant Date Grant Date (In thousands, except per share amounts) Shares Fair Value Shares Fair Value Service-based restricted stock units 2,933 $ 9.55 3,973 $ 9.85 Market-based restricted stock units with a service condition 0 $ 0.00 700 $ 11.74 2,933 $ 9.55 4,673 $ 10.14

Earnings (Loss) Per Share (Tabl

Earnings (Loss) Per Share (Tables)	6 Months Ended
	Jun. 30, 2019
Earnings Per Share [Abstract]
Calculations of Earnings (Loss) Per Share	The calculations of earnings (loss) per share are as follows: Three Months Ended June 30, Six Months Ended June 30, (In thousands, except per share amounts) 2019 2018 2019 2018 Basic earnings (loss) per Common Share: (Loss) income from continuing operations, net of tax $ (149,930 ) $ 84,566 $ (157,907 ) $ 59,405 Net loss attributable to non-controlling interests 0 2,700 424 3,490 Net (loss) income from continuing operations attributable to Allscripts Healthcare Solutions, Inc. stockholders $ (149,930 ) $ 87,266 $ (157,483 ) $ 62,895 Loss from discontinued operations, net of tax $ 0 $ (10,294 ) $ 0 $ (13,648 ) Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operations 0 (12,148 ) 0 (24,297 ) Net loss from discontinued operations attributable to Allscripts Healthcare Solutions, Inc. stockholders 0 (22,442 ) 0 (37,945 ) Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders $ (149,930 ) $ 64,824 $ (157,483 ) $ 24,950 Weighted-average common shares outstanding 166,522 176,363 168,230 178,113 Basic (loss) earnings from continuing operations per Common Share $ (0.90 ) $ 0.49 $ (0.94 ) $ 0.35 Basic loss from discontinued operations per Common Share 0.00 (0.13 ) 0.00 (0.21 ) Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders per Common Share $ (0.90 ) $ 0.36 $ (0.94 ) $ 0.14 Diluted earnings (loss) per Common Share: (Loss) income from continuing operations, net of tax $ (149,930 ) $ 84,566 $ (157,907 ) $ 59,405 Net loss attributable to non-controlling interests 0 2,700 424 3,490 Net (loss) income from continuing operations attributable to Allscripts Healthcare Solutions, Inc. stockholders $ (149,930 ) $ 87,266 $ (157,483 ) $ 62,895 Loss from discontinued operations, net of tax $ 0 $ (10,294 ) $ 0 $ (13,648 ) Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operations 0 (12,148 ) 0 (24,297 ) Net loss from discontinued operations attributable to Allscripts Healthcare Solutions, Inc. stockholders 0 (22,442 ) 0 (37,945 ) Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders $ (149,930 ) $ 64,824 $ (157,483 ) $ 24,950 Weighted-average common shares outstanding 166,522 176,363 168,230 178,113 Plus: Dilutive effect of stock options, restricted stock unit awards and warrants 0 2,963 0 3,334 Weighted-average common shares outstanding assuming dilution 166,522 179,326 168,230 181,447 Diluted (loss) earnings from continuing operations per Common Share $ (0.90 ) $ 0.49 $ (0.94 ) $ 0.35 Diluted loss from discontinued operations per Common Share 0.00 (0.13 ) 0.00 (0.21 ) Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders per Common Share $ (0.90 ) $ 0.36 $ (0.94 ) $ 0.14
Anti-Dilutive Stock Options, Restricted Stock Unit Awards and Warrants Excluded from Computation of Diluted Earnings (Loss) Per Share	The following stock options, restricted stock unit awards and warrants are not included in the computation of diluted earnings (loss) per share as the effect of including such stock options, restricted stock unit awards and warrants in the computation would be anti-dilutive: Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 Shares subject to anti-dilutive stock options, restricted stock unit awards and warrants excluded from calculation 29,720 26,044 27,358 24,318

Goodwill and Intangible Assets

Goodwill and Intangible Assets (Tables)	6 Months Ended
	Jun. 30, 2019
Goodwill And Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets	Goodwill and intangible assets consist of the following: June 30, 2019 December 31, 2018 Gross Gross Carrying Accumulated Intangible Carrying Accumulated Intangible (In thousands) Amount Amortization Assets, Net Amount Amortization Assets, Net Intangibles subject to amortization: Proprietary technology $ 539,234 $ (419,105 ) $ 120,129 $ 537,834 $ (401,093 ) $ 136,741 Customer contracts and relationships 706,643 (475,989 ) 230,654 704,808 (462,468 ) 242,340 Total $ 1,245,877 $ (895,094 ) $ 350,783 $ 1,242,642 $ (863,561 ) $ 379,081 Intangibles not subject to amortization: Registered trademarks $ 52,000 $ 52,000 Goodwill 1,382,244 1,373,744 Total $ 1,434,244 $ 1,425,744
Changes in Carrying Amount of Goodwill	Changes in the carrying amounts of goodwill by reportable segment for the six months ended June 30, 2019 were as follows: (In thousands) Provider Veradigm Total Balance as of December 31, 2018 $ 1,254,284 $ 119,460 $ 1,373,744 Additions 0 8,483 8,483 Foreign exchange translation 17 0 17 Balance as of June 30, 2019 $ 1,254,301 $ 127,943 $ 1,382,244

Debt (Tables)

Debt (Tables)	6 Months Ended
	Jun. 30, 2019
Debt Instrument [Line Items]
Debt Outstanding Excluding Lease Obligations	Debt outstanding, excluding lease obligations, consists of the following: June 30, 2019 December 31, 2018 (In thousands) Principal Balance Unamortized Discount and Debt Issuance Costs Net Carrying Amount Principal Balance Unamortized Discount and Debt Issuance Costs Net Carrying Amount 1.25% Cash Convertible Senior Notes $ 345,000 $ 14,921 $ 330,079 $ 345,000 $ 22,112 $ 322,888 Senior Secured Credit Facility 520,000 5,283 514,717 350,000 6,038 343,962 Other debt 49 0 49 748 0 748 Total debt $ 865,049 $ 20,204 $ 844,845 $ 695,748 $ 28,150 $ 667,598 Less: Debt payable within one year 22,548 427 22,121 20,538 479 20,059 Total long-term debt, less current maturities $ 842,501 $ 19,777 $ 822,724 $ 675,210 $ 27,671 $ 647,539
Interest Expense	Interest expense consists of the following: Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 Interest expense $ 6,434 $ 8,146 $ 12,663 $ 16,084 Amortization of discounts and debt issuance costs 3,990 3,834 7,945 7,590 Total interest expense $ 10,424 $ 11,980 $ 20,608 $ 23,674
Summary of Future Debt Payment Obligations	The following table summarizes future debt payment obligations as of June 30, 2019: (In thousands) Total Remainder of 2019 2020 2021 2022 2023 Thereafter 1.25% Cash Convertible Senior Notes (1) $ 345,000 $ 0 $ 345,000 $ 0 $ 0 $ 0 $ 0 Term Loan 340,000 10,000 27,500 30,000 37,500 235,000 0 Revolving Facility (2) 180,000 0 0 0 0 180,000 0 Other debt 49 49 0 0 0 0 0 Total debt $ 865,049 $ 10,049 $ 372,500 $ 30,000 $ 37,500 $ 415,000 $ 0 (1) (2)
1.25% Cash Convertible Senior Notes [Member]
Debt Instrument [Line Items]
Interest Expense Related to 1.25% Cash Convertible Senior Notes	Interest expense related to the 1.25% Cash Convertible Senior Notes (the “1.25% Notes”), included in the table above, consists of the following: Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 Coupon interest at 1.25% $ 1,078 $ 1,078 $ 2,156 $ 2,156 Amortization of discounts and debt issuance costs 3,614 3,442 7,191 6,849 Total interest expense related to the 1.25% Notes $ 4,692 $ 4,520 $ 9,347 $ 9,005

Income Taxes (Tables)

Income Taxes (Tables)	6 Months Ended
	Jun. 30, 2019
Income Tax Disclosure [Abstract]
Effective Tax Rates	Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 (Loss) income from continuing operations before income taxes $ (150,457 ) $ 91,822 $ (156,502 ) $ 66,960 Income tax benefit (provision) $ 527 $ (7,256 ) $ (1,405 ) $ (7,555 ) Effective tax rate 0.4 % 7.9 % (0.9 %) 11.3 %

Derivative Financial Instrume_2

Derivative Financial Instruments (Tables)	6 Months Ended
	Jun. 30, 2019
Derivative Instruments And Hedging Activities Disclosure [Abstract]
Fair Value and Balance Sheet Locations	The following tables provide information about the fair values of our derivative financial instruments as of the respective balance sheet dates: June 30, 2019 Asset Derivatives Liability Derivatives (In thousands) Balance Sheet Location Fair Value Balance Sheet Location Fair Value Derivatives qualifying as cash flow hedges: Foreign exchange contracts Prepaid expenses and other current assets $ 435 Accrued expenses $ 0 Derivatives not subject to hedge accounting: 1.25% Call Option Other assets 6,409 N/A 1.25% Embedded cash conversion option N/A Other liabilities 7,365 Total derivatives $ 6,844 $ 7,365 December 31, 2018 Asset Derivatives Liability Derivatives (In thousands) Balance Sheet Location Fair Value Balance Sheet Location Fair Value Derivatives qualifying as cash flow hedges: Foreign exchange contracts Prepaid expenses and other current assets $ 262 Accrued expenses $ 0 Derivatives not subject to hedge accounting: 1.25% Call Option Other assets 9,104 N/A 1.25% Embedded cash conversion option N/A Other liabilities 9,974 Total derivatives $ 9,366 $ 9,974
Derivatives Instruments Designated as Cash Flow Hedges	The following tables show the impact of derivative instruments designated as cash flow hedges on the consolidated statements of operations and the consolidated statements of comprehensive loss: Amount of Gain (Loss) Recognized in OCI Amount of Gain (Loss) Reclassified from AOCI into Income (In thousands) Three Months Ended June 30, 2019 Six Months Ended June 30, 2019 Location of Gain (Loss) Reclassified from AOCI into Income Three Months Ended June 30, 2019 Six Months Ended June 30, 2019 Foreign exchange contracts $ 189 $ 340 Cost of Revenue $ 53 $ 60 Selling, general and administrative expenses 36 41 Research and development $ 59 $ 66 Amount of Gain (Loss) Recognized in OCI Amount of Gain (Loss) Reclassified from AOCI into Income (In thousands) Three Months Ended June 30, 2018 Six Months Ended June 30, 2018 Location of Gain (Loss) Reclassified from AOCI into Income Three Months Ended June 30, 2018 Six Months Ended June 30, 2018 Foreign exchange contracts $ (129 ) $ (207 ) Cost of Revenue $ 112 $ 301 Selling, general and administrative expenses 86 230 Research and development $ 133 $ 355
Net Impact of Changes in Fair Value of Call Option and Embedded Cash Conversion Option	The following table shows the net impact of the changes in fair values of the 1.25% Call Option and the 1.25% Notes’ embedded cash conversion option in the consolidated statements of operations: Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 1.25% Call Option $ 3,379 $ (6,983 ) $ (2,695 ) $ (28,151 ) 1.25% Embedded cash conversion option (3,840 ) 7,042 2,609 28,373 Net (loss) income included in other income, net $ (461 ) $ 59 $ (86 ) $ 222

Other Comprehensive Income (Tab

Other Comprehensive Income (Tables)	6 Months Ended
	Jun. 30, 2019
Equity [Abstract]
Components of Accumulated Other Comprehensive Loss	Changes in the balances of each component included in AOCI are presented in the tables below. All amounts are net of tax and exclude non-controlling interest. (In thousands) Foreign Currency Translation Adjustments Unrealized Net Gains on Foreign Exchange Contracts Total Balance as of December 31, 2018 (1) $ (5,584 ) $ 195 $ (5,389 ) Other comprehensive income (loss) before reclassifications 539 252 791 Net (gains) losses reclassified from accumulated other comprehensive loss 0 (124 ) (124 ) Net other comprehensive loss 539 128 667 Balance as of June 30, 2019 (2) $ (5,045 ) $ 323 $ (4,722 ) (1) (2) (In thousands) Foreign Currency Translation Adjustments Unrealized Net Gains on Foreign Exchange Contracts Total Balance as of December 31, 2017 (1) $ (2,676 ) $ 691 $ (1,985 ) Other comprehensive income (loss) before reclassifications (1,562 ) (153 ) (1,715 ) Net (gains) losses reclassified from accumulated other comprehensive loss 0 (506 ) (506 ) Net other comprehensive income (1,562 ) (659 ) (2,221 ) Balance as of June 30, 2018 (2) $ (4,238 ) $ 32 $ (4,206 ) (1) (2)
Income Tax Effects Related to Components of Other Comprehensive Income (Loss)	The following tables reflect the tax effects allocated to each component of other comprehensive income (loss) (“OCI”): Three Months Ended June 30, 2019 2018 (In thousands) Before-Tax Amount Tax Effect Net Amount Before-Tax Amount Tax Effect Net Amount Foreign currency translation adjustments $ (156 ) $ 0 $ (156 ) $ (1,685 ) $ 0 $ (1,685 ) Foreign exchange contracts: Net (losses) gains arising during the period 189 (49 ) 140 (129 ) 34 (95 ) Net losses (gains) reclassified into income (1) (147 ) 38 (109 ) (331 ) 86 (245 ) Net change in unrealized (losses) gains on foreign exchange contracts 42 (11 ) 31 (460 ) 120 (340 ) Net (loss) gain on cash flow hedges 42 (11 ) 31 (460 ) 120 (340 ) Other comprehensive (loss) income $ (114 ) $ (11 ) $ (125 ) $ (2,145 ) $ 120 $ (2,025 ) (1) Tax effects for the three months ended June 30, 2018 149 thousand arising from the revaluation of tax effects included in accumulated other comprehensive income at December 31, 2017. Six Months Ended June 30, 2019 2018 (In thousands) Before-Tax Amount Tax Effect Net Amount Before-Tax Amount Tax Effect Net Amount Foreign currency translation adjustments $ 539 $ 0 $ 539 $ (1,562 ) $ 0 $ (1,562 ) Derivatives qualifying as cash flow hedges: Foreign exchange contracts: Net (losses) gains arising during the period 340 (89 ) 251 (207 ) 54 (153 ) Net (gains) losses reclassified into income (1) (166 ) 43 (123 ) (886 ) 380 (506 ) Net change in unrealized (losses) gains on foreign exchange contracts 174 (46 ) 128 (1,093 ) 434 (659 ) Net (loss) gain on cash flow hedges 174 (46 ) 128 (1,093 ) 434 (659 ) Other comprehensive (loss) income $ 713 $ (46 ) $ 667 $ (2,655 ) $ 434 $ (2,221 ) (1) Tax effects for the six months ended June 30, 2018 149 thousand arising from the revaluation of tax effects included in accumulated other comprehensive income at December 31, 2017.

Discontinued Operations (Tables

Discontinued Operations (Tables)	6 Months Ended
	Jun. 30, 2019
Netsmart [Member]
Summary of Discontinued Operations in Financial Statements	The following table summarizes Netsmart’s major income and expense line items as reported in the consolidated statements of operations for the three and six months ended June 30, 2018: Three Months Ended Six Months Ended (In thousands) June 30, 2018 June 30, 2018 Major income and expense line items related to Netsmart: Revenue: Software delivery, support and maintenance $ 51,921 $ 101,134 Client services 32,192 63,183 Total revenue 84,113 164,317 Cost of revenue: Software delivery, support and maintenance 14,302 28,669 Client services 22,822 44,535 Amortization of software development and acquisition related assets 8,093 15,907 Total cost of revenue 45,217 89,111 Gross profit 38,896 75,206 Selling, general and administrative expenses 26,168 49,301 Research and development 5,851 11,038 Amortization of intangible and acquisition-related assets 5,580 11,189 Income from discontinued operations of Netsmart 1,297 3,678 Interest expense (14,475 ) (27,826 ) Other loss (5 ) (17 ) Loss from discontinued operations of Netsmart before income taxes (13,183 ) (24,165 ) Income tax benefit 3,573 6,786 Loss from discontinued operations, net of tax for Netsmart $ (9,610 ) $ (17,379 )
Horizon Clinicals and Series2000 [Member]
Summary of Discontinued Operations in Financial Statements	The following table summarizes the major classes of line items constituting income (loss) of the discontinued operations with the sunset businesses of Horizon Clinicals and Series2000 Revenue Cycle, as reported in the consolidated statements of operations for the three and six months ended June 30, 2018: Three Months Ended Six Months Ended (In thousands) June 30, 2018 June 30, 2018 Major classes of line items constituting pretax profit (loss) of discontinued operations for Horizon Clinicals and Series2000 Revenue Cycle: Revenue: Software delivery, support and maintenance $ (363 ) $ 9,441 Client services (88 ) 404 Total revenue (451 ) 9,845 Cost of revenue: Software delivery, support and maintenance (141 ) 2,322 Client services 87 830 Total cost of revenue (54 ) 3,152 Gross profit (397 ) 6,693 Research and development 527 1,651 (Loss) income from discontinued operations for Horizon Clinicals and Series2000 Revenue Cycle before income taxes (924 ) 5,042 Income tax benefit (provision) 240 (1,311 ) (Loss) income from discontinued operations, net of tax for Horizon Clinicals and Series2000 Revenue Cycle $ (684 ) $ 3,731

Business Segments (Tables)

Business Segments (Tables)	6 Months Ended
	Jun. 30, 2019
Segment Reporting [Abstract]
Revenues and Income from Operations Related to Segment Within Reconciliation to Consolidated Amounts	Three Months Ended June 30, Six Months Ended June 30, (In thousands) 2019 2018 2019 2018 Revenue: Provider $ 405,690 $ 413,467 $ 798,297 $ 823,891 Veradigm 38,521 33,497 73,637 56,304 Unallocated Amounts 249 (5,500 ) 4,575 (5,009 ) Total revenue $ 444,460 $ 441,464 $ 876,509 $ 875,186 Gross profit: Provider $ 174,315 $ 184,101 $ 340,133 $ 369,830 Veradigm 27,114 23,313 49,548 38,443 Unallocated Amounts (17,307 ) (33,647 ) (31,464 ) (49,841 ) Total gross profit $ 184,122 $ 173,767 $ 358,217 $ 358,432 Income (loss) from operations: Provider $ 104,125 $ 99,801 $ 204,399 $ 206,941 Veradigm 12,231 8,281 20,550 13,313 Unallocated Amounts (111,613 ) (168,176 ) (217,561 ) (287,049 ) Total income (loss) from operations $ 4,743 $ (60,094 ) $ 7,388 $ (66,795 )

Supplemental Disclosures (Table

Supplemental Disclosures (Tables)	6 Months Ended
	Jun. 30, 2019
Organization Consolidation And Presentation Of Financial Statements [Abstract]
Supplemental Disclosures	The majority of the restricted cash balance as of June 30, 2019 and 2018 represents the remaining balance of the escrow account established as part of the acquisition of Netsmart in 2016, to be used by Netsmart to facilitate the integration of Allscripts’ former Homecare TM June 30, (In thousands) 2019 2018 Reconciliation of cash, cash equivalents and restricted cash: Cash and cash equivalents $ 138,903 $ 114,338 Restricted cash 9,236 11,647 Total cash, cash equivalents and restricted cash $ 148,139 $ 125,985 Six Months Ended June 30, (In thousands) 2019 2018 Supplemental non-cash information: Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operation $ 0 $ 24,297 Contribution of assets in exchange for equity interest $ 0 $ 4,000 Issuance of treasury stock to commercial partner $ 701 $ 0

Revenue from Contracts with C_3

Revenue from Contracts with Customers - Additional Information (Detail) $ in Millions	3 Months Ended		6 Months Ended
	Jun. 30, 2019USD ($)	Jun. 30, 2018USD ($)	Jun. 30, 2019USD ($)Revenue_Stream	Jun. 30, 2018USD ($)	Dec. 31, 2018USD ($)
Revenue Initial Application Period Cumulative Effect Transition [Line Items]
Number of primary revenue streams | Revenue_Stream			2
Total backlog	$ 3,900		$ 3,900
Total backlog, percentage, year one	38.00%		38.00%
Total backlog, percentage after year one	62.00%		62.00%
Selling, General and Administrative Expenses [Member]
Revenue Initial Application Period Cumulative Effect Transition [Line Items]
Capitalized Contract Cost Amortization	$ 7.4	$ 7.5	$ 15	$ 15.5
Prepaid Expenses and Other Current Assets [Member]
Revenue Initial Application Period Cumulative Effect Transition [Line Items]
Capitalized Contract Cost, Gross	21.9		21.9		$ 24.7
Other Assets [Member]
Revenue Initial Application Period Cumulative Effect Transition [Line Items]
Capitalized Contract Cost, Gross	$ 31.9		$ 31.9		$ 33.8

Revenue from Contract with Cust

Revenue from Contract with Customer - Summary of Revenue Recognized Related to Various Performance Obligations and Elected accounting Expedients (Detail) - USD ($) $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2019	Mar. 31, 2019	Jun. 30, 2018	Mar. 31, 2018	Jun. 30, 2019	Jun. 30, 2018
Revenue From Contract With Customer [Abstract]
Revenue related to deferred revenue balance at beginning of period	$ 146,150	$ 126,184	$ 196,163	$ 181,398
Revenue related to new performance obligations satisfied during the period	233,696	248,221	180,001	200,232
Revenue recognized under "right-to-invoice" expedient	62,245	55,923	62,533	49,403
Reimbursed travel expenses, shipping and other revenue	2,369	1,721	2,767	2,689
Total revenue	$ 444,460	$ 432,049	$ 441,464	$ 433,722	$ 876,509	$ 875,186

Revenue from Contracts with C_4

Revenue from Contracts with Customers - Summary of Revenue by Type and Nature of Revenue Stream by Reportable Segments (Detail) - USD ($) $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2019	Mar. 31, 2019	Jun. 30, 2018	Mar. 31, 2018	Jun. 30, 2019	Jun. 30, 2018
Disaggregation Of Revenue [Line Items]
Recurring revenue	$ 350,113		$ 361,376		$ 698,749	$ 714,036
Non-recurring revenue	94,347		80,088		177,760	161,150
Total revenue	444,460	$ 432,049	441,464	$ 433,722	876,509	875,186
Unallocated [Member]
Disaggregation Of Revenue [Line Items]
Total revenue	249		(5,500)		4,575	(5,009)
Provider [Member] | Operating Segments [Member]
Disaggregation Of Revenue [Line Items]
Total revenue	405,690		413,467		798,297	823,891
Veradigm [Member] | Operating Segments [Member]
Disaggregation Of Revenue [Line Items]
Total revenue	38,521		33,497		73,637	56,304
Software delivery, Support and Maintenance [Member]
Disaggregation Of Revenue [Line Items]
Total revenue	285,023		284,485		560,535	565,038
Software delivery, Support and Maintenance [Member] | Unallocated [Member]
Disaggregation Of Revenue [Line Items]
Total revenue	133		(2,076)		4,248	(692)
Software delivery, Support and Maintenance [Member] | Provider [Member] | Operating Segments [Member]
Disaggregation Of Revenue [Line Items]
Total revenue	247,439		253,754		484,794	511,508
Software delivery, Support and Maintenance [Member] | Veradigm [Member] | Operating Segments [Member]
Disaggregation Of Revenue [Line Items]
Total revenue	37,451		32,807		71,493	54,222
Client services [Member]
Disaggregation Of Revenue [Line Items]
Total revenue	159,437		156,979		315,974	310,148
Client services [Member] | Unallocated [Member]
Disaggregation Of Revenue [Line Items]
Total revenue	116		(3,424)		327	(4,317)
Client services [Member] | Provider [Member] | Operating Segments [Member]
Disaggregation Of Revenue [Line Items]
Total revenue	158,251		159,713		313,503	312,383
Client services [Member] | Veradigm [Member] | Operating Segments [Member]
Disaggregation Of Revenue [Line Items]
Total revenue	$ 1,070		$ 690		$ 2,144	$ 2,082

Leases - Additional Information

Leases - Additional Information (Detail)	6 Months Ended
	Jun. 30, 2019
Minimum [Member]
Lessee Lease Description [Line Items]
Operating and Finance leases, remaining lease terms	1 year
Maximum [Member]
Lessee Lease Description [Line Items]
Operating and Finance leases, remaining lease terms	9 years
Operating leases, options to extend leases term	5 years
Finance leases, options to extend leases term	5 years
Operating and Finance leases, options to terminate leases term	1 year

Leases - Summary of Total Costs

Leases - Summary of Total Costs Associated with Leased Assets (Detail) - USD ($) $ in Thousands		3 Months Ended	6 Months Ended
		Jun. 30, 2019	Jun. 30, 2019
Leases [Abstract]
Operating lease cost	[1]	$ 7,051	$ 13,768
Less: Sublease income		(778)	(1,580)
Total operating lease costs		6,273	12,188
Finance lease costs:
Amortization of right-of-use assets	[2]	37	88
Interest on lease liability	[3]	2	5
Total finance lease costs		$ 39	$ 93
[1]	Operating lease costs are recognized on a straight-line basis and are included in Selling, general and administrative expenses within the consolidated statement of operations.
[2]	Amortization of finance right-of-use assets is recognized on a straight-line basis and is included in in Selling, general and administrative expenses within the consolidated statement of operations.
[3]	Interest on finance lease liabilities is recorded as Interest expense within the consolidated statement of operations .

Leases - Supplemental Informati

Leases - Supplemental Information for Operating and Finance Leases (Detail) $ in Thousands	6 Months Ended
	Jun. 30, 2019USD ($)
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases	$ 14,688
Operating cash flows from finance leases	5
Financing cash flows from finance leases	70
Right-of-use assets obtained in exchange for lease obligations:
Operating leases	128,664
Finance leases	$ 263

Leases - Summary of Balance She

Leases - Summary of Balance Sheet Location and Balances for Operating and Finance Leases (Detail) - USD ($) $ in Thousands		Jun. 30, 2019	Dec. 31, 2018
Operating leases:
Right-of-use assets - operating leases		$ 96,097	$ 0
Current operating lease liabilities		24,501	0
Long-term operating lease liabilities		93,117	0
Finance leases:
Fixed assets, net		105,923	$ 121,913
Current finance lease liabilities	[1]	$ 120
Finance Lease, Liability, Current, Statement of Financial Position [Extensible List]		us-gaap:AccruedLiabilitiesCurrent
Long-term finance lease liabilities	[2]	$ 72
Finance Lease, Liability, Noncurrent, Statement of Financial Position [Extensible List]		us-gaap:OtherLiabilitiesNoncurrent
Weighted average remaining lease term (in years)
Operating leases		6 years
Finance leases		2 years
Weighted average discount rate
Operating leases		4.60%
Finance leases		5.10%
Finance Leases [Member]
Finance leases:
Fixed assets, gross		$ 524
Accumulated depreciation		322
Fixed assets, net		$ 202
[1]	Current finance lease liabilities are included in Accrued expenses within the consolidated balance sheets.
[2]	Long-term finance lease liabilities are included in Other liabilities within the consolidated balance sheets.

Leases - Summary of Future Matu

Leases - Summary of Future Maturities of Lease and Non-Lease Components (Detail) - USD ($) $ in Thousands		Jun. 30, 2019	Dec. 31, 2018
Operating Leases [Abstract]
Operating Leases, Remainder of 2019		$ 15,114
Operating Leases, 2020		26,402
Operating Leases, 2021		21,511
Operating Leases, 2022		19,650
Operating Leases, 2023		17,164
Operating Leases, Thereafter		33,388
Operating Leases, Total lease liabilities		133,229
Operating Leases, Less: Amount representing interest		(15,611)
Operating Leases, Less: Short-term lease liabilities		(24,501)	$ 0
Operating Leases, Total long-term lease liabilities		93,117	$ 0
Finance Leases [Abstract]
Finance Leases, Remainder of 2019		71
Finance Leases, 2020		85
Finance Leases, 2021		40
Finance Leases, 2022		6
Finance Leases, 2023		0
Finance Leases, Thereafter		0
Finance Leases, Total lease liabilities		202
Finance Leases, Less: Amount representing interest		(10)
Finance Leases, Less: Short-term lease liabilities	[1]	(120)
Finance Leases, Total long-term lease liabilities	[2]	$ 72
[1]	Current finance lease liabilities are included in Accrued expenses within the consolidated balance sheets.
[2]	Long-term finance lease liabilities are included in Other liabilities within the consolidated balance sheets.

Business Combinations - Additio

Business Combinations - Additional Information (Detail) - USD ($) $ in Millions	Mar. 01, 2019	Jun. 15, 2018
Business Acquisition [Line Items]
Acquisition of outstanding minority interest		$ 6.9
Pulse8, Inc. [Member]
Business Acquisition [Line Items]
Acquisition of outstanding minority interest	$ 53.8
Pulse8, Inc. [Member] | Maximum [Member]
Business Acquisition [Line Items]
Potential earnout payments	$ 10

Business Combinations - Other A

Business Combinations - Other Acquisitions and Divestiture - Additional Information (Detail) - USD ($) $ in Thousands	Jun. 15, 2018	Apr. 02, 2018	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Business Acquisition [Line Items]
Acquisition of outstanding minority interest in third party	$ 6,900
Pre-tax gain (loss) on sale of business			$ 0	$ 173,129	$ 0	$ 172,258
One Content Business [Member]
Business Acquisition [Line Items]
Date of divestiture		Apr. 2, 2018
Total consideration paid		$ 260,000
Pre-tax gain (loss) on sale of business				$ 177,900		$ 177,900

Summary of Financial Assets and

Summary of Financial Assets and Liabilities Measured at Fair Value on Recurring Basis (Detail) - USD ($) $ in Thousands	Jun. 30, 2019	Dec. 31, 2018
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Prepaid expenses and other current assets	$ 152,476	$ 142,455
Total assets	6,844	9,366
Total liabilities	39,453	35,819
Foreign exchange derivative assets [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Prepaid expenses and other current assets	435	262
Contingent Consideration Current [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Accrued expenses	18,160	10,528
Contingent Consideration Long Term [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Other liabilities	13,928	15,317
1.25% Notes Embedded Cash Conversion Option [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Other liabilities	7,365	9,974
Level 1 [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	0	0
Total liabilities	0	0
Level 1 [Member] | Foreign exchange derivative assets [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Prepaid expenses and other current assets	0	0
Level 1 [Member] | Contingent Consideration Current [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Accrued expenses	0	0
Level 1 [Member] | Contingent Consideration Long Term [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Other liabilities	0	0
Level 1 [Member] | 1.25% Notes Embedded Cash Conversion Option [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Other liabilities	0	0
Level 2 [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	435	262
Total liabilities	0	0
Level 2 [Member] | Foreign exchange derivative assets [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Prepaid expenses and other current assets	435	262
Level 2 [Member] | Contingent Consideration Current [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Accrued expenses	0	0
Level 2 [Member] | Contingent Consideration Long Term [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Other liabilities	0	0
Level 2 [Member] | 1.25% Notes Embedded Cash Conversion Option [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Other liabilities	0	0
Level 3 [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Total assets	6,409	9,104
Total liabilities	39,453	35,819
Level 3 [Member] | Foreign exchange derivative assets [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Prepaid expenses and other current assets	0	0
Level 3 [Member] | Contingent Consideration Current [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Accrued expenses	18,160	10,528
Level 3 [Member] | Contingent Consideration Long Term [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Other liabilities	13,928	15,317
Level 3 [Member] | 1.25% Notes Embedded Cash Conversion Option [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Other liabilities	7,365	9,974
1.25% Call Option [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Other assets	6,409	9,104
1.25% Call Option [Member] | Level 1 [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Other assets	0	0
1.25% Call Option [Member] | Level 2 [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Other assets	0	0
1.25% Call Option [Member] | Level 3 [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Other assets	$ 6,409	$ 9,104

Summary of Financial Assets a_2

Summary of Financial Assets and Liabilities Measured at Fair Value on Recurring Basis (Parenthetical) (Detail)	Jun. 30, 2019
1.25% Notes Embedded Cash Conversion Option [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Interest rate	1.25%
1.25% Call Option [Member]
Fair Value Assets And Liabilities Measured On Recurring And Nonrecurring Basis [Line Items]
Interest rate	1.25%

Summary of Changes in Assets an

Summary of Changes in Assets and Liabilities Measured at Fair Value on Recurring Basis (Detail) $ in Thousands	6 Months Ended
	Jun. 30, 2019USD ($)
Contingent Consideration [Member]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance at December 31, 2018	$ 25,845
Additions	6,249
Fair value adjustments	(6)
Balance at June 30, 2019	32,088
1.25% Notes Call Spread Overlay [Member]
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Roll Forward]
Balance at December 31, 2018	(870)
Additions	0
Fair value adjustments	(86)
Balance at June 30, 2019	$ (956)

Summary of Long-term Equity Inv

Summary of Long-term Equity Investments Included in Other Assets (Detail) $ in Thousands		6 Months Ended
		Jun. 30, 2019USD ($)Investment	Dec. 31, 2018USD ($)
Fair Value Disclosures [Abstract]
Equity method investments, Number of Investees | Investment	[1]	5
Cost method investments, Number of Investees | Investment		8
Total long-term equity investments, Number of Investees | Investment		13
Equity method investments, Original Cost	[1]	$ 7,407
Cost method investments, Original Cost		37,874
Total long-term equity investments, Original Cost		45,281
Equity method investments, Carrying Value		10,823	$ 10,667
Cost method investments, Carrying Value		28,126	25,923
Total long-term equity investments, Carrying Value		$ 38,949	$ 36,590
[1]

Fair Value Measurements and L_3

Fair Value Measurements and Long-term Investments - Additional Information (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Impairment recoveries			$ 1,000
Non-cash impairment charges of investments	$ 0	$ 9,987	$ (1,045)	$ 15,487
1.25% Cash Convertible Senior Notes [Member]
Fair Value Balance Sheet Grouping Financial Statement Captions [Line Items]
Interest rate	1.25%		1.25%

Stockholders' Equity - Addition

Stockholders' Equity - Additional Information (Detail) - USD ($)	3 Months Ended		6 Months Ended		12 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018	Dec. 31, 2018	Aug. 02, 2018	Nov. 17, 2016
Class Of Stock [Line Items]
Capitalized stock-based compensation costs	$ 0	$ 0	$ 0	$ 0
Stock options granted	0	0	0	0
Share issued, exercise of options and release of stock awards			1,500,000		1,600,000
Shares settled for tax withholding			651,000	618,000
Common stock repurchased, amount			$ 65,070,000	$ 101,905,000
November 2016 Stock Repurchase Program [Member]
Class Of Stock [Line Items]
Stock repurchase program, authorized amount							$ 200,000,000
Common stock repurchased, shares		3,600,000		7,700,000
Common stock repurchased, amount		$ 44,300,000		$ 101,900,000
August 2018 Stock Repurchase Program [Member]
Class Of Stock [Line Items]
Stock repurchase program, authorized amount						$ 250,000,000
Common stock repurchased, shares	0		6,100,000
Common stock repurchased, amount			$ 64,900,000
Stock repurchase program, shares yet to be purchased	$ 148,100,000		$ 148,100,000

Stock-Based Compensation Expens

Stock-Based Compensation Expense (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Total stock-based compensation expense	$ 11,179	$ 8,966	$ 23,987	$ 19,909
Cost of revenue [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Total stock-based compensation expense	1,777	1,542	3,383	3,546
Cost of revenue [Member] | Software delivery, Support and Maintenance [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Total stock-based compensation expense	614	444	1,127	1,040
Cost of revenue [Member] | Client services [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Total stock-based compensation expense	1,163	1,098	2,256	2,506
Selling, General and Administrative Expenses [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Total stock-based compensation expense	6,831	5,332	15,156	11,464
Research and development [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Total stock-based compensation expense	$ 2,571	$ 2,092	$ 5,448	$ 4,899

Stock-Based Awards Granted (Det

Stock-Based Awards Granted (Detail) - $ / shares shares in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2019	Jun. 30, 2019
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Shares, granted	2,933	4,673
Weighted-Average Grant Date Fair Value, granted	$ 9.55	$ 10.14
Service-Based Restricted Stock Units [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Shares, granted	2,933	3,973
Weighted-Average Grant Date Fair Value, granted	$ 9.55	$ 9.85
Market-Based Restricted Stock Units with a Service Condition [Member]
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Shares, granted	0	700
Weighted-Average Grant Date Fair Value, granted	$ 0	$ 11.74

Calculations of Earnings (Loss)

Calculations of Earnings (Loss) Per Share (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Basic earnings (loss) per Common Share:
(Loss) income from continuing operations, net of tax	$ (149,930)	$ 84,566	$ (157,907)	$ 59,405
Net loss attributable to non-controlling interests	0	2,700	424	3,490
Net (loss) income from continuing operations attributable to Allscripts Healthcare Solutions, Inc. stockholders	(149,930)	87,266	(157,483)	62,895
Less: Loss from discontinued operations	0	(10,294)	0	(13,648)
Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operations	0	(12,148)	0	(24,297)
Net loss from discontinued operations attributable to Allscripts Healthcare Solutions, Inc. stockholders	0	(22,442)	0	(37,945)
Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders	$ (149,930)	$ 64,824	$ (157,483)	$ 24,950
Weighted-average common shares outstanding	166,522	176,363	168,230	178,113
Basic (loss) earnings from continuing operations per Common Share	$ (0.90)	$ 0.49	$ (0.94)	$ 0.35
Basic loss from discontinued operations per Common Share	0	(0.13)	0	(0.21)
Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders per share	$ (0.90)	$ 0.36	$ (0.94)	$ 0.14
Diluted earnings (loss) per Common Share:
(Loss) income from continuing operations, net of tax	$ (149,930)	$ 84,566	$ (157,907)	$ 59,405
Net loss attributable to non-controlling interests	0	2,700	424	3,490
Net (loss) income from continuing operations attributable to Allscripts Healthcare Solutions, Inc. stockholders	(149,930)	87,266	(157,483)	62,895
Loss from discontinued operations, net of tax	0	(10,294)	0	(13,648)
Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operations	0	(12,148)	0	(24,297)
Net loss from discontinued operations attributable to Allscripts Healthcare Solutions, Inc. stockholders	0	(22,442)	0	(37,945)
Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders	$ (149,930)	$ 64,824	$ (157,483)	$ 24,950
Weighted-average common shares outstanding	166,522	176,363	168,230	178,113
Plus: Dilutive effect of stock options, restricted stock unit awards and warrants	0	2,963	0	3,334
Weighted-average common shares outstanding assuming dilution	166,522	179,326	168,230	181,447
Diluted (loss) earnings from continuing operations per Common Share	$ (0.90)	$ 0.49	$ (0.94)	$ 0.35
Diluted loss from discontinued operations per Common Share	0	(0.13)	0	(0.21)
Net (loss) income attributable to Allscripts Healthcare Solutions, Inc. stockholders per share	$ (0.90)	$ 0.36	$ (0.94)	$ 0.14

Anti-Dilutive Stock Options, Re

Anti-Dilutive Stock Options, Restricted Stock Unit Awards and Warrants Excluded from Computation of Diluted Earnings (Loss) Per Share (Detail) - shares shares in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Earnings Per Share [Abstract]
Shares subject to anti-dilutive stock options, restricted stock unit awards and warrants excluded from calculation	29,720	26,044	27,358	24,318

Goodwill and Intangible Asset_2

Goodwill and Intangible Assets (Detail) - USD ($) $ in Thousands	Jun. 30, 2019	Dec. 31, 2018
Schedule Of Goodwill And Intangible Assets [Line Items]
Gross Carrying Amount	$ 1,245,877	$ 1,242,642
Accumulated Amortization	(895,094)	(863,561)
Intangible Assets, Net	350,783	379,081
Registered trademarks	52,000	52,000
Goodwill	1,382,244	1,373,744
Total	1,434,244	1,425,744
Proprietary Technology [Member]
Schedule Of Goodwill And Intangible Assets [Line Items]
Gross Carrying Amount	539,234	537,834
Accumulated Amortization	(419,105)	(401,093)
Intangible Assets, Net	120,129	136,741
Customer Contracts and Relationships [Member]
Schedule Of Goodwill And Intangible Assets [Line Items]
Gross Carrying Amount	706,643	704,808
Accumulated Amortization	(475,989)	(462,468)
Intangible Assets, Net	$ 230,654	$ 242,340

Changes in Carrying Amount of G

Changes in Carrying Amount of Goodwill (Detail) $ in Thousands	6 Months Ended
	Jun. 30, 2019USD ($)
Goodwill [Line Items]
Goodwill	$ 1,373,744
Additions	8,483
Foreign exchange translation	17
Goodwill, net	1,382,244
Provider [Member]
Goodwill [Line Items]
Goodwill	1,254,284
Additions	0
Foreign exchange translation	17
Goodwill, net	1,254,301
Veradigm [Member]
Goodwill [Line Items]
Goodwill	119,460
Additions	8,483
Foreign exchange translation	0
Goodwill, net	$ 127,943

Goodwill and Intangible Asset_3

Goodwill and Intangible Assets - Additional Information (Detail) - USD ($) $ in Millions	Jun. 30, 2019	Dec. 31, 2018
Goodwill And Intangible Assets Disclosure [Abstract]
Accumulated impairment losses associated with goodwill	$ 13.5	$ 13.5

Debt Outstanding Excluding Leas

Debt Outstanding Excluding Lease Obligations (Detail) - USD ($) $ in Thousands	Jun. 30, 2019		Dec. 31, 2018
Debt Instrument [Line Items]
Principal Balance	$ 865,049		$ 695,748
Unamortized Discount and Debt Issuance Costs	20,204		28,150
Net Carrying Amount	844,845		667,598
Principal Balance, Current	22,548		20,538
Unamortized Discount and Debt Issuance Costs, Current	427		479
Net Carrying Amount, Current	22,121		20,059
Principal Balance, Noncurrent	842,501		675,210
Unamortized Discount and Debt Issuance Costs, Noncurrent	19,777		27,671
Net Carrying Amount, Noncurrent	822,724		647,539
1.25% Cash Convertible Senior Notes [Member]
Debt Instrument [Line Items]
Principal Balance	345,000	[1]	345,000
Unamortized Discount and Debt Issuance Costs	14,921		22,112
Net Carrying Amount	330,079		322,888
Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Principal Balance	520,000		350,000
Unamortized Discount and Debt Issuance Costs	5,283		6,038
Net Carrying Amount	514,717		343,962
Other Debt [Member]
Debt Instrument [Line Items]
Principal Balance	49		748
Unamortized Discount and Debt Issuance Costs	0		0
Net Carrying Amount	$ 49		$ 748
[1]	Assumes no cash conversions of the 1.25% Notes prior to their maturity on July 1, 2020.

Interest Expense (Detail)

Interest Expense (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Debt Instrument [Line Items]
Total interest expense	$ 10,424	$ 11,980	$ 20,608	$ 23,674
Convertible Senior Notes and Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Interest expense	6,434	8,146	12,663	16,084
Amortization of discounts and debt issuance costs	3,990	3,834	7,945	7,590
Total interest expense	$ 10,424	$ 11,980	$ 20,608	$ 23,674

Interest Expense Related to 1.2

Interest Expense Related to 1.25% Cash Convertible Senior Notes (Detail) - 1.25% Cash Convertible Senior Notes [Member] - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Debt Instrument [Line Items]
Coupon interest at 1.25%	$ 1,078	$ 1,078	$ 2,156	$ 2,156
Amortization of discounts and debt issuance costs	3,614	3,442	7,191	6,849
Total interest expense related to the 1.25% Notes	$ 4,692	$ 4,520	$ 9,347	$ 9,005

Debt - Additional Information (

Debt - Additional Information (Detail) - USD ($)	Feb. 15, 2018	Jun. 30, 2019		Dec. 31, 2018
Debt Instrument [Line Items]
Debt instrument principal amount		$ 865,049,000		$ 695,748,000
Senior Secured Term Loan [Member]
Debt Instrument [Line Items]
Debt instrument principal amount		340,000,000
Senior Secured Revolving Facility [Member]
Debt Instrument [Line Items]
Credit facility, amount available		719,000,000
Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Debt instrument principal amount		520,000,000		350,000,000
1.25% Cash Convertible Senior Notes [Member]
Debt Instrument [Line Items]
Debt instrument principal amount		$ 345,000,000	[1]	$ 345,000,000
Interest rate		1.25%
Letter of Credit [Member]
Debt Instrument [Line Items]
Portion of facility available for issuance of letters of credit	$ 50,000,000
Line of Credit [Member]
Debt Instrument [Line Items]
Portion of facility available for issuance of swingline loans	10,000,000
Senior Secured Revolving Facility [Member]
Debt Instrument [Line Items]
Credit facility, maximum borrowing capacity	$ 900,000,000
Senior secured credit facilities term, years	5 years
Credit facility, maximum borrowing capacity, foreign currencies	$ 100,000,000
Senior Secured Term Loan [Member]
Debt Instrument [Line Items]
Credit facility, maximum borrowing capacity	$ 400,000,000
Senior secured credit facilities term, years	5 years
Line of credit facility, frequency of payments		The Term Loan is repayable in quarterly installments, which began on June 30, 2018.
Second Amended Credit Agreement [Member] | Senior Secured Term Loan [Member]
Debt Instrument [Line Items]
Debt instrument principal amount		$ 340,000,000
Second Amended Credit Agreement [Member] | Senior Secured Revolving Facility [Member]
Debt Instrument [Line Items]
Debt instrument principal amount		$ 180,000,000
Second Amended Credit Agreement [Member] | Senior Secured Revolving Facility [Member] | United States dollars [Member]
Debt Instrument [Line Items]
Debt instrument, interest rate, effective percentage		3.90%
Second Amended Credit Agreement [Member] | Senior Secured Revolving Facility [Member] | LIBOR Rate [Member]
Debt Instrument [Line Items]
Debt instrument, variable interest rate		1.50%
Second Amended Credit Agreement [Member] | Senior Secured Credit Facility [Member]
Debt Instrument [Line Items]
Letters of credit outstanding		$ 1,000,000
[1]	Assumes no cash conversions of the 1.25% Notes prior to their maturity on July 1, 2020.

Summary of Future Debt Payment

Summary of Future Debt Payment Obligations (Detail) - USD ($) $ in Thousands		Jun. 30, 2019		Dec. 31, 2018
Debt Instrument [Line Items]
Total		$ 865,049		$ 695,748
Remainder of 2019		10,049
2020		372,500
2021		30,000
2022		37,500
2023		415,000
Thereafter		0
1.25% Cash Convertible Senior Notes [Member]
Debt Instrument [Line Items]
Total		345,000	[1]	345,000
Remainder of 2019	[1]	0
2020	[1]	345,000
2021	[1]	0
2022	[1]	0
2023	[1]	0
Thereafter	[1]	0
Senior Secured Term Loan [Member]
Debt Instrument [Line Items]
Total		340,000
Remainder of 2019		10,000
2020		27,500
2021		30,000
2022		37,500
2023		235,000
Thereafter		0
Other Debt [Member]
Debt Instrument [Line Items]
Total		49		$ 748
Remainder of 2019		49
2020		0
2021		0
2022		0
2023		0
Thereafter		0
Revolving Facility [Member]
Debt Instrument [Line Items]
Total	[2]	180,000
Remainder of 2019	[2]	0
2020	[2]	0
2021	[2]	0
2022	[2]	0
2023	[2]	180,000
Thereafter	[2]	$ 0
[1]	Assumes no cash conversions of the 1.25% Notes prior to their maturity on July 1, 2020.
[2]	Assumes no additional borrowings after June 30, 2019, payment of any required periodic installments of principal and that all drawn amounts are repaid upon maturity.

Summary of Future Debt Payments

Summary of Future Debt Payments (Parenthetical) (Detail)	6 Months Ended
	Jun. 30, 2019
1.25% Cash Convertible Senior Notes [Member]
Debt Instrument [Line Items]
Maturity date	Jul. 1, 2020

Effective Tax Rates (Detail)

Effective Tax Rates (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Income Tax Disclosure [Abstract]
(Loss) income from continuing operations before income taxes	$ (150,457)	$ 91,822	$ (156,502)	$ 66,960
Income tax benefit (provision)	$ 527	$ (7,256)	$ (1,405)	$ (7,555)
Effective tax rate	0.40%	7.90%	(0.90%)	11.30%

Income Taxes - Additional Infor

Income Taxes - Additional Information (Detail) - USD ($) $ in Millions	3 Months Ended
	Jun. 30, 2019	Dec. 31, 2018	Jun. 30, 2018
Income Tax Disclosure [Abstract]
Release of valuation allowance			$ 18
Cumulative operating income loss period considered	3 years
Unrecognized income tax benefits	$ 20.8	$ 19.8

Fair Value and Balance Sheet Lo

Fair Value and Balance Sheet Locations - (Detail) - USD ($) $ in Thousands	Jun. 30, 2019	Dec. 31, 2018
Derivatives Fair Value [Line Items]
Derivative asset, fair value	$ 6,844	$ 9,366
Derivative liability, fair value	7,365	9,974
Designated as Hedging Instrument [Member] | Foreign Exchange Contract [Member] | Prepaid Expenses and Other Current Assets [Member]
Derivatives Fair Value [Line Items]
Derivative asset, fair value	435	262
Designated as Hedging Instrument [Member] | Foreign Exchange Contract [Member] | Accrued expenses [Member]
Derivatives Fair Value [Line Items]
Derivative liability, fair value	0	0
Not Designated as Hedging Instrument [Member] | 1.25% Call Option [Member] | Other Assets [Member]
Derivatives Fair Value [Line Items]
Derivative asset, fair value	6,409	9,104
Not Designated as Hedging Instrument [Member] | 1.25% Embedded Cash Conversion Option [Member] | Other Liabilities [Member]
Derivatives Fair Value [Line Items]
Derivative liability, fair value	$ 7,365	$ 9,974

Derivative Financial Instrume_3

Derivative Financial Instruments - Additional Information (Detail)	6 Months Ended
	Jun. 30, 2019USD ($)Derivative	Jun. 30, 2019INR (₨)Derivative	Jun. 18, 2013USD ($)
1.25% Call Option [Member]
Derivative [Line Items]
Debt instrument interest rate	1.25%	1.25%
Foreign Exchange Forward Contracts [Member]
Derivative [Line Items]
Number of contracts | Derivative	6	6
Derivative notional amount outstanding	$ 2,300,000	₨ 160,000,000
Unrealized derivatives gains included in other comprehensive (loss) income reclassified into income	$ 400,000
Estimated period of unrealized gains included in AOCI reclassified into income	12 months
1.25% Notes Embedded Cash Conversion Option [Member]
Derivative [Line Items]
Debt instrument interest rate	1.25%	1.25%
1.25% Notes Embedded Cash Conversion Option [Member] | Level 3 [Member] | Fair Value Measurements, Recurring [Member]
Derivative [Line Items]
Fair value liability of embedded cash conversion option			$ 82,800,000
Minimum [Member] | Foreign Exchange Forward Contracts [Member]
Derivative [Line Items]
Date of contracts mature	Jul. 31, 2019
Maximum [Member] | Foreign Exchange Forward Contracts [Member]
Derivative [Line Items]
Date of contracts mature	Dec. 31, 2019

Derivatives Instruments Designa

Derivatives Instruments Designated as Cash Flow Hedges - (Detail) - Cash Flow Hedging [Member] - Foreign Exchange Contract [Member] - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Derivative Instruments Gain Loss [Line Items]
Amount of Gain (Loss) Recognized in OCI	$ 189	$ (129)	$ 340	$ (207)
Cost of revenue [Member]
Derivative Instruments Gain Loss [Line Items]
Amount of Gain (Loss) Reclassified from AOCI into Income	53	112	60	301
Selling, General and Administrative Expenses [Member]
Derivative Instruments Gain Loss [Line Items]
Amount of Gain (Loss) Reclassified from AOCI into Income	36	86	41	230
Research and development [Member]
Derivative Instruments Gain Loss [Line Items]
Amount of Gain (Loss) Reclassified from AOCI into Income	$ 59	$ 133	$ 66	$ 355

Net Impact of Changes in Fair V

Net Impact of Changes in Fair Value of Call Option and Embedded Cash Conversion Option - (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Derivative Instruments Gain Loss [Line Items]
Net (loss) income included in other income, net	$ (461)	$ 59	$ (86)	$ 222
1.25% Call Option [Member]
Derivative Instruments Gain Loss [Line Items]
Net (loss) income included in other income, net	3,379	(6,983)	(2,695)	(28,151)
1.25% Notes Embedded Cash Conversion Option [Member]
Derivative Instruments Gain Loss [Line Items]
Net (loss) income included in other income, net	$ (3,840)	$ 7,042	$ 2,609	$ 28,373

Components of Accumulated Other

Components of Accumulated Other Comprehensive Loss (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Accumulated Other Comprehensive Income Loss [Line Items]
Balance at the beginning of the period			$ 1,551,113
Other comprehensive income (loss) before reclassifications			791	$ (1,715)
Net (gains) losses reclassified from accumulated other comprehensive loss			(124)	(506)
Total other comprehensive income (loss)	$ (125)	$ (2,025)	667	(2,221)
Balance at the end of the period	1,316,207		1,316,207
Foreign Currency Translation Adjustments [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Balance at the beginning of the period			(5,584)	(2,676)
Other comprehensive income (loss) before reclassifications			539	(1,562)
Net (gains) losses reclassified from accumulated other comprehensive loss			0	0
Total other comprehensive income (loss)			539	(1,562)
Balance at the end of the period	(5,045)	(4,238)	(5,045)	(4,238)
Derivatives Qualifying as Cash Flow Hedges [Member] | Foreign Exchange Contract [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Balance at the beginning of the period			195	691
Other comprehensive income (loss) before reclassifications			252	(153)
Net (gains) losses reclassified from accumulated other comprehensive loss			(124)	(506)
Total other comprehensive income (loss)			128	(659)
Balance at the end of the period	323	32	323	32
Accumulated Other Comprehensive Loss [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Balance at the beginning of the period			(5,389)	(1,985)
Balance at the end of the period	$ (4,722)	$ (4,206)	$ (4,722)	$ (4,206)

Components of Accumulated Oth_2

Components of Accumulated Other Comprehensive Loss (Parenthetical) (Detail) - Foreign Exchange Contract [Member] - USD ($) $ in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018	Dec. 31, 2018	Dec. 31, 2017
Accumulated Other Comprehensive Income Loss [Line Items]
Unrealized net gains (losses), taxes (benefits)	$ (11)	$ (113)	$ (11)	$ 68	$ 445
Revaluation of tax effects	$ 149	$ 149	$ 149

Income Tax Effects Related to C

Income Tax Effects Related to Components of Other Comprehensive Income (Loss) (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Accumulated Other Comprehensive Income Loss [Line Items]
Foreign currency translation adjustments, Before-Tax Amount	$ (156)	$ (1,685)	$ 539	$ (1,562)
Derivatives qualifying as cash flow hedges, net (loss) gain, Before-Tax Amount	42	(460)	174	(1,093)
Other comprehensive (loss) income, Before-Tax Amount	(114)	(2,145)	713	(2,655)
Foreign currency translation adjustments, Tax Effect	0	0	0	0
Other comprehensive (loss) income, Tax Effect	(11)	120	(46)	434
Foreign currency translation adjustments, Net	(156)	(1,685)	539	(1,562)
Other comprehensive (loss) income, Net	(125)	(2,025)	667	(2,221)
Derivatives Qualifying as Cash Flow Hedges [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Derivatives qualifying as cash flow hedges, net (loss) gain, Before-Tax Amount	42	(460)	174	(1,093)
Derivatives qualifying as cash flow hedges, net losses (gains), Tax Effect	(11)	120	(46)	434
Derivatives qualifying as cash flow hedges, net (loss) gain, Net	31	(340)	128	(659)
Derivatives Qualifying as Cash Flow Hedges [Member] | Foreign Exchange Contract [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Derivatives qualifying as cash flow hedges, net (losses) gains arising during the period, Before-Tax Amount	189	(129)	340	(207)
Derivatives qualifying as cash flow hedges, net losses (gains) reclassified into income, Before-Tax Amount	(147)	(331)	(166)	(886)
Derivatives qualifying as cash flow hedges, net (loss) gain, Before-Tax Amount	42	(460)	174	(1,093)
Derivatives qualifying as cash flow hedges, net (losses) gains arising during the period, Tax Effect	(49)	34	(89)	54
Derivatives qualifying as cash flow hedges, net losses (gains) reclassified into income, Tax Effect	38	86	43	380
Derivatives qualifying as cash flow hedges, net losses (gains), Tax Effect	(11)	120	(46)	434
Derivatives qualifying as cash flow hedges, net (losses) gains arising during the period, Net	140	(95)	251	(153)
Derivatives qualifying as cash flow hedges, net losses (gains) reclassified into income, Net	(109)	(245)	(123)	(506)
Derivatives qualifying as cash flow hedges, net (loss) gain, Net	$ 31	$ (340)	128	(659)
Other comprehensive (loss) income, Net			$ 128	$ (659)

Income Tax Effects Related to_2

Income Tax Effects Related to Components of Other Comprehensive Income (Loss) (Parenthetical) (Detail) - USD ($) $ in Thousands	3 Months Ended	6 Months Ended
	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Foreign Exchange Contract [Member]
Accumulated Other Comprehensive Income Loss [Line Items]
Revaluation of tax effects	$ 149	$ 149	$ 149

Contingencies - Additional Info

Contingencies - Additional Information (Detail) - USD ($)	Aug. 06, 2019	May 01, 2012
Loss Contingencies [Line Items]
Plaintiff sought amount for each alleged violation		$ 500
Subsequent Event [Member]
Loss Contingencies [Line Items]
Expense subject to final settlement	$ 145,000,000

Summary of Major Income and Exp

Summary of Major Income and Expense Line Items Reported in Consolidated Statements of Operations (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Cost of revenue:
(Loss) income from discontinued operations before income taxes	$ 0	$ (14,107)	$ 0	$ (19,123)
Income tax benefit (provision)	0	3,813	0	5,475
Loss from discontinued operations, net of tax	$ 0	(10,294)	$ 0	(13,648)
Netsmart [Member]
Revenue:
Total revenue		84,113		164,317
Cost of revenue:
Total cost of revenue		45,217		89,111
Amortization of software development and acquisition related assets		8,093		15,907
Gross profit		38,896		75,206
Selling, general and administrative expenses		26,168		49,301
Research and development		5,851		11,038
Amortization of intangible and acquisition-related assets		5,580		11,189
Income from discontinued operations of Netsmart		1,297		3,678
Interest expense		(14,475)		(27,826)
Other loss		(5)		(17)
(Loss) income from discontinued operations before income taxes		(13,183)		(24,165)
Income tax benefit (provision)		3,573		6,786
Loss from discontinued operations, net of tax		(9,610)		(17,379)
Netsmart [Member] | Software delivery, Support and Maintenance [Member]
Revenue:
Total revenue		51,921		101,134
Cost of revenue:
Total cost of revenue		14,302		28,669
Netsmart [Member] | Client services [Member]
Revenue:
Total revenue		32,192		63,183
Cost of revenue:
Total cost of revenue		$ 22,822		$ 44,535

Discontinued Operations - Addit

Discontinued Operations - Additional Information (Detail) - Horizon Clinicals and Series2000 [Member]	12 Months Ended
	Dec. 31, 2018USD ($)
Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Line Items]
Gain (Loss) on disposal of discontinued operations before tax	$ 0
Accrued expenses	$ 900,000

Summary of Major Classes of Lin

Summary of Major Classes of Line Items Constituting Income (Loss) of Discontinued Operations (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018
Cost of revenue:
(Loss) income from discontinued operations before income taxes	$ 0	$ (14,107)	$ 0	$ (19,123)
Income tax benefit (provision)	0	3,813	0	5,475
Loss from discontinued operations, net of tax	$ 0	(10,294)	$ 0	(13,648)
Horizon Clinicals and Series2000 [Member]
Revenue:
Total revenue		(451)		9,845
Cost of revenue:
Total cost of revenue		(54)		3,152
Gross profit		(397)		6,693
Research and development		527		1,651
(Loss) income from discontinued operations before income taxes		(924)		5,042
Income tax benefit (provision)		240		(1,311)
Loss from discontinued operations, net of tax		(684)		3,731
Horizon Clinicals and Series2000 [Member] | Software delivery, Support and Maintenance [Member]
Revenue:
Total revenue		(363)		9,441
Cost of revenue:
Total cost of revenue		(141)		2,322
Horizon Clinicals and Series2000 [Member] | Client services [Member]
Revenue:
Total revenue		(88)		404
Cost of revenue:
Total cost of revenue		$ 87		$ 830

Business Segments - Additional

Business Segments - Additional Information (Detail)	6 Months Ended
	Jun. 30, 2019Segment
Segment Reporting [Abstract]
Number of reportable segments	2
Number of operating segments	8

Revenues and Income from Operat

Revenues and Income from Operations Related to Segment Within Reconciliation to Consolidated Amounts (Detail) - USD ($) $ in Thousands	3 Months Ended				6 Months Ended
	Jun. 30, 2019	Mar. 31, 2019	Jun. 30, 2018	Mar. 31, 2018	Jun. 30, 2019	Jun. 30, 2018
Segment Reporting Information [Line Items]
Revenue	$ 444,460	$ 432,049	$ 441,464	$ 433,722	$ 876,509	$ 875,186
Gross profit	184,122		173,767		358,217	358,432
Income (loss) from operations	4,743		(60,094)		7,388	(66,795)
Unallocated Amounts [Member]
Segment Reporting Information [Line Items]
Revenue	249		(5,500)		4,575	(5,009)
Gross profit	(17,307)		(33,647)		(31,464)	(49,841)
Income (loss) from operations	(111,613)		(168,176)		(217,561)	(287,049)
Provider [Member] | Operating Segments [Member]
Segment Reporting Information [Line Items]
Revenue	405,690		413,467		798,297	823,891
Gross profit	174,315		184,101		340,133	369,830
Income (loss) from operations	104,125		99,801		204,399	206,941
Veradigm [Member] | Operating Segments [Member]
Segment Reporting Information [Line Items]
Revenue	38,521		33,497		73,637	56,304
Gross profit	27,114		23,313		49,548	38,443
Income (loss) from operations	$ 12,231		$ 8,281		$ 20,550	$ 13,313

Supplemental Disclosures (Detai

Supplemental Disclosures (Detail) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018	Jun. 30, 2019	Jun. 30, 2018	Dec. 31, 2018
Reconciliation of cash, cash equivalents and restricted cash:
Cash and cash equivalents	$ 138,903	$ 114,338	$ 138,903	$ 114,338	$ 174,243
Restricted cash	9,236	11,647	9,236	11,647	$ 10,552
Total cash, cash equivalents and restricted cash	148,139	125,985	148,139	125,985
Supplemental non-cash information:
Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operation	$ 0	$ 12,148	0	24,297
Contribution of assets in exchange for equity interest			0	4,000
Issuance of treasury stock to commercial partner			701	0
Netsmart [Member]
Supplemental non-cash information:
Accretion of redemption preference on redeemable convertible non-controlling interest - discontinued operation			$ 0	$ 24,297

Subsequent Events - Additional

Subsequent Events - Additional Information (Detail) $ in Millions	Aug. 06, 2019USD ($)
Second Amended Credit Facility Agreement [Member] | Senior Secured Credit Facility [Member] | Subsequent Event [Member]
Subsequent Event [Line Items]
Fees and other costs, incurred	$ 0.8