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Business Combinations - Purchase Price Allocation to Assets Acquired and Liabilities Assumed of MTS HealthHelp Inc. (Detail) - USD ($)
$ in Thousands
Mar. 31, 2018
Mar. 31, 2017
Mar. 15, 2017
Disclosure of detailed information about business combination [line items]      
Goodwill on acquisition $ 135,186 $ 134,008  
MTS HealthHelp Inc. [member]      
Disclosure of detailed information about business combination [line items]      
Cash     $ 3,119
Trade receivables     4,910
Unbilled revenue     2,016
Prepayments and other current assets     1,060
Property and equipment     4,612
Non-current assets     161
Term loan     (29,249)
Current liabilities     (2,555)
Non-current liabilities     (1,423)
Deferred tax liability     (18,163)
Net assets acquired     29,828
Less: Purchase consideration     68,910
Goodwill on acquisition     39,082
MTS HealthHelp Inc. [member] | Software [member]      
Disclosure of detailed information about business combination [line items]      
Intangible assets     1,274
MTS HealthHelp Inc. [member] | Customer contracts [member]      
Disclosure of detailed information about business combination [line items]      
Intangible assets     4,537
MTS HealthHelp Inc. [member] | Customer relationships [member]      
Disclosure of detailed information about business combination [line items]      
Intangible assets     49,584
MTS HealthHelp Inc. [member] | Service mark [member]      
Disclosure of detailed information about business combination [line items]      
Intangible assets     400
MTS HealthHelp Inc. [member] | Covenant not-to-compete [member]      
Disclosure of detailed information about business combination [line items]      
Intangible assets     4,693
MTS HealthHelp Inc. [member] | Technology [member]      
Disclosure of detailed information about business combination [line items]      
Intangible assets     $ 4,852