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Subsequent Event
9 Months Ended
Sep. 30, 2019
Subsequent Events [Abstract]  
Subsequent Event
15.
Subsequent Event:
 
On October 10, 2019, the Company entered into a securities purchase agreement with an affiliate of Frazier Healthcare Partners to divest of the Company’s management services organization, which operates as MedData. The transaction closed on October 31, 2019. Pursuant to the terms and conditions
 of the agreement, at the closing of the t
ransaction, the Company receive
d
a cash payment of $250.0 million, subject certain net working capital and similar adjustments, as well as
 
contingent 
economic
 
consideration in 
an indirect holding
company of
the bu
yer
,
the 
value of 
which is 
contingent on both short and long-term performance of MedData
 and the maximum amount payable in respect of which is $50.0 million. Upon completion of a valuation to determine the final net proceeds, the Company could record an additional gain or loss on disposal.
The
Company anticipates certain cash tax benefits from the
transaction 
in the coming quarters. The Company expects to use net proceeds from the transaction for debt repayment, share repurchases and strategic acquisitions.