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Segment Information - Narrative (Details)
record in Millions
9 Months Ended 12 Months Ended
Sep. 30, 2019
segment
sites
customer
Dec. 31, 2018
record
Apr. 30, 2019
Oct. 16, 2017
Segment Reporting Information [Line Items]        
Number of business records | record   300    
Ceridian        
Segment Reporting Information [Line Items]        
Ownership interest, equity method investment 20.00%      
Dun And Bradstreet        
Segment Reporting Information [Line Items]        
Ownership interest, equity method investment 24.30%   24.30%  
ABRH        
Segment Reporting Information [Line Items]        
Ownership interest, controlling interest (as percent) 65.40%      
99 Restaurants        
Segment Reporting Information [Line Items]        
Ownership interest, controlling interest (as percent) 88.50%      
T-System        
Segment Reporting Information [Line Items]        
Ownership interest, controlling interest (as percent)       97.00%
Number of businesses | segment 2      
T-System | T-System Coding Software & Outsourced Solutions        
Segment Reporting Information [Line Items]        
Number of customers (more than) | customer 75      
Number of sites | sites 400      
T-System | Software Solutions | T-System Clinical Documentation        
Segment Reporting Information [Line Items]        
Number of customers (more than) | customer 240      
Number of sites | sites 450      
T-System | T-Sheet | T-System Clinical Documentation        
Segment Reporting Information [Line Items]        
Number of customers (more than) | customer 200      
Number of sites | sites 475