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Segment Information - Financial Performance of Reporting Segments (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2016 | Sep. 30, 2015 | Sep. 30, 2016 | Sep. 30, 2015 | Dec. 31, 2015
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | $ 176,737 | $ 125,234 | $ 520,648 | $ 354,243 |
Cost of revenues | 95,229 | 61,531 | 281,178 | 171,393 |
Gross profit | 81,508 | 63,703 | 239,470 | 182,850 |
Operating expenses | 76,580 | 49,844 | 232,808 | 146,188 |
Income from operations | 4,928 | 13,859 | 6,662 | 36,662 |
Revenues | 176,737 | 125,234 | 520,648 | 354,243 |
Property and equipment, net | 41,034 |  | 41,034 |  | $ 32,309
United States |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 155,989 | 103,944 | 445,470 | 297,564 |
Property and equipment, net | 36,017 |  | 36,017 |  | 29,506
Rest of world |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 20,748 | 21,290 | 75,178 | 56,679 |
Property and equipment, net | 5,017 |  | 5,017 |  | $ 2,803
Operating segments |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 176,737 | 125,234 | 520,648 | 354,243 |
Cost of revenues | 95,229 | 61,531 | 281,178 | 171,393 |
Gross profit | 81,508 | 63,703 | 239,470 | 182,850 |
Operating expenses | 55,260 | 36,698 | 168,626 | 103,516 |
Income from operations | 26,248 | 27,005 | 70,844 | 79,334 |
Operating segments | Automation and Analytics |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 152,437 | 102,967 | 450,043 | 284,447 |
Cost of revenues | 77,828 | 45,668 | 233,401 | 123,923 |
Gross profit | 74,609 | 57,299 | 216,642 | 160,524 |
Operating expenses | 49,123 | 30,628 | 151,108 | 85,195 |
Income from operations | 25,486 | 26,671 | 65,534 | 75,329 |
Operating segments | Medication Adherence |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Revenues | 24,300 | 22,267 | 70,605 | 69,796 |
Cost of revenues | 17,401 | 15,863 | 47,777 | 47,470 |
Gross profit | 6,899 | 6,404 | 22,828 | 22,326 |
Operating expenses | 6,137 | 6,070 | 17,518 | 18,321 |
Income from operations | 762 | 334 | 5,310 | 4,005 |
Corporate cost |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Operating expenses | $ 21,320 | $ 13,146 | $ 64,182 | $ 42,672 |

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