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CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) (USD $)
In Thousands, unless otherwise specified
 3 Months Ended
Mar. 31, 2014
Mar. 31, 2013
Operating Activities    
Net loss $ (2,097) $ (15,180)
Adjustments to reconcile net loss to cash provided by operating activities:    
Depreciation and amortization 85,394 79,379
Amortization of upfront incentive consideration 11,047 9,599
Litigation related (gains) charges, net (519) 2,040
Stock-based compensation for employees 5,579 2,724
Allowance for doubtful accounts 1,664 2,713
Deferred income taxes (5,641) (15,312)
Joint venture equity income (2,441) (2,746)
Amortization of debt issuance costs 1,682 1,671
Third-party fees expensed in connection with the debt modification 3,290 14,003
Loss on extinguishment of debt 2,980 12,181
Other 7,779 1,518
Loss from discontinued operations 1,098 11,017
Changes in operating assets and liabilities:    
Accounts and other receivables (30,315) (94,391)
Prepaid expenses and other current assets (1,844) 1,016
Capitalized implementation costs (7,653) (22,029)
Upfront incentive consideration (17,250) (11,977)
Other assets (7,826) (6,333)
Accrued compensation and related benefits (36,916) (30,074)
Accounts payable and other accrued liabilities 64,187 152,564
Cash provided by operating activities 72,198 92,383
Investing Activities    
Additions to property and equipment (51,639) (52,701)
Other investing activities    (179)
Cash used in investing activities (51,639) (52,880)
Financing Activities    
Proceeds of borrowings from lenders 148,307 2,190,063
Payments on borrowings from lenders (169,847) (2,198,204)
Debt issuance costs (3,290) (16,365)
Proceeds from exercise of stock options 1,152 381
Decrease in restricted cash 1,653 473
Other financing activities (6,577) (2,415)
Cash used in financing activities (28,602) (26,067)
Cash Flows from Discontinued Operations    
Net cash (used in) provided by operating activities (14,057) 1,769
Net cash provided by investing activities    8,801
Net cash (used in) provided by discontinued operations (14,057) 10,570
Effect of exchange rate changes on cash and cash equivalents 220 (468)
(Decrease) increase in cash and cash equivalents (21,880) 23,538
Cash and cash equivalents at beginning of period 308,236 126,695
Cash and cash equivalents at end of period $ 286,356 $ 150,233