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CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Operating Activities    
Net income $ 221,228 $ 418,542
Adjustments to reconcile net income to cash provided by operating activities:    
Depreciation and amortization 303,956 254,854
Amortization of upfront incentive consideration 43,372 31,575
Litigation-related credits (25,527) (49,194)
Stock-based compensation expense 36,012 23,328
Allowance for doubtful accounts 9,232 6,745
Deferred income taxes 66,676 63,402
Joint venture equity income (2,244) (14,198)
Dividends received from joint venture investments 0 28,700
Amortization of debt issuance costs 6,738 4,893
Gain on remeasurement of previously-held joint venture interest 0 (86,082)
Loss on extinguishment of debt (3,683) (33,235)
Other 4,303 10,730
Income from discontinued operations (10,858) (213,499)
Changes in operating assets and liabilities:    
Accounts and other receivables (70,906) (64,296)
Prepaid expenses and other current assets (19,508) 5,249
Capitalized implementation costs (64,577) (49,642)
Upfront incentive consideration (55,284) (46,409)
Other assets (18,105) (55,439)
Accrued compensation and related benefits (21,540) 10,294
Accounts payable and other accrued liabilities 8,424 60,554
Deferred revenue including upfront solution fees 17,459 16,368
Cash provided by operating activities 432,534 389,710
Investing Activities    
Additions to property and equipment (254,232) (203,071)
Acquisition, net of cash acquired (164,481) (441,582)
Other investing activities 0 148
Cash used in investing activities (418,713) (644,505)
Financing Activities    
Proceeds of borrowings from lenders 1,055,000 752,000
Payments on borrowings from lenders (994,287) (719,507)
Debt prepayment fees and issuance costs (11,377) (40,214)
Net proceeds on the settlement of equity-based awards 17,111 40,045
Cash dividends paid to common stockholders (108,358) (73,554)
Other financing activities (4,736) 1,975
Cash (used in) provided by financing activities (46,647) (39,255)
Cash Flows from Discontinued Operations    
Cash used in operating activities (15,766) (908)
Cash provided by investing activities 0 278,834
Cash (used in) provided by discontinued operations (15,766) 277,926
Effect of exchange rate changes on cash and cash equivalents (536) (6,860)
(Decrease) increase in cash and cash equivalents (49,128) (22,984)
Cash and cash equivalents at beginning of period 321,132 155,679
Cash and cash equivalents at end of period $ 272,004 $ 132,695