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Segment Information - Adjusted EBITDA (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Segment Reporting Information [Line Items]    
Adjusted EBITDA $ 297,561 $ 287,480
Less adjustments:    
Depreciation and amortization of property and equipment 61,300 53,665
Amortization of capitalized implementation costs 9,189 8,488
Acquisition related amortization 35,181 34,130
Amortization of upfront incentive consideration 16,132 12,337
Interest expense, net 39,561 41,202
Other, net 15,234 (3,360)
Restructuring and other costs 0 124
Acquisition-related costs 0 108
Litigation costs, net 3,501 (3,846)
Stock-based compensation expense 8,034 10,289
Provision for income taxes 31,707 41,424
Income from continuing operations 77,722 92,919
Gain recognized on receipt of earn out payment   6,000
Loss on modification of debt $ 11,730 $ 0
Minimum [Member]    
Less adjustments:    
Average expected life of the service contract to cost of revenue 3 years  
Maximum [Member]    
Less adjustments:    
Average expected life of the service contract to cost of revenue 5 years