CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2017	Jun. 30, 2016
Cash flows from operating activities:
Net loss	$ (151,576)	$ (9)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	101,297	76,576
Stock-based compensation expense	18,461	20,057
Excess tax benefits from stock-based compensation	0	(962)
Deferred taxes	(4,659)	(1,560)
Asset impairment charges	0	4,650
Impairment of long-term investments	144,590	0
Equity in net (income) loss of unconsolidated investments	(257)	7,501
Other losses, net	2,294	963
Changes in operating assets and liabilities (net of businesses acquired):
Accounts receivable, net	(13,047)	(12,407)
Prepaid expenses and other assets	(9,231)	2,923
Accounts payable	(2,830)	15,751
Accrued expenses	(5,187)	(8,709)
Accrued compensation and benefits	(2,102)	(11,404)
Deferred revenue	24,923	37,623
Other liabilities	6,683	1,106
Net cash provided by operating activities	109,359	132,099
Cash flows from investing activities:
Capital expenditures	(25,035)	(16,632)
Capitalized software	(71,582)	(37,106)
Cash paid for business acquisitions, net of cash acquired	(3,975)	(905,540)
Purchases of equity securities, other investments and related intangible assets	(1,323)	(20,685)
Proceeds received from sale of fixed assets	0	37
Net cash used in investing activities	(101,915)	(979,926)
Cash flows from financing activities:
Proceeds from sale or issuance of common stock	0	5
Proceeds from issuance of redeemable convertible preferred stock - Netsmart	0	333,605
Excess tax benefits from stock-based compensation	0	962
Taxes paid related to net share settlement of equity awards	(6,554)	(7,363)
Payments of capital lease obligations	(5,966)	(1,638)
Credit facility payments	(110,939)	(51,362)
Credit facility borrowings, net of issuance costs	120,000	599,135
Repurchase of common stock	(12,077)	(52,075)
Net cash (used in) provided by financing activities	(15,536)	821,269
Effect of exchange rate changes on cash and cash equivalents	596	340
Net decrease in cash and cash equivalents	(7,496)	(26,218)
Cash, cash equivalents and restricted cash, beginning of period	96,610	116,873
Cash, cash equivalents and restricted cash, end of period	$ 89,114	$ 90,655