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Acquisition (Tables)
6 Months Ended
Jun. 30, 2018
Business Combinations [Abstract]  
Schedule of Business Acquisitions, by Acquisition [Table Text Block]
The preliminary of the fair value of assets acquired and liabilities assumed is (in millions):
 
 
Purchase Price Allocation
Total purchase consideration
 
$
469.2

 
 
 
Allocation of consideration to assets acquired and liabilities assumed
 
 
Cash and cash equivalents
 
$
3.9

Accounts receivable, net
 
35.8

Prepaid income taxes
 
0.1

Prepaid expenses and other current assets
 
11.5

Property, equipment and software, net
 
30.8

Intangible assets, net
 
201.6

Goodwill
 
244.7

Other assets
 
0.5

Accounts payable
 
(6.4
)
Current portion of customer liabilities
 
(8.6
)
Accrued compensation and benefits
 
(6.8
)
Other accrued expenses
 
(4.4
)
Deferred income tax liabilities
 
(33.5
)
Net assets acquired
 
$
469.2

Business Acquisition, Pro Forma Information [Table Text Block]
The following table summarizes, on a pro forma basis, the combined results of the Company as though the Acquisition had occurred as of January 1, 2017. These pro forma results are not necessarily indicative of either the actual consolidated results had the Intermedix Acquisition occurred as of January 1, 2017 or of the future consolidated operating results. Pro forma results are (in millions):

 
 
Three Months Ended June 30,
 
Six Months Ended June 30,
 
 
2018
 
2017
 
2018
 
2017
Net services revenue
 
$
229.9

 
$
147.7

 
$
425.7

 
$
282.5

Net income (loss)
 
$
(1.8
)
 
$
(10.0
)
 
$
(29.1
)
 
$
(30.9
)