Consolidated Statements of Cash Flows (Unaudited) - USD ($) $ in Millions	6 Months Ended
	Jun. 30, 2019	Jun. 30, 2018
Operating activities
Net income (loss)	$ (5.0)	$ (26.2)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operations:
Depreciation and amortization	25.8	13.4
Amortization of debt issuance costs	1.2	0.4
Share-based compensation	9.0	9.0
Loss on disposal	0.0	0.7
Loss on debt extinguishment	18.8	0.0
Provision for doubtful receivables	1.0	0.2
Deferred income taxes	(17.3)	(10.5)
Non-cash lease expense	5.6	0.0
Changes in operating assets and liabilities:
Accounts receivable and related party accounts receivable	25.4	(21.6)
Prepaid expenses and other assets	(10.1)	(8.1)
Accounts payable	7.2	1.4
Accrued compensation and benefits	(12.9)	7.9
Lease liabilities	(5.5)	0.0
Other liabilities	8.3	11.4
Customer liabilities and customer liabilities - related party	(7.5)	0.9
Net cash provided by (used in) operating activities	44.0	(21.1)
Investing activities
Purchases of property, equipment, and software	(32.3)	(15.3)
Acquisition of Intermedix, net of cash acquired	0.0	(465.3)
Net cash used in investing activities	(32.3)	(480.6)
Financing activities
Issuance of subordinated notes, net of discount and issuance costs	0.0	105.9
Repayment of senior secured debt	(268.7)	0.0
Repayment of subordinated notes and prepayment penalty	(112.2)	0.0
Issuance of common stock and stock warrants, net of issuance costs	0.0	19.3
Exercise of vested stock options	7.7	2.8
Shares withheld for taxes	(4.7)	(2.9)
Finance lease payments	(0.4)	0.0
Net cash provided by (used in) financing activities	3.5	378.2
Effect of exchange rate changes in cash, cash equivalents and restricted cash	0.3	(0.6)
Net increase in cash, cash equivalents and restricted cash	15.5	(124.1)
Cash, cash equivalents and restricted cash, at beginning of period	65.1	166.4
Cash, cash equivalents and restricted cash, at end of period	80.6	42.3
Supplemental disclosures of cash flow information
Accrued dividends payable to preferred stockholders	5.1	4.7
Accrued and other liabilities related to purchases of property, equipment and software	21.5	10.3
Accounts payable related to purchases of property, equipment and software	2.1	1.2
Interest paid	17.7	0.0
Income taxes paid	(2.6)	(1.3)
Income taxes refunded	0.1	0.4
Senior Term Loan
Financing activities
Issuance of senior secured debt, net and borrowings on revolver	321.8	253.1
Senior Revolver
Financing activities
Issuance of senior secured debt, net and borrowings on revolver	$ 60.0	$ 0.0