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REVENUE (Tables)
12 Months Ended
Dec. 31, 2018
Revenue from Contract with Customer [Abstract]  
Contract with Customer, Asset and Liability [Table Text Block]
 
December 31, 2018
 
December 31, 2017
Receivables, which are included in Accounts Receivable, net
$
693.6

 
$
694.4

Unbilled services
396.9

 
318.2

Unearned revenue
354.1

 
377.4

Disaggregation of Revenue [Table Text Block]
The Company's revenue by segment payers/customer groups for the years ended December 31, 2018 and 2017 is as follows:
 
For the Year Ended December 31, 2018
 
U.S.
 
Canada
 
United Kingdom
 
Switzerland
 
Other Europe
 
Other
 
Total
Payer/Customer
 
 
 
 
 
 
 
 
 
 
 
 
 
LCD
 
 
 
 
 
 
 
 
 
 
 
 
 
   Clients
17
%
 
1
%
 
%
 
%
 
%
 
%
 
18
%
   Patients
8
%
 
%
 
%
 
%
 
%
 
%
 
8
%
   Medicare and Medicaid
9
%
 
%
 
%
 
%
 
%
 
%
 
9
%
   Third-party
25
%
 
2
%
 
%
 
%
 
%
 
%
 
27
%
Total LCD revenues by payer
59
%
 
3
%
 
%
 
%
 
%
 
%
 
62
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CDD
 
 
 
 
 
 
 
 
 
 
 
 
 
   Biopharmaceutical and medical
device companies
19
%
 
%
 
4
%
 
5
%
 
3
%
 
7
%
 
38
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total revenues
78
%
 
3
%
 
4
%
 
5
%
 
3
%
 
7
%
 
100
%
 
For the Year Ended December 31, 2017
 
U.S.
 
Canada
 
United Kingdom
 
Switzerland
 
Other Europe
 
Other
 
Total
Payer/Customer
 
 
 
 
 
 
 
 
 
 
 
 
 
LCD
 
 
 
 
 
 
 
 
 
 
 
 
 
   Clients
19
%
 
1
%
 
%
 
%
 
%
 
%
 
20
%
   Patients
8
%
 
%
 
%
 
%
 
%
 
%
 
8
%
   Medicare and Medicaid
10
%
 
%
 
%
 
%
 
%
 
%
 
10
%
   Third-party
27
%
 
2
%
 
%
 
%
 
%
 
%
 
29
%
Total LCD revenues by payer
64
%
 
3
%
 
%
 
%
 
%
 
%
 
67
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CDD
 
 
 
 
 
 
 
 
 
 
 
 
 
   Biopharmaceutical and medical
device companies
15
%
 
%
 
3
%
 
5
%
 
3
%
 
7
%
 
33
%
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Total revenues
79
%
 
3
%
 
3
%
 
5
%
 
3
%
 
7
%
 
100
%
Capitalized Contract Cost [Table Text Block]
The Company incurs costs to fulfill contracts with customers, which are recoverable through the service fees in the contract. Contract fulfillment costs include software implementation costs and setup costs for certain market access solutions. These costs are recognized as assets and amortized over the expected term of the contract to which the implementation relates, which is the period over which services are expected to be provided to the customer. This period typically ranges from 24-60 months. Amortization of deferred contract fulfillment costs is included in cost of goods sold.
 
December 31, 2018
 
December 31, 2017
Sales commission assets
$
24.2

 
$
24.0

Deferred contract fulfillment costs
12.9

 
1.7

Total
$
37.1

 
$
25.7