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Segment Information - Financial Performance of Reporting Segments (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Dec. 31, 2015
Segment Reporting Information [Line Items]          
Revenues $ 176,737 $ 125,234 $ 520,648 $ 354,243  
Cost of revenues 95,229 61,531 281,178 171,393  
Gross profit 81,508 63,703 239,470 182,850  
Operating expenses 76,580 49,844 232,808 146,188  
Income from operations 4,928 13,859 6,662 36,662  
Revenues 176,737 125,234 520,648 354,243  
Property and equipment, net 41,034   41,034   $ 32,309
United States          
Segment Reporting Information [Line Items]          
Revenues 155,989 103,944 445,470 297,564  
Property and equipment, net 36,017   36,017   29,506
Rest of world          
Segment Reporting Information [Line Items]          
Revenues 20,748 21,290 75,178 56,679  
Property and equipment, net 5,017   5,017   $ 2,803
Operating segments          
Segment Reporting Information [Line Items]          
Revenues 176,737 125,234 520,648 354,243  
Cost of revenues 95,229 61,531 281,178 171,393  
Gross profit 81,508 63,703 239,470 182,850  
Operating expenses 55,260 36,698 168,626 103,516  
Income from operations 26,248 27,005 70,844 79,334  
Operating segments | Automation and Analytics          
Segment Reporting Information [Line Items]          
Revenues 152,437 102,967 450,043 284,447  
Cost of revenues 77,828 45,668 233,401 123,923  
Gross profit 74,609 57,299 216,642 160,524  
Operating expenses 49,123 30,628 151,108 85,195  
Income from operations 25,486 26,671 65,534 75,329  
Operating segments | Medication Adherence          
Segment Reporting Information [Line Items]          
Revenues 24,300 22,267 70,605 69,796  
Cost of revenues 17,401 15,863 47,777 47,470  
Gross profit 6,899 6,404 22,828 22,326  
Operating expenses 6,137 6,070 17,518 18,321  
Income from operations 762 334 5,310 4,005  
Corporate cost          
Segment Reporting Information [Line Items]          
Operating expenses $ 21,320 $ 13,146 $ 64,182 $ 42,672