Revenue Recognition and Contractual Adjustments (Tables)

9 Months Ended

Sep. 30, 2016

Revenue Recognition [Abstract]

Adjustment of Transactions Revenue

The table below shows the adjustments made to gross service revenues to arrive at net revenues (in thousands), the amount reported on our statements of operations.

	Three Months Ended September 30,						Nine Months Ending September 30,
	2016			2015			2016			2015
Gross service revenues	$	114,902		$	57,192		$	376,857		$	167,525
Total contractual adjustments and discounts		(54,141	)		(32,066	)		(193,264	)		(95,002	)
Net revenues	$	60,761		$	25,126		$	183,593		$	72,523