Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015
Cash flows from operating activities
Net loss	$ (61,140)	$ (29,665)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	60,527	41,100
Accretion of contract rights under development agreements and placement fees	3,538	307
Amortization of deferred loan costs and discount	2,617	1,619
Provision for bad debts	1,274	65
Imputed interest income	0	(18)
Loss on disposition of assets	558	836
Impairment of assets	4,606	3,805
Benefit for deferred income tax	(6,374)	(29,452)
Changes in assets and liabilities that relate to operations:
Accounts receivable and notes receivable	(556)	3,145
Inventories	1,121	886
Prepaid expenses	1,673	(1,177)
Deposits and other	165	5,622
Other assets, non-current	673	(1,150)
Accounts payable and accrued liabilities	16,579	10,402
Net cash provided by operating activities	25,261	6,325
Cash flows from investing activities
Business acquisitions, net of cash acquired	0	(375,547)
Collection of notes receivable	0	323
Purchase of intangible assets	(1,311)	(5,101)
Software development and other expenditures	(4,929)	(4,495)
Proceeds from disposition of assets	87	28
Purchases of property and equipment	(21,817)	(12,094)
Net cash used in investing activities	(27,970)	(396,886)
Cash flows from financing activities
Borrowings under the revolving facility	0	11,500
Repayments under the revolving facility	0	(21,500)
Proceeds from Issuance of Debt	0	369,400
Payment of placement fee obligations	(3,525)	0
Payments on debt	(5,168)	(3,359)
Payment of previous acquisition obligation	(1,125)	(10,000)
Repurchase of shares issued to management	0	(1,277)
Proceeds from Issuance of Common Stock	0	77,425
Proceeds from employees in advance of common stock issuance	0	579
Payments of Deferred Loan Costs	0	(3,837)
Net cash (used in) provided by financing activities	(9,818)	418,931
Effect of exchange rates on cash and cash equivalents	(45)	(95)
(Decrease) increase in cash and cash equivalents	(12,572)	28,275
Cash and cash equivalents, beginning of period	35,722	10,680
Cash and cash equivalents, end of period	23,150	38,955
Supplemental cash flow information:
Cash paid during the period for interest	29,340	20,044
Cash paid during the period for taxes	922	440
Non-cash investing and financing activities:
Financed purchase of property and equipment	1,588	2,663
Interest payable added to debt principal	$ 7,490	$ 310