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1131096_15_item7_p64_s0 | 1131096_14_item7_p68_s0 | Total revenue for the year ended December 31, 2012 increased almost entirely due to an increase in business services revenue. | Total revenue for the year ended December 31, 2013 increased by 41% due to an increase in business services revenue. | 2 | [
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1131096_15_item7_p4_s0 | 1131096_14_item7_p6_s4 | We charge clients a percentage of collections, in most cases, connecting our financial results directly to that of our clients and our ability to drive revenue to medical practices. | percentage of payments collected by us on behalf of our clients, connecting our financial results directly to that of our clients and our ability to drive revenue to medical practices. | 2 | [
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1131096_15_item7_p4_s4 | 1131096_14_item7_p7_s2 | Our other expense categories are less directly related to growth of revenues and relate more to our planning for the future, our overall business management activities, and our infrastructure. | Our research and development, general and administrative, and depreciation and amortization expense categories are less directly related to growth of revenues and relate more to our planning for the future, our overall business management activities, and our infrastructure. | 2 | [
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1131096_15_item7_p83_s5 | 1131096_14_item7_p88_s0 | Investing Cash Flow Activities Net cash used in investing activities increased $424.8 million to $424.9 million for the year ended December 31, 2013 , as compared to the year ended December 31, 2012 . | Investing Cash Flow Activities Net cash used in investing activities decreased $297.6 million to $127.3 million for the year ended December 31, 2014 , as compared to the year ended December 31, 2013 . | 2 | [
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1131096_17_item7_p66_s3 | 1131096_16_item7_p77_s0 | Also contributing to this increase was the growth in related collections on behalf of these physicians and providers. | Also contributing to this increase was the growth in related collections on behalf of these providers. | 2 | [
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1131096_17_item7_p71_s0 | 1131096_16_item7_p82_s0 | The difference in our effective tax rate for the year ended December 31, 2015 , compared to the year ended December 31, 2014 , is primarily due to discrete items, specifically, the sale of marketable securities. | The difference in our effective tax rate for the year ended December 31, 2016 , compared to the year ended December 31, 2015 , is primarily due to the increase in our research and development tax credits. | 2 | [
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1131096_17_item7_p68_s3 | 1131096_16_item7_p89_s0 | We hired additional sales personnel to focus on adding new customers and increasing penetration within our existing markets. | We hired additional sales personnel and utilized consultants to focus on adding new clients and increasing penetration within new and existing markets. | 2 | [
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1131096_17_item7_p86_s2 | 1131096_16_item7_p97_s8 | Net cash used in investing activities was offset by $29.8 million of cash provided from the sales of Castlight stock. | Net cash used in investing activities also decreased due to $29.8 million of cash provided from the sales of Castlight stock in the year ended December 31, 2015 . | 2 | [
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1131096_18_item7_p15_s0 | 1131096_17_item7_p11_s1 | We do not recognize revenue for business services until these collections are posted, as the fees are not fixed or determinable until such time. | We do not recognize revenue for business services associated with our integrated network-enabled services until collections received by our clients are posted to their accounts, as the fees are not fixed or determinable until such time. | 2 | [
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1131096_18_item7_p40_s1 | 1131096_17_item7_p47_s1 | We expect that general and administrative expense will increase in absolute terms as we make investments to support our growth. | We expect that general and administrative expense will decrease with the implementation of the Plan, but increase modestly in absolute terms over time as we make investments to support our growth. | 2 | [
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1131096_18_item7_p42_s0 | 1131096_17_item7_p51_s0 | Income tax (provision) benefit relates to federal and state jurisdictions in the United States and India. | Income tax provision includes the federal and state jurisdictions in the United States and India. | 2 | [
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1131096_18_item7_p6_s2 | 1131096_17_item7_p5_s2 | Therefore, the key drivers of our revenue include growth in the number of physicians and other healthcare providers working within our client accounts, the collections of these physicians and providers, and the number of services purchased. | Therefore, the key drivers of our revenue include growth in the number of providers working within our client accounts, the collections of these providers, and the number of services purchased. | 2 | [
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1131096_18_item7_p54_s0 | 1131096_17_item7_p69_s4 | General and administrative expense was impacted by an increase of $5.8 million in professional service fees, which include legal and consulting fees. | increase of $5.8 million in professional service fees, which include legal and consulting fees. | 2 | [
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1131096_18_item7_p46_s0 | 1131096_17_item7_p72_s0 | Total revenue for the year ended December 31, 2015 increased due to an increase in business services revenue. | Total revenue for the year ended December 31, 2017 increased due to an increase in collections-based revenue. | 2 | [
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1131096_18_item7_p51_s2 | 1131096_17_item7_p73_s0 | Also contributing to this increase was the growth in related collections on behalf of these physicians and providers. | Also contributing to this increase was the growth in related collections on behalf of these providers. | 2 | [
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1131096_18_item7_p46_s2 | 1131096_17_item7_p73_s1 | The amount of collections posted was as follows: | The amount of collections processed was as follows: | 2 | [
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1131096_18_item7_p65_s0 | 1131096_17_item7_p86_s1 | This activity contrasts with our acquisition of Razor Insights, LLC (included in the payments on acquisitions, net of cash acquired line on the consolidated statements of cash flows) and our purchase of WebOMR (a third party license included in the capitalized software costs line on the consolidated statements of cash ... | consolidated statements of cash flows) and our purchase of WebOMR (a third-party license included in the capitalized software costs line on the consolidated statements of cash flows) in the year ended December 31, 2015 for $39.9 million and $22.0 million, respectively. | 2 | [
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1138118_12_item7_p73_s3 | 1138118_11_item7_p70_s3 | As a result, our management uses EBITDA as a measure to evaluate the operating performance of our various business segments and for other discretionary purposes, including as a significant component when measuring our operating performance under our employee incentive programs. | As a result, our management uses these measures to evaluate operating performance and for other discretionary purposes, including as a significant component when measuring our operating performance under our employee incentive programs. | 2 | [
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1138118_12_item7_p79_s12 | 1138118_11_item7_p78_s24 | This activity primarily reflects our non-controlling interests share of losses within our Development Services segment. | This activity primarily reflects our non-controlling interests share of losses within our Global Investment Management and Development Services segments. | 2 | [
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1138118_12_item7_p83_s10 | 1138118_11_item7_p82_s10 | Also contributing to the increase were higher marketing and travel costs in support of our growing revenue. | Also contributing to the increase in the current year were increased legal accruals as well as higher marketing and travel costs in support of our growing revenue. | 2 | [
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1138118_12_item7_p92_s8 | 1138118_11_item7_p84_s8 | Higher bad debt provisions in the current year also contributed to the variance. | Higher bad debt provisions in 2010 also contributed to the variance. | 2 | [
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1138118_12_item7_p103_s0 | 1138118_11_item7_p96_s1 | Our management is unable to project with certainty whether our long-term cash flow from operations will be sufficient to repay our long-term debt when it comes due. | long-term cash flow from operations will be sufficient to repay our long-term debt when it comes due. | 2 | [
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1138118_13_item7_p99_s1 | 1138118_12_item7_p103_s0 | long-term cash flow from operations will be sufficient to repay our long-term debt when it comes due. | We are unable to project with certainty whether our long-term cash flow from operations will be sufficient to repay our long-term debt when it comes due. | 2 | [
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1138118_13_item7_p102_s3 | 1138118_12_item7_p105_s6 | The decrease in cash provided by operating activities in the current year was primarily due to higher bonuses, commissions and income taxes paid in the current year. | The decrease in cash provided by operating activities in the current year was primarily due to higher bonuses, commissions and income taxes paid and activities associated with securities acquired in our acquisition of CRES. | 2 | [
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1138118_13_item7_p67_s3 | 1138118_12_item7_p72_s1 | At this time, we do not have any plans to repatriate income from our foreign subsidiaries, however, to the extent that we are able to repatriate such earnings in a tax efficient manner, or in the event of a change in our capital situation or investment strategy that such funds became needed for funding our U.S. operati... | To the extent that we are able to repatriate the unremitted earnings in a tax efficient manner, or in the event of a change in our capital situation or investment strategy in which such funds become needed for funding our U.S. operations, we would be required to accrue and pay U.S. taxes to repatriate these funds, net ... | 2 | [
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1138118_13_item7_p81_s6 | 1138118_12_item7_p74_s13 | The increase was primarily driven by higher payroll-related costs, including bonuses, which resulted from our improved operating performance and the REIM Acquisitions. | The increase was primarily driven by higher payroll-related costs, including bonuses, which resulted from increased headcount and improved operating performance. | 2 | [
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1138118_13_item7_p72_s8 | 1138118_12_item7_p74_s7 | Accordingly, the increase in transaction revenue led to a corresponding increase in commission accruals. | Accordingly, the increase in sales transaction revenue led to a corresponding increase in commission expense. | 2 | [
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1138118_13_item7_p84_s4 | 1138118_12_item7_p74_s8 | Higher salaries and related costs associated with our global property and facilities management contracts also contributed to the increase in cost of services in the current year. | Higher salaries and related costs associated with our property and facilities management contracts also contributed to an increase in cost of services in 2011. | 2 | [
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1138118_13_item7_p72_s24 | 1138118_12_item7_p75_s0 | Our equity income from unconsolidated subsidiaries on a consolidated basis increased by $78.2 million, or 294.5%, for the year ended December 31, 2011 as compared to the year ended December 31, 2010. | Our equity income from unconsolidated subsidiaries on a consolidated basis decreased by $44.0 million, or 42.0%, for the year ended December 31, 2012 as compared to the year ended December 31, 2011. | 2 | [
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1138118_13_item7_p72_s25 | 1138118_12_item7_p75_s1 | This increase was primarily driven by higher equity earnings associated with gains on property sales within our Development Services segment in the current year. | This decrease was primarily driven by higher equity earnings associated with gains on property sales within our Development Services segment in the prior year, which did not occur to the same extent in the current year. | 2 | [
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1138118_13_item7_p76_s4 | 1138118_12_item7_p75_s16 | The income in the current year was reported in our Global Investment Management and Development Services segments and mostly related to gains from property sales, which were largely attributable to non-controlling interests. | The income for the year ended December 31, 2011 was reported in our Global Investment Management and Development Services segments and mostly related to gains from property sales, which were largely attributable to non-controlling interests. | 2 | [
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