Quarterly report pursuant to Section 13 or 15(d)

Acquisitions (Narrative) (Details)

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Acquisitions (Narrative) (Details) (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2010
Sep. 30, 2011
Final Allocation [Member] | Casenet LLC [Member]
   
Allocation of fair value of unearned revenue   7,247
Goodwill   8,975
Intangible assets   3,561
Final Allocation [Member] | Citrus Health Care [Member]
   
Goodwill   19,069
Intangible assets   9,620
Casenet LLC [Member]
   
Acquisition of additional ownership 6,619  
Acquisition of additional ownership interest, percentage 68.00% 77.00%
Citrus Health Care [Member]
   
Acquisition of certain assets $ 28,689