CONDENSED CONSOLIDATED STATEMENTS OF INCOME (USD $) In Thousands, except Per Share data	3 Months Ended		9 Months Ended
	Sep. 30, 2011	Sep. 30, 2010	Sep. 30, 2011	Sep. 30, 2010
REVENUE:
Case management services	$ 56,385	$ 36,626	$ 156,588	$ 110,674
Case management bundled products and services	4,224	4,847	13,083	14,433
Document management services	9,143	10,526	22,985	32,042
Operating revenue before reimbursed direct costs	69,752	51,999	192,656	157,149
Operating revenue from reimbursed direct costs	6,359	6,288	17,031	22,442
Total Revenue	76,111	58,287	209,687	179,591
OPERATING EXPENSE:
Direct cost of services (exclusive of depreciation and amortization shown separately below)	23,888	16,455	64,526	48,207
Direct cost of bundled products and services (exclusive of depreciation and amortization shown separately below)	778	831	2,391	2,669
Reimbursed direct costs	6,289	6,126	16,778	21,959
General and administrative	26,395	20,068	72,763	64,181
Depreciation and software and leasehold amortization	5,795	4,911	16,808	15,358
Amortization of identifiable intangible assets	6,146	1,697	16,107	5,213
Other operating (income) expense	(1,621)	281	(486)	350
Total Operating Expense	67,670	50,369	188,887	157,937
INCOME FROM OPERATIONS	8,441	7,918	20,800	21,654
INTEREST EXPENSE (INCOME):
Interest expense	1,555	408	4,122	1,132
Interest income	(96)	(7)	(112)	(29)
Net Interest Expense	1,459	401	4,010	1,103
INCOME BEFORE INCOME TAXES	6,982	7,517	16,790	20,551
PROVISION FOR INCOME TAXES	2,696	2,979	6,649	9,763
NET INCOME	$ 4,286	$ 4,538	$ 10,141	$ 10,788
NET INCOME PER SHARE INFORMATION:
Basic (in dollars per share)	$ 0.12	$ 0.12	$ 0.29	$ 0.29
Diluted (in dollars per share)	$ 0.12	$ 0.12	$ 0.28	$ 0.28
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:
Basic (in shares)	35,268	37,063	35,145	36,646
Diluted (in shares)	36,629	38,185	36,550	40,315
Cash dividends declared per common share (in dollars per share)	$ 0.050	$ 0.035	$ 0.155	$ 0.070