CONDENSED CONSOLIDATED STATEMENTS OF INCOME (USD $) In Thousands, except Per Share data, unless otherwise specified	3 Months Ended		6 Months Ended
	Jun. 30, 2012	Jun. 30, 2011	Jun. 30, 2012	Jun. 30, 2011
REVENUE:
Case management services	$ 66,057	$ 58,320	$ 139,778	$ 100,203
Case management bundled products and services	2,885	4,444	6,148	8,859
Document management services	20,895	5,927	26,738	13,842
Operating revenue before reimbursed direct costs	89,837	68,691	172,664	122,904
Operating revenue from reimbursed direct costs	8,058	5,263	13,703	10,672
Total Revenue	97,895	73,954	186,367	133,576
OPERATING EXPENSE:
Direct cost of services (exclusive of depreciation and amortization shown separately below)	40,254	22,072	71,575	40,638
Direct cost of bundled products and services (exclusive of depreciation and amortization shown separately below)	749	782	1,504	1,613
Reimbursed direct costs	7,720	5,152	13,288	10,489
General and administrative expense	28,232	27,078	60,264	46,368
Depreciation and software and leasehold amortization	6,523	5,806	13,251	11,013
Amortization of identifiable intangible assets	6,752	6,195	13,521	9,961
Fair value adjustment to contingent consideration	(5,471)	(2,775)	(5,471)	(2,775)
Intangible asset impairment expense	1,777		1,777
Other operating (income) expense	(54)	3,427	(225)	3,910
Total Operating Expense	86,482	67,737	169,484	121,217
INCOME FROM OPERATIONS	11,413	6,217	16,883	12,359
INTEREST EXPENSE (INCOME):
Interest expense	2,713	1,757	5,439	2,567
Interest income	(1)	(11)	(7)	(16)
Net Interest Expense	2,712	1,746	5,432	2,551
INCOME BEFORE INCOME TAXES	8,701	4,471	11,451	9,808
PROVISION FOR INCOME TAXES	3,544	1,698	4,255	3,953
NET INCOME	$ 5,157	$ 2,773	$ 7,196	$ 5,855
NET INCOME PER SHARE INFORMATION:
Basic (in dollars per share)	$ 0.14	$ 0.08	$ 0.20	$ 0.17
Diluted (in dollars per share)	$ 0.14	$ 0.08	$ 0.20	$ 0.16
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:
Basic (in shares)	35,599	35,069	35,539	35,081
Diluted (in shares)	36,488	36,510	36,468	36,507
Cash dividends declared per common share (in dollars per share)	$ 0.115	$ 0.105	$ 0.115	$ 0.105