Revenue Recognition and Contractual Adjustments (Tables)

9 Months Ended

Sep. 30, 2013

Health Care Organizations [Abstract]

Adjustment of Transactions Revenue

The table below shows the adjustments made to gross service revenue to arrive at net revenues (in thousands), the amount reported on our statement of operations.

	Three Months Ended September 30,						Nine Months Ended September 30,
	2013			2012			2013			2012
Gross Service Revenues	$	45,159		$	34,807		$	129,625		$	118,131
Total Contractual Adjustments and Discounts		(28,275	)		(20,605	)		(81,481	)		(73,158	)
Net Revenues	$	16,884		$	14,202		$	48,144		$	44,973