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Earnings Per Share
 9 Months Ended
Sep. 30, 2014
Earnings Per Share [Abstract]  
Earnings Per Share
(9)Earnings Per Share

The following is a reconciliation of the numerator and denominator of basic and diluted earnings per share for the three and nine months ended September 30, 2014 and 2013:
 
(In 000s, except per share data)
 
Three Months Ended
  
Nine Months Ended
 
 
 
September 30,
  
September 30,
  
September 30,
  
September 30,
 
 
 
2014
  
2013
  
2014
  
2013
 
Numerator:
 
  
  
  
 
Net income (loss) - numerator for basic earnings (loss) per share
 
$
1,973
  
$
1,799
  
$
(8,139
)
 
$
(3,251
) 
 
                
Denominator:
                
Shares used for basic earnings (loss) per share
  
35,351
   
34,682
   
35,263
   
34,288
 
Effect of dilutive securities outstanding:
                
Non-qualified stock options (1)
  
770
   
784
   
—
   
—
 
Restricted stock units (1)
  
318
   
368
   
—
   
—
 
Performance stock units (1)
  
34
   
—
   
—
   
—
 
CareFirst Warrants (1)
  
4
   
—
   
—
   
—
 
Shares used for diluted earnings (loss) per share (1)
 
 
36,477
  
 
35,834
  
 
35,263
  
 
34,288
 
 
                
Earnings (loss) per share:
                
Basic
 
$
0.06
  
$
0.05
  
$
(0.23
)
 
$
(0.09
) 
Diluted (1)
 
$
0.05
  
$
0.05
  
$
(0.23
)
 
$
(0.09
) 
 
                
Dilutive securities outstanding not included in the computation of earnings (loss) per share because their effect is antidilutive:
                
Non-qualified stock options
  
1,131
   
1,682
   
2,153
   
3,343
 
Restricted stock units
  
54
   
—
   
390
   
331
 
Performance stock units
  
2
   
—
   
16
   
—
 
Warrants related to Cash Convertible Notes
  
7,707
   
—
   
7,707
   
—
 
CareFirst Convertible Note
  
892
   
—
   
892
   
—
 
CareFirst Warrants
  
83
   
—
   
86
   
—
 

(1) The assumed exercise of stock-based awards for the nine months ended September 30, 2014 and 2013 was not considered because the impact would be anti-dilutive.