Goodwill (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended								12 Months Ended
	Mar. 31, 2013	Dec. 31, 2012	Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012	Dec. 31, 2011	Sep. 30, 2011	Jun. 30, 2011	Mar. 31, 2013	Mar. 31, 2012	Mar. 31, 2011
Summary of Goodwill
Goodwill, Beginning Balance				$ 60,776					$ 60,776
Acquisitions									2,385
Impairment	17,400	0	0	0	0	0	0	0	17,400	0	0
Goodwill, Ending Balance	45,761				60,776				45,761	60,776
QSI Dental Division [Member]
Summary of Goodwill
Goodwill, Beginning Balance				7,289					7,289
Acquisitions									0
Impairment									0
Goodwill, Ending Balance	7,289								7,289
NextGen Division [Member]
Summary of Goodwill
Goodwill, Beginning Balance				1,840					1,840
Acquisitions									0
Impairment									0
Goodwill, Ending Balance	1,840								1,840
Hospital Solutions Division [Member]
Summary of Goodwill
Goodwill, Beginning Balance				21,323					21,323
Acquisitions									419
Impairment									17,400
Goodwill, Ending Balance	4,342								4,342
RCM Services Division [Member]
Summary of Goodwill
Goodwill, Beginning Balance				30,324					30,324
Acquisitions									1,966
Impairment									0
Goodwill, Ending Balance	$ 32,290								$ 32,290