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Selected Quarterly Operating Results (Details) (USD $)
In Thousands, except Per Share data, unless otherwise specified
3 Months Ended 12 Months Ended
Mar. 31, 2015
Dec. 31, 2014
Sep. 30, 2014
Jun. 30, 2014
Mar. 31, 2013
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2015
Mar. 31, 2014
Mar. 31, 2013
Revenues:                      
Software, hardware and supplies $ 16,061qsii_SoftwareHardwareAndSuppliesRevenues $ 16,339qsii_SoftwareHardwareAndSuppliesRevenues $ 14,230qsii_SoftwareHardwareAndSuppliesRevenues $ 14,743qsii_SoftwareHardwareAndSuppliesRevenues $ 15,186qsii_SoftwareHardwareAndSuppliesRevenues $ 14,114qsii_SoftwareHardwareAndSuppliesRevenues $ 15,562qsii_SoftwareHardwareAndSuppliesRevenues $ 15,972qsii_SoftwareHardwareAndSuppliesRevenues $ 61,373qsii_SoftwareHardwareAndSuppliesRevenues $ 60,834qsii_SoftwareHardwareAndSuppliesRevenues $ 88,572qsii_SoftwareHardwareAndSuppliesRevenues
Implementation and training services 6,684us-gaap_TechnologyServicesRevenue 3,658us-gaap_TechnologyServicesRevenue 7,040us-gaap_TechnologyServicesRevenue 6,266us-gaap_TechnologyServicesRevenue 6,518us-gaap_TechnologyServicesRevenue 5,046us-gaap_TechnologyServicesRevenue 7,809us-gaap_TechnologyServicesRevenue 6,575us-gaap_TechnologyServicesRevenue 23,648us-gaap_TechnologyServicesRevenue 25,948us-gaap_TechnologyServicesRevenue 35,008us-gaap_TechnologyServicesRevenue
System sales 22,745us-gaap_SalesRevenueGoodsNet 19,997us-gaap_SalesRevenueGoodsNet 21,270us-gaap_SalesRevenueGoodsNet 21,009us-gaap_SalesRevenueGoodsNet 21,704us-gaap_SalesRevenueGoodsNet 19,160us-gaap_SalesRevenueGoodsNet 23,371us-gaap_SalesRevenueGoodsNet 22,547us-gaap_SalesRevenueGoodsNet 85,021us-gaap_SalesRevenueGoodsNet 86,782us-gaap_SalesRevenueGoodsNet 123,580us-gaap_SalesRevenueGoodsNet
Maintenance 43,234us-gaap_MaintenanceRevenue 43,045us-gaap_MaintenanceRevenue 42,135us-gaap_MaintenanceRevenue 40,805us-gaap_MaintenanceRevenue 41,376us-gaap_MaintenanceRevenue 39,763us-gaap_MaintenanceRevenue 40,313us-gaap_MaintenanceRevenue 38,608us-gaap_MaintenanceRevenue 169,219us-gaap_MaintenanceRevenue 160,060us-gaap_MaintenanceRevenue 156,771us-gaap_MaintenanceRevenue
Electronic data interchange services 20,082qsii_ElectronicDataInterchangeServicesRevenues 19,051qsii_ElectronicDataInterchangeServicesRevenues 18,906qsii_ElectronicDataInterchangeServicesRevenues 18,319qsii_ElectronicDataInterchangeServicesRevenues 17,421qsii_ElectronicDataInterchangeServicesRevenues 16,637qsii_ElectronicDataInterchangeServicesRevenues 16,545qsii_ElectronicDataInterchangeServicesRevenues 16,692qsii_ElectronicDataInterchangeServicesRevenues 76,358qsii_ElectronicDataInterchangeServicesRevenues 67,295qsii_ElectronicDataInterchangeServicesRevenues 59,709qsii_ElectronicDataInterchangeServicesRevenues
Revenue cycle management and related services 19,720qsii_RevenueCycleManagementAndRelatedServicesRevenue 20,392qsii_RevenueCycleManagementAndRelatedServicesRevenue 17,432qsii_RevenueCycleManagementAndRelatedServicesRevenue 16,693qsii_RevenueCycleManagementAndRelatedServicesRevenue 15,316qsii_RevenueCycleManagementAndRelatedServicesRevenue 16,178qsii_RevenueCycleManagementAndRelatedServicesRevenue 15,467qsii_RevenueCycleManagementAndRelatedServicesRevenue 16,015qsii_RevenueCycleManagementAndRelatedServicesRevenue 74,237qsii_RevenueCycleManagementAndRelatedServicesRevenue 62,976qsii_RevenueCycleManagementAndRelatedServicesRevenue 59,219qsii_RevenueCycleManagementAndRelatedServicesRevenue
Other services 22,607us-gaap_SalesRevenueServicesGross 20,939us-gaap_SalesRevenueServicesGross 20,776us-gaap_SalesRevenueServicesGross 21,068us-gaap_SalesRevenueServicesGross 19,386us-gaap_SalesRevenueServicesGross 17,116us-gaap_SalesRevenueServicesGross 15,385us-gaap_SalesRevenueServicesGross 15,667us-gaap_SalesRevenueServicesGross 85,390us-gaap_SalesRevenueServicesGross 67,554us-gaap_SalesRevenueServicesGross 60,950us-gaap_SalesRevenueServicesGross
Maintenance, EDI, RCM and other services 105,643us-gaap_SalesRevenueServicesNet 103,427us-gaap_SalesRevenueServicesNet 99,249us-gaap_SalesRevenueServicesNet 96,885us-gaap_SalesRevenueServicesNet 93,499us-gaap_SalesRevenueServicesNet 89,694us-gaap_SalesRevenueServicesNet 87,710us-gaap_SalesRevenueServicesNet 86,982us-gaap_SalesRevenueServicesNet 405,204us-gaap_SalesRevenueServicesNet 357,885us-gaap_SalesRevenueServicesNet 336,649us-gaap_SalesRevenueServicesNet
Total revenues 128,388us-gaap_SalesRevenueNet 123,424us-gaap_SalesRevenueNet 120,519us-gaap_SalesRevenueNet 117,894us-gaap_SalesRevenueNet 115,203us-gaap_SalesRevenueNet 108,854us-gaap_SalesRevenueNet 111,081us-gaap_SalesRevenueNet 109,529us-gaap_SalesRevenueNet 490,225us-gaap_SalesRevenueNet 444,667us-gaap_SalesRevenueNet 460,229us-gaap_SalesRevenueNet
Cost of revenue:                      
Software, hardware and supplies 5,404qsii_SoftwareHardwareAndSuppliesCharges 6,127qsii_SoftwareHardwareAndSuppliesCharges 6,521qsii_SoftwareHardwareAndSuppliesCharges 6,641qsii_SoftwareHardwareAndSuppliesCharges 7,115qsii_SoftwareHardwareAndSuppliesCharges 27,398qsii_SoftwareHardwareAndSuppliesCharges 4,779qsii_SoftwareHardwareAndSuppliesCharges 4,934qsii_SoftwareHardwareAndSuppliesCharges 24,693qsii_SoftwareHardwareAndSuppliesCharges 44,226qsii_SoftwareHardwareAndSuppliesCharges 21,750qsii_SoftwareHardwareAndSuppliesCharges
Implementation and training services 5,479us-gaap_TechnologyServicesCosts 4,584us-gaap_TechnologyServicesCosts 6,688us-gaap_TechnologyServicesCosts 7,151us-gaap_TechnologyServicesCosts 8,109us-gaap_TechnologyServicesCosts 7,466us-gaap_TechnologyServicesCosts 6,972us-gaap_TechnologyServicesCosts 7,134us-gaap_TechnologyServicesCosts 23,902us-gaap_TechnologyServicesCosts 29,681us-gaap_TechnologyServicesCosts 30,896us-gaap_TechnologyServicesCosts
Total cost of system sales 10,883us-gaap_CostOfGoodsSold 10,711us-gaap_CostOfGoodsSold 13,209us-gaap_CostOfGoodsSold 13,792us-gaap_CostOfGoodsSold 15,224us-gaap_CostOfGoodsSold 34,864us-gaap_CostOfGoodsSold 11,751us-gaap_CostOfGoodsSold 12,068us-gaap_CostOfGoodsSold 48,595us-gaap_CostOfGoodsSold 73,907us-gaap_CostOfGoodsSold 52,646us-gaap_CostOfGoodsSold
Maintenance 7,802us-gaap_CostOfServicesMaintenanceCosts 7,365us-gaap_CostOfServicesMaintenanceCosts 6,785us-gaap_CostOfServicesMaintenanceCosts 6,914us-gaap_CostOfServicesMaintenanceCosts 6,384us-gaap_CostOfServicesMaintenanceCosts 5,642us-gaap_CostOfServicesMaintenanceCosts 5,262us-gaap_CostOfServicesMaintenanceCosts 5,302us-gaap_CostOfServicesMaintenanceCosts 28,866us-gaap_CostOfServicesMaintenanceCosts 22,590us-gaap_CostOfServicesMaintenanceCosts 20,316us-gaap_CostOfServicesMaintenanceCosts
Electronic data interchange services 12,274qsii_ElectronicDataInterchangeServicesCost 11,956qsii_ElectronicDataInterchangeServicesCost 12,015qsii_ElectronicDataInterchangeServicesCost 11,999qsii_ElectronicDataInterchangeServicesCost 10,845qsii_ElectronicDataInterchangeServicesCost 10,276qsii_ElectronicDataInterchangeServicesCost 10,650qsii_ElectronicDataInterchangeServicesCost 10,796qsii_ElectronicDataInterchangeServicesCost 48,244qsii_ElectronicDataInterchangeServicesCost 42,567qsii_ElectronicDataInterchangeServicesCost 38,350qsii_ElectronicDataInterchangeServicesCost
Revenue cycle management and related services 14,252qsii_RevenueCycleManagementAndRelatedServicesCost 14,246qsii_RevenueCycleManagementAndRelatedServicesCost 13,202qsii_RevenueCycleManagementAndRelatedServicesCost 12,706qsii_RevenueCycleManagementAndRelatedServicesCost 12,059qsii_RevenueCycleManagementAndRelatedServicesCost 11,736qsii_RevenueCycleManagementAndRelatedServicesCost 11,007qsii_RevenueCycleManagementAndRelatedServicesCost 11,401qsii_RevenueCycleManagementAndRelatedServicesCost 54,406qsii_RevenueCycleManagementAndRelatedServicesCost 46,203qsii_RevenueCycleManagementAndRelatedServicesCost 43,324qsii_RevenueCycleManagementAndRelatedServicesCost
Other services 10,630us-gaap_OtherCostOfServices 10,082us-gaap_OtherCostOfServices 11,562us-gaap_OtherCostOfServices 10,779us-gaap_OtherCostOfServices 8,842us-gaap_OtherCostOfServices 8,537us-gaap_OtherCostOfServices 9,012us-gaap_OtherCostOfServices 8,505us-gaap_OtherCostOfServices 43,053us-gaap_OtherCostOfServices 34,896us-gaap_OtherCostOfServices 35,016us-gaap_OtherCostOfServices
Total cost of maintenance, EDI, RCM and other services 44,958us-gaap_CostOfServices 43,649us-gaap_CostOfServices 43,564us-gaap_CostOfServices 42,398us-gaap_CostOfServices 38,130us-gaap_CostOfServices 36,191us-gaap_CostOfServices 35,931us-gaap_CostOfServices 36,004us-gaap_CostOfServices 174,569us-gaap_CostOfServices 146,256us-gaap_CostOfServices 137,006us-gaap_CostOfServices
Total cost of revenue 55,841us-gaap_CostOfGoodsAndServicesSold 54,360us-gaap_CostOfGoodsAndServicesSold 56,773us-gaap_CostOfGoodsAndServicesSold 56,190us-gaap_CostOfGoodsAndServicesSold 53,354us-gaap_CostOfGoodsAndServicesSold 71,055us-gaap_CostOfGoodsAndServicesSold 47,682us-gaap_CostOfGoodsAndServicesSold 48,072us-gaap_CostOfGoodsAndServicesSold 223,164us-gaap_CostOfGoodsAndServicesSold 220,163us-gaap_CostOfGoodsAndServicesSold 189,652us-gaap_CostOfGoodsAndServicesSold
Gross profit 72,547us-gaap_GrossProfit 69,064us-gaap_GrossProfit 63,746us-gaap_GrossProfit 61,704us-gaap_GrossProfit 61,849us-gaap_GrossProfit 37,799us-gaap_GrossProfit 63,399us-gaap_GrossProfit 61,457us-gaap_GrossProfit 267,061us-gaap_GrossProfit 224,504us-gaap_GrossProfit 270,577us-gaap_GrossProfit
Operating expenses:                      
Selling, general and administrative 41,279us-gaap_SellingGeneralAndAdministrativeExpense 41,482us-gaap_SellingGeneralAndAdministrativeExpense 38,681us-gaap_SellingGeneralAndAdministrativeExpense 36,730us-gaap_SellingGeneralAndAdministrativeExpense 38,676us-gaap_SellingGeneralAndAdministrativeExpense 36,864us-gaap_SellingGeneralAndAdministrativeExpense 38,578us-gaap_SellingGeneralAndAdministrativeExpense 35,096us-gaap_SellingGeneralAndAdministrativeExpense 158,172us-gaap_SellingGeneralAndAdministrativeExpense 149,214us-gaap_SellingGeneralAndAdministrativeExpense 148,353us-gaap_SellingGeneralAndAdministrativeExpense
Research and development costs 17,638us-gaap_ResearchAndDevelopmentExpense 18,468us-gaap_ResearchAndDevelopmentExpense 16,898us-gaap_ResearchAndDevelopmentExpense 16,236us-gaap_ResearchAndDevelopmentExpense 15,120us-gaap_ResearchAndDevelopmentExpense 13,175us-gaap_ResearchAndDevelopmentExpense 7,615us-gaap_ResearchAndDevelopmentExpense 5,614us-gaap_ResearchAndDevelopmentExpense 69,240us-gaap_ResearchAndDevelopmentExpense 41,524us-gaap_ResearchAndDevelopmentExpense 30,865us-gaap_ResearchAndDevelopmentExpense
Amortization of acquired intangible assets 898us-gaap_AmortizationOfIntangibleAssets 904us-gaap_AmortizationOfIntangibleAssets 908us-gaap_AmortizationOfIntangibleAssets 983us-gaap_AmortizationOfIntangibleAssets 1,132us-gaap_AmortizationOfIntangibleAssets 1,219us-gaap_AmortizationOfIntangibleAssets 1,260us-gaap_AmortizationOfIntangibleAssets 1,194us-gaap_AmortizationOfIntangibleAssets 7,127us-gaap_AmortizationOfIntangibleAssets 8,330us-gaap_AmortizationOfIntangibleAssets 7,559us-gaap_AmortizationOfIntangibleAssets
Impairment of goodwill and other assets 0us-gaap_GoodwillAndIntangibleAssetImpairment 0us-gaap_GoodwillAndIntangibleAssetImpairment 0us-gaap_GoodwillAndIntangibleAssetImpairment 0us-gaap_GoodwillAndIntangibleAssetImpairment 0us-gaap_GoodwillAndIntangibleAssetImpairment 5,873us-gaap_GoodwillAndIntangibleAssetImpairment 0us-gaap_GoodwillAndIntangibleAssetImpairment 0us-gaap_GoodwillAndIntangibleAssetImpairment 0us-gaap_GoodwillAndIntangibleAssetImpairment 5,873us-gaap_GoodwillAndIntangibleAssetImpairment 17,400us-gaap_GoodwillAndIntangibleAssetImpairment
Total operating expenses 59,815us-gaap_OperatingExpenses 60,854us-gaap_OperatingExpenses 56,487us-gaap_OperatingExpenses 53,949us-gaap_OperatingExpenses 54,928us-gaap_OperatingExpenses 57,131us-gaap_OperatingExpenses 47,453us-gaap_OperatingExpenses 41,904us-gaap_OperatingExpenses 231,105us-gaap_OperatingExpenses 201,416us-gaap_OperatingExpenses 201,477us-gaap_OperatingExpenses
Income from operations 12,732us-gaap_OperatingIncomeLoss 8,210us-gaap_OperatingIncomeLoss 7,259us-gaap_OperatingIncomeLoss 7,755us-gaap_OperatingIncomeLoss 6,921us-gaap_OperatingIncomeLoss (19,332)us-gaap_OperatingIncomeLoss 15,946us-gaap_OperatingIncomeLoss 19,553us-gaap_OperatingIncomeLoss 35,956us-gaap_OperatingIncomeLoss 23,088us-gaap_OperatingIncomeLoss 69,100us-gaap_OperatingIncomeLoss
Interest Income (Expense), Net (271)us-gaap_InterestIncomeExpenseNet (82)us-gaap_InterestIncomeExpenseNet 69us-gaap_InterestIncomeExpenseNet 54us-gaap_InterestIncomeExpenseNet 322us-gaap_InterestIncomeExpenseNet 121us-gaap_InterestIncomeExpenseNet (205)us-gaap_InterestIncomeExpenseNet 31us-gaap_InterestIncomeExpenseNet (230)us-gaap_InterestIncomeExpenseNet 269us-gaap_InterestIncomeExpenseNet (107)us-gaap_InterestIncomeExpenseNet
Other income (expense), net (45)us-gaap_OtherNonoperatingIncome 0us-gaap_OtherNonoperatingIncome (26)us-gaap_OtherNonoperatingIncome 9us-gaap_OtherNonoperatingIncome 35us-gaap_OtherNonoperatingIncome 18us-gaap_OtherNonoperatingIncome (155)us-gaap_OtherNonoperatingIncome (254)us-gaap_OtherNonoperatingIncome (62)us-gaap_OtherNonoperatingIncome (356)us-gaap_OtherNonoperatingIncome (79)us-gaap_OtherNonoperatingIncome
Income before provision for income taxes 12,416us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments 8,128us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments 7,302us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments 7,818us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments 7,278us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments (19,193)us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments 15,586us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments 19,330us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments 35,664us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments 23,001us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments 68,914us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments
Provision for income taxes 1,673us-gaap_IncomeTaxExpenseBenefit 1,452us-gaap_IncomeTaxExpenseBenefit 2,552us-gaap_IncomeTaxExpenseBenefit 2,655us-gaap_IncomeTaxExpenseBenefit 2,077us-gaap_IncomeTaxExpenseBenefit (6,606)us-gaap_IncomeTaxExpenseBenefit 5,465us-gaap_IncomeTaxExpenseBenefit 6,385us-gaap_IncomeTaxExpenseBenefit 8,332us-gaap_IncomeTaxExpenseBenefit 7,321us-gaap_IncomeTaxExpenseBenefit 26,190us-gaap_IncomeTaxExpenseBenefit
Net income $ 10,743us-gaap_NetIncomeLoss $ 6,676us-gaap_NetIncomeLoss $ 4,750us-gaap_NetIncomeLoss $ 5,163us-gaap_NetIncomeLoss $ 5,201us-gaap_NetIncomeLoss $ (12,587)us-gaap_NetIncomeLoss $ 10,121us-gaap_NetIncomeLoss $ 12,945us-gaap_NetIncomeLoss $ 27,332us-gaap_NetIncomeLoss $ 15,680us-gaap_NetIncomeLoss $ 42,724us-gaap_NetIncomeLoss
Net income per share:                      
Basic $ 0.18us-gaap_EarningsPerShareBasic $ 0.11us-gaap_EarningsPerShareBasic $ 0.08us-gaap_EarningsPerShareBasic $ 0.09us-gaap_EarningsPerShareBasic $ 0.09us-gaap_EarningsPerShareBasic $ (0.21)us-gaap_EarningsPerShareBasic $ 0.17us-gaap_EarningsPerShareBasic $ 0.22us-gaap_EarningsPerShareBasic $ 0.45us-gaap_EarningsPerShareBasic $ 0.26us-gaap_EarningsPerShareBasic $ 0.72us-gaap_EarningsPerShareBasic
Diluted $ 0.18us-gaap_EarningsPerShareDiluted $ 0.11us-gaap_EarningsPerShareDiluted $ 0.08us-gaap_EarningsPerShareDiluted $ 0.08us-gaap_EarningsPerShareDiluted $ 0.09us-gaap_EarningsPerShareDiluted $ (0.21)us-gaap_EarningsPerShareDiluted $ 0.17us-gaap_EarningsPerShareDiluted $ 0.22us-gaap_EarningsPerShareDiluted $ 0.45us-gaap_EarningsPerShareDiluted $ 0.26us-gaap_EarningsPerShareDiluted $ 0.72us-gaap_EarningsPerShareDiluted
Weighted-average shares outstanding:                      
Basic 60,288us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 60,272us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 60,247us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 60,230us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 60,208us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 60,173us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 59,734us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 59,559us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 60,259us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 59,918us-gaap_WeightedAverageNumberOfSharesOutstandingBasic 59,392us-gaap_WeightedAverageNumberOfSharesOutstandingBasic
Diluted 60,956us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 60,855us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 60,788us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 60,770us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 60,592us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 60,173us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 59,751us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 59,572us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 60,849us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 60,134us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding 59,462us-gaap_WeightedAverageNumberOfDilutedSharesOutstanding
Dividends declared per common share $ 0us-gaap_CommonStockDividendsPerShareDeclared $ 0us-gaap_CommonStockDividendsPerShareDeclared $ 0us-gaap_CommonStockDividendsPerShareDeclared $ 0us-gaap_CommonStockDividendsPerShareDeclared $ 0us-gaap_CommonStockDividendsPerShareDeclared $ 0us-gaap_CommonStockDividendsPerShareDeclared $ 0us-gaap_CommonStockDividendsPerShareDeclared $ 0us-gaap_CommonStockDividendsPerShareDeclared $ 0.7us-gaap_CommonStockDividendsPerShareDeclared $ 0.7us-gaap_CommonStockDividendsPerShareDeclared $ 0.7us-gaap_CommonStockDividendsPerShareDeclared