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Operating Segment Information (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Sep. 30, 2015
USD ($)
Jun. 30, 2015
USD ($)
Mar. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Sep. 30, 2014
USD ($)
Jun. 30, 2014
USD ($)
Mar. 31, 2016
USD ($)
segment
Mar. 31, 2015
USD ($)
Mar. 31, 2014
USD ($)
Segment Reporting Information [Line Items]                      
Number of reportable segments | segment                 3    
Segment Operating Data                      
Revenue $ 127,912 $ 117,032 $ 125,369 $ 122,164 $ 128,388 $ 123,424 $ 120,519 $ 117,894 $ 492,477 $ 490,225 $ 444,667
Operating income (22,605) 8,437 12,496 9,034 12,732 8,210 7,259 7,755 7,362 35,956 23,088
Research and development costs 16,077 14,518 17,981 17,085 17,638 18,468 16,898 16,236 65,661 69,240 41,524
Amortization of capitalized software costs                 9,891 12,817 12,338
Loss on disposition of Hospital Solutions Division                 1,366 0 0
Impairment of assets $ 32,238 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 $ 0 32,238 0 5,873
NextGen Division [Member]                      
Segment Operating Data                      
Revenue                 375,801 373,765 341,120
Operating income                 182,508 182,320 162,948
RCM Services Division [Member]                      
Segment Operating Data                      
Revenue                 89,831 80,005 68,093
Operating income                 17,639 13,919 11,719
QSI Dental Division [Member]                      
Segment Operating Data                      
Revenue                 19,376 18,451 19,840
Operating income                 6,101 5,161 6,183
Hospital Solutions Division [Member]                      
Segment Operating Data                      
Revenue                 7,469 18,004 15,614
Operating income                 (927) (1,339) (7,237)
Unallocated corporate expense [Member]                      
Segment Operating Data                      
Operating income                 (197,959) (164,105) (150,525)
Research and development costs                 65,661 69,240 41,524
Amortization of capitalized software costs                 9,891 12,817 12,338
Marketing expense                 13,490 11,913 10,123
Loss on disposition of Hospital Solutions Division                 1,366 0 0
Impairment of assets                 32,238 0 25,971
Other corporate and overhead costs                 75,313 70,135 60,569
Total Corporate and unallocated                 $ 197,959 $ 164,105 $ 150,525