CONSOLIDATED STATEMENTS OF INCOME (USD $) In Thousands, except Per Share data, unless otherwise specified	12 Months Ended
	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2009
REVENUE:
Case management services	$ 214,886	$ 157,561	$ 137,170
Case management bundled products and services	16,643	18,993	15,206
Document management services	29,736	41,041	56,153
Operating revenue before reimbursed direct costs	261,265	217,595	208,529
Operating revenue from reimbursed direct costs	22,061	29,571	30,542
Total Revenue	283,326	247,166	239,071
OPERATING EXPENSE:
Direct cost of services (exclusive of depreciation and amortization shown separately below)	87,753	68,490	71,864
Direct cost of bundled products and services (exclusive of depreciation and amortization shown separately below)	3,201	3,514	3,520
Reimbursed direct costs	21,773	28,686	30,217
General and administrative	97,779	85,645	78,441
Depreciation and software and leasehold amortization	23,081	20,391	18,775
Amortization of identifiable intangible assets	21,323	9,190	7,409
Fair value adjustment to contingent consideration	(7,166)
Acquisition related expense	7,681	2,125
Intangible asset impairment expense	1,278
Other operating expense		656	634
Total Operating Expense	256,703	218,697	210,860
INCOME FROM OPERATIONS	26,623	28,469	28,211
INTEREST EXPENSE (INCOME):
Interest expense	5,844	1,931	1,474
Interest income	(128)	(32)	(124)
Net Interest Expense	5,716	1,899	1,350
INCOME BEFORE INCOME TAXES	20,907	26,570	26,861
PROVISION FOR INCOME TAXES	8,827	12,641	12,266
NET INCOME	$ 12,080	$ 13,929	$ 14,595
NET INCOME PER SHARE INFORMATION:
Basic (in dollars per share)	$ 0.34	$ 0.38	$ 0.41
Diluted (in dollars per share)	$ 0.33	$ 0.36	$ 0.38
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:
Basic (in shares)	35,186	36,498	35,895
Diluted (in shares)	36,506	39,512	41,908
Cash dividends declared per common share (in dollars per share)	$ 0.205	$ 0.07