Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2012

Goodwill and Intangible Assets Disclosure [Abstract]

Changes in the carrying value of goodwill

Changes in the carrying value of goodwill were as follows (in thousands):

	Caretools			MedCafe		Modality		Total
Balance at December 31, 2010	$	1,120		$	9,620	$	8,339	$	19,079
Impairment	(1,120		)	—		—		(1,120		)
Balance at December 31, 2011	$	—		$	9,620	$	8,339	$	17,959
Balance at December 31, 2012	$	—		$	9,620	$	8,339	$	17,959

Schedule of intangible assets excluding goodwill

Intangible assets excluding goodwill consisted of the following (in thousands):

	December 31, 2012						December 31, 2011
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Impairment		Net Carrying Amount
Technology	$	11,260	$	8,696	$	2,564	$	11,780	$	5,015	$	448	$	6,317
Client relationships	30		30		—		60		34		26		—
Trademarks and trade name	40		40		—		50		31		9		10
Non-compete agreement	850		646		204		870		423		3		444
	$	12,180	$	9,412	$	2,768	$	12,760	$	5,503	$	486	$	6,771