Consolidated Statements of Operations - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Sales revenues:
System sales and support	$ 188,261	$ 185,665	$ 118,385
TruBridge	88,666	81,607	63,789
Total sales revenues	276,927	267,272	182,174
Costs of sales (exclusive of amortization shown separately below):
System sales and support	75,994	84,356	52,500
TruBridge	49,636	45,656	35,216
Total costs of sales	125,630	130,012	87,716
Gross profit	151,297	137,260	94,458
Operating expenses:
Product development	37,761	32,621	14,229
Sales and marketing	33,021	27,194	18,333
General and administrative	46,923	52,888	36,810
Amortization of acquisition-related intangibles	10,406	10,182	0
Goodwill impairment	28,000	0	0
Total operating expenses	156,111	122,885	69,372
Operating income (loss)	(4,814)	14,375	25,086
Other income (expense):
Other income	407	220	405
Loss on extinguishment of debt	(1,340)	0	0
Interest expense	(7,736)	(6,609)	0
Total other income (expense)	(8,669)	(6,389)	405
Income (loss) before taxes	(13,483)	7,986	25,491
Provision for income taxes	3,933	4,053	7,148
Net income (loss)	$ (17,416)	$ 3,933	$ 18,343
Net income (loss) per share - basic (in dollars per share)	$ (1.27)	$ 0.29	$ 1.62
Net income (loss) per share - diluted (in dollars per share)	$ (1.27)	$ 0.29	$ 1.62
Weighted average shares outstanding used in per common share computations:
Basic (in shares)	13,419	13,255	11,083
Diluted (in shares)	13,419	13,255	11,083