2.2.0.25falsefalse0209 - Disclosure - Income Taxestruefalsefalse1falsefalseUSDfalsefalse1/1/2011 - 3/31/2011 USD ($) USD ($) / shares $Jan-01-2011_Mar-31-2011http://www.sec.gov/CIK0001254419duration2011-01-01T00:00:002011-03-31T00:00:00USDStandardhttp://www.xbrl.org/2003/iso4217USDiso42170SharesStandardhttp://www.xbrl.org/2003/instancesharesxbrli0USDEPSDividehttp://www.xbrl.org/2003/iso4217USDiso4217http://www.xbrl.org/2003/instancesharesxbrli0USDUSD$2true0us-gaap_IncomeTaxExpenseBenefitAbstractus-gaaptruenadurationNo definition available.falsefalsefalsefalsefalsefalsefalsefalsefalsefalse1falsefalsefalse00falsefalsefalsefalsefalseOtherxbrli:stringItemTypestringNo definition available.falsefalseIncome Taxes [Abstract]3false0us-gaap_IncomeTaxDisclosureTextBlockus-gaaptruenadurationNo definition available.falsefalsefalsefalsefalsefalsefalsefalsefalsefalseverboselabel1falsefalsefalse00  <div style="font-family: 'Times New Roman',Times,serif"> <div align="left" style="font-size: 10pt; margin-top: 12pt"><b>9. INCOME TAXES</b> </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">     Income tax expense recorded during the three months ended March 31, 2011 and 2010 reflected an effective income tax rate of 33.6% and 40.3%, respectively. Due to significant, estimated book tax differences in 2011, such as amortization expense of intangibles for accounting purposes, we expect to pay federal and state taxes for the year ended December 31, 2011 although we currently expect to realize an overall pretax book loss. As a result, our annual estimated effective rate has reduced significantly compared to March 31, 2010. </div> <div align="left" style="font-size: 10pt; margin-top: 6pt">     We reduced our liability for uncertain tax positions for the three months ended March 31, 2011 by $841. Prior to the Broadlane Acquisition, Broadlane recorded a liability of $841 of uncertain tax positions related to open tax years. In March 2011, Broadlane received notification stating the review of the federal audit resulted in no changes. As a result, we reduced our liability for uncertain tax positions. Refer to Note 3 for additional information. </div> </div>  <!-- Begin Block Tagged NotefalsefalsefalsefalsefalseOtherus-types:textBlockItemTypestringDescription containing the entire income tax disclosure. Examples include net deferred tax liability or asset recognized in an enterprise's statement of financial position, net change during the year in the total valuation allowance, approximate tax effect of each type of temporary difference and carryforward that gives rise to a significant portion of deferred tax liabilities and deferred tax assets, utilization of a tax carryback, and tax uncertainties information. This element may be used as a single block of text to encapsulate the entire disclosure including data and tables.Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 08 -Paragraph h -Article 4 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 109 -Paragraph 136, 172 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 109 -Paragraph 43, 44, 45, 46, 47, 48, 49 falsefalseINCOME TAXES12Income TaxesUnKnownUnKnownUnKnownUnKnownfalsetrue