The cash outflow associated with the acquisition of business during the period. The cash portion only of the acquisition price.

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Glossary Investing Activities
-URI http://asc.fasb.org/extlink&oid=6516133

Reference 2: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 13
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=56944662&loc=d3e3213-108585

Name:	us-gaap_PaymentsToAcquireBusinessesGross
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	credit
Period Type:	duration

Note 15 - Subsequent Events (Details) - Subsequent Event [Member] - USD ($) $ in Millions	Jan. 19, 2016	Jan. 08, 2016
ABI Document Support Services, Inc [Member]
Note 15 - Subsequent Events (Details) [Line Items]
Payments to Acquire Businesses, Gross		$ 62.0
Advanced Medical Reviews, Inc. [Member]
Note 15 - Subsequent Events (Details) [Line Items]
Payments to Acquire Businesses, Gross	$ 30.0
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High	$ 9.8