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Business Segments and Geographic Data (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Segment
Sep. 30, 2013
Business Segments and Geographic Data [Abstract]        
Number of operating units     4  
Results of operations from business segments [Abstract]        
Revenues $ 53,703 $ 45,893 $ 155,898 $ 161,174
Costs of revenues 22,961 9,066 50,958 32,322
Gross profit 30,742 36,827 104,940 128,852
Gross profit % (in hundredths) 57.20% 80.20% 67.30% 79.90%
Allocated operating expenses [Abstract]        
Engineering and product development 821 805 2,339 2,392
Selling and marketing expenses 28,840 30,973 90,886 90,767
Unallocated operating expenses 11,678 5,972 30,717 17,899
Total operating expenses 41,339 37,750 123,942 111,058
Operating (loss) profit (10,597) (923) (19,002) 17,794
Interest and other financing income, net (3,824) 473 (4,145) 470
(Loss) Income before income tax benefit (expense) (14,421) (450) (23,147) 18,264
Operating Segments [Member] | Consumer [Member]
       
Results of operations from business segments [Abstract]        
Revenues 24,938 36,910 94,261 134,643
Costs of revenues 4,363 4,730 14,596 19,422
Gross profit 20,575 32,180 79,665 115,221
Gross profit % (in hundredths) 82.50% 87.20% 84.50% 85.60%
Allocated operating expenses [Abstract]        
Engineering and product development 306 279 898 775
Selling and marketing expenses 20,001 26,958 70,382 79,293
Unallocated operating expenses 0 0 0 0
Total operating expenses 20,307 27,237 71,280 80,068
Operating (loss) profit 268 4,943 8,385 35,153
Interest and other financing income, net 0 0 0 0
(Loss) Income before income tax benefit (expense) 268 4,943 8,385 35,153
Operating Segments [Member] | Physician Recurring [Member]
       
Results of operations from business segments [Abstract]        
Revenues 8,823 7,359 24,649 20,690
Costs of revenues 3,094 3,272 9,349 9,217
Gross profit 5,729 4,087 15,300 11,473
Gross profit % (in hundredths) 64.90% 55.50% 62.10% 55.50%
Allocated operating expenses [Abstract]        
Engineering and product development 314 341 881 982
Selling and marketing expenses 3,843 3,370 12,122 9,777
Unallocated operating expenses 0 0 0 0
Total operating expenses 4,157 3,711 13,003 10,759
Operating (loss) profit 1,572 376 2,297 714
Interest and other financing income, net 0 0 0 0
(Loss) Income before income tax benefit (expense) 1,572 376 2,297 714
Operating Segments [Member] | Professional [Member]
       
Results of operations from business segments [Abstract]        
Revenues 1,850 1,624 5,753 5,841
Costs of revenues 1,258 1,064 3,884 3,683
Gross profit 592 560 1,869 2,158
Gross profit % (in hundredths) 32.00% 34.50% 32.50% 36.90%
Allocated operating expenses [Abstract]        
Engineering and product development 201 185 560 635
Selling and marketing expenses 204 645 935 1,697
Unallocated operating expenses 0 0 0 0
Total operating expenses 405 830 1,495 2,332
Operating (loss) profit 187 (270) 374 (174)
Interest and other financing income, net 0 0 0 0
(Loss) Income before income tax benefit (expense) 187 (270) 374 (174)
Operating Segments [Member] | Clinics [Member]
       
Results of operations from business segments [Abstract]        
Revenues 18,092 0 31,235 0
Costs of revenues 14,246 0 23,129 0
Gross profit 3,846 0 8,106 0
Gross profit % (in hundredths) 21.30%   26.00%  
Allocated operating expenses [Abstract]        
Engineering and product development 0 0 0 0
Selling and marketing expenses 4,792 0 7,447 0
Unallocated operating expenses 0 0 0 0
Total operating expenses 4,792 0 7,447 0
Operating (loss) profit (946) 0 659 0
Interest and other financing income, net 0 0 0 0
(Loss) Income before income tax benefit (expense) $ (946) $ 0 $ 659 $ 0