Consolidated Statements of Cash Flows (USD $) In Thousands	4 Months Ended	1 Months Ended	6 Months Ended
Jun. 30, 2011 Successor	Feb. 11, 2011 Predecessor	Jun. 30, 2010 Predecessor
Net cash provided by operating activities	$ 11,057	$ 6,587	$ 12,492
Investing activities:
Purchase of property and equipment	(2,294)	(1,466)	(2,868)
Capitalized software	(3,995)	(1,102)	(2,613)
Spheris acquisition	0	0	(98,834)
Net cash used in investing activities	(6,289)	(2,568)	(104,315)
Financing activities:
Proceeds from debt	0	0	100,000
Repayment of debt	0	(25,000)	(10,000)
Payments on lease obligations	(534)	(224)	(50)
Debt issuance costs	0	0	(6,070)
Net cash provided by (used in) financing activities	(534)	(25,224)	83,880
Effect of exchange rate changes	96	(7)	(27)
Net change in cash and cash equivalents	4,330	(21,212)	(7,970)
Cash and cash equivalents — beginning of period	20,053	41,265	25,216
Cash and cash equivalents — end of period	$ 24,383	$ 20,053	$ 17,246

Includes currency on hand as well as demand deposits with banks or financial institutions. It also includes other kinds of accounts that have the general characteristics of demand deposits in that the Entity may deposit additional funds at any time and also effectively may withdraw funds at any time without prior notice or penalty. Cash equivalents, excluding items classified as marketable securities, include short-term, highly liquid investments that are both readily convertible to known amounts of cash, and so near their maturity that they present minimal risk of changes in value because of changes in interest rates. Generally, only investments with original maturities of three months or less qualify under that definition. Original maturity means original maturity to the entity holding the investment. For example, both a three-month US Treasury bill and a three-year Treasury note purchased three months from maturity qualify as cash equivalents. However, a Treasury note purchased three years ago does not become a cash equivalent when its remaining maturity is three months. Compensating balance arrangements that do not legally restrict the withdrawal or usage of cash amounts may be reported as Cash and Cash Equivalents, while legally restricted deposits held as compensating balances against borrowing arrangements, contracts entered into with others, or company statements of intention with regard to particular deposits are not generally reported as cash and cash equivalents. Includes cash and cash equivalents associated with the entity's continuing operations. Excludes cash and cash equivalents associated with the disposal group (and discontinued operation).

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