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Accounts Receivable
12 Months Ended
Dec. 31, 2011
Accounts Receivable [Abstract]  
Accounts Receivable
(3)
Accounts Receivable
 
Substantially all receivables are derived from sales and related services, support and maintenance of our products to healthcare IT providers, device manufacturers and pharmaceutical companies located throughout the U.S. and in certain foreign countries as indicated in Note 15.
 
Our accounts receivable balance is reported net of an allowance for doubtful accounts and an allowance for sales returns.  We provide for an allowance for estimated uncollectible accounts and sales returns based upon historical experience and management's judgment.  As of December 31, 2011 and 2010, the allowances for estimated uncollectible accounts and sales returns were $4,080 and $1,322, respectively.
 
The following table shows the changes in our allowance for doubtful accounts and sales returns.
 
   
Balance at
Beginning of
Period
  
Net Additions
Charged to
Revenue and
Expenses
  
Deductions
  
Balance at
End of Period
 
For year ended December 31,:
            
2011
 $1,322  $2,766  $(8) $4,080 
2010
  1,287   593   (558)  1,322 
2009
  1,378   416   (507)  1,287