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1. NATURE OF BUSINESS AND BASIS OF PRESENTATION (Details Narrative) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Sep. 30, 2015
Sep. 30, 2014
Dec. 31, 2014
BRMG and B&C Entities revenues $ 29,400 $ 23,600 $ 83,100 $ 65,600  
BRMG and B&C Entities operating expenses 29,400 23,600 83,100 65,600  
Total billed net service fee revenue 106,700 98,000 320,600 279,600  
Management services provided to BRMG and B&C Entities 77,300 74,400 237,500 213,900  
BRMG and B&C Entities accounts receivable 77,700   77,700   $ 79,700
BRMG and B&C Entities accounts payable 8,600   8,600   9,000
Meaningful use incentive 0 $ 0 3,270 $ 1,762  
Working capital 119,800   119,800   58,700
Senior notes 626,900   626,900    
Unamortized discount 10,300   10,300    
Line of credit balance outstanding 0   0   $ 15,300
Software Development Costs          
Licensing revenue     443,000    
Capitalized software costs 5,000   5,000    
2015 Incremental First          
Line of credit maximum borrowing amount 75,000   75,000    
Payments of loan fees     $ 1,100    
Debt interest rate     The interest rates payable on the 2015 Incremental First Lien Term Loans are the same rates currently payable on the existing tranche B term loans under the amended Credit Agreement, which are (a) the Adjusted Eurodollar Rate (as defined in the Credit Agreement) plus 3.25% per annum or (b) the Base Rate (as defined in the Credit Agreement) plus 2.25% per annum. As applied to the first lien tranche B term loans, the Adjusted Eurodollar Rate has a minimum floor of 1.0%. The Adjusted Eurodollar Rate at September 30, 2015 was 0.53%.    
Payment frequency     The scheduled quarterly amortization of the 2015 Incremental First Lien Term Loans is $987,000, beginning in June 2015.    
Debt maturity date     The maturity date for the 2015 Incremental First Lien Term Loans shall be on the earlier to occur of (i) October 10, 2018, and (ii) the date on which the 2015 Incremental First Lien Term Loans shall otherwise become due and payable in full under the Credit Agreement, whether by acceleration or otherwise.    
First Lien Term Loan          
Line of credit maximum borrowing amount 30,000   $ 30,000    
Debt interest rate     The interest rates payable on the 2014 First Lien Term Loans are the same as the rates payable under the Credit Agreement, which are (a) the Adjusted Eurodollar Rate (as defined in the Credit Agreement) plus 3.25% per annum or (b) the Base Rate (as defined in the Credit Agreement) plus 2.25% per annum. With respect to all of the term loans under the Credit Agreement, the Adjusted Eurodollar Rate has a minimum floor of 1.0%. The Adjusted Eurodollar Rate at September 30, 2015 was 0.53%    
Payment frequency     The scheduled amortization of the term loans under the Credit Agreement increased, starting in June 2014 from quarterly payments of $975,000 to quarterly payments of approximately $5.2 million, with the remaining balance to be paid at maturity. Annual scheduled amortization payments increased by $16.8 million from pre-2014 Amendment terms, representing a rise from 1% per annum to 5% per annum of the initial amount borrowed.    
Second Lien Term Loans          
Line of credit maximum borrowing amount 180,000   $ 180,000    
Debt interest rate     The interest rates payable on the Second Lien Term Loans are (a) the Adjusted Eurodollar Rate (as defined in the Second Lien Credit Agreement) plus 7.0% per annum or (b) the Base Rate (as defined in the Second Lien Credit Agreement) plus 6.0% per annum. The Adjusted Eurodollar Rate has a minimum floor of 1.0% on the Second Lien Term Loans. The Eurodollar Rate at June 30, 2015 was 0.44%. The rate paid on the Second Lien Credit Agreement at June 30, 2015 was 8%.    
Payment frequency     There is no scheduled amortization of the principal of the Second Lien Term Loans. Unless otherwise prepaid as a result of the occurrence of certain mandatory prepayment events, all principal will be due and payable on the termination date described below.    
Debt maturity date     The maturity date for the Second Lien Term Loans is the earlier to occur of (i) March 25, 2021, and (ii) the date on which the Second Lien Term Loans shall otherwise become due and payable in full under the Second Lien Credit Agreement, whether by voluntary prepayment per section 2.13(a) or events of default per section 8.01 as described below.    
Revolving Credit Facility          
Line of credit maximum borrowing amount $ 101,250   $ 101,250    
Debt interest rate     The Base Rate as defined in the Credit Agreement at September 30, 2015 was 3.25%.