v2.4.0.8

Segments (Details) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2013 | Sep. 30, 2012 | Sep. 30, 2013 | Sep. 30, 2012 | Dec. 31, 2012
Segment Reporting Information [Line Items] |  |  |  |  |
Depreciation and amortization | $ 4,488 | $ 3,914 | $ 13,732 | $ 9,247 |
Segment Reporting Information, Net Assets | 505,984 |  | 505,984 |  | 441,819
Revenues | 94,039 | 84,331 | 274,835 | 223,858 |
Cost of Revenue | 41,999 | 38,244 | 128,060 | 102,646 |
Gross profit | 52,040 | 46,087 | 146,775 | 121,212 |
Gross Margin Percentage | 55.30% | 54.70% | 53.40% | 54.10% |
Operating Expenses | 41,323 | 34,861 | 122,531 | 103,920 |
Income from operations | 10,717 | 11,226 | 24,244 | 17,292 |
Operating margin percentage | 11.40% | 13.30% | 8.80% | 7.70% |
Interest and other income (expense), net | 25 | 34 | (134) | 57 |
Income before provision for income taxes | 10,742 | 11,260 | 24,110 | 17,349 |
Provision for income taxes | 2,987 | 4,340 | 6,954 | 6,703 |
Net income | 7,755 | 6,920 | 17,156 | 10,646 |
Segment Reporting Information, Expenditures for Additions to Long-Lived Assets | 2,056 | 5,472 | 7,807 | 9,559 |
Acute Care Solutions [Member] |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Depreciation and amortization | 2,805 | 2,072 | 8,351 | 6,538 |
Segment Reporting Information, Net Assets | 284,067 |  | 284,067 |  | 235,186
Revenues | 70,640 | 64,394 | 204,750 | 191,295 |
Cost of Revenue | 28,662 | 26,920 | 87,784 | 82,859 |
Gross profit | 41,978 | 37,474 | 116,966 | 108,436 |
Gross Margin Percentage | 59.40% | 58.20% | 57.10% | 56.70% |
Operating Expenses | 32,908 | 29,070 | 96,048 | 94,167 |
Income from operations | 9,070 | 8,404 | 20,918 | 14,269 |
Operating margin percentage | 12.80% | 13.10% | 10.20% | 7.50% |
Segment Reporting Information, Expenditures for Additions to Long-Lived Assets | 1,311 | 4,940 | 3,329 | 8,947 |
Non-acute care solutions [Member] |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |
Depreciation and amortization | 1,683 | 1,842 | 5,381 | 2,709 |
Segment Reporting Information, Net Assets | 221,917 |  | 221,917 |  | 206,633
Revenues | 23,399 | 19,937 | 70,085 | 32,563 |
Cost of Revenue | 13,337 | 11,324 | 40,276 | 19,787 |
Gross profit | 10,062 | 8,613 | 29,809 | 12,776 |
Gross Margin Percentage | 43.00% | 43.20% | 42.50% | 39.20% |
Operating Expenses | 8,415 | 5,791 | 26,483 | 9,753 |
Income from operations | 1,647 | 2,822 | 3,326 | 3,023 |
Operating margin percentage | 7.00% | 14.20% | 4.70% | 9.30% |
Segment Reporting Information, Expenditures for Additions to Long-Lived Assets | $ 745 | $ 532 | $ 4,478 | $ 612 |

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- Definition Total expenditures for additions to long-lived assets other than financial instruments, long-term customer relationships of a financial institution, mortgage and other servicing rights, deferred policy acquisition costs, and deferred tax assets of the reportable segment; if the amount: (a) is included in the determination of segment assets reviewed by the chief operating decision maker or (b) is otherwise regularly provided to the chief operating decision maker, even if not included in the determination of segment assets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 131 -Paragraph 28 -Subparagraph b -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
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- Definition The net amount of other income and expense amounts, the components of which are not separately disclosed on the income statement, resulting from ancillary business-related activities (that is, excluding major activities considered part of the normal operations of the business) also known as other nonoperating income (expense) recognized for the period. Such amounts may include: (a) dividends, (b) interest on securities, (c) net gains or losses on securities, (d) unusual costs, (e) gains or losses on foreign exchange transactions, and (f) miscellaneous other income and expense items. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 9 -Article 5 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.9) -URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688 + Details
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- Definition Aggregate revenue recognized during the period (derived from goods sold, services rendered, insurance premiums, or other activities that constitute an entity's earning process). For financial services companies, also includes investment and interest income, and sales and trading gains. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 1 -Article 5 + Details
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- Definition Amount of net assets (total assets less total liabilities) attributed to the reportable segment. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Statement of Financial Accounting Standard (FAS) -Number 131 -Paragraph 28 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. + Details
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