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

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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.

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The aggregate cost of goods produced and sold and services rendered during the reporting period.

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The aggregate expense recognized in the current period that allocates the cost of tangible assets, intangible assets, or depleting assets to periods that benefit from use of the assets.

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Aggregate revenue less cost of goods and services sold or operating expenses directly attributable to the revenue generation activity.

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Sum of operating profit and nonoperating income or expense before Income or Loss from equity method investments, income taxes, extraordinary items, and noncontrolling interest.

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The sum of the current income tax expense or benefit and the deferred income tax expense or benefit pertaining to continuing operations.

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Net income after adjustments for dividends on preferred stock (declared in the period) and/or cumulative preferred stock (accumulated for the period).

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Generally recurring costs associated with normal operations except for the portion of these expenses which can be clearly related to production and included in cost of sales or services. Includes selling, general and administrative expense.

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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.

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Amount of net assets (total assets less total liabilities) attributed to the reportable segment.

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