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Segments (Tables) | 12 Months Ended
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Dec. 31, 2013
Segment Reporting Information [Line Items] |
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table Text Block] | For the years ended December 31, 2013, 2012 and 2011 the contributions of our segments to net revenues and income from operations, and the reconciliation to total net income, were as follows (amounts in thousands):
| December 31, |  | December 31, |  | December 31,
| 2013 |  | 2012 |  | 2011
| Acute Care |  | Non-Acute Care |  | Total |  | Acute Care |  | Non-Acute Care (1) |  | Total |  | Acute Care |  | Total
Net revenues from external customers | $ | 284,666 |  |  | $ | 95,919 |  |  | $ | 380,585 |  |  | $ | 260,160 |  |  | $ | 53,867 |  |  | $ | 314,027 |  |  | $ | 245,535 |  |  | $ | 245,535 |
Cost of revenues | 122,816 |  |  | 54,370 |  |  | 177,186 |  |  | 111,599 |  |  | 31,840 |  |  | 143,439 |  |  | 109,751 |  |  | 109,751 |
Gross profit | $ | 161,850 |  |  | $ | 41,549 |  |  | $ | 203,399 |  |  | $ | 148,561 |  |  | $ | 22,027 |  |  | $ | 170,588 |  |  | $ | 135,784 |  |  | $ | 135,784 |
Gross margin % | 56.9 | % |  | 43.3 | % |  | 53.4 | % |  | 57.1 | % |  | 40.9 | % |  | 54.3 | % |  | 55.3 | % |  | 55.3 | %
Operating expenses | 131,811 |  |  | 36,289 |  |  | 168,100 |  |  | 127,467 |  |  | 15,995 |  |  | 143,462 |  |  | 119,562 |  |  | 119,562 |
Income from operations | $ | 30,039 |  |  | $ | 5,260 |  |  | $ | 35,299 |  |  | $ | 21,094 |  |  | $ | 6,032 |  |  | $ | 27,126 |  |  | $ | 16,222 |  |  | $ | 16,222 |
Operating margin % | 10.6 | % |  | 5.5 | % |  | 9.3 | % |  | 8.1 | % |  | 11.2 | % |  | 8.6 | % |  | 6.6 | % |  | 6.6 | %
Interest and other income (expense), net |  |  |  |  | (270 | ) |  |  |  |  |  | (51 | ) |  |  |  | (133 | )
Income before provision for income taxes |  |  |  |  | 35,029 |  |  |  |  |  |  | 27,075 |  |  |  |  | 16,089 |
Provision for income taxes |  |  |  |  | 11,050 |  |  |  |  |  |  | 10,897 |  |  |  |  | 5,700 |
Net income |  |  |  |  | $ | 23,979 |  |  |  |  |  |  | $ | 16,178 |  |  |  |  | $ | 10,389 |
(1) Non-Acute Care segment includes MTS results from May 21, 2012, the closing date of acquisition.
Schedule of Segment Reporting Information, by Segment [Table Text Block] | At December 31, 2013, 2012, and 2011 segment assets, depreciation and amortization, and capital expenditures were as follows (amounts in thousands):
| December 31, |  | December 31, |  | December 31,
| 2013 |  | 2012 |  | 2011
| Acute Care |  | Non-Acute Care (1) |  | Total |  | Acute Care |  | Non-Acute Care (1) |  | Total |  | Acute Care |  | Total
Segment Assets | $ | 263,154 |  |  | $ | 229,347 |  |  | $ | 492,501 |  |  | $ | 235,186 |  |  | $ | 206,633 |  |  | $ | 441,819 |  |  | $ | 363,849 |  |  | $ | 363,849 |
Depreciation/Amortization | $ | 11,236 |  |  | $ | 7,129 |  |  | $ | 18,365 |  |  | $ | 9,017 |  |  | $ | 4,308 |  |  | 13,325 |  |  | 7,983 |  |  | 7,983 |
Capital Expenditures | $ | 4,392 |  |  | $ | 7,943 |  |  | $ | 12,335 |  |  | $ | 13,234 |  |  | $ | 1,953 |  |  | $ | 15,187 |  |  | $ | 8,685 |  |  | $ | 8,685 |
(1) Non-Acute Care segment includes MTS results from May 21, 2012, the date of acquisition.

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- Definition Tabular disclosure of all significant reconciling items in the reconciliation of total profit or loss from reportable segments, to the entity's consolidated income before income taxes, extraordinary items, and discontinued operations. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 31 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8924-108599 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8906-108599 + Details
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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 21 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8721-108599 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8813-108599 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=14024403&loc=d3e13816-109267 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8906-108599 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI http://asc.fasb.org/extlink&oid=6534315&loc=d3e8736-108599 + Details
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