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Segments - Deprecation and Amortization and Capital Expenditures (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Sep. 30, 2013
Segment Reporting Information [Line Items]        
Depreciation and amortization $ 5,314 $ 4,488 $ 14,705 $ 13,732
Capital Expenditures 3,420 2,056 10,755 7,807
Automation and Analytics [Member]
       
Segment Reporting Information [Line Items]        
Depreciation and amortization 3,460 2,805 9,402 8,351
Capital Expenditures 2,635 1,311 8,802 3,329
Medication Adherence
       
Segment Reporting Information [Line Items]        
Depreciation and amortization 1,854 1,683 5,303 5,381
Capital Expenditures $ 785 $ 745 $ 1,953 $ 4,478