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Goodwill and Intangible Assets Narrative (Details) (USD $)
3 Months Ended 9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Sep. 30, 2013
Dec. 31, 2013
Finite-Lived Intangible Assets [Line Items]          
Goodwill $ 9,988,000   $ 9,988,000   $ 5,575,000
Intangibles - period amortization expense [Abstract]          
Amortization expense 200,000 200,000 600,000 500,000  
Noncompete Agreements
         
Intangibles - period amortization expense [Abstract]          
Fully amortized Intangible removed from table     70,000    
Net assets of mVisum, Inc.
         
Finite-Lived Intangible Assets [Line Items]          
Goodwill, Acquired During Period     2,100,000    
Prana Technologies
         
Finite-Lived Intangible Assets [Line Items]          
Goodwill, Acquired During Period     $ 2,300,000