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Acquisition (Narrative) (Details) (USD $)
In Thousands, unless otherwise specified
9 Months Ended 0 Months Ended 0 Months Ended 9 Months Ended 0 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Sep. 30, 2014
Platinum Health Services, LLC [Member]
Jul. 12, 2013
Platinum Health Services, LLC [Member]
Sep. 30, 2014
Platinum Health Services, LLC [Member]
Jul. 12, 2013
Platinum Health Services, LLC [Member]
Jul. 12, 2013
Platinum Health Services, LLC [Member]
Customer Relationships [Member]
Jul. 12, 2013
Platinum Health Services, LLC [Member]
Customer Relationships [Member]
Sep. 30, 2014
Platinum Health Services, LLC [Member]
Contingent Consideration, Shares Not Issued [Member]
Sep. 30, 2014
Platinum Health Services, LLC [Member]
Contingent Consideration, Shares Issued [Member]
Jul. 12, 2013
Platinum Health Services, LLC [Member]
Contingent Consideration, Total Shares [Member]
Business Acquisition [Line Items]                      
Total purchase consideration       $ 50,766              
Cash payments to acquire business 0 5,000   5,000              
Equity interest issued to acquiree (number of shares)       1,215         705 300 1,005
Equity interest issued to acquiree (fair value)           30,062          
Contingent consideration, fair value     15,704                
Acquired finite-lived intangible assets         $ 21,300 $ 21,000   $ 21,300      
Weighted average useful life of acquired finite-lived intangible assets             10 years