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Accounting Policies (Details) (USD $)
3 Months Ended 9 Months Ended
Sep. 30, 2012
Sep. 30, 2011
Sep. 30, 2012
Sep. 30, 2011
Significant Accounting Policies [Line Items]        
Share-based Compensation $ 2,208,000 $ 2,106,000 $ 5,198,000 $ 4,984,000
Estimated Market for Medical Equipment and Supplies     $ 11,000,000,000