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Acquisitions - Purchase Price Allocation (Details) (USD $)
In Thousands, unless otherwise specified
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Oct. 04, 2013
Radial Assist
Oct. 04, 2013
Datascope
Jan. 31, 2012
Ostial Solutions, LLC
Nov. 19, 2012
MediGroup
Dec. 19, 2012
Thomas Medical Products, Inc
Sep. 02, 2011
Ash
Oct. 04, 2013
Developed technology
Radial Assist
Oct. 04, 2013
Developed technology
Datascope
Jan. 31, 2012
Developed technology
Ostial Solutions, LLC
Nov. 19, 2012
Developed technology
MediGroup
Dec. 19, 2012
Developed technology
Thomas Medical Products, Inc
Sep. 02, 2011
Developed technology
Ash
Oct. 04, 2013
Customer lists
Radial Assist
Oct. 04, 2013
Customer lists
Datascope
Jan. 31, 2012
Customer lists
Ostial Solutions, LLC
Nov. 19, 2012
Customer lists
MediGroup
Dec. 19, 2012
Customer lists
Thomas Medical Products, Inc
Sep. 02, 2011
Customer lists
Ash
Oct. 04, 2013
Trademarks
Radial Assist
Oct. 04, 2013
Trademarks
Datascope
Jan. 31, 2012
Trademarks
Ostial Solutions, LLC
Nov. 19, 2012
Trademarks
MediGroup
Dec. 19, 2012
Trademarks
Thomas Medical Products, Inc
Jan. 31, 2012
Non-compete agreements
Ostial Solutions, LLC
Nov. 19, 2012
Non-compete agreements
MediGroup
Dec. 19, 2012
Non-compete agreements
Thomas Medical Products, Inc
Business Acquisition [Line Items]                                                          
Trade receivables               $ 6,507                                          
Inventories       16 478   263 5,459                                          
Prepaid expenses               340                                          
Property and equipment             79 2,685 73                                        
Intangibles                   1,520 18,200 10,500 2,000 43,000 3,200 20 390 600 110 5,000 300 40 320 110 80 1,400 10 210 500
Goodwill 184,505 175,108 61,144 904 8,112 9,580 1,697 102,407 2,697                                        
Total assets acquired       2,500 27,500 20,800 4,439 167,298 6,270                                        
Accounts payable               588                                          
Accrued expenses               1,094                                          
Total liabilities assumed               1,682                                          
Net assets acquired, net of cash acquired               165,616                                          
Cash acquired               $ 1,829