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Segments (Tables)
12 Months Ended
Dec. 31, 2012
Segment Reporting Information [Line Items]  
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table Text Block]
For the years ended December 31, 2012, 2011 and 2010 the contributions of our segments to net revenues and income from operations, and the reconciliation to total net income, were as follows (amounts in thousands):
    
 
December 31,
 
December 31,
 
December 31,
 
2012
 
2011
 
2010
 
Acute Care
 
Non-Acute Care (1)
 
Total
 
Acute Care
 
Total
 
Acute Care
 
Total
Net revenues from external customers
$
260,160

 
$
53,867

 
$
314,027

 
$
245,535

 
$
245,535

 
$
222,407

 
$
222,407

Cost of revenues
111,599

 
31,840

 
143,439

 
109,751

 
109,751

 
104,490

 
104,490

Gross profit
$
148,561

 
$
22,027

 
$
170,588

 
$
135,784

 
$
135,784

 
$
117,917

 
$
117,917

Gross margin %
57.1
%
 
40.9
%
 
54.3
%
 
55.3
%
 
55.3
%
 
53.0
%
 
53.0
%
 

 

 


 

 


 

 

Operating expenses
127,467

 
15,995

 
143,462

 
119,562

 
119,562

 
108,391

 
108,391

Income from operations
$
21,094

 
$
6,032

 
$
27,126

 
$
16,222

 
$
16,222

 
$
9,526

 
$
9,526

Operating margin %
8.1
%
 
11.2
%
 
8.6
%
 
6.6
%
 
6.6
%
 
4.3
%
 
4.3
%
 
 
 
 
 

 
 
 

 
 
 

Interest and other income (expense), net
 
 
 
 
(51
)
 
 
 
(133
)
 
 
 
431

Income before provision for income taxes
 
 
 
 
27,075

 
 
 
16,089

 
 
 
9,957

Provision for income taxes
 
 
 
 
10,897

 
 
 
5,700

 
 
 
5,065

Net income
 
 
 
 
$
16,178

 
 
 
$
10,389

 
 
 
$
4,892

 
 
 
 
 
 
 
 
 
 
 
 
 
 
(1) Non-Acute Care segment includes MTS results from May 21, 2012, the closing date of acquisition.
Schedule of Segment Reporting Information, by Segment [Table Text Block]
At December 31, 2012, 2011, and 2010 segment assets, depreciation/amortization, and capital expenditures were as follows (amounts in thousands):
 
December 31,
 
December 31,
 
December 31,
 
2012
 
2011
 
2010
 
Acute Care
 
Non-Acute Care (1)
 
Total
 
Acute Care
 
Total
 
Acute Care
 
Total
Segment Assets
$
235,186

 
$
206,633

 
$
441,819

 
$
363,849

 
$
363,849

 
$
343,224

 
$
343,224

Depreciation/Amortization
9,657

 
3,668

 
13,325

 
7,983

 
7,983

 
8,619

 
8,619

Capital Expenditures
$
13,889

 
$
1,298

 
$
15,187

 
$
8,685

 
$
8,685

 
$
6,890

 
$
6,890

 
 
 
 
 
 
 
 
 
 
 
 
 
 
(1) Non-Acute Care segment includes MTS results from May 21, 2012, the date of acquisition.