Goodwill and Other Intangible Assets Goodwill rollforward by segment (details) (USD $)	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Goodwill [Line Items]
Goodwill, Purchase Accounting Adjustments	$ 100,000
Amortization of Intangible Assets	1,100,000	200,000
Goodwill [Roll Forward]
Goodwill, Beginning balance	111,407,000
Goodwill acquired	(64,000)
Goodwill, Ending balance	111,343,000
Acute Care Solutions [Member]
Goodwill [Roll Forward]
Goodwill, Beginning balance	28,543,000
Goodwill acquired	0
Goodwill, Ending balance	28,543,000
Non-acute care solutions [Member]
Goodwill [Roll Forward]
Goodwill, Beginning balance	82,864,000
Goodwill acquired	(64,000)
Goodwill, Ending balance	$ 82,800,000