Segments (Tables)

12 Months Ended

Dec. 31, 2013

Segment Reporting Information [Line Items]

Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table Text Block]

For the years ended December 31, 2013, 2012 and 2011 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,
	2013									2012									2011
	Acute Care			Non-Acute Care			Total			Acute Care			Non-Acute Care (1)			Total			Acute Care			Total
Net revenues from external customers	$	284,666		$	95,919		$	380,585		$	260,160		$	53,867		$	314,027		$	245,535		$	245,535
Cost of revenues	122,816			54,370			177,186			111,599			31,840			143,439			109,751			109,751
Gross profit	$	161,850		$	41,549		$	203,399		$	148,561		$	22,027		$	170,588		$	135,784		$	135,784
Gross margin %	56.9		%	43.3		%	53.4		%	57.1		%	40.9		%	54.3		%	55.3		%	55.3		%
Operating expenses	131,811			36,289			168,100			127,467			15,995			143,462			119,562			119,562
Income from operations	$	30,039		$	5,260		$	35,299		$	21,094		$	6,032		$	27,126		$	16,222		$	16,222
Operating margin %	10.6		%	5.5		%	9.3		%	8.1		%	11.2		%	8.6		%	6.6		%	6.6		%
Interest and other income (expense), net							(270		)							(51		)				(133		)
Income before provision for income taxes							35,029									27,075						16,089
Provision for income taxes							11,050									10,897						5,700
Net income							$	23,979								$	16,178					$	10,389
(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, 2013, 2012, and 2011 segment assets, depreciation and amortization, and capital expenditures were as follows (amounts in thousands):

	December 31,						December 31,						December 31,
	2013						2012						2011
	Acute Care		Non-Acute Care (1)		Total		Acute Care		Non-Acute Care (1)		Total		Acute Care		Total
Segment Assets	$	263,154	$	229,347	$	492,501	$	235,186	$	206,633	$	441,819	$	363,849	$	363,849
Depreciation/Amortization	$	11,236	$	7,129	$	18,365	$	9,017	$	4,308	13,325		7,983		7,983
Capital Expenditures	$	4,392	$	7,943	$	12,335	$	13,234	$	1,953	$	15,187	$	8,685	$	8,685
(1) Non-Acute Care segment includes MTS results from May 21, 2012, the date of acquisition.