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Business Combinations - Additional Information (Details) - USD ($)
$ in Thousands
4 Months Ended 12 Months Ended
Apr. 30, 2015
Apr. 30, 2015
Apr. 21, 2015
Aug. 22, 2014
Dec. 31, 2014
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Apr. 29, 2014
Acquired Finite-Lived Intangible Assets [Line Items]                  
Total purchase price $ 41,427 $ 41,427              
Difference between fair value and carrying value as a gain           $ 3,443 $ 0 $ 0  
Purchase price of acquisition 37,638         25,507 20,723 0  
Goodwill 26,197 26,197     $ 122,720 147,906 122,720 111,343  
Avantec                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Percentage of minority interest                 15.00%
Carrying book value of previous equity interest 1,300 1,300              
Surgichem                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Total purchase price       $ 20,877          
Purchase price of acquisition       20,700          
Cash acquired from Acquisition       200          
Goodwill       12,112          
Acquisition generated revenue         4,600        
Income (Loss) from operations         $ (100)        
Total revenue             $ 13,300 $ 11,900  
Surgichem | Trade name                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Intangible assets acquired       $ 300          
Acquired intangible assets, useful life (in years)       1 year          
Surgichem | Customer relationships                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Intangible assets acquired       $ 5,400          
Acquired intangible assets, useful life (in years)       18 years          
Mach4                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Fair value of identifiable intangible assets purchased     $ 7,710            
Total purchase price     17,286            
Amount placed in escrow fund for business acquisition     $ 2,700            
Period after closing date to settle indemnification and other claims     18 months            
Purchase price of acquisition     $ 16,889            
Goodwill     10,591            
Acquisition generated revenue           11,200      
Income (Loss) from operations           (2,200)      
Mach4 | Developed technology                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Fair value of identifiable intangible assets purchased     $ 3,290            
Acquired intangible assets, useful life (in years)     8 years            
Mach4 | Trade name                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Fair value of identifiable intangible assets purchased     $ 850            
Acquired intangible assets, useful life (in years)     6 years            
Mach4 | Customer relationships                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Fair value of identifiable intangible assets purchased     $ 3,570            
Acquired intangible assets, useful life (in years)     10 years            
Avantec                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Fair value of identifiable intangible assets purchased   6,341              
Total purchase price $ 24,141 $ 24,141              
Percentage of interest acquired 85.00% 85.00%              
Payments to acquire business, in cash   $ 12,000              
Potential earn-out payments $ 5,600 5,600              
Business acquisition, amount withheld for idemnification 1,800 $ 1,800              
Period after closing date to settle indemnification and other claims   18 months              
Fair value of equity investment   $ 4,700              
Difference between fair value and carrying value as a gain   3,400              
Purchase price of acquisition   20,749              
Goodwill 15,606 15,606              
Acquisition generated revenue           8,700      
Income (Loss) from operations           $ (900)      
Avantec | Developed technology                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Fair value of identifiable intangible assets purchased   0              
Avantec | Trade name                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Fair value of identifiable intangible assets purchased   $ 92              
Acquired intangible assets, useful life (in years)   2 years              
Avantec | Customer relationships                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Fair value of identifiable intangible assets purchased   $ 5,834              
Acquired intangible assets, useful life (in years)   12 years              
Avantec | Payable After December 31, 2015                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Potential earn-out payments 3,000 $ 3,000              
Avantec | Payable After December 31, 2016                  
Acquired Finite-Lived Intangible Assets [Line Items]                  
Potential earn-out payments $ 3,000 $ 3,000