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Goodwill and Intangible Assets - Carrying Amount of Goodwill (Details) - USD ($)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Apr. 30, 2015
Dec. 31, 2014
Dec. 31, 2015
Dec. 31, 2014
Goodwill [Roll Forward]        
Net balance as of December 31,     $ 122,720 $ 111,343
Additions     26,197 12,112
Adjustments     (1,011) (735)
Net balance as of December 31, $ 26,197 $ 122,720 147,906 122,720
Surgichem        
Goodwill [Roll Forward]        
Surgichem Acquisition, adjustment to purchase price   100    
Mach4        
Goodwill [Roll Forward]        
Surgichem Acquisition, adjustment to purchase price $ 100      
Automation and Analytics        
Goodwill [Roll Forward]        
Net balance as of December 31,     28,543 28,543
Additions     26,197 0
Adjustments     (424) 0
Net balance as of December 31,   28,543 54,316 28,543
Medication Adherence        
Goodwill [Roll Forward]        
Net balance as of December 31,     94,177 82,800
Additions     0 12,112
Adjustments     (587) (735)
Net balance as of December 31,   $ 94,177 $ 93,590 $ 94,177