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Property and Equipment - Textual (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended 12 Months Ended
Sep. 30, 2013
Dec. 31, 2013
Y
Dec. 31, 2012
Dec. 31, 2011
Mar. 31, 2008
Property and Equipment (Textual) [Abstract]          
Percentage of property and equipment, net pledged to lenders under credit agreement   79.00%      
Operating Lease Term, Minimum   3      
Operating Lease Term, Maximum   15      
Rental Income from Subleases   $ 4.9 $ 4.7 $ 4.7  
Total Expected Future Minimum Sublease Rental Income   10.4      
Percentage of Net Profit Due Company from Hospital Building Sale         40.00%
Proceeds from sale of Digital Hospital 10.8 10.8 0 0  
Number of sale/leaseback transactions   2      
Sale/Leaseback Transactions, Future Minimum Payments, 2014   2.7      
Sale/Leaseback Transactions, Future Minimum Payments, 2015   2.7      
Sale/Leaseback Transactions, Future Minimum Payments, 2016   2.7      
Sale/Leaseback Transactions, Future Minimum Payments, 2017   2.7      
Sale/Leaseback Transactions, Future Minimum Payments, 2018   2.7      
Sale/Leaseback Transactions, Future Minimum Payments, 2019 & Thereafter   $ 14.0