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Segment Information - Reportable Segments (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Jun. 30, 2016
Jun. 30, 2015
Dec. 31, 2015
Segment Information          
Revenues $ 117,618 $ 112,289 $ 239,744 $ 225,775  
Medical equipment depreciation 16,077 15,501 31,247 33,635  
Gross margin 38,728 36,972 78,613 73,636  
Selling, general and administrative 28,798 31,038 60,095 61,189  
(Gain) on settlement (2,750) (5,718) (2,750) (5,718)  
Interest expense 13,061 13,249 26,130 26,559  
Loss before income taxes and noncontrolling interest (381) (1,597) (4,862) (8,394)  
Assets 786,310   786,310   $ 797,575
Medical Equipment Solutions          
Segment Information          
Revenues 74,940 71,084 155,170 145,169  
Cost of revenue 33,213 31,053 71,494 62,331  
Medical equipment depreciation 14,628 14,009 28,381 30,669  
Gross margin 27,099 26,022 55,295 52,169  
Assets 575,833   575,833   585,990
Clinical Engineering Solutions          
Segment Information          
Revenues 25,464 24,784 51,042 49,179  
Cost of revenue 20,644 20,041 40,668 39,271  
Gross margin 4,820 4,743 10,374 9,908  
Assets 111,150   111,150   110,588
Surgical Services          
Segment Information          
Revenues 17,214 16,421 33,532 31,427  
Cost of revenue 8,956 8,722 17,722 16,902  
Medical equipment depreciation 1,449 1,492 2,866 2,966  
Gross margin 6,809 $ 6,207 12,944 $ 11,559  
Assets $ 99,327   $ 99,327   $ 100,997