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Segment Information - Concentration (Details) - Revenue - Product concentration risk
3 Months Ended 6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Jun. 30, 2016
Jun. 30, 2015
Details on the percentage of revenue for each group of similar products sold or services provided in segments        
Percentage of revenue 100.00% 100.00% 100.00% 100.00%
Medical Equipment Solutions        
Details on the percentage of revenue for each group of similar products sold or services provided in segments        
Percentage of revenue 63.70% 63.30% 64.70% 64.30%
Medical Equipment Solutions | Equipment usage solutions        
Details on the percentage of revenue for each group of similar products sold or services provided in segments        
Percentage of revenue 61.10% 60.10% 60.40% 61.20%
Medical Equipment Solutions | Equipment/disposable sales        
Details on the percentage of revenue for each group of similar products sold or services provided in segments        
Percentage of revenue 2.60% 3.20% 4.30% 3.10%
Clinical Engineering Solutions | Service solutions        
Details on the percentage of revenue for each group of similar products sold or services provided in segments        
Percentage of revenue 21.60% 22.10% 21.30% 21.80%
Surgical Services        
Details on the percentage of revenue for each group of similar products sold or services provided in segments        
Percentage of revenue 14.70% 14.60% 14.00% 13.90%
Surgical Services | Equipment usage solutions        
Details on the percentage of revenue for each group of similar products sold or services provided in segments        
Percentage of revenue 14.50% 14.40% 13.80% 13.70%
Surgical Services | Equipment/disposable sales        
Details on the percentage of revenue for each group of similar products sold or services provided in segments        
Percentage of revenue 0.20% 0.20% 0.20% 0.20%