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Summary of Estimates of Fair Values of Assets Acquired and Liabilities Assumed of PriceSpective LLC (Detail) (USD $)
In Thousands, unless otherwise specified
6 Months Ended 1 Months Ended
Jun. 30, 2013
Jun. 30, 2012
Dec. 31, 2012
Dec. 31, 2011
Feb. 28, 2012
PriceSpective LLC
Feb. 28, 2012
PriceSpective LLC
Customer relationships acquired
Feb. 28, 2012
PriceSpective LLC
Order Backlog
Feb. 28, 2012
PriceSpective LLC
Non-compete Agreements
Business Acquisition [Line Items]                
Property, plant and equipment         $ 256      
Goodwill 354,579   315,441 253,393 42,247 [1]      
Intangible asset           10,237 405 392
Cash and cash equivalents         2,311      
Accounts receivable         2,662      
Unbilled revenue         1,140      
Other current assets         236      
Current liabilities         (7,788)      
Liability arising from contingent consideration arrangement         (15,000)      
Net assets acquired         37,098      
Cash consideration 78,661 51,563     37,199      
Working capital adjustment         (101)      
Contingent consideration         15,000      
Amount of total consideration         52,098      
Liabilities included in preliminary purchase price allocation re contingent consideration         (15,000)      
Net assets acquired         $ 37,098      
[1] Goodwill represents the acquisition of an established workforce with experience in strategic pricing, market access, HEOR, due diligence support and payer engagement services. Goodwill related to the US portion of the business acquired is tax deductible.