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Goodwill and Identifiable Assets (Goodwill) (Details) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 6 Months Ended 12 Months Ended
Mar. 31, 2012
Jun. 30, 2013
Dec. 31, 2012
Dec. 31, 2011
Goodwill [Roll Forward]        
Gross goodwill   $ 495,638 $ 617,875 $ 350,951
Accumulated impairment loss   0 (121,717) (121,717)
Goodwill   495,638 496,158 229,234
Acquisition     264,590  
Goodwill, Purchase Accounting Adjustments (991) 0 1,805  
Goodwill, Written off Related to Sale of Business Unit   (121,717)    
Write-off of accum impairment loss related to sale of business unit   121,717    
Translation adjustment   (520) 529  
Apex
       
Goodwill [Roll Forward]        
Gross goodwill   264,590 264,590 0
Accumulated impairment loss   0 0 0
Goodwill   264,590 264,590 0
Acquisition     264,590  
Translation adjustment   0 0  
Oxford
       
Goodwill [Roll Forward]        
Gross goodwill   149,483 149,483 149,483
Accumulated impairment loss   0 0 0
Goodwill   149,483 149,483 149,483
Translation adjustment   0 0  
Life Sciences
       
Goodwill [Roll Forward]        
Gross goodwill   29,491 30,011 27,668
Accumulated impairment loss   0 0 0
Goodwill   29,491 30,011 27,668
Acquisition     0  
Goodwill, Purchase Accounting Adjustments     1,814  
Translation adjustment   (520) 529  
Healthcare
       
Goodwill [Roll Forward]        
Gross goodwill   513 122,230 122,230
Accumulated impairment loss   0 (121,717) (121,717)
Goodwill   513 513 513
Goodwill, Written off Related to Sale of Business Unit   (121,717)    
Write-off of accum impairment loss related to sale of business unit   121,717    
Translation adjustment   0 0  
Physician
       
Goodwill [Roll Forward]        
Gross goodwill   51,561 51,561 51,570
Accumulated impairment loss   0 0 0
Goodwill   51,561 51,561 51,570
Translation adjustment   0 0  
Physician | Health Care Partners [Member]
       
Goodwill [Roll Forward]        
Goodwill, Purchase Accounting Adjustments     $ (9)