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Significant Accounting Policies (Details Textual) (USD $)
In Thousands, except Share data, unless otherwise specified
12 Months Ended
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Consolidated Accounts Receivable Percentage 10.00% 10.00%  
Consolidated Largest Client Revenue 10.00% 10.00% 10.00%
Restricted Cash and Cash Equivalents, Noncurrent $ 47 $ 46  
Business Acquisition, Increase (Decrease) in Contingent Purchase Price Obligation 53,027 12,849 778
Business Combination, Acquisition Related Costs 3,364 3,819 4,025
Assets 1,344,945 1,055,745 914,348
Liabilities 1,311,802 961,254  
Interest Rate Percentage On Senior Notes 11.00%    
Equity Method Investment, Ownership Percentage 50.00%    
Proceeds from Equity Method Investment, Dividends or Distributions     3,519
Equity Method Investment, Realized Gain (Loss) on Disposal     2,601
Cost Method Investments 10,733 8,785  
Investment Income, Amortization of Premium 46 232 848
Amortization of Debt Discount (Premium) 1,366 943 197
Deferred Finance Costs, Net 11,653 11,715  
Accumulated Amortization, Deferred Finance Costs 5,821 3,526  
Pension Expense 4,090 2,356 1,655
Deferred Financing Costs 2,232    
Doner [Member]
     
Variable Interest Entity, Qualitative or Quantitative Information, Ownership Percentage 30.00%    
Ownership Interest Percentage Increase On Exercise Of Option 70.00%    
Assets 220,528    
Liabilities 198,419    
Adrenalina [Member]
     
Equity Method Investment Written Off   39 1,636
Equity Method Investment, Ownership Percentage 49.90%    
Real Estate Joint Venture [Member]
     
Percentage Of Undivided Interest 50.00%    
Minimum [Member]
     
Property, Plant and Equipment, Useful Life 3 years    
Maximum [Member]
     
Property, Plant and Equipment, Useful Life 7 years    
Performance Shares [Member]
     
Stock Granted, Value, Share-based Compensation, Gross $ 9,838 $ 20,188 $ 6,649
Equity Value Appreciation Awards [Member]
     
Maximum Shares Issuance Restricted Stock Units And Shares   1,413,000  
Share Based Compensation Arrangements By Share Based Payment Award Grants In Period Weighted Average Grant Date Fair Value   $ 9.37  
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate   1.20%  
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate   31.70%  
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term   2 years 11 months 5 days