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Goodwill (Details) (USD $)
In Thousands, unless otherwise specified
9 Months Ended
Sep. 29, 2012
segment
Goodwill  
Number of reporting units 1
Percentage by which entity-wide estimated fair value exceeded the net book value 25.00%
Changes in the carrying amount of goodwill  
Balance at the beginning of the period $ 140,654
Goodwill adjustments related to sale of practice (29)
Effect of foreign currency translation adjustments 1,758
Balance at the end of the period $ 142,383