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Summary of Significant Accounting Policies (Details 3) (USD $)
3 Months Ended 6 Months Ended
Jun. 30, 2013
Jun. 30, 2012
Jun. 30, 2013
Jun. 30, 2012
Changes in accumulated other comprehensive (loss) income by component        
Accumulated Other Comprehensive (Loss) Income     $ 28,520,000  
Total other comprehensive income (loss), net of tax 9,767,000 (29,026,000) (32,099,000) (12,606,000)
Accumulated Other Comprehensive (Loss) Income (3,579,000)   (3,579,000)  
Amortization of actuarial losses and prior service credits to net periodic pension cost, before tax     700,000  
Amortization of actuarial losses and prior service credits to net periodic pension cost, amount of tax     200,000  
BioClinica, Inc.
       
Changes in accumulated other comprehensive (loss) income by component        
Amount reclassified from accumulated other comprehensive income before tax     15,700,000  
Amount reclassified from accumulated other comprehensive income, tax     5,500,000  
Accumulated Other Comprehensive Income (Loss)
       
Changes in accumulated other comprehensive (loss) income by component        
Accumulated Other Comprehensive (Loss) Income     28,520,000  
Other comprehensive (loss) income, net of tax, before reclassifications     (22,373,000)  
Amounts reclassified from accumulated other comprehensive (loss) income, net of tax     (9,726,000)  
Total other comprehensive income (loss), net of tax     (32,099,000)  
Accumulated Other Comprehensive (Loss) Income (3,579,000)   (3,579,000)  
Foreign Currency Translation Adjustments
       
Changes in accumulated other comprehensive (loss) income by component        
Accumulated Other Comprehensive (Loss) Income     52,070,000  
Other comprehensive (loss) income, net of tax, before reclassifications     (25,149,000)  
Total other comprehensive income (loss), net of tax     (25,149,000)  
Accumulated Other Comprehensive (Loss) Income 26,921,000   26,921,000  
Unrealized gain on available for sale securities
       
Changes in accumulated other comprehensive (loss) income by component        
Accumulated Other Comprehensive (Loss) Income     7,418,000  
Other comprehensive (loss) income, net of tax, before reclassifications     2,776,000  
Amounts reclassified from accumulated other comprehensive (loss) income, net of tax     (10,194,000)  
Total other comprehensive income (loss), net of tax     (7,418,000)  
Defined Benefit Plans
       
Changes in accumulated other comprehensive (loss) income by component        
Accumulated Other Comprehensive (Loss) Income     (30,968,000)  
Amounts reclassified from accumulated other comprehensive (loss) income, net of tax     468,000  
Total other comprehensive income (loss), net of tax     468,000  
Accumulated Other Comprehensive (Loss) Income $ (30,500,000)   $ (30,500,000)