Goodwill and Other Intangible Assets (Details) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 13, 2011
Goodwill [Line Items]
Goodwill recorded as a part of purchase price allocation	$ 27,852			$ 27,246
Definite-lived intangible assets recorded as a part of purchase price allocation	12,000
Increase in goodwill due to a net change in allocation of deferred tax assets	3,241
Goodwill [Roll Forward]
Goodwill, beginning balance	27,246
Translation differences	606
Goodwill, ending balance	27,852	27,246
Accumulated impairment loss	0
Business Acquisition, Purchase Price Allocation, Goodwill [Abstract]
Total goodwill	27,852			27,246
Schedule of definite-lived intangible assets [Abstract]
Gross Amount	12,000	12,000
Translation differences	116	0
Gross Amount	12,116	12,000	12,000
Accumulated Amortization	(1,262)	(50)
Net Book Value	10,854	11,950
Amortization expense	1,212	50	0
Estimated amortization expense for amortizable intangible assets [Abstract]
2013	1,200
2014	1,200
2015	1,200
2016	1,200
2017	1,200
Thereafter	4,854
Net Book Value	10,854	11,950
Trademarks [Member]
Schedule of definite-lived intangible assets [Abstract]
Gross Amount	5,700	5,700
Translation differences	44	0
Gross Amount	5,744	5,700
Accumulated Amortization	(598)	(24)
Net Book Value	5,146	5,676
Estimated amortization expense for amortizable intangible assets [Abstract]
Net Book Value	5,146	5,676
Customer Relationships [Member]
Schedule of definite-lived intangible assets [Abstract]
Gross Amount	6,300	6,300
Translation differences	72	0
Gross Amount	6,372	6,300
Accumulated Amortization	(664)	(26)
Net Book Value	5,708	6,274
Estimated amortization expense for amortizable intangible assets [Abstract]
Net Book Value	5,708	6,274
Current Reportable Segments [Member]
Goodwill [Line Items]
Goodwill recorded as a part of purchase price allocation				27,246
Decrease in goodwill acquired due to change in the valuation of unvested restricted stock	1,353
Decrease in goodwill acquired due to net change in deferred tax assets acquired	1,346
Increase in goodwill due to a net change in allocation of deferred tax assets	3,241
Business Acquisition, Purchase Price Allocation, Goodwill [Abstract]
Total goodwill				27,246
Consumer Segment [Member]
Goodwill [Line Items]
Goodwill recorded as a part of purchase price allocation	23,772
Business Acquisition, Purchase Price Allocation, Goodwill [Abstract]
Total goodwill	23,772
Physician Recurring Segment [Member]
Goodwill [Line Items]
Goodwill recorded as a part of purchase price allocation	4,080
Business Acquisition, Purchase Price Allocation, Goodwill [Abstract]
Total goodwill	$ 4,080