Goodwill and Other Intangible Assets (Details) (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Goodwill [Roll Forward]
Goodwill, beginning balance	$ 24,930
Additions to goodwill	0
Translation differences	(882)
Goodwill, ending balance	24,048	24,930
Accumulated impairment loss	0
Schedule of definite-lived intangible assets [Abstract]
Gross Amount beginning of period	12,189	12,116
Translation differences	(208)	73
Gross Amount end of period	11,981	12,189	12,116
Accumulated Amortization	(3,644)	(2,488)
Net Book Value	8,337	9,701
Amortization expense	1,200	1,200	1,212
Estimated amortization expense for amortizable intangible assets [Abstract]
2015	1,200
2016	1,200
2017	1,200
2018	1,200
2019	1,200
Thereafter	2,337
Net Book Value	8,337	9,701
Trademarks [Member]
Schedule of definite-lived intangible assets [Abstract]
Gross Amount beginning of period	5,772	5,744
Translation differences	(80)	28
Gross Amount end of period	5,692	5,772
Accumulated Amortization	(1,731)	(1,178)
Net Book Value	3,961	4,594
Estimated amortization expense for amortizable intangible assets [Abstract]
Net Book Value	3,961	4,594
Customer Relationships [Member]
Schedule of definite-lived intangible assets [Abstract]
Gross Amount beginning of period	6,417	6,372
Translation differences	(128)	45
Gross Amount end of period	6,289	6,417
Accumulated Amortization	(1,913)	(1,310)
Net Book Value	4,376	5,107
Estimated amortization expense for amortizable intangible assets [Abstract]
Net Book Value	4,376	5,107
Radiancy, Inc. [Member]
Goodwill [Line Items]
Definite-lived intangible assets recorded as a part of purchase price allocation	12,000
Goodwill [Roll Forward]
Goodwill, ending balance	24,005
Consumer Segment [Member]
Goodwill [Roll Forward]
Goodwill, ending balance	19,968
Physician Recurring Segment [Member]
Goodwill [Roll Forward]
Goodwill, ending balance	$ 4,080